Master ATI Diabetes –2025-2026 Practice Questions and Answers,
Step-by-Step Nursing Procedures, and Exam Review||Latest
Version!!!
What is the correct order when mixing regular insulin and NPH
insulin? - Answer –
1. Inspect for contaminants.
2. Toll NPH (cloudy) between palm of hands.
3. Inject air into NPH insulin vial.
4. Inject air into regular insulin (clear) vial.
5. Withdraw short-acting insulin (clear) into syringe.
6. Add intermediate acting insulin (cloudy) to syringe. The mixture is
stable for 28 days.
A nurse is assisting a client who has thyrotoxicosis after taking too
high of a level of levothyroxine. Which of the following
manifestations should the nurse expect? - Answer -Heat intolerance. A
client with an acute overdose will exhibit heat intolerance, sweating,
and hyperthermia. These manifestations are indication of excessive
levels of thyroid hormones that could lead to death.
A nurse is providing teaching to a client who has a new prescription
for levothyroxine for Hypothyroidism. The nurse should instruct the
client to avoid which of the following herbal supplements? - Answer -
Soy because it can reduce the effectiveness of levothyroxine.
A nurse is teaching a client who has DM and a new prescription for
glimepiride. The nurse should teach the client to avoid which of the
following drinks while taking this medication? - Answer -Alcohol to
prevent disulfiram reaction such as nausea, headache, and
Hypoglycaemia
A nurse is reviewing the medical record of a client who has been on
levothyroxine for several months. Which of the following findings
indicates a therapeutic response to the medication? - Answer -
pg. 1
, Decrease in the level of thyroid stimulating hormone (TSH). In
Hypothyroidism, the nonfunctioning thyroid gland is unable to
respond to the TSH and endogenous thyroid hormones are released.
This results in an elevation of the TSH level as the anterior pituitary
continues to release the TSH to stimulate the thyroid glans.
Administration of exogenous thyroid hormones turns off this feedback
loop, which results in a decreased level of TSH.
A nurse is providing teaching about self-administration of insulin to
the parent of a school-aged child who has a new onset of DM. Which
of the following statement by the parent indicates a need for further
teaching? - Answer -"I will be sure my child aspirates before injecting
the insulin." This step is not necessary anymore.
A nurse is teaching a client how to draw up regular insulin and NPH
insulin into the same syringe. Which of the following instructions
should the nurse include? - Answer -Discard regular insulin if cloudy
as it should be clear. NPH insulin is the one that has a cloudy
appearance since it is a suspension that needs to be rolled between
your hands to mix.
A nurse is evaluating teaching with a client who is receiving
continuous subcutaneous insulin via an external insulin pump. which
of the following statements by the client indicates a need for further
teaching? - Answer -"I will use insulin glargine in my insulin pump."
The client should use a short-acting insulin in the pump. The pump is
designed to administer rapid-acting or short acting insulin 24 hours a
da. Glargine is classified as a long-acting insulin and is administered
at the same time each day to maintain stable blood glucose
concentration for a 24 hours period.
A nurse is teaching about levothyroxine with a client who has primary
Hypothyroidism. Which of the following statements should the nurse
use when teaching the client? - Answer -"Tremors, nervousness, and
insomnia may indicate your dose is too high. This may indicate an
overdose of the medication and they will need to notify the provider.
pg. 2
Step-by-Step Nursing Procedures, and Exam Review||Latest
Version!!!
What is the correct order when mixing regular insulin and NPH
insulin? - Answer –
1. Inspect for contaminants.
2. Toll NPH (cloudy) between palm of hands.
3. Inject air into NPH insulin vial.
4. Inject air into regular insulin (clear) vial.
5. Withdraw short-acting insulin (clear) into syringe.
6. Add intermediate acting insulin (cloudy) to syringe. The mixture is
stable for 28 days.
A nurse is assisting a client who has thyrotoxicosis after taking too
high of a level of levothyroxine. Which of the following
manifestations should the nurse expect? - Answer -Heat intolerance. A
client with an acute overdose will exhibit heat intolerance, sweating,
and hyperthermia. These manifestations are indication of excessive
levels of thyroid hormones that could lead to death.
A nurse is providing teaching to a client who has a new prescription
for levothyroxine for Hypothyroidism. The nurse should instruct the
client to avoid which of the following herbal supplements? - Answer -
Soy because it can reduce the effectiveness of levothyroxine.
A nurse is teaching a client who has DM and a new prescription for
glimepiride. The nurse should teach the client to avoid which of the
following drinks while taking this medication? - Answer -Alcohol to
prevent disulfiram reaction such as nausea, headache, and
Hypoglycaemia
A nurse is reviewing the medical record of a client who has been on
levothyroxine for several months. Which of the following findings
indicates a therapeutic response to the medication? - Answer -
pg. 1
, Decrease in the level of thyroid stimulating hormone (TSH). In
Hypothyroidism, the nonfunctioning thyroid gland is unable to
respond to the TSH and endogenous thyroid hormones are released.
This results in an elevation of the TSH level as the anterior pituitary
continues to release the TSH to stimulate the thyroid glans.
Administration of exogenous thyroid hormones turns off this feedback
loop, which results in a decreased level of TSH.
A nurse is providing teaching about self-administration of insulin to
the parent of a school-aged child who has a new onset of DM. Which
of the following statement by the parent indicates a need for further
teaching? - Answer -"I will be sure my child aspirates before injecting
the insulin." This step is not necessary anymore.
A nurse is teaching a client how to draw up regular insulin and NPH
insulin into the same syringe. Which of the following instructions
should the nurse include? - Answer -Discard regular insulin if cloudy
as it should be clear. NPH insulin is the one that has a cloudy
appearance since it is a suspension that needs to be rolled between
your hands to mix.
A nurse is evaluating teaching with a client who is receiving
continuous subcutaneous insulin via an external insulin pump. which
of the following statements by the client indicates a need for further
teaching? - Answer -"I will use insulin glargine in my insulin pump."
The client should use a short-acting insulin in the pump. The pump is
designed to administer rapid-acting or short acting insulin 24 hours a
da. Glargine is classified as a long-acting insulin and is administered
at the same time each day to maintain stable blood glucose
concentration for a 24 hours period.
A nurse is teaching about levothyroxine with a client who has primary
Hypothyroidism. Which of the following statements should the nurse
use when teaching the client? - Answer -"Tremors, nervousness, and
insomnia may indicate your dose is too high. This may indicate an
overdose of the medication and they will need to notify the provider.
pg. 2
