Pharmacology - Chapter 35 Test Bank
Questions with Complete Solutions
Graded A+.
A patient received the evening dose of Lispro subcutaneously at 16:30. What time will
symptoms of hypoglycemia likely occur? - Answer 18:30
It is important for the nurse to inform female patients with diabetes that an alternative method
of birth control should be used when taking which oral hypoglycemic agent? - Answer
pioglitazone
It is 2:00 PM and a patient who has been NPO since 12:00 AM for a bronchoscopy is
complaining of a headache and shakiness and is extremely irritable. Vital signs are within
normal limits, and a one touch glucose reads 50 mg/dL. Which action is most important for the
nurse to take? - Answer Administer glucagon subcutaneously.
After a blood glucose reading, it is determined that the patient should receive 4 units of Lispro
and 8 units of NPH. Which action will the nurse take to administer these medications? - Answer
Draw up the Lispro first and then the NPH using the same syringe.
The patient was being started on glipizide. Which statement by the nurse would be included in
the discussion of adverse effects from these drugs? - Answer "You may develop abdominal
cramps and diarrhea but these symptoms will resolve with continued use of your medication."
A patient with type 2 diabetes mellitus, which was previously controlled with an oral
antidiabetic agent, is hospitalized for treatment of a leg ulcer. The health care provider has
ordered sliding scale insulin coverage with regular insulin for hyperglycemia. The nurse brings
the injection into the room, and the patient becomes upset, stating "I don't want to start taking
that drug! I'll need it the rest of my life." What is the nurse's best response? - Answer "Your
body is under stress right now, which raises your blood glucose level. This does not mean you
will be on this drug permanently. Once you're feeling better, your provider will determine if your
oral medication is all you will need."
When is the ideal time to administer rapid-acting insulin? - Answer 30 minutes before meals
What test determines glycemic control over the previous 8 to 10 weeks? - Answer A1c test
Questions with Complete Solutions
Graded A+.
A patient received the evening dose of Lispro subcutaneously at 16:30. What time will
symptoms of hypoglycemia likely occur? - Answer 18:30
It is important for the nurse to inform female patients with diabetes that an alternative method
of birth control should be used when taking which oral hypoglycemic agent? - Answer
pioglitazone
It is 2:00 PM and a patient who has been NPO since 12:00 AM for a bronchoscopy is
complaining of a headache and shakiness and is extremely irritable. Vital signs are within
normal limits, and a one touch glucose reads 50 mg/dL. Which action is most important for the
nurse to take? - Answer Administer glucagon subcutaneously.
After a blood glucose reading, it is determined that the patient should receive 4 units of Lispro
and 8 units of NPH. Which action will the nurse take to administer these medications? - Answer
Draw up the Lispro first and then the NPH using the same syringe.
The patient was being started on glipizide. Which statement by the nurse would be included in
the discussion of adverse effects from these drugs? - Answer "You may develop abdominal
cramps and diarrhea but these symptoms will resolve with continued use of your medication."
A patient with type 2 diabetes mellitus, which was previously controlled with an oral
antidiabetic agent, is hospitalized for treatment of a leg ulcer. The health care provider has
ordered sliding scale insulin coverage with regular insulin for hyperglycemia. The nurse brings
the injection into the room, and the patient becomes upset, stating "I don't want to start taking
that drug! I'll need it the rest of my life." What is the nurse's best response? - Answer "Your
body is under stress right now, which raises your blood glucose level. This does not mean you
will be on this drug permanently. Once you're feeling better, your provider will determine if your
oral medication is all you will need."
When is the ideal time to administer rapid-acting insulin? - Answer 30 minutes before meals
What test determines glycemic control over the previous 8 to 10 weeks? - Answer A1c test
