ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 32 Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is teaching a group of patients about self-administration of insulin. What content is important to include?
Correct Answer: D
Rationale: When mixing insulins, clear (regular) insulin is drawn up first to prevent contamination with cloudy (NPH) insulin. Rotation of injection sites is necessary, and compatible insulins can be mixed in one syringe.
Question 4 of 5
When monitoring a patient's response to oral antidiabetic drugs, the nurse knows that which laboratory result would indicate a therapeutic response?
Correct Answer: C
Rationale: A fasting blood glucose level of 80â??130 mg/dL, as per ADA guidelines, indicates a therapeutic response to oral antidiabetic drugs. Other options reflect hyperglycemia or hypoglycemia.
Question 5 of 5
A 55-year-old woman with type 2 diabetes has recently been placed on glipizide. She asks the nurse when the best time would be to take this medication. What is the nurse's best response?
Correct Answer: A
Rationale: Glipizide, a sulfonylurea, is taken 30 minutes before breakfast to align insulin secretion with postprandial glucose rise, mimicking normal physiology.