PHARMACOLOGY FINAL EXAM WITH
100% CORRECT ANSWERS 2025
Chapter 52: Antidiabetics
MULTIPLE CHOICE
1. The nurse is teaching a group of nursing students about
diabetes. The nurse explains that which type of diabetes is the
most common?
a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Diabetes insipidus
d. Secondary diabetes correct answers >> : B
Type 2 diabetes mellitus is the most common type of diabetes.
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: NCLEX: Physiological Integrity: Pathophysiology
2. A patient develops type 2 diabetes mellitus. The nurse will
explain that this type of diabetes
a. is generally triggered by medications.
b. is not as common as type 1 diabetes.
c. is often related to heredity and obesity.
d. will not require insulin therapy. correct answers >> : C
,Type 2 diabetes is often caused by obesity and hereditary factors.
Secondary diabetes is triggered by medications. Type 2 diabetes
is the most common type of diabetes. Patients with type 2
diabetes may become insulin-dependent.
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3. A patient who is overweight is being evaluated for diabetes.
The patient has a blood glucose level of 160 mg/dL and a
hemoglobin A1c of 5.8%. The nurse understands that this patient
has which condition?
a. Diabetes mellitus
b. Hypoglycemia
c. Normal blood levels
d. Prediabetes correct answers >> : D
Patients with a hemoglobin A1c between 5.7% and 6.4% are
considered to have prediabetes. A level of 6.5% or more indicates
diabetes. The patient is hyperglycemic.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 759
TOP: NURSING PROCESS: Assessment
: NCLEX: Physiological Integrity: Pathophysiology
, 4. The nurse is teaching a patient who is newly diagnosed with
type 1 diabetes mellitus about insulin administration. Which
statement by the patient indicates a need for further teaching?
a. "I may use a chosen site daily for up to a week."
b. "I should give each injection a knuckle length away from a
previous injection."
c. "I will not be concerned about a raised knot under my skin from
injecting insulin."
d. "Insulin is absorbed better from subcutaneous sites on my
abdomen. correct answers >> : C
Lipohypertrophy is a raised lump or knot on the skin surface
caused by repeated injections into the same site, and this can
interfere with insulin absorption. Patients are encouraged to use
the same site for a week, giving each injection a knuckle length
away from the previous injection. Insulin absorption is greater
when given in abdominal areas.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
5. The nurse is teaching a patient how to administer insulin. The
patient is thin with very little body fat. The nurse will suggest
injecting insulin
a. by pinching up the skin and injecting straight down.
b. in the abdomen only with the needle at a 90-degree angle.
c. subcutaneously with the needle at a 45- to 60-degree angle.
, d. using the thigh and buttocks areas exclusively. correct
answers >> : C
In a thin person, with little fatty tissue, the needle is inserted at a
45- to 60-degree angle. In other patients, a 45- to 90-degree
angle is acceptable. There is no recommendation for preferring
one site over another.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
6. The nurse receives the following order for insulin: IV NPH
(Humulin NPH) 10 units. The nurse will perform which action?
a. Administer the dose as ordered.
b. Clarify the insulin type and route.
c. Give the drug subcutaneously.
d. Question the insulin dose. correct answers >> : B
Only regular insulin can be given intravenously. The nurse should
clarify the order. It is not correct to give Humulin NPH insulin IV.
The nurse should not administer the drug by a different route
without first discussing with the provider.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention
100% CORRECT ANSWERS 2025
Chapter 52: Antidiabetics
MULTIPLE CHOICE
1. The nurse is teaching a group of nursing students about
diabetes. The nurse explains that which type of diabetes is the
most common?
a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Diabetes insipidus
d. Secondary diabetes correct answers >> : B
Type 2 diabetes mellitus is the most common type of diabetes.
DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: Page 759
TOP: NURSING PROCESS: Assessment
: NCLEX: Physiological Integrity: Pathophysiology
2. A patient develops type 2 diabetes mellitus. The nurse will
explain that this type of diabetes
a. is generally triggered by medications.
b. is not as common as type 1 diabetes.
c. is often related to heredity and obesity.
d. will not require insulin therapy. correct answers >> : C
,Type 2 diabetes is often caused by obesity and hereditary factors.
Secondary diabetes is triggered by medications. Type 2 diabetes
is the most common type of diabetes. Patients with type 2
diabetes may become insulin-dependent.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF:
Page 759
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pathophysiology
3. A patient who is overweight is being evaluated for diabetes.
The patient has a blood glucose level of 160 mg/dL and a
hemoglobin A1c of 5.8%. The nurse understands that this patient
has which condition?
a. Diabetes mellitus
b. Hypoglycemia
c. Normal blood levels
d. Prediabetes correct answers >> : D
Patients with a hemoglobin A1c between 5.7% and 6.4% are
considered to have prediabetes. A level of 6.5% or more indicates
diabetes. The patient is hyperglycemic.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 759
TOP: NURSING PROCESS: Assessment
: NCLEX: Physiological Integrity: Pathophysiology
, 4. The nurse is teaching a patient who is newly diagnosed with
type 1 diabetes mellitus about insulin administration. Which
statement by the patient indicates a need for further teaching?
a. "I may use a chosen site daily for up to a week."
b. "I should give each injection a knuckle length away from a
previous injection."
c. "I will not be concerned about a raised knot under my skin from
injecting insulin."
d. "Insulin is absorbed better from subcutaneous sites on my
abdomen. correct answers >> : C
Lipohypertrophy is a raised lump or knot on the skin surface
caused by repeated injections into the same site, and this can
interfere with insulin absorption. Patients are encouraged to use
the same site for a week, giving each injection a knuckle length
away from the previous injection. Insulin absorption is greater
when given in abdominal areas.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
5. The nurse is teaching a patient how to administer insulin. The
patient is thin with very little body fat. The nurse will suggest
injecting insulin
a. by pinching up the skin and injecting straight down.
b. in the abdomen only with the needle at a 90-degree angle.
c. subcutaneously with the needle at a 45- to 60-degree angle.
, d. using the thigh and buttocks areas exclusively. correct
answers >> : C
In a thin person, with little fatty tissue, the needle is inserted at a
45- to 60-degree angle. In other patients, a 45- to 90-degree
angle is acceptable. There is no recommendation for preferring
one site over another.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral
Therapies
6. The nurse receives the following order for insulin: IV NPH
(Humulin NPH) 10 units. The nurse will perform which action?
a. Administer the dose as ordered.
b. Clarify the insulin type and route.
c. Give the drug subcutaneously.
d. Question the insulin dose. correct answers >> : B
Only regular insulin can be given intravenously. The nurse should
clarify the order. It is not correct to give Humulin NPH insulin IV.
The nurse should not administer the drug by a different route
without first discussing with the provider.
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention
