NSG 250 EXAM 5 |
COMPREHENSIVE NURSING STUDY
GUIDE, PRACTICE QUESTIONS &
ANSWERS 2026/2027
1 of 167
Definition
- 15g carbs
- 4 oz OJ
- 2 oz grape juice
- 8 oz milk
- 2-4 glucose tabs
UNCSS ACTION: Administer glucagon IM, Baqsimi nasally, or IV
glucose
Give this one a go later!
prevention for problems during
treating hyperkalemia
blood transfusion
action for hypoglycemia regional local anesthetics
, Don't know?
2 of 167
Term
nurse tips for insulin
Give this one a go later!
- do not administer IV faster than 20 meq/hr
- always use a pump for IV K
- can use a PIV to admin if necessary
- Adjust the insulin dose to meet the needs (large meals, sweets, exercise,
stress, pregnancy, hormones, gastroenteritis, infection, illness)
- Ensure adequate glucose is available (glucose tabs, 15 g carbs, glucagon,
Baqsimi)
- Draw short-acting up first!!
- Rotate/roll vial gently between palms to mix before withdrawing
- Administer SQ
- Rotate sites
- Store in fridge (not freezer!) Store pens upright!
- Don't "stack" insulin - give it time to work! (know your peaks!)
- Teach that beta-blockers may mask signs of hypoglycemia: so
may have to rely on sweating, not shaking or tachycardia, as a sign
of low blood sugar
- Instruct clients to maintain normal eating schedule
- May need increased doses in times of stress
- Be careful not to stack insulin
- teach about peak times of insulin action and meal timing and
, exercise-timing insulin glargine (Lantus) cannot be mixed with other
insulins; regular insulin is
only one that can be given IV
- ABD has the highest rates of SQ absorption
- U-100 insulin should go in a U-100 syringe and U-500 insulin should go in a U-500
syringe
- Premixed syringes need stored upright with needles pointing up, roll before
injecting to help remix the soluton
- GOAL: Right amount of
insulin for right amount of
glucose in the bloodstream (glucose comes from carbs/sugars in the diet and from
the liver too!)
- Insulin doses are highly individualized
- Insulin products are based on action, onset, peak, duration, compatibility
- Almost all insulin must be given by
injection
- Side effect: HYPOGLYCEMIA
Don't know?
3 of 167
Term
lugol's iodine solution
Give this one a go later!
onset is 1 hour, peak is minimal,
peaks very quickly, patient needs to lasts 24 hours, replaces missing basal
eat right after, lasts 3-4 hours insulin; often will still need short-
acting insulin boluses at mealtime
, ready to use. Stable at room
reduces thyroid gland prior to
temperature and can be
surgery, also used in emergent
administered without any preparation
tx of thyrotoxicosis
or reconstitution
Don't know?
4 of 167
Term
Pramlintide (Symlin) SE:
Give this one a go later!
- strict I/O
- place pt on continuous cardiac monitoring
- watch for hypotension, bradycardia, and respiratory depression
- assess neuromuscular function and LOC
- Nausea and vomitng
- abdominal pain
- HA
- dizziness
- fatigue
- coughing
- allergic reaction
- arthralgia
- SEVERE HYPOGLYCEMIA
COMPREHENSIVE NURSING STUDY
GUIDE, PRACTICE QUESTIONS &
ANSWERS 2026/2027
1 of 167
Definition
- 15g carbs
- 4 oz OJ
- 2 oz grape juice
- 8 oz milk
- 2-4 glucose tabs
UNCSS ACTION: Administer glucagon IM, Baqsimi nasally, or IV
glucose
Give this one a go later!
prevention for problems during
treating hyperkalemia
blood transfusion
action for hypoglycemia regional local anesthetics
, Don't know?
2 of 167
Term
nurse tips for insulin
Give this one a go later!
- do not administer IV faster than 20 meq/hr
- always use a pump for IV K
- can use a PIV to admin if necessary
- Adjust the insulin dose to meet the needs (large meals, sweets, exercise,
stress, pregnancy, hormones, gastroenteritis, infection, illness)
- Ensure adequate glucose is available (glucose tabs, 15 g carbs, glucagon,
Baqsimi)
- Draw short-acting up first!!
- Rotate/roll vial gently between palms to mix before withdrawing
- Administer SQ
- Rotate sites
- Store in fridge (not freezer!) Store pens upright!
- Don't "stack" insulin - give it time to work! (know your peaks!)
- Teach that beta-blockers may mask signs of hypoglycemia: so
may have to rely on sweating, not shaking or tachycardia, as a sign
of low blood sugar
- Instruct clients to maintain normal eating schedule
- May need increased doses in times of stress
- Be careful not to stack insulin
- teach about peak times of insulin action and meal timing and
, exercise-timing insulin glargine (Lantus) cannot be mixed with other
insulins; regular insulin is
only one that can be given IV
- ABD has the highest rates of SQ absorption
- U-100 insulin should go in a U-100 syringe and U-500 insulin should go in a U-500
syringe
- Premixed syringes need stored upright with needles pointing up, roll before
injecting to help remix the soluton
- GOAL: Right amount of
insulin for right amount of
glucose in the bloodstream (glucose comes from carbs/sugars in the diet and from
the liver too!)
- Insulin doses are highly individualized
- Insulin products are based on action, onset, peak, duration, compatibility
- Almost all insulin must be given by
injection
- Side effect: HYPOGLYCEMIA
Don't know?
3 of 167
Term
lugol's iodine solution
Give this one a go later!
onset is 1 hour, peak is minimal,
peaks very quickly, patient needs to lasts 24 hours, replaces missing basal
eat right after, lasts 3-4 hours insulin; often will still need short-
acting insulin boluses at mealtime
, ready to use. Stable at room
reduces thyroid gland prior to
temperature and can be
surgery, also used in emergent
administered without any preparation
tx of thyrotoxicosis
or reconstitution
Don't know?
4 of 167
Term
Pramlintide (Symlin) SE:
Give this one a go later!
- strict I/O
- place pt on continuous cardiac monitoring
- watch for hypotension, bradycardia, and respiratory depression
- assess neuromuscular function and LOC
- Nausea and vomitng
- abdominal pain
- HA
- dizziness
- fatigue
- coughing
- allergic reaction
- arthralgia
- SEVERE HYPOGLYCEMIA
