PEAT QUESTIONS WITH COMPLETE
SOLUTIONS 2025/2026
A nonathletic male patient reports occasional brief palpitations that occur in the absence
of pain, dizziness, or light-headedness. The patient has no personal or familial history of
heart disease and is otherwise healthy. Which of the following factors is the MOST likely
source of the palpitations?
1. Gender
2. Sedentary activity level
3. Excess caffeine intake
4. Cardiac abnormality - ANSWERS3. Excess caffeine intake
A patient who uses an insulin pump is beginning an outpatient aerobic conditioning
session. The patient's current blood glucose level is 95 mg/dL (5.3 mmol/L). Which of
the following responses is MOST appropriate for the patient?
1. Reduce the insulin infusion dose.
2. Increase the insulin infusion dose.
3. Continue insulin infusion at the current metered dose.
4. Rest for 1 hour, then remeasure blood glucose level. - ANSWERS1. Reduce the
insulin infusion dose.
One benefit of using an insulin pump is being able to change the insulin delivery.
Reducing or suspending the insulin will safely address the decreased blood glucose
level (which is less than 100 mg/dL [5.5 mmol/L]) without the need for a carbohydrate
snack (pp. 528, 618).
When selecting exercises for a patient who has diabetes mellitus, the patient's insulin
injection site is important to consider because insulin has which of the following
characteristics?
1. Longer duration of action if large muscle masses are involved in the exercise
2. Slower absorption if the injection site is in the exercised extremity
3. Faster delivery into the bloodstream if the injection site is in the exercised extremity
4. Faster degradation due to metabolic by-products in the exercised extremity -
ANSWERS3. Insulin is absorbed much more quickly in an active extremity.
SOLUTIONS 2025/2026
A nonathletic male patient reports occasional brief palpitations that occur in the absence
of pain, dizziness, or light-headedness. The patient has no personal or familial history of
heart disease and is otherwise healthy. Which of the following factors is the MOST likely
source of the palpitations?
1. Gender
2. Sedentary activity level
3. Excess caffeine intake
4. Cardiac abnormality - ANSWERS3. Excess caffeine intake
A patient who uses an insulin pump is beginning an outpatient aerobic conditioning
session. The patient's current blood glucose level is 95 mg/dL (5.3 mmol/L). Which of
the following responses is MOST appropriate for the patient?
1. Reduce the insulin infusion dose.
2. Increase the insulin infusion dose.
3. Continue insulin infusion at the current metered dose.
4. Rest for 1 hour, then remeasure blood glucose level. - ANSWERS1. Reduce the
insulin infusion dose.
One benefit of using an insulin pump is being able to change the insulin delivery.
Reducing or suspending the insulin will safely address the decreased blood glucose
level (which is less than 100 mg/dL [5.5 mmol/L]) without the need for a carbohydrate
snack (pp. 528, 618).
When selecting exercises for a patient who has diabetes mellitus, the patient's insulin
injection site is important to consider because insulin has which of the following
characteristics?
1. Longer duration of action if large muscle masses are involved in the exercise
2. Slower absorption if the injection site is in the exercised extremity
3. Faster delivery into the bloodstream if the injection site is in the exercised extremity
4. Faster degradation due to metabolic by-products in the exercised extremity -
ANSWERS3. Insulin is absorbed much more quickly in an active extremity.
