NR 293 Exam 2 2025 questions and
verified answers
What's is the problem w/ a pt who has diabetes mellitus? - Correct AnswerBlood
Osmolality
What is incretin? - Correct AnswerA hormone released in your gut that stimulates
INSULIN secretion after a meal.
Before administering insulin you should..... - Correct Answer1.) Check blood sugar
2.) Roll vials between hands instead of shaking them to mix suspensions
3.) Ensure correct storage of insulin vials
4.) Only use insulin syringes, calibrated in units to measure and give insulin
5.) Ensure correct timing of insulin dose with meals.
**If nurse is giving, it needs a second nurses check.
Why should you roll vial between hands vs shake? - Correct AnswerShaking makes
BUBBLES so when you draw insulin up you will draw bubbles up & administer the
wrong amt.
How long can insulin be stored at room temperature? - Correct Answer30 days at room
temp. **Remember not on your window seal or car in Phx!
If the pt is unconscious administer _________________ or ________________. -
Correct AnswerD50W or glucagon IV
*Monitor pts blood glucose levels
Hypoglycemia: If the pt is _____________ administer an oral form of glucose such as:
________________. - Correct AnswerConscious - oral forms include: glucose tablets,
gel, corn syrup honey, fruit juice, nondiet soft drink, crackers/ half a sandwich.
What's the "Rule of 15's (hypoglycemic) ?" - Correct AnswerGive 15 grams of carbs,
wait 15 minutes, retest blood glucose. If still hypoglycemic give another 15 grams of
carbs.
**Why do this? -- This avoids being OVER treated w/ food and spiking a HIGH blood
glucose kit.
Whats the correct method to give 2 types of insulin at once. - Correct Answer1.) Air in
the cloudy.
2.) Air in the regular & draw up regular insulin
3.) Draw up intermediate/long (cloudy)
When you wear an insulin pump how much insulin is usually pumped/administered
through the planted cannula each hour? Hyperglycemia- Correction dosing? - Correct
Answer0.4-2 units /hr as prescribed for 24 hrs
, For Hyperglycemia -Correction dose 1 unit= 50mg decrease in blood sugars.
Pt teaching: What would you tell your pt to when they're home sick? - Correct Answer1.)
Continue taking long-acting basal insulin
2.) Check your blood sugar more often.
3.) Use correction dosing with rapid acting insulin.
4.) Drink LOTS of FLUIDS
(Call doc if fever 105>, blood sugar about 250, or mod. to large ketones in urine.)
Alcohol can actually __________ blood sugars, but they need to count carbs for fruit
drinks/beer because that can increase blood sugar. - Correct AnswerLOWER
If you eat 10-15 grams of carbs how many units should you give ? - Correct Answer1
unit
If someone appears drunk but they're not intoxicated what should you consider? -
Correct AnswerHypoglycemic (*they may be very aggressive)
What kind of problems do diabetics have? - Correct AnswerMICROVASCULAR (Eye,
Kidney, Heart)
If pts BUN and Cr are too HIGH think..... - Correct AnswerPossible dehydration
When giving an insulin Subq shot in the hospital make sure you..... - Correct AnswerDo
it in the back of their arm to give their stomach a break- unless the pt doesn't prefer that
site.
When teaching the pt how to give themselves a Sub-Q shot tell them to be at least
_________ away from their belly button. - Correct AnswerAt least 2" away from their
umbilicous (belly button). If injecting in the thigh stay 4" above knee or below. If in
buttocks, inject in the "wallet" area to avoid sciatic nerve. If in arm, grab back of arm fat.
*Remember if the kid is walking to school he wouldn't want to get injected in the leg
before walking bc it would increase absorption. Switch injection sites- Don't give shots
right next to each other.
What should you do if blood osmolality is greater than 285 mmoles/L? - Correct
AnswerGive more fluids (unless contraindicated)
If a right handed diabetic goes out to play tennis, where should she NOT inject her
insulin? - Correct AnswerShe should NOT inject her RIGHT ARM! It could speed up the
release of the insulin.
Where should you NOT inject into? - Correct AnswerGive at least one inch area
between injection sites.
