NUR 139 REVIEW QUESTIONS CHAPTER 32 STUDY GUIDE 2026/2027 | PRACTICE QUESTIONS,
VERIFIED ANSWERS & COMPREHENSIVE NCLEX REVIEW
Which is the most appropriate timing regarding the nurse's administration of a rapid-acting
insulin to a hospitalized patient?
a. Give it 15 minutes before the patient begins a meal.
b. Give it 1 2 hour before a meal.
c. Give it 1 hour after a meal.
d. The timing of the insulin injection does not matter with insulin lispro. - correct answer ✔✔a.
Give it 15 minutes before the patient begins a meal.
Which statement is appropriate for the nurse to include in patient teaching regarding type 2
diabetes?
a. "Insulin injections are never used with type 2 diabetes."
b. "You don't need to measure your blood glucose levels because you are not taking insulin
injections."
c. "A person with type 2 diabetes still has some functioning beta cells in his or her pancreas."
d. "Patients with type 2 diabetes usually have better control over their diabetes than those with
type 1 diabetes." - correct answer ✔✔c. "A person with type 2 diabetes still has some
functioning beta cells in his or her pancreas."
The nurse monitoring a patient for a therapeutic response to oral diabetes drugs will look for
which of these?
a. Fewer episodes of diabetic ketoacidosis (DKA)
b. Weight loss of 5 pounds
c. Hemoglobin A1C levels of less than 7%
, d. Glucose levels of 150 mg/dL - correct answer ✔✔c. Hemoglobin A1C levels of less than 7%
A patient with type 2 diabetes is scheduled for magnetic resonance imaging (MRI) with contrast
dye. The nurse reviews the orders and notices that the patient is receiving metformin
(Glucophage). Which action by the nurse is appropriate?
a. Proceed with the MRI as scheduled.
b. Notify the radiology department that the patient is receiving metformin.
c. Expect to hold the metformin the day of the test and for 48 hours after the test is performed.
d. Call the prescriber regarding holding the metformin for 2 days before the MRI is performed. -
correct answer ✔✔c. Expect to hold the metformin the day of the test and for 48 hours after
the test is performed.
A patient with type 2 diabetes has a new prescription for repa-glinide (Prandin). After 1 week,
she calls the office to ask what to do, because she keeps missing meals. "I work right through
lunch sometimes, and I'm not sure whether I need to take it. What do I need to do?" What is
the nurse's best response?
a. "You need to try not to skip meals, but if that happens, you will need to skip that dose of
Prandin."
b. "We will probably need to change your prescription to insulin injections because you can't eat
meals on a regular basis."
c. "Go ahead and take the pill when you first remember that you missed it."
d. "Take both pills with the next meal, and try to eat a little extra to make up for what you
missed at lunchtime." - correct answer ✔✔a. "You need to try not to skip meals, but if that
happens, you will need to skip that dose of Prandin."
When checking a patient's fingerstick blood glucose level, the nurse obtains a reading of 42
mg/dL. The patient is awake but states he feels a bit "cloudy-headed." After double-checking
the patient's glucose level and getting the same reading, which action by the nurse is most
appropriate?
VERIFIED ANSWERS & COMPREHENSIVE NCLEX REVIEW
Which is the most appropriate timing regarding the nurse's administration of a rapid-acting
insulin to a hospitalized patient?
a. Give it 15 minutes before the patient begins a meal.
b. Give it 1 2 hour before a meal.
c. Give it 1 hour after a meal.
d. The timing of the insulin injection does not matter with insulin lispro. - correct answer ✔✔a.
Give it 15 minutes before the patient begins a meal.
Which statement is appropriate for the nurse to include in patient teaching regarding type 2
diabetes?
a. "Insulin injections are never used with type 2 diabetes."
b. "You don't need to measure your blood glucose levels because you are not taking insulin
injections."
c. "A person with type 2 diabetes still has some functioning beta cells in his or her pancreas."
d. "Patients with type 2 diabetes usually have better control over their diabetes than those with
type 1 diabetes." - correct answer ✔✔c. "A person with type 2 diabetes still has some
functioning beta cells in his or her pancreas."
The nurse monitoring a patient for a therapeutic response to oral diabetes drugs will look for
which of these?
a. Fewer episodes of diabetic ketoacidosis (DKA)
b. Weight loss of 5 pounds
c. Hemoglobin A1C levels of less than 7%
, d. Glucose levels of 150 mg/dL - correct answer ✔✔c. Hemoglobin A1C levels of less than 7%
A patient with type 2 diabetes is scheduled for magnetic resonance imaging (MRI) with contrast
dye. The nurse reviews the orders and notices that the patient is receiving metformin
(Glucophage). Which action by the nurse is appropriate?
a. Proceed with the MRI as scheduled.
b. Notify the radiology department that the patient is receiving metformin.
c. Expect to hold the metformin the day of the test and for 48 hours after the test is performed.
d. Call the prescriber regarding holding the metformin for 2 days before the MRI is performed. -
correct answer ✔✔c. Expect to hold the metformin the day of the test and for 48 hours after
the test is performed.
A patient with type 2 diabetes has a new prescription for repa-glinide (Prandin). After 1 week,
she calls the office to ask what to do, because she keeps missing meals. "I work right through
lunch sometimes, and I'm not sure whether I need to take it. What do I need to do?" What is
the nurse's best response?
a. "You need to try not to skip meals, but if that happens, you will need to skip that dose of
Prandin."
b. "We will probably need to change your prescription to insulin injections because you can't eat
meals on a regular basis."
c. "Go ahead and take the pill when you first remember that you missed it."
d. "Take both pills with the next meal, and try to eat a little extra to make up for what you
missed at lunchtime." - correct answer ✔✔a. "You need to try not to skip meals, but if that
happens, you will need to skip that dose of Prandin."
When checking a patient's fingerstick blood glucose level, the nurse obtains a reading of 42
mg/dL. The patient is awake but states he feels a bit "cloudy-headed." After double-checking
the patient's glucose level and getting the same reading, which action by the nurse is most
appropriate?
