PHARM 2 EXAM WITH 150+ QUESTIONS AND
VERIFIED ANSWERS (RATIONALE
AVAILABLE) || GUARANTEED PASS ||
ALREADY GRADED A+|| LATEST UPDATE 2025
A client with type 1 DM has a fingerstick glucose level of 258mg/dl at bedtime.
An order for sliding scale insulin exists. The nurse should:
A. Call the physician
B. Encourage the intake of fluids
C. Administer the insulin as ordered
D. Give the client ½ c. of orange juice - ANSWER-C.
A value of 258mg/dl is above the expected range of 70-105 mg/dl; the nurse
should administer the insulin as ordered.
The physician orders 36 units of NPH and 12 units of regular insulin. The nurse
plans to administer these drugs in 1 syringe. Identify the steps in this procedure
by listing them in priority order. 1. Inject air equal to NPH dose into NPH vial
2. Invert regular insulin bottle and withdraw regular insulin dose 3. Inject air
equal to regular dose into regular dose 4. Invert NPH vial and withdraw NPH
dose.
A. 1, 2, 3, 4.
B. 1, 4, 3, 2.
C. 1, 4, 2, 3,
D. 1, 3, 2, 4. - ANSWER-D.
,A client diagnosed with type 1 diabetes receives insulin. He asks the nurse why
he can't just take pills instead. What is the best response by the nurse?
A. "Insulin must be injected because it needs to work quickly."
B. "Insulin can't be in a pill because it is destroyed in stomach acid."
C. "Have you talked to your doctor about taking pills instead?"
D. "I know it is tough, but you will get used to the shots soon." - ANSWER-B.
Insulin must be injected because it is destroyed in the stomach acid if taken
orally. Telling he will get used to shots does not answer his question and is
condescending. Insulin must be injected because it is destroyed in stomach acid
if taken orally; the onset of action is not the issue here. The nurse should answer
the client's question, not refer him back to the physician.
Nurse Andy has finished teaching a client with diabetes mellitus how to
administer insulin. He evaluates the learning has occurred when the client
makes which statement?
A. "I should check my blood sugar immediately prior to the administration."
B. "I should provide direct pressure over the site following the injection."
C. "I should use the abdominal area only for insulin injections."
D. "I should only use calibrated insulin syringe for the injections." - ANSWER-
D.
To ensure the correct insulin dose, a calibrated insulin syringe must be used.
Insulin injections should be rotated to the arm and thigh, not just the abdominal
area. There is no need to apply direct pressure over the site following an insulin
injection. There is no need to check blood glucose immediately prior to the
injection.
Genevieve has diabetes type 1 and receives insulin for glycemic control. She
tells the nurse that she likes to have a glass of wine with dinner. What will the
best plan of the nurse for client education include?
A. The alcohol could cause pancreatic disease.
B. The alcohol could cause serious liver disease.
C. The alcohol could predispose you to hypoglycemia.
,D. The alcohol could predispose you to hyperglycemia. - ANSWER-C.
Alcohol can potentiate hypoglycemic, not hypoglycemic, effects in the client.
Alcohol can cause pancreatic disease, but the client's pancreas is not producing
any insulin currently. Alcohol can cause liver disease, but the more immediate
concern is hypoglycemia.
Dr. Wijangco orders insulin lispro (Humalog) 10 units for Alicia, a client with
diabetes mellitus. When will the nurse administer this medication?
A. When the client is eating
B. Thirty minutes before meals
C. fifteen minutes before meals
D. When the meal trays arrive on the floor - ANSWER-A.
The onset action for the insulin lispro (Humalog) is 10 to 15 minutes so it must
be given when the client is eating to prevent hypoglycemia. It must be given
when the client is eating, not when the meal trays arrive on the floor and not
thirty minutes before meals.
Nurse Matt makes a home visit to the client with diabetes mellitus. During the
visit, Nurse Matt notes the client's additional insulin vials are not refrigerated.
