ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 32 : Diabetes Drugs Questions
Question 1 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 2 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 3 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 4 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 5 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.