DONT inject into scar tissue, broken blood vessels, varicose vein areas.
verified answers
What's is the problem w/ a pt who has diabetes mellitus? - Correct AnswerBlood
Osmolality
What is incretin? - Correct AnswerA hormone released in your gut that stimulates
INSULIN secretion after a meal.
Before administering insulin you should..... - Correct Answer1.) Check blood sugar
2.) Roll vials between hands instead of shaking them to mix suspensions
3.) Ensure correct storage of insulin vials
4.) Only use insulin syringes, calibrated in units to measure and give insulin
5.) Ensure correct timing of insulin dose with meals.
**If nurse is giving, it needs a second nurses check.
Why should you roll vial between hands vs shake? - Correct AnswerShaking makes
BUBBLES so when you draw insulin up you will draw bubbles up & administer the
wrong amt.
How long can insulin be stored at room temperature? - Correct Answer30 days at room
temp. **Remember not on your window seal or car in Phx!
If the pt is unconscious administer _________________ or ________________. -
Correct AnswerD50W or glucagon IV
*Monitor pts blood glucose levels
Hypoglycemia: If the pt is _____________ administer an oral form of glucose such as:
________________. - Correct AnswerConscious - oral forms include: glucose tablets,
gel, corn syrup honey, fruit juice, nondiet soft drink, crackers/ half a sandwich.
What's the "Rule of 15's (hypoglycemic) ?" - Correct AnswerGive 15 grams of carbs,
wait 15 minutes, retest blood glucose. If still hypoglycemic give another 15 grams of
carbs.
**Why do this? -- This avoids being OVER treated w/ food and spiking a HIGH blood
glucose kit.
Whats the correct method to give 2 types of insulin at once. - Correct Answer1.) Air in
the cloudy.
2.) Air in the regular & draw up regular insulin
3.) Draw up intermediate/long (cloudy)
When you wear an insulin pump how much insulin is usually pumped/administered
through the planted cannula each hour? Hyperglycemia- Correction dosing? - Correct
Answer0.4-2 units /hr as prescribed for 24 hrs
, For Hyperglycemia -Correction dose 1 unit= 50mg decrease in blood sugars.
Pt teaching: What would you tell your pt to when they're home sick? - Correct Answer1.)
Continue taking long-acting basal insulin
2.) Check your blood sugar more often.
3.) Use correction dosing with rapid acting insulin.
4.) Drink LOTS of FLUIDS
(Call doc if fever 105>, blood sugar about 250, or mod. to large ketones in urine.)
Alcohol can actually __________ blood sugars, but they need to count carbs for fruit
drinks/beer because that can increase blood sugar. - Correct AnswerLOWER
If you eat 10-15 grams of carbs how many units should you give ? - Correct Answer1
unit
If someone appears drunk but they're not intoxicated what should you consider? -
Correct AnswerHypoglycemic (*they may be very aggressive)
What kind of problems do diabetics have? - Correct AnswerMICROVASCULAR (Eye,
Kidney, Heart)
If pts BUN and Cr are too HIGH think..... - Correct AnswerPossible dehydration
When giving an insulin Subq shot in the hospital make sure you..... - Correct AnswerDo
it in the back of their arm to give their stomach a break- unless the pt doesn't prefer that
site.
When teaching the pt how to give themselves a Sub-Q shot tell them to be at least
_________ away from their belly button. - Correct AnswerAt least 2" away from their
umbilicous (belly button). If injecting in the thigh stay 4" above knee or below. If in
buttocks, inject in the "wallet" area to avoid sciatic nerve. If in arm, grab back of arm fat.
*Remember if the kid is walking to school he wouldn't want to get injected in the leg
before walking bc it would increase absorption. Switch injection sites- Don't give shots
right next to each other.
What should you do if blood osmolality is greater than 285 mmoles/L? - Correct
AnswerGive more fluids (unless contraindicated)
If a right handed diabetic goes out to play tennis, where should she NOT inject her
insulin? - Correct AnswerShe should NOT inject her RIGHT ARM! It could speed up the
release of the insulin.
Where should you NOT inject into? - Correct AnswerGive at least one inch area
between injection sites.
DONT inject into scar tissue, broken blood vessels, varicose vein areas.