What is the best action by the nurse at this time?
A. Instruct the client to label each vial with the date when opened.
B. Tell the client there is no need to keep additional vials.
C. Have the client place the insulin vials in the refrigerator.
D. Have the client discard the vials. - ANSWER-C.
Vials not in use should be refrigerated to preserve drug potency. There is no
need to discard the vials. The client should always have additional vials of
insulin available. Writing the date of opening on the vial is good practice, but
does not address the need to refrigerate additional vials.
During the morning rounds, Nurse AJ accompanied the physician in every
patient's room. The physician writes orders for the client with diabetes mellitus.
Which order would the nurse validate with the physician?
, A. Use Humalog insulin for sliding scale coverage.
B. Metformin (Glucophage) 1000 mg per day in divided doses.
C. Administer regular insulin 30 minutes prior to meals.
D. Lantus insulin 20U BID. - ANSWER-D.
Lantus insulin is usually prescribed once-a-day so an order for BID dosing
should be validated with the physician. Humalog insulin can be prescribed for
sliding scale coverage. Regular insulin is administered 30 minutes before meals.
Metformin (Glucophage) is often prescribed in divided doses of 1000 mg per
day.
The insulin that has the most rapid onset of action would be:
A. Lente
B. Lispro
C. Ultralente
D. Humulin N - ANSWER-B.
Lispro has an immediate onset, a peak of 30-90 minutes, and duration of 2-4
hours.
A client with DM states, "I cannot eat big meals; I prefer to snack throughout
the day." The nurse should carefully explain that the:
A. Regulated food intake is basic to control
B. Salt and sugar restriction is the main concern
C. Small, frequent meals are better for digestion
D. Large meals can contribute to a weight problem - ANSWER-A.
An understanding of the diet is imperative for compliance. A balance of
carbohydrates, proteins, and fats usually apportioned over three main meals and
two-between meals snacks needs to be tailored to the client's specific needs,
with due regard for activity, diet, and therapy.
Rotating injection sites when administering insulin prevents which of the
following complications?
VERIFIED ANSWERS (RATIONALE
AVAILABLE) || GUARANTEED PASS ||
ALREADY GRADED A+|| LATEST UPDATE 2025
A client with type 1 DM has a fingerstick glucose level of 258mg/dl at bedtime.
An order for sliding scale insulin exists. The nurse should:
A. Call the physician
B. Encourage the intake of fluids
C. Administer the insulin as ordered
D. Give the client ½ c. of orange juice - ANSWER-C.
A value of 258mg/dl is above the expected range of 70-105 mg/dl; the nurse
should administer the insulin as ordered.
The physician orders 36 units of NPH and 12 units of regular insulin. The nurse
plans to administer these drugs in 1 syringe. Identify the steps in this procedure
by listing them in priority order. 1. Inject air equal to NPH dose into NPH vial
2. Invert regular insulin bottle and withdraw regular insulin dose 3. Inject air
equal to regular dose into regular dose 4. Invert NPH vial and withdraw NPH
dose.
A. 1, 2, 3, 4.
B. 1, 4, 3, 2.
C. 1, 4, 2, 3,
D. 1, 3, 2, 4. - ANSWER-D.
,A client diagnosed with type 1 diabetes receives insulin. He asks the nurse why
he can't just take pills instead. What is the best response by the nurse?
A. "Insulin must be injected because it needs to work quickly."
B. "Insulin can't be in a pill because it is destroyed in stomach acid."
C. "Have you talked to your doctor about taking pills instead?"
D. "I know it is tough, but you will get used to the shots soon." - ANSWER-B.
Insulin must be injected because it is destroyed in the stomach acid if taken
orally. Telling he will get used to shots does not answer his question and is
condescending. Insulin must be injected because it is destroyed in stomach acid
if taken orally; the onset of action is not the issue here. The nurse should answer
the client's question, not refer him back to the physician.
Nurse Andy has finished teaching a client with diabetes mellitus how to
administer insulin. He evaluates the learning has occurred when the client
makes which statement?
