The nurse is administering 0800 medications. which medication would the nurse question?

This NCLEX diabetes mellitus quiz will test your knowledge on the medications and nursing management of diabetes.. Diabetes mellitus is where a patient does not have sufficient amounts of insulin to use the glucose that enters the blood stream. Therefore, the patient experiences hyperglycemia which is damaging to the body.

Typical, treatments for a diabetic are diet, exercise, and medication therapy. Medications include oral and subcutaneous injections of insulin.

The NCLEX and nursing school lecture exams love to test students on their ability to differentiate between causes, signs and symptoms, patient education, and various treatments for diabetes.

This NCLEX quiz will test your ability:

• Exercise regime for the Diabetic
• Diet for the Diabetic
• Oral medications for Diabetes Mellitus
• How to administer insulin
• Onset, peak, and duration times of insulin
• Side effects of diabetes treatments

Diabetes Mellitus Pharmacology & Nursing Management NCLEX Quiz

This NCLEX quiz will test your knowledge on the pharmacological and nursing management of the diabetic patient.

• 1. Which of the following patient statements about the diabetic diet regime is correct?*
  • A. "I'll try to consume about 20% carbs and 40% fats on a daily basis."
  • B. "Foods that are high in mono and poly fats are avocados, olives, and nuts."
  • C. "Meats increase the glycemic index; therefore, I should only consume 5% of them on a daily basis."
  • D. "I should completely avoid starchy vegetables like potatoes and corn."

• 2. A patient with diabetes asks you about what type of exercise they should perform throughout the week. The best response is:*
  • A. Lifting weights
  • B. Sprinting
  • C. Swimming
  • D. Jumping

• 3. Which of the following statements are INCORRECT about exercise management for the diabetic patient?*
  • A. "I will check my blood glucose prior to exercise. If it is less than 200 I will eat a complex carb snack prior to exercising."
  • B. "I plan on exercising for an extended period. So I will check my blood glucose prior, during, and after exercising."
  • C. "My blood glucose is 268 and I have ketones in my urine. Therefore, I will avoid exercising today."
  • D. All of the options are correct statements.

• 4. A patient has a blood glucose of 58 and is sweating, cold, and clammy. The patient is conscious. What is your next nursing intervention?*
  • A. Recheck the blood glucose in 5 minutes.
  • B. Give the patient 15 grams of a complex carbohydrate.
  • C. No intervention is needed because this is a normal blood glucose.
  • D. Give the patient 15 grams of a simple carbohydrate.

• 5. A patient with Type 2 Diabetes is started on the medication Glyburide. Which of the following statements by the patient causes concern?*
  • A. "I will monitor my blood glucose regularly because I know this medication can cause a low blood sugar."
  • B. "I will consume no more than 8 oz. of alcohol per week."
  • C. "I will continue monitoring my diet and participating in exercise while taking this medication."
  • D. "This medication works by stimulating the beta cells in the pancreas to make insulin."

• 6. A patient is scheduled to take a morning dose of Metformin. The patient is scheduled for surgery tomorrow. Which of the following nursing interventions are correct?*
  • A. Administer the medication as ordered.
  • B. Hold the dose and notify the doctor for further orders.
  • C. Administer the medication as ordered but hold the next day's dose.
  • D. Check the patient’s blood glucose prior to administering the medication.

