NURS 3110 Exam 3 Questions With complete Solutions
./ ./ ./ ./ ./ ./ ./
1. Which information should the nurse include in the education of a client w
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
hen explaining type 1 diabetes mellitus?
./ ./ ./ ./ ./
A.
"The exocrine function of the pancreas is not working." B.
./ ./ ./ ./ ./ ./ ./ ./ ./
"Your alpha cells should be able to secrete insulin, but they cannot." C.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"The target cells are resistant to insulin." D
./ ./ ./ ./ ./ ./ ./
.
"Your pancreas cannot secrete insulin.":
./ ./ ./ ./ "Your pancreas cannot secrete
./ ./ ./ insu
2. When should the nurse administer a client's prescribed 10 units of lispro (H
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
umalog)?
A.
Thirty minutes before meals B
./ ./ ./ ./
.
Fifteen minutes after meals C.
./ ./ ./ ./
When the meal trays arrive on the floor D.
./ ./ ./ ./ ./ ./ ./ ./
Five minutes before a meal: Five minutes before a meal
./ ./ ./ ./ ./ ./ ./ ./ ./
,3. Lispro (Humalog): Rapid-acting insulin.Onset:less than 15 minutes.Peak:0.5-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./
1 hour. Duration: 3-4 hours.
./ ./ ./ ./
4. The physicianwrites orders for the clientwith diabetes mellitus.Which order sho
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
uld the nurse clarify with the healthcare provider?
./ ./ ./ ./ ./ ./ ./
A.
Lantus insulin 20U BID B ./ ./ ./ ./
.
Metformin (Glucophage) 1000 mg per day in divided doses C.
./ ./ ./ ./ ./ ./ ./ ./ ./
Administering regular insulin 30 minutes prior to meals D. ./ ./ ./ ./ ./ ./ ./ ./
Five units of Humalog/10 units NPH daily: Lantus insulin 20U BID
./ ./ ./ ./ ./ ./ ./ ./ ./ ./
5. diabetes mellitus: insulin is not secreted adequately or tissues are resistant to its
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
effects
6. Metformin: ANTI-DIABETIC biguanides ./ ./
,TREAT TYPE 2 DIABETES MELLITUS ./ ./ ./ ./
can cause hypoglycemia
./ ./
7. The nurse finds a client with diabetes mellitus type 1 unresponsive.Which is
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
the priority nursing action?
./ ./ ./
A.
Assess the vital signs B. ./ ./ ./ ./
Call the rapid response team
./ ./ ./ ./ ./
C.
Administer glucagon ./ ./
D.
Administer oxygen: Administer glucagon ./ ./ ./
8. The home health nurse observes a client's 3-
./ ./ ./ ./ ./ ./ ./
month supply of insulin vials are not refrigerated.Which action should the nur
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
se take?
./
A.
Instruct the client that the insulin should be stored away from direct sunlight or e
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
xcessive heat. ./
B.
Instruct the client to label each vial with the date when opened. C.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
, Have the client discard the vials. D
./ ./ ./ ./ ./ ./
.
Instruct the client that unopened bottles can be stored for up to 3 months-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
: Instruct the client that the insulin should be stored away from direct sunlight or excess
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
e heat. ./
9. Which statement made by a client indicates an understanding of the educa-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
./ tion about insulin administration?
./ ./ ./
A.
"I should provide direct pressure over the site following the injection." B.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"I should only use a calibrated insulin syringe for the injections." C.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"I should use the abdominal area only for insulin injections." D.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"I should check my blood sugar immediately prior to administration of in-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
./ sulin.": "I should only use a calibrated insulin syringe for the
./ ./ ./ ./ ./ ./ ./ ./ ./ injections."
10. Which information should the nurse include when teaching a client about pr
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
oper subcutaneous injection techniques?
./ ./ ./
./ ./ ./ ./ ./ ./ ./
1. Which information should the nurse include in the education of a client w
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
hen explaining type 1 diabetes mellitus?
./ ./ ./ ./ ./
A.
"The exocrine function of the pancreas is not working." B.
./ ./ ./ ./ ./ ./ ./ ./ ./
"Your alpha cells should be able to secrete insulin, but they cannot." C.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"The target cells are resistant to insulin." D
./ ./ ./ ./ ./ ./ ./
.
"Your pancreas cannot secrete insulin.":
./ ./ ./ ./ "Your pancreas cannot secrete
./ ./ ./ insu
2. When should the nurse administer a client's prescribed 10 units of lispro (H
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
umalog)?
A.
Thirty minutes before meals B
./ ./ ./ ./
.
Fifteen minutes after meals C.
./ ./ ./ ./
When the meal trays arrive on the floor D.
./ ./ ./ ./ ./ ./ ./ ./
Five minutes before a meal: Five minutes before a meal
./ ./ ./ ./ ./ ./ ./ ./ ./
,3. Lispro (Humalog): Rapid-acting insulin.Onset:less than 15 minutes.Peak:0.5-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./
1 hour. Duration: 3-4 hours.
./ ./ ./ ./
4. The physicianwrites orders for the clientwith diabetes mellitus.Which order sho
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
uld the nurse clarify with the healthcare provider?
./ ./ ./ ./ ./ ./ ./
A.
Lantus insulin 20U BID B ./ ./ ./ ./
.
Metformin (Glucophage) 1000 mg per day in divided doses C.
./ ./ ./ ./ ./ ./ ./ ./ ./
Administering regular insulin 30 minutes prior to meals D. ./ ./ ./ ./ ./ ./ ./ ./
Five units of Humalog/10 units NPH daily: Lantus insulin 20U BID
./ ./ ./ ./ ./ ./ ./ ./ ./ ./
5. diabetes mellitus: insulin is not secreted adequately or tissues are resistant to its
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
effects
6. Metformin: ANTI-DIABETIC biguanides ./ ./
,TREAT TYPE 2 DIABETES MELLITUS ./ ./ ./ ./
can cause hypoglycemia
./ ./
7. The nurse finds a client with diabetes mellitus type 1 unresponsive.Which is
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
the priority nursing action?
./ ./ ./
A.
Assess the vital signs B. ./ ./ ./ ./
Call the rapid response team
./ ./ ./ ./ ./
C.
Administer glucagon ./ ./
D.
Administer oxygen: Administer glucagon ./ ./ ./
8. The home health nurse observes a client's 3-
./ ./ ./ ./ ./ ./ ./
month supply of insulin vials are not refrigerated.Which action should the nur
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
se take?
./
A.
Instruct the client that the insulin should be stored away from direct sunlight or e
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
xcessive heat. ./
B.
Instruct the client to label each vial with the date when opened. C.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
, Have the client discard the vials. D
./ ./ ./ ./ ./ ./
.
Instruct the client that unopened bottles can be stored for up to 3 months-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
: Instruct the client that the insulin should be stored away from direct sunlight or excess
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
e heat. ./
9. Which statement made by a client indicates an understanding of the educa-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
./ tion about insulin administration?
./ ./ ./
A.
"I should provide direct pressure over the site following the injection." B.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"I should only use a calibrated insulin syringe for the injections." C.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"I should use the abdominal area only for insulin injections." D.
./ ./ ./ ./ ./ ./ ./ ./ ./ ./
"I should check my blood sugar immediately prior to administration of in-
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
./ sulin.": "I should only use a calibrated insulin syringe for the
./ ./ ./ ./ ./ ./ ./ ./ ./ injections."
10. Which information should the nurse include when teaching a client about pr
./ ./ ./ ./ ./ ./ ./ ./ ./ ./ ./
oper subcutaneous injection techniques?
./ ./ ./