Chapter 24 Drugs for Diabetes
MULTIPLE CHOICE
1. The nurse is teaching a group of nursing students about diabetes. The nurse explains
that which type of diabetes is the most common? a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Diabetes insipidus
d. Secondary diabetes
ANS B
Type 2 diabetes mellitus is the most common type of diabetes.
DIF COGNITIVE LEVEL Remembering (Knowledge) REF dm 759 TOP
NURSING PROCESS Assessment
MSC NCLEX Physiological Integrity Pathophysiology
2. A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes
a. is generally triggered by medications.
b. is not as common as type 1 diabetes.
c. is often related to heredity and obesity.
d. will not require insulin therapy.
ANS C
Type 2 diabetes is often caused by obesity and hereditary factors. Secondary diabetes is
triggered by medications. Type 2 diabetes is the most common type of diabetes. Patients with
type 2 diabetes may become insulin-dependent.
DIF COGNITIVE LEVEL Understanding (Comprehension) REF dm 759
TOP NURSING PROCESS Nursing Intervention Patient Teaching
MSC NCLEX Physiological Integrity Pathophysiology
3. A patient who is overweight is being evaluated for diabetes. The patient has a blood glucose
level of 160 mg/dL and a hemoglobin A1c of 5.8%. The nurse understands that this patient has
which condition?
a. Diabetes mellitus
b. Hypoglycemia
c. Normal blood levels
d. Prediabetes
ANS D
Patients with a hemoglobin A1c between 5.7% and 6.4% are considered to have prediabetes. A
level of 6.5% or more indicates diabetes. The patient is hyperglycemic.
DIF COGNITIVE LEVEL Applying (Application) REF dm 759
TOP NURSING PROCESS Assessment
MSC NCLEX Physiological Integrity Pathophysiology
, 4. The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus
about insulin administration. Which statement by the patient indicates a need for further
teaching? a. I may use a chosen site daily for up to a week.
b. I should give each injection a knuckle length away from a previous injection.
c. I will not be concerned about a raised knot under my skin from injecting insulin.
d. Insulin is absorbed better from subcutaneous sites on my abdomen.
ANS C
Lipohypertrophy is a raised lump or knot on the skin surface caused by repeated injections
into the same site, and this can interfere with insulin absorption. Patients are encouraged to
use the same site for a week, giving each injection a knuckle length away from the previous
injection. Insulin absorption is greater when given in abdominal areas.
DIF COGNITIVE LEVEL Applying (Application) REF dm 760
TOP NURSING PROCESS Nursing Intervention Patient Teaching
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies
5. The nurse is teaching a patient how to administer insulin. The patient is thin with very little
body fat. The nurse will suggest injecting insulin
a. by pinching up the skin and injecting straight down.
b. in the abdomen only with the needle at a 90-degree angle.
c. subcutaneously with the needle at a 45- to 60-degree angle.
d. using the thigh and buttocks areas exclusively.
ANS C
In a thin person, with little fatty tissue, the needle is inserted at a 45- to 60-degree angle. In
other patients, a 45- to 90-degree angle is acceptable. There is no recommendation for
preferring one site over another.
DIF COGNITIVE LEVEL Applying (Application) REF dm 760
TOP NURSING PROCESS Nursing Intervention Patient Teaching
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies
6. The nurse receives the following order for insulin IV NPH (Humulin NPH) 10 units. The
nurse will perform which action?
a. Administer the dose as ordered.
b. Clarify the insulin type and route.
c. Give the drug subcutaneously.
d. Question the insulin dose.
ANS B
Only regular insulin can be given intravenously. The nurse should clarify the order. It is not
correct to give Humulin NPH insulin IV. The nurse should not administer the drug by a
different route without first discussing with the provider.
DIF COGNITIVE LEVEL Applying (Application) REF dm 760 TOP
NURSING PROCESS Nursing Intervention
MULTIPLE CHOICE
1. The nurse is teaching a group of nursing students about diabetes. The nurse explains
that which type of diabetes is the most common? a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Diabetes insipidus
d. Secondary diabetes
ANS B
Type 2 diabetes mellitus is the most common type of diabetes.
DIF COGNITIVE LEVEL Remembering (Knowledge) REF dm 759 TOP
NURSING PROCESS Assessment
MSC NCLEX Physiological Integrity Pathophysiology
2. A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes
a. is generally triggered by medications.
b. is not as common as type 1 diabetes.
c. is often related to heredity and obesity.
d. will not require insulin therapy.
ANS C
Type 2 diabetes is often caused by obesity and hereditary factors. Secondary diabetes is
triggered by medications. Type 2 diabetes is the most common type of diabetes. Patients with
type 2 diabetes may become insulin-dependent.
DIF COGNITIVE LEVEL Understanding (Comprehension) REF dm 759
TOP NURSING PROCESS Nursing Intervention Patient Teaching
MSC NCLEX Physiological Integrity Pathophysiology
3. A patient who is overweight is being evaluated for diabetes. The patient has a blood glucose
level of 160 mg/dL and a hemoglobin A1c of 5.8%. The nurse understands that this patient has
which condition?
a. Diabetes mellitus
b. Hypoglycemia
c. Normal blood levels
d. Prediabetes
ANS D
Patients with a hemoglobin A1c between 5.7% and 6.4% are considered to have prediabetes. A
level of 6.5% or more indicates diabetes. The patient is hyperglycemic.
DIF COGNITIVE LEVEL Applying (Application) REF dm 759
TOP NURSING PROCESS Assessment
MSC NCLEX Physiological Integrity Pathophysiology
, 4. The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus
about insulin administration. Which statement by the patient indicates a need for further
teaching? a. I may use a chosen site daily for up to a week.
b. I should give each injection a knuckle length away from a previous injection.
c. I will not be concerned about a raised knot under my skin from injecting insulin.
d. Insulin is absorbed better from subcutaneous sites on my abdomen.
ANS C
Lipohypertrophy is a raised lump or knot on the skin surface caused by repeated injections
into the same site, and this can interfere with insulin absorption. Patients are encouraged to
use the same site for a week, giving each injection a knuckle length away from the previous
injection. Insulin absorption is greater when given in abdominal areas.
DIF COGNITIVE LEVEL Applying (Application) REF dm 760
TOP NURSING PROCESS Nursing Intervention Patient Teaching
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies
5. The nurse is teaching a patient how to administer insulin. The patient is thin with very little
body fat. The nurse will suggest injecting insulin
a. by pinching up the skin and injecting straight down.
b. in the abdomen only with the needle at a 90-degree angle.
c. subcutaneously with the needle at a 45- to 60-degree angle.
d. using the thigh and buttocks areas exclusively.
ANS C
In a thin person, with little fatty tissue, the needle is inserted at a 45- to 60-degree angle. In
other patients, a 45- to 90-degree angle is acceptable. There is no recommendation for
preferring one site over another.
DIF COGNITIVE LEVEL Applying (Application) REF dm 760
TOP NURSING PROCESS Nursing Intervention Patient Teaching
MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies
6. The nurse receives the following order for insulin IV NPH (Humulin NPH) 10 units. The
nurse will perform which action?
a. Administer the dose as ordered.
b. Clarify the insulin type and route.
c. Give the drug subcutaneously.
d. Question the insulin dose.
ANS B
Only regular insulin can be given intravenously. The nurse should clarify the order. It is not
correct to give Humulin NPH insulin IV. The nurse should not administer the drug by a
different route without first discussing with the provider.
DIF COGNITIVE LEVEL Applying (Application) REF dm 760 TOP
NURSING PROCESS Nursing Intervention
