Endocrine Drug therapy Questions
Insulin and Antidiabetic drugs:
1. The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start
to have an effect within which time frame?
A. 15 minutes
B. 1 to 2 hours
C. 80 minutes
D. 3 to 5 hours
2. When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early
signs of hypoglycemia, including:
A. hypothermia and seizures.
B. nausea and diarrhea.
C. confusion and sweating.
D. fruity, acetone odor to the breath.
3. The nurse is teaching a group of patients about self-administration of insulin. What content is
important to include?
A. Patients need to use the injection site that is the most accessible.
B. If two different insulins are ordered, they need to be given in separate injections.
C. When mixing insulins, the cloudy (such as NPH) insulin is drawn up into the syringe first.
D. When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.
4. A 75-year-old woman with type 2 diabetes has recently been placed on glipizide (Glucotrol), 10 mg
daily. She asks the nurse when the best time would be to take this medication. What is the nurse’s
best response?
A. “Take this medication in the morning, 30 minutes before breakfast.”
B. “Take this medication in the evening with a snack.”
C. “This medication needs to be taken after the midday meal.”
D. “It does not matter what time of day you take this medication.”
5. A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO (nothing by
mouth) since midnight. What is the best action by the nurse regarding the administration of her oral
antidiabetic drugs?
A. Administer half the original dose.
B. Withhold all medications as ordered.
C. Contact the prescriber for further orders.
D. Give the medication with a sip of water.
, 6. The nurse is reviewing instructions for a patient with type 2 diabetes who also takes insulin
injections as part of the therapy. The nurse asks the patient, “What should you do if your fasting
blood glucose is 47 mg/dL?” Which response by the patient reflects a correct understanding of
insulin therapy?
A. “I will call my doctor right away.”
B. “I will give myself the regular insulin.”
C. “I will take an oral form of glucose.”
D. “I will rest until the symptoms pass.”
7. The nurse is teaching patients about self-injection of insulin. Which statement is true regarding
injection sites?
A. Avoid the abdomen because absorption there is irregular.
B. Choose a different site at random for each injection.
C. Give the injection in the same area each time.
D. Rotate sites within the same location for about 1 week before rotating to a new location.
8. After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a
follow-up examination. The nurse will monitor which laboratory test to evaluate the patient’s
adherence to the antidiabetic therapy over the past few months?
A. Hemoglobin levels
B. Hemoglobin A1C level
C. Fingerstick fasting blood glucose level
D. Serum insulin levels
9. A patient in the emergency department was showing signs of hypoglycemia and had a fingerstick
glucose level of 34 mg/dL. The patient has just become unconscious. What is the nurse’s next
action?
A. Have the patient eat glucose tablets.
B. Have the patient consume fruit juice, a nondiet soft drink, or crackers.
C. Administer intravenous glucose (50% dextrose).
D. Call the lab to order a fasting blood glucose level
10. A patient has been diagnosed with metabolic syndrome and is started on the biguanide metformin
(Glucophage). The nurse knows that the purpose of the metformin, in this situation, is which of
these?
A. To increase the pancreatic secretion of insulin
B. To decrease insulin resistance
C. To increase blood glucose levels
D. To decrease the pancreatic secretion of insulin
Insulin and Antidiabetic drugs:
1. The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start
to have an effect within which time frame?
A. 15 minutes
B. 1 to 2 hours
C. 80 minutes
D. 3 to 5 hours
2. When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early
signs of hypoglycemia, including:
A. hypothermia and seizures.
B. nausea and diarrhea.
C. confusion and sweating.
D. fruity, acetone odor to the breath.
3. The nurse is teaching a group of patients about self-administration of insulin. What content is
important to include?
A. Patients need to use the injection site that is the most accessible.
B. If two different insulins are ordered, they need to be given in separate injections.
C. When mixing insulins, the cloudy (such as NPH) insulin is drawn up into the syringe first.
D. When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.
4. A 75-year-old woman with type 2 diabetes has recently been placed on glipizide (Glucotrol), 10 mg
daily. She asks the nurse when the best time would be to take this medication. What is the nurse’s
best response?
A. “Take this medication in the morning, 30 minutes before breakfast.”
B. “Take this medication in the evening with a snack.”
C. “This medication needs to be taken after the midday meal.”
D. “It does not matter what time of day you take this medication.”
5. A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO (nothing by
mouth) since midnight. What is the best action by the nurse regarding the administration of her oral
antidiabetic drugs?
A. Administer half the original dose.
B. Withhold all medications as ordered.
C. Contact the prescriber for further orders.
D. Give the medication with a sip of water.
, 6. The nurse is reviewing instructions for a patient with type 2 diabetes who also takes insulin
injections as part of the therapy. The nurse asks the patient, “What should you do if your fasting
blood glucose is 47 mg/dL?” Which response by the patient reflects a correct understanding of
insulin therapy?
A. “I will call my doctor right away.”
B. “I will give myself the regular insulin.”
C. “I will take an oral form of glucose.”
D. “I will rest until the symptoms pass.”
7. The nurse is teaching patients about self-injection of insulin. Which statement is true regarding
injection sites?
A. Avoid the abdomen because absorption there is irregular.
B. Choose a different site at random for each injection.
C. Give the injection in the same area each time.
D. Rotate sites within the same location for about 1 week before rotating to a new location.
8. After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a
follow-up examination. The nurse will monitor which laboratory test to evaluate the patient’s
adherence to the antidiabetic therapy over the past few months?
A. Hemoglobin levels
B. Hemoglobin A1C level
C. Fingerstick fasting blood glucose level
D. Serum insulin levels
9. A patient in the emergency department was showing signs of hypoglycemia and had a fingerstick
glucose level of 34 mg/dL. The patient has just become unconscious. What is the nurse’s next
action?
A. Have the patient eat glucose tablets.
B. Have the patient consume fruit juice, a nondiet soft drink, or crackers.
C. Administer intravenous glucose (50% dextrose).
D. Call the lab to order a fasting blood glucose level
10. A patient has been diagnosed with metabolic syndrome and is started on the biguanide metformin
(Glucophage). The nurse knows that the purpose of the metformin, in this situation, is which of
these?
A. To increase the pancreatic secretion of insulin
B. To decrease insulin resistance
C. To increase blood glucose levels
D. To decrease the pancreatic secretion of insulin
