ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 32 : Diabetes Drugs Questions
Question 1 of 5
The insulin order reads 'Give 15 units insulin glargine, SUBQ, every evening after dinner.' Choose the proper syringe for this injection.
Correct Answer: B
Rationale: Insulin glargine requires an insulin syringe marked in units for accurate dosing. Other syringes (not specified in options) are not suitable for insulin administration.
Question 2 of 5
A patient is taking a sulfonylurea medication for new-onset type 2 diabetes mellitus. When reviewing potential adverse effects during patient teaching, the nurse will include information about which of these effects? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Sulfonylureas can cause hypoglycemia due to increased insulin secretion, nausea as a GI side effect, and weight gain from insulin stimulation. Diarrhea and edema are not common.
Question 3 of 5
A patient will be taking U-500 insulin. The nurse is reviewing the use of this drug. Which of these statements are true? (Select all that apply.)
Correct Answer: A,B,D
Rationale: U-500 insulin is five times more concentrated than U-100, requires specific U-500 syringes, and each line measures 5 units. It delivers larger doses in smaller volumes, not smaller doses.
Question 4 of 5
The nurse is administering insulin lispro and will keep in mind that this insulin will start to have an effect within which time frame?
Correct Answer: A
Rationale: Insulin lispro, a rapid-acting insulin, has an onset of action within 15 minutes, making it effective shortly after administration. The other time frames refer to peak, half-life, or duration.
Question 5 of 5
When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including which of these?
Correct Answer: C
Rationale: Early hypoglycemia signs include confusion and sweating due to central nervous system and sympathetic activation. Hypothermia and seizures are later symptoms, nausea/diarrhea are unrelated, and fruity breath indicates ketoacidosis.