A. "I should check my blood sugar immediately prior to the administration."
B. "I should provide direct pressure over the site following the injection."
C. "I should use the abdominal area only for insulin injections."
D. "I should only use calibrated insulin syringe for the injections." - ANSWER-
D.
To ensure the correct insulin dose, a calibrated insulin syringe must be used.
Insulin injections should be rotated to the arm and thigh, not just the abdominal
area. There is no need to apply direct pressure over the site following an insulin
injection. There is no need to check blood glucose immediately prior to the
injection.
Genevieve has diabetes type 1 and receives insulin for glycemic control. She
tells the nurse that she likes to have a glass of wine with dinner. What will the
best plan of the nurse for client education include?
A. The alcohol could cause pancreatic disease.
B. The alcohol could cause serious liver disease.
C. The alcohol could predispose you to hypoglycemia.
,D. The alcohol could predispose you to hyperglycemia. - ANSWER-C.
Alcohol can potentiate hypoglycemic, not hypoglycemic, effects in the client.
Alcohol can cause pancreatic disease, but the client's pancreas is not producing
any insulin currently. Alcohol can cause liver disease, but the more immediate
concern is hypoglycemia.
Dr. Wijangco orders insulin lispro (Humalog) 10 units for Alicia, a client with
diabetes mellitus. When will the nurse administer this medication?
A. When the client is eating
B. Thirty minutes before meals
C. fifteen minutes before meals
D. When the meal trays arrive on the floor - ANSWER-A.
The onset action for the insulin lispro (Humalog) is 10 to 15 minutes so it must
be given when the client is eating to prevent hypoglycemia. It must be given
when the client is eating, not when the meal trays arrive on the floor and not
thirty minutes before meals.
Nurse Matt makes a home visit to the client with diabetes mellitus. During the
visit, Nurse Matt notes the client's additional insulin vials are not refrigerated.
What is the best action by the nurse at this time?
A. Instruct the client to label each vial with the date when opened.
B. Tell the client there is no need to keep additional vials.
C. Have the client place the insulin vials in the refrigerator.
D. Have the client discard the vials. - ANSWER-C.
Vials not in use should be refrigerated to preserve drug potency. There is no
need to discard the vials. The client should always have additional vials of
insulin available. Writing the date of opening on the vial is good practice, but
does not address the need to refrigerate additional vials.
During the morning rounds, Nurse AJ accompanied the physician in every
patient's room. The physician writes orders for the client with diabetes mellitus.
Which order would the nurse validate with the physician?
, A. Use Humalog insulin for sliding scale coverage.
B. Metformin (Glucophage) 1000 mg per day in divided doses.
C. Administer regular insulin 30 minutes prior to meals.
D. Lantus insulin 20U BID. - ANSWER-D.
Lantus insulin is usually prescribed once-a-day so an order for BID dosing
should be validated with the physician. Humalog insulin can be prescribed for
sliding scale coverage. Regular insulin is administered 30 minutes before meals.
Metformin (Glucophage) is often prescribed in divided doses of 1000 mg per
day.
The insulin that has the most rapid onset of action would be:
A. Lente
B. Lispro
C. Ultralente
D. Humulin N - ANSWER-B.
Lispro has an immediate onset, a peak of 30-90 minutes, and duration of 2-4
hours.
A client with DM states, "I cannot eat big meals; I prefer to snack throughout
the day." The nurse should carefully explain that the:
A. Regulated food intake is basic to control
B. Salt and sugar restriction is the main concern
C. Small, frequent meals are better for digestion
D. Large meals can contribute to a weight problem - ANSWER-A.
An understanding of the diet is imperative for compliance. A balance of
carbohydrates, proteins, and fats usually apportioned over three main meals and
two-between meals snacks needs to be tailored to the client's specific needs,
with due regard for activity, diet, and therapy.
Rotating injection sites when administering insulin prevents which of the
following complications?
