NP TEST PREP: ENDOCRINE QUESTIONS
AND CORRECT ANSWERS
WhatA2isA2theA2onsetA2ofA2short-actingA2insulin?A2-A2Ans--10-20A2minutes
WhatA2isA2theA2peakA2ofA2short-actingA2insulin?A2-A2Ans--30A2minutesA2-A23A2hours
WhatA2isA2theA2onsetA2ofA2regularA2insulin?A2-A2Ans--30A2minutesA2toA21A2hour
WhatA2isA2theA2durationA2ofA2short-actingA2insulin?A2-A2Ans--3A2toA26.5A2hours
WhatA2isA2theA2peakA2ofA2regularA2insulin?A2-A2Ans--2A2toA23A2hours
WhatA2isA2theA2durationA2ofA2regularA2insulinA2-A2Ans--4A2toA26A2hours
WhatA2isA2theA2onsetA2ofA2intermediate-actingA2insulin?A2-A2Ans--1A2toA22A2hours
WhatA2isA2theA2peakA2ofA2intermediate-actingA2insulin?A2-A2Ans--6A2toA214A2hours
WhatA2isA2theA2durationA2ofA2intermediate-actingA2insulin?A2-A2Ans--16A2toA224A2hours
WhatA2isA2theA2onsetA2ofA2long-actingA2insulin?A2-A2Ans--1A2toA22A2hours
WhatA2isA2theA2durationA2ofA2insulinA2glargineA2(Lantus,A2Toujeo)?A2-A2Ans--
atA2leastA224A2hours
WhatA2isA2theA2peakA2ofA2insulinA2detemirA2(Levemir)?A2-A2Ans--6A2toA28A2hours
WhatA2isA2theA2durationA2ofA2insulinA2detemirA2(Levemir)?A2-A2Ans--doseA2dependentA2-
A212A2hoursA2(0.2A2units/kg)A2andA220A2hoursA2(0.4A2units/kg)
WhatA2isA2theA2peakA2ofA2insulinA2degludecA2(Tresiba)?A2-A2Ans--~12A2hours
WhatA2isA2theA2durationA2ofA2insulinA2degludecA2(Tresiba)?A2-A2Ans--AtA2leastA242A2hours
AtA2whatA2ageA2shouldA2allA2adultsA2withoutA2knownA2riskA2factorsA2forA2diabetesA2beA2test
ed?A2-A2Ans--45A2years
InA2adultsA2withoutA2riskA2factorsA2andA2previousA2normalA2bloodA2glucose,A2howA2oftenA2
shouldA2testingA2forA2diabetesA2occur?A2-A2Ans--EveryA23A2yearsA2afterA2ageA245
DiagnosisA2ofA2diabetesA2mellitus:A2
fastingA2bloodA2glucoseA2-A2Ans--126A2mg/dLA2orA2greater
, DiagnosisA2ofA2diabetesA2mellitus:
randomA2glucoseA2_____A2+A2symptomsA2-A2Ans--200A2mg/dLA2orA2greater
DiagnosisA2ofA2diabetesA2mellitus:A2
HA1cA2________A2+A2symptomsA2ORA2randomA2glucoseA2200A2orA2greaterA2-A2Ans--
6.5%A2orA2greater
DiagnosisA2ofA2prediabetes:A2
fastingA2glucoseA2-A2Ans--100-125A2mg/dL
DiagnosisA2ofA2prediabetes:A2
hemoglobinA2A1cA2-A2Ans--5.7%A2toA26.4%
WhatA2twoA2lifestyleA2modificationsA2shouldA2beA2recommendedA2forA2patientsA2diagnose
dA2withA2prediabetes?A2-A2Ans--7%A2bodyA2weightA2loss,A2AND
150A2min/wkA2physicalA2activity
WhichA2labA2findingA2isA2positiveA2inA2typeA2IA2diabetics,A2butA2notA2typeA2IIA2diabetics?A2-
A2Ans--ketones
WhichA2twoA2drugA2classesA2sensitizeA2insulinA2receptors?A2-A2Ans--
biguanideA2(metformin)A2andA2thiazolidinedionesA2(TZDs)
