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NURS180 / NURS 180 Quiz 2 – Pharmacology | WCU (2026–2027 Updated) Verified 100% Correct Questions & Answers | Grade A

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NURS180 / NURS 180 Quiz 2 –
Pharmacology | WCU (2026–2027
Updated) Verified 100% Correct Questions
& Answers | Grade A

Difference between Type 1 and Type 2 DM
Type 1: pancreas produces little or no insulin

Type 2: pancreas makes insulin, but cells resist insulin's action


What are the labs done to identify diabetes in a patient?
Hemoglobin A1C (Big indicator for DM)

Glucose Tolerant Test

Fasting Glucose


What are the different types of TYPE 1 DM insulins?
Rapid Insulin
Immediate Insulin
Short & Long Acting


Are there any insulins that you shouldn't mix?
Yes, DO NOT mix long acting with ANYTHING

Long Acting is always by itself


Why is insulin given subQ?
GI tract neutralizes so it doesn't really distribute it if given the oral route


What is the reverse medication for "too much insulin"?
Glucagon: IM route


Blood glucose is low, what should you do first?
Assess blood sugar, LOC, swallow & gag, hospital protocol


Can Type 2 DM become a Type 1?
Yes with modifiable factors --> Diet & Exercise

, 3 P's of diabetes
Polyuria, Polydipsia, Polyphagia


Sulfonylureas
Helps secrete insulin

Location: Pancreas

Adverse effect: Too much insulin, glucose drops (Hypoglycemia)

Nursing Considerations: NO ETOH

MED TO KNOW: Glucotrol

PO


Meglitinide
Stimulates release of insulin from pancreatic islet cells

Hypoglycemia

Similar to Sulfonyareas

You can have more ETOH than the Sulfonyareas

MED TO KNOW: Prandine


Biguanides
Decreases hepatic reduction of glucose

Reduces insulin resistance in receptors

Location: Liver

Too much glucose? Excretes it or store it in liver as glucagon later

Not enough glucose? Reserve of glucagon in the liver will help compensate

MED TO KNOW: Metaformin

Benefits: Weight loss, reduces triglycerides & LDLs

Nursing Considerations: CANNOT CRUSH! Require monitoring-q3months testing of
Hemoglobin A1C


Thiazolidinediones
Reduces blood glucose by decreasing insulin

Inhibits gluconeogenesis

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