NR 293 Exam 3 Questions and Answers
Graded A+
Rapid acting insulin - Correct answer-- Onset: 15 minutes
- Peak: 1.5 hours
- Duration: 3 hours
- Ex: Lispro (Humalog), Aspart (Novolog), Gliulisine (Apidra)
Short acting insulin - Correct answer-- Onset: 30 minutes
- Peak: 3 hours
- Duration: 6 hours
- Ex: Regular (Humulin R), Regular (Novolin R)
Intermediate acting insulin - Correct answer-- Onset: 60 minutes
- Peak: 6 hours
- Duration: 12 hours
- Ex: NPH (Humulin N), NRP (Novolin N)
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,Long acting insulin - Correct answer-- Onset: 120 minutes
- Duration: 24 hours
- Ex: Detemir (Levamir), Glargine (Lantus)
Therapeutic response anti-diabetic therapy - Correct answer-- fasting blood glucose
70-100 mg/dl
- hemoglobin A1c < 6.5%
Signs of low blood glucose - Correct answer-- < 70 mg/dl
- confusion
- irritability
- sweating
- give oral glucose (ie. apple juice, candy, etc)
Hemoglobin A1c - Correct answer-- % of blood glucose bound to hemoglobin
- when blood sugar is not controlled it builds up in the blood and binds to
hemoglobin
- provides info on the average level of blood sugar control over the past 2-3 months
Hemoglobin - Correct answer-- oxygen carrying capacity of the blood cells
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, Hypoglycemia - Correct answer-- If patient becomes unconscious, give IV D50W
(Dextrose 50% and water)
Glucagon IM - Correct answer-- used in emergency at HOME to treat
hypoglycemia from insulin over dose
IV corticosterioids - Correct answer-- can increase glucose levels
Glucocorticoids - Correct answer-- secreted by adrenal glands
- Side effects: Edema, gastric irritation, hyperglycemia, osteoporosis
Type 1 DM - Correct answer-- Pancreas not releasing insulin
- requires insulin therapy
Insulin therapy - Correct answer-- rotate inj sites to avoid scar tissue which can
inhibit absorption
- when mixing insulin, draw up the 'clear' (ie. regular) into the syringe first
- long acting insulin ie. Detemier (Levemir) and Glargine (Lantus) CANNOT be
mixed as the pH will change and affect absorption rate.
- if a patient has both long acting and regular insulin ordered, do not mix. use two
different syringes.
Basal dosing - Correct answer-- delivers constant dose of insulin
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Graded A+
Rapid acting insulin - Correct answer-- Onset: 15 minutes
- Peak: 1.5 hours
- Duration: 3 hours
- Ex: Lispro (Humalog), Aspart (Novolog), Gliulisine (Apidra)
Short acting insulin - Correct answer-- Onset: 30 minutes
- Peak: 3 hours
- Duration: 6 hours
- Ex: Regular (Humulin R), Regular (Novolin R)
Intermediate acting insulin - Correct answer-- Onset: 60 minutes
- Peak: 6 hours
- Duration: 12 hours
- Ex: NPH (Humulin N), NRP (Novolin N)
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,Long acting insulin - Correct answer-- Onset: 120 minutes
- Duration: 24 hours
- Ex: Detemir (Levamir), Glargine (Lantus)
Therapeutic response anti-diabetic therapy - Correct answer-- fasting blood glucose
70-100 mg/dl
- hemoglobin A1c < 6.5%
Signs of low blood glucose - Correct answer-- < 70 mg/dl
- confusion
- irritability
- sweating
- give oral glucose (ie. apple juice, candy, etc)
Hemoglobin A1c - Correct answer-- % of blood glucose bound to hemoglobin
- when blood sugar is not controlled it builds up in the blood and binds to
hemoglobin
- provides info on the average level of blood sugar control over the past 2-3 months
Hemoglobin - Correct answer-- oxygen carrying capacity of the blood cells
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Hypoglycemia - Correct answer-- If patient becomes unconscious, give IV D50W
(Dextrose 50% and water)
Glucagon IM - Correct answer-- used in emergency at HOME to treat
hypoglycemia from insulin over dose
IV corticosterioids - Correct answer-- can increase glucose levels
Glucocorticoids - Correct answer-- secreted by adrenal glands
- Side effects: Edema, gastric irritation, hyperglycemia, osteoporosis
Type 1 DM - Correct answer-- Pancreas not releasing insulin
- requires insulin therapy
Insulin therapy - Correct answer-- rotate inj sites to avoid scar tissue which can
inhibit absorption
- when mixing insulin, draw up the 'clear' (ie. regular) into the syringe first
- long acting insulin ie. Detemier (Levemir) and Glargine (Lantus) CANNOT be
mixed as the pH will change and affect absorption rate.
- if a patient has both long acting and regular insulin ordered, do not mix. use two
different syringes.
Basal dosing - Correct answer-- delivers constant dose of insulin
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