• 7. A patient is scheduled to take 10 units of Humulin N at 1100. When is the patient most susceptible for hypoglycemia?*
  • A. 1900
  • B. 1300
  • C. 1130
  • D. 1500

• 8. You administered 5 units of Humalog at 0800. What is the ONSET and DURATION of this medication?*
  • A. Onset: 15 minutes, Duration: 3 hours
  • B. Onset: 2 hours, Duration: 16 hours
  • C. Onset: 30 minutes, Duration: 1 hour
  • D. Onset: 2 hours, Duration: 24 hours

• 9. A patient taking the medication Precose asks when it is the best time to take this medication. Your response is:*
  • A. 1 hour prior to eating
  • B. 1 hour after eating
  • C. With the first bite of food
  • D. At bedtime

• 10. A patient has a blood glucose of 400. Which of the following medications could be the cause of this?*
  • A. Glyburide
  • B. Atenolol
  • C. Bactrim
  • D. Prednisone

• 11. A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?*
  • A. These insulins cannot be mixed, therefore, should be drawn up in different syringes.
  • B. Draw-up the Humulin R insulin first and then the NPH insulin.
  • C. Draw-up 2.5 units of NPH, then 10 units of Humulin R, and then finish drawing up 2.5 units of NPH.
  • D. Draw-up the NPH insulin first and then the Humulin R insulin.

• 12. A patient newly diagnosed with diabetes is about to be discharged home. You are watching the patient administer insulin. Which of the following actions causes you to re-educate them?*
  • A. They massaged the site after administering the insulin.
  • B. They injected into the fat of their thighs.
  • C. They used an opposite side for injection compared to the last insulin injection.
  • D. They engaged the safety after administering the medication.

• 13. A patient with diabetes is experiencing a blood glucose of 275 when waking. What is a typical treatment for this phenomenon?*
  • A. None, this is a normal blood glucose reading.
  • B. The patient may need a night time dose of an intermediate-acting insulin to counteract the morning hyperglycemia.
  • C. A bedtime snack may prevent this phenomenon.
  • D. This is known as the Somogyi effect and requires decreasing the bedtime dose of insulin.

• 14. True or False: The Somogyi effect causes the patient to experience an increase in their blood glucose during the hours of 2-3 am.*
  • True
  • False

• 15. Which of the following insulins has no peak but a duration of 24 hours?*
  • A. NPH
  • B. Novolog
  • C. Lantus
  • D. Humulin N

• 16. A patient is scheduled to take 7 units of Humulin R at 0830. You administer Humulin R at 0900 in the right thigh. When do you expect this medication to peak?*
  • A. 1300
  • B. 0930
  • C. 1100
  • D. 1700

• 17. When is a patient most susceptible to hypoglycemic symptoms after the administration of insulin?*
  • A. Onset
  • B. Peak
  • C. Duration
  • D. Duration & Peak

• 18. Which of the following insulins can be administered intravenously?*
  • A. NPH
  • B. Lantus
  • C. Humulin R
  • D. Novolog

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Quiz on Diabetes Mellitus Pharmacology & Nursing Management NCLEX

1. Which of the following patient statements about the diabetic diet regime is correct?

A.      “I’ll try to consume about 20% carbs and 40% fats on a daily basis.”

B.      “Foods that are high in mono and poly fats are avocadoes, olives, and nuts.”

C.      “Meats increase the glycemic index; therefore, I should only consume 5% of them on a daily basis.”

D.      “I should completely avoid starchy vegetables like potatoes and corn.”

2. A patient with diabetes asks you about what type of exercise they should perform throughout the week. The best response is:

A.      Lifting weights

B.      Sprinting

C.      Swimming

D.      Jumping

3. Which of the following statements are INCORRECT about exercise management for the diabetic patient?

A.      “I will check my blood glucose prior to exercise. If it is less than 200 I will eat a complex carb snack prior to exercising.”

B.      “I plan on exercising for an extended period. So I will check my blood glucose prior, during, and after exercising.”

C.      “My blood glucose is 268 and I have ketones in my urine. Therefore, I will avoid exercising today.”

D.      All of the options are correct statements.

4. A patient has a blood glucose of 45 and is sweating, cold, and clammy. The patient is conscious. What is your next nursing intervention?

A. Recheck the blood glucose in 5 minutes.

B. Give the patient 15 grams of a complex carbohydrate.

C. No intervention is needed because this is a normal blood glucose.

D. Give the patient 15 grams of a simple carbohydrate.

5. A patient with Type 2 Diabetes is started on the medication Glyburide. Which of the following statements by the patient causes concern?

