RPNCE PART 3 COMPREHENSIVE EXAM QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
BRAND NEW EXAM ALREADY GRADED A+ PASS
diabetes mellitus Ans✓✓✓Disorder of carbohydrate metabolism that
involves either a deficiency of insulin, a resistance of tissue to insulin or
both
pre-diabetes Ans✓✓✓blood glucose levels that are higher than normal
but not high enough to be diagnosed yet. Ex: 7.
Metabolic syndrome (increased BP, LDL and low HDL) is a risk factor
for this
Type 1 diabetes Ans✓✓✓Abrupt onset
Common in children
Due to destruction of beta cells
Prone to diabetic ketoacidosis without insulin
3 Poly's!
Fasting BG >7
Needs exogenous insulin
DKA IS COMMON IN THIS TYPE!
type 2 diabetes Ans✓✓✓the pancreas usually continues to produce some
endogenous (self-made) insulin; however, the insulin produced is either
insufficient for the needs of the body, is poorly utilized by the tissues, or
both.
,Slower onset
more common
exercise & diet management is essential
OHAs are effective but sometimes exogenous insulin is needed.
resistant to DKA but HHS is common
hyperglycemia Ans✓✓✓Can be caused by stress
BG levels above 6 (in non-diabetic) and 7 (in diabetic person)
hyperglycemia symptoms Ans✓✓✓· Polydipsia
· Polyphagia
· Polyurea
· Weight loss
· Blurred vision
· Fatigue
hypoglycemia Ans✓✓✓low blood sugar
below 4
Due to too much insulin, too little food, exercising too much and
drinking too much
hypoglycemia symptoms Ans✓✓✓· Sweating
· Anxiety
,· Pale skin
· Irritability
· Dry mouth
· Blurred vision
· Difficulty speaking
· perspiration
· Polyphagia
· Heart palpitations
· Tingling around the mouth
hypoglycemia treatment Ans✓✓✓oral glucose, IV glucose, Glucagon
IM/SC
normal BG levels Ans✓✓✓non diabetic: 4-6mmol/L
diabetic: 4-7mmol/L
what is the biggest side effect of insulin Ans✓✓✓hypoglycemia
why must injection sites be rotated for insulin Ans✓✓✓Insulin can
cause lipodystrophy which is small nodules/scar tissue within the skin
due to not rotating insulin injection sites!
secondary causes of diabetes Ans✓✓✓genetics (down syndrome
related), related to a disease (hypothyroidism), drug/metabolic related
, rapid insulin Ans✓✓✓glulisine (apidra), aspart (novorapid), lispro
(humalog)
onset=10-15mins
peak=60-90 mins
duration=3-5 hrs
short acting insulin Ans✓✓✓humulin R, novolin, toronto
onset=30 minutes
peak=2-3 hours
duration=6.5 hours
intermediate insulin Ans✓✓✓insulin N, insulin NPH
onset= 1-3 hours
peak=6-8 hours
duration=up to 18 hours
long acting insulin Ans✓✓✓glargine (lantus), detemir (levemir),
onset=90 mins
peak=none
duration=up to 24 hours
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
BRAND NEW EXAM ALREADY GRADED A+ PASS
diabetes mellitus Ans✓✓✓Disorder of carbohydrate metabolism that
involves either a deficiency of insulin, a resistance of tissue to insulin or
both
pre-diabetes Ans✓✓✓blood glucose levels that are higher than normal
but not high enough to be diagnosed yet. Ex: 7.
Metabolic syndrome (increased BP, LDL and low HDL) is a risk factor
for this
Type 1 diabetes Ans✓✓✓Abrupt onset
Common in children
Due to destruction of beta cells
Prone to diabetic ketoacidosis without insulin
3 Poly's!
Fasting BG >7
Needs exogenous insulin
DKA IS COMMON IN THIS TYPE!
type 2 diabetes Ans✓✓✓the pancreas usually continues to produce some
endogenous (self-made) insulin; however, the insulin produced is either
insufficient for the needs of the body, is poorly utilized by the tissues, or
both.
,Slower onset
more common
exercise & diet management is essential
OHAs are effective but sometimes exogenous insulin is needed.
resistant to DKA but HHS is common
hyperglycemia Ans✓✓✓Can be caused by stress
BG levels above 6 (in non-diabetic) and 7 (in diabetic person)
hyperglycemia symptoms Ans✓✓✓· Polydipsia
· Polyphagia
· Polyurea
· Weight loss
· Blurred vision
· Fatigue
hypoglycemia Ans✓✓✓low blood sugar
below 4
Due to too much insulin, too little food, exercising too much and
drinking too much
hypoglycemia symptoms Ans✓✓✓· Sweating
· Anxiety
,· Pale skin
· Irritability
· Dry mouth
· Blurred vision
· Difficulty speaking
· perspiration
· Polyphagia
· Heart palpitations
· Tingling around the mouth
hypoglycemia treatment Ans✓✓✓oral glucose, IV glucose, Glucagon
IM/SC
normal BG levels Ans✓✓✓non diabetic: 4-6mmol/L
diabetic: 4-7mmol/L
what is the biggest side effect of insulin Ans✓✓✓hypoglycemia
why must injection sites be rotated for insulin Ans✓✓✓Insulin can
cause lipodystrophy which is small nodules/scar tissue within the skin
due to not rotating insulin injection sites!
secondary causes of diabetes Ans✓✓✓genetics (down syndrome
related), related to a disease (hypothyroidism), drug/metabolic related
, rapid insulin Ans✓✓✓glulisine (apidra), aspart (novorapid), lispro
(humalog)
onset=10-15mins
peak=60-90 mins
duration=3-5 hrs
short acting insulin Ans✓✓✓humulin R, novolin, toronto
onset=30 minutes
peak=2-3 hours
duration=6.5 hours
intermediate insulin Ans✓✓✓insulin N, insulin NPH
onset= 1-3 hours
peak=6-8 hours
duration=up to 18 hours
long acting insulin Ans✓✓✓glargine (lantus), detemir (levemir),
onset=90 mins
peak=none
duration=up to 24 hours
