Page 1 of 94
NR293 / NR-293 EXAM 3 (LATEST UPDATE 2025):
PHARMACOLOGY FOR NURSING PRACTICE |
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS | 100% CORRECT - CHAMBERLAIN
Rapid acting insulin .....ANSWER.....- Onset: 15 minutes
- Peak: 1.5 hours
- Duration: 3 hours
- Ex: Lispro (Humalog), Aspart (Novolog), Gliulisine (Apidra)
Short acting insulin .....ANSWER.....- Onset: 30 minutes
- Peak: 3 hours
- Duration: 6 hours
- Ex: Regular (Humulin R), Regular (Novolin R)
Intermediate acting insulin .....ANSWER.....- Onset: 60 minutes
- Peak: 6 hours
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- Duration: 12 hours
- Ex: NPH (Humulin N), NRP (Novolin N)
Long acting insulin .....ANSWER.....- Onset: 120 minutes
- Duration: 24 hours
- Ex: Detemir (Levamir), Glargine (Lantus)
Therapeutic response anti-diabetic therapy .....ANSWER.....-
fasting blood glucose 70-100 mg/dl
- hemoglobin A1c < 6.5%
Signs of low blood glucose .....ANSWER.....- < 70 mg/dl
- confusion
- irritability
- sweating
- give oral glucose (ie. apple juice, candy, etc)
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Hemoglobin A1c .....ANSWER.....- % of blood glucose bound to
hemoglobin
- when blood sugar is not controlled it builds up in the blood and
binds to hemoglobin
- provides info on the average level of blood sugar control over
the past 2-3 months
Hemoglobin .....ANSWER.....- oxygen carrying capacity of the
blood cells
Hypoglycemia .....ANSWER.....- If patient becomes unconscious,
give IV D50W (Dextrose 50% and water)
Glucagon IM .....ANSWER.....- used in emergency at HOME to
treat hypoglycemia from insulin over dose
IV corticosterioids .....ANSWER.....- can increase glucose levels
Glucocorticoids .....ANSWER.....- secreted by adrenal glands
, Page 4 of 94
- Side effects: Edema, gastric irritation, hyperglycemia,
osteoporosis
Type 1 DM .....ANSWER.....- Pancreas not releasing insulin
- requires insulin therapy
Insulin therapy .....ANSWER.....- rotate inj sites to avoid scar tissue
which can inhibit absorption
- when mixing insulin, draw up the 'clear' (ie. regular) into the
syringe first
- long acting insulin ie. Detemier (Levemir) and Glargine (Lantus)
CANNOT be mixed as the pH will change and affect absorption
rate.
- if a patient has both long acting and regular insulin ordered,
do not mix. use two different syringes.
Basal dosing .....ANSWER.....- delivers constant dose of insulin
- done with intermediate or long acting insulin
NR293 / NR-293 EXAM 3 (LATEST UPDATE 2025):
PHARMACOLOGY FOR NURSING PRACTICE |
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS | 100% CORRECT - CHAMBERLAIN
Rapid acting insulin .....ANSWER.....- Onset: 15 minutes
- Peak: 1.5 hours
- Duration: 3 hours
- Ex: Lispro (Humalog), Aspart (Novolog), Gliulisine (Apidra)
Short acting insulin .....ANSWER.....- Onset: 30 minutes
- Peak: 3 hours
- Duration: 6 hours
- Ex: Regular (Humulin R), Regular (Novolin R)
Intermediate acting insulin .....ANSWER.....- Onset: 60 minutes
- Peak: 6 hours
,Page 2 of 94
- Duration: 12 hours
- Ex: NPH (Humulin N), NRP (Novolin N)
Long acting insulin .....ANSWER.....- Onset: 120 minutes
- Duration: 24 hours
- Ex: Detemir (Levamir), Glargine (Lantus)
Therapeutic response anti-diabetic therapy .....ANSWER.....-
fasting blood glucose 70-100 mg/dl
- hemoglobin A1c < 6.5%
Signs of low blood glucose .....ANSWER.....- < 70 mg/dl
- confusion
- irritability
- sweating
- give oral glucose (ie. apple juice, candy, etc)
,Page 3 of 94
Hemoglobin A1c .....ANSWER.....- % of blood glucose bound to
hemoglobin
- when blood sugar is not controlled it builds up in the blood and
binds to hemoglobin
- provides info on the average level of blood sugar control over
the past 2-3 months
Hemoglobin .....ANSWER.....- oxygen carrying capacity of the
blood cells
Hypoglycemia .....ANSWER.....- If patient becomes unconscious,
give IV D50W (Dextrose 50% and water)
Glucagon IM .....ANSWER.....- used in emergency at HOME to
treat hypoglycemia from insulin over dose
IV corticosterioids .....ANSWER.....- can increase glucose levels
Glucocorticoids .....ANSWER.....- secreted by adrenal glands
, Page 4 of 94
- Side effects: Edema, gastric irritation, hyperglycemia,
osteoporosis
Type 1 DM .....ANSWER.....- Pancreas not releasing insulin
- requires insulin therapy
Insulin therapy .....ANSWER.....- rotate inj sites to avoid scar tissue
which can inhibit absorption
- when mixing insulin, draw up the 'clear' (ie. regular) into the
syringe first
- long acting insulin ie. Detemier (Levemir) and Glargine (Lantus)
CANNOT be mixed as the pH will change and affect absorption
rate.
- if a patient has both long acting and regular insulin ordered,
do not mix. use two different syringes.
Basal dosing .....ANSWER.....- delivers constant dose of insulin
- done with intermediate or long acting insulin