A.      “I will monitor my blood glucose regularly because I know this medication can cause a low blood sugar.”

B.      “I will consume no more than 8 oz. of alcohol per week.”

C.      “I will continue monitoring my diet and participating in exercise while taking this medication.”

D.      “This medication works by stimulating the beta cells in the pancreas to make insulin.”

6. A patient is scheduled to take a morning dose of Metformin. The patient is scheduled for surgery tomorrow. Which of the following nursing interventions are correct?

A.      Administer the medication as ordered.

B.      Hold the dose and notify the doctor for further orders.

C.      Administer the medication as ordered but hold tomorrows morning’s dose.

D.      Check the patient’s blood glucose prior to administering the medication.

7. A patient is scheduled to take 10 units of Humulin N at 1100. When is the patient most susceptible for hypoglycemia?

A.      1900

B.      1300

C.      1130

D.      1500

8. You administered 5 units of Humalog at 0800. What is the ONSET and DURATION of this medication?

A.      Onset: 15 minutes, Duration: 3 hours

B.      Onset: 2 hours, Duration: 16 hours

C.      Onset: 30 minutes, Duration: 1 hour

D.      Onset: 2 hours, Duration: 24 hours

9. A patient taking the medication Precose asks when it is the best time to take this medication. Your response is:

A.      With the first bite of food

B.      1 hour prior to eating

C.      1 hour after eating

D.      At bedtime

10. A patient has a blood glucose of 400. Which of the following medications could be the cause of this?

A.      Glyburide

B.      Atenolol

C.      Bactrim

D.      Prednisone

11. A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?

A.      These insulins cannot be mixed, therefore, should be drawn up in different syringes.

B.      Draw-up the Humulin R insulin first and then the NPH insulin.

C.      Draw-up 2.5 units of NPH, then 10 units of Humulin R, and then finish drawing up 2.5 units of NPH.

D.      Draw-up the NPH insulin first and then the Humulin R insulin.

12. A patient newly diagnosed with diabetes is about to be discharged home. You are watching the patient administer insulin. Which of the following actions causes you  to re-educate them?

A.      They massaged the site after administering the insulin.

B.      They injected into the fat of their thighs.

C.      They used an opposite side for injection compared to the last insulin injection.

D.      They engaged the safety after administering the medication.

13. A patient with diabetes is experiencing a blood glucose of 275 when waking. What is a typical treatment for this phenomenon?

A.      None, this is a normal blood glucose reading.

B.      The patient may need a night time dose of an intermediate-acting insulin to counteract the morning hyperglycemia.

C.      A bedtime snack may prevent this phenomenon.

D.      This is known as the Somogyi effect and requires decreasing the bedtime dose of insulin.

14. True or False: The Somogyi effect causes the patient to experience an increase in their blood glucose during the hours of 2-3 am.

False

15. Which of the following insulins has no peak but a duration of 24 hours?

A.      NPH

B.      Novolog

C.      Lantus

D.      Humulin N

16. A patient is scheduled to take 7 units of Humulin R at 0830. You administer Humulin R at 0900 in the right thigh. When do you expect this medication to peak?

A.      1300

B.      0930

C.      1100

D.      1700

17. When is a patient most susceptible to hypoglycemic symptoms after the administration of insulin?

A.      Onset

B.      Peak

C.      Duration

D.      Duration & Peak

18. Which of the following insulins can be administered intravenously?

A.      NPH

B.      Lantus

C.      Humulin R

D.      Novolog

Answer Key:

1. B.
2. C.
3. A.
4. D.
5. B.
6. B.
7. A.
8. A.
9. A.
10. D.
11. B.
12. A.
13. B.
14. False
15. C.
16. C.
17. B.
18. C.
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