ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 32 : Diabetes Drugs Questions
Question 1 of 5
The nurse is reviewing a patient's medication list and notes that sitagliptin (Januvia) is ordered. The nurse will question an additional order for which drug or drug class?
Correct Answer: B
Rationale: Sitagliptin, a DPP-4 inhibitor, is not typically combined with insulin due to lack of established safety and efficacy. It can be used with metformin, sulfonylureas, or glitazones.
Question 2 of 5
The nurse is teaching a review class to nurses about diabetes mellitus. Which statement by the nurse is correct?
Correct Answer: D
Rationale: Insulin is the preferred therapy for diabetes in pregnancy due to safety concerns with oral antidiabetic drugs. Type 2 patients may need insulin, and pediatric patients can use insulin.
Question 3 of 5
The nurse is teaching a group of patients about management of diabetes. Which statement about basal dosing is correct?
Correct Answer: A
Rationale: Basal dosing, such as with glargine, provides a steady insulin level to maintain baseline glucose control. Glargine is not a bolus insulin, and basal-bolus is a modern approach.
Question 4 of 5
When teaching a patient who is starting metformin, which instruction by the nurse is correct?
Correct Answer: D
Rationale: Metformin should be taken with food to minimize GI side effects like nausea and diarrhea. Timing with specific glucose levels or empty stomach is incorrect.
Question 5 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.