WhatA2isA2theA2firstA2signA2ofA2renalA2failureA2inA2diabetics?A2-A2Ans--proteinuria
AA216A2yoA2maleA2patientA2arrivesA2inA2theA2emergencyA2roomA2withA2aA24-
dayA2historyA2ofA2nausea,A2vomiting,A2abdominalA2pain,A2andA2progressiveA2confusion.A2
WhileA2reviewingA2theA2patient'sA2labs,A2theA2AGACNPA2notesA2theA2followingA2significant
A2findings:A2serumA2glucoseA2800A2mg/dL,A2serumA2ketonesA2-
A2positive,A2pHA27.1,A2CO2A237,A2HCO3A217.A2TheA2AGACNPA2ordersA2NSSA2atA210A2mL/
kg/hour.A2TheA2nextA2stepA2inA2treatmentA2isA2to:
A.A2StartA2anA2IVA2insulinA2dripA2atA20.1A2units/kg/hr
B.A2StartA2anA2IVA2insulinA2dripA2atA20.05A2units/kg/hr
C.A2GiveA2D5WA21000A2mLA2atA2125A2mL/hr
D.A2GiveA2insulinA2onA2aA2slidingA2scaleA2-A2Ans--
A.A2StartA2anA2IVA2insulinA2dripA2atA20.1A2units/kg/hr
(FitzgeraldA2ReviewA22018,A2p.A292)
AA223A2yoA2femaleA2patientA2withA2typeA21A2diabetesA2whoA2hasA2beenA2takingA2insulinA2fo
rA24A2yearsA2isA2hospitalizedA2afterA2aA2herniaA2repair.A2TheA2patientA2wasA2givenA2herA2ev
eningA2insulinA2doseA2butA2didA2notA2haveA2aA2snackA2atA2bedtime.A2WhileA2monitoringA2h
erA2bloodA2sugarsA2theA2nurseA2reportsA2theA2followingA2results:A210pmA2-A2125A2mg/
dL;A22amA2-A245A2mg/dL;A26amA2-A2350A2mg/
dL.A2TheseA2findingsA2suggestA2whichA2ofA2theA2followingA2abnormalities?
A.A2dawnA2phenomenon
AND CORRECT ANSWERS
WhatA2isA2theA2onsetA2ofA2short-actingA2insulin?A2-A2Ans--10-20A2minutes
WhatA2isA2theA2peakA2ofA2short-actingA2insulin?A2-A2Ans--30A2minutesA2-A23A2hours
WhatA2isA2theA2onsetA2ofA2regularA2insulin?A2-A2Ans--30A2minutesA2toA21A2hour
WhatA2isA2theA2durationA2ofA2short-actingA2insulin?A2-A2Ans--3A2toA26.5A2hours
WhatA2isA2theA2peakA2ofA2regularA2insulin?A2-A2Ans--2A2toA23A2hours
WhatA2isA2theA2durationA2ofA2regularA2insulinA2-A2Ans--4A2toA26A2hours
WhatA2isA2theA2onsetA2ofA2intermediate-actingA2insulin?A2-A2Ans--1A2toA22A2hours
WhatA2isA2theA2peakA2ofA2intermediate-actingA2insulin?A2-A2Ans--6A2toA214A2hours
WhatA2isA2theA2durationA2ofA2intermediate-actingA2insulin?A2-A2Ans--16A2toA224A2hours
WhatA2isA2theA2onsetA2ofA2long-actingA2insulin?A2-A2Ans--1A2toA22A2hours
WhatA2isA2theA2durationA2ofA2insulinA2glargineA2(Lantus,A2Toujeo)?A2-A2Ans--
atA2leastA224A2hours
WhatA2isA2theA2peakA2ofA2insulinA2detemirA2(Levemir)?A2-A2Ans--6A2toA28A2hours
WhatA2isA2theA2durationA2ofA2insulinA2detemirA2(Levemir)?A2-A2Ans--doseA2dependentA2-
A212A2hoursA2(0.2A2units/kg)A2andA220A2hoursA2(0.4A2units/kg)
WhatA2isA2theA2peakA2ofA2insulinA2degludecA2(Tresiba)?A2-A2Ans--~12A2hours
WhatA2isA2theA2durationA2ofA2insulinA2degludecA2(Tresiba)?A2-A2Ans--AtA2leastA242A2hours
AtA2whatA2ageA2shouldA2allA2adultsA2withoutA2knownA2riskA2factorsA2forA2diabetesA2beA2test
ed?A2-A2Ans--45A2years
InA2adultsA2withoutA2riskA2factorsA2andA2previousA2normalA2bloodA2glucose,A2howA2oftenA2
shouldA2testingA2forA2diabetesA2occur?A2-A2Ans--EveryA23A2yearsA2afterA2ageA245
DiagnosisA2ofA2diabetesA2mellitus:A2
fastingA2bloodA2glucoseA2-A2Ans--126A2mg/dLA2orA2greater
, DiagnosisA2ofA2diabetesA2mellitus:
randomA2glucoseA2_____A2+A2symptomsA2-A2Ans--200A2mg/dLA2orA2greater
DiagnosisA2ofA2diabetesA2mellitus:A2
HA1cA2________A2+A2symptomsA2ORA2randomA2glucoseA2200A2orA2greaterA2-A2Ans--
6.5%A2orA2greater
DiagnosisA2ofA2prediabetes:A2
fastingA2glucoseA2-A2Ans--100-125A2mg/dL
DiagnosisA2ofA2prediabetes:A2
hemoglobinA2A1cA2-A2Ans--5.7%A2toA26.4%
WhatA2twoA2lifestyleA2modificationsA2shouldA2beA2recommendedA2forA2patientsA2diagnose
dA2withA2prediabetes?A2-A2Ans--7%A2bodyA2weightA2loss,A2AND
150A2min/wkA2physicalA2activity
WhichA2labA2findingA2isA2positiveA2inA2typeA2IA2diabetics,A2butA2notA2typeA2IIA2diabetics?A2-
A2Ans--ketones
WhichA2twoA2drugA2classesA2sensitizeA2insulinA2receptors?A2-A2Ans--
biguanideA2(metformin)A2andA2thiazolidinedionesA2(TZDs)
WhatA2isA2theA2firstA2signA2ofA2renalA2failureA2inA2diabetics?A2-A2Ans--proteinuria
AA216A2yoA2maleA2patientA2arrivesA2inA2theA2emergencyA2roomA2withA2aA24-
dayA2historyA2ofA2nausea,A2vomiting,A2abdominalA2pain,A2andA2progressiveA2confusion.A2
WhileA2reviewingA2theA2patient'sA2labs,A2theA2AGACNPA2notesA2theA2followingA2significant
A2findings:A2serumA2glucoseA2800A2mg/dL,A2serumA2ketonesA2-
A2positive,A2pHA27.1,A2CO2A237,A2HCO3A217.A2TheA2AGACNPA2ordersA2NSSA2atA210A2mL/
kg/hour.A2TheA2nextA2stepA2inA2treatmentA2isA2to:
A.A2StartA2anA2IVA2insulinA2dripA2atA20.1A2units/kg/hr
B.A2StartA2anA2IVA2insulinA2dripA2atA20.05A2units/kg/hr
C.A2GiveA2D5WA21000A2mLA2atA2125A2mL/hr
D.A2GiveA2insulinA2onA2aA2slidingA2scaleA2-A2Ans--
A.A2StartA2anA2IVA2insulinA2dripA2atA20.1A2units/kg/hr
(FitzgeraldA2ReviewA22018,A2p.A292)
AA223A2yoA2femaleA2patientA2withA2typeA21A2diabetesA2whoA2hasA2beenA2takingA2insulinA2fo
rA24A2yearsA2isA2hospitalizedA2afterA2aA2herniaA2repair.A2TheA2patientA2wasA2givenA2herA2ev
eningA2insulinA2doseA2butA2didA2notA2haveA2aA2snackA2atA2bedtime.A2WhileA2monitoringA2h
erA2bloodA2sugarsA2theA2nurseA2reportsA2theA2followingA2results:A210pmA2-A2125A2mg/
dL;A22amA2-A245A2mg/dL;A26amA2-A2350A2mg/
dL.A2TheseA2findingsA2suggestA2whichA2ofA2theA2followingA2abnormalities?
A.A2dawnA2phenomenon