lilley chapter 32 Comprehensive Test Prep Actual Questions And Correct Answers.
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Course
LILLEYS
Institution
LILLEYS
Which is a rapid-acting insulin with an onset of action of less than 15 minutes?
A. Insulin aspart
B. Insulin glargine
C. Regular insulin
D. Insulin detemir - correct answer A.
Insulin aspart is a rapid-acting insulin. Insulin glargine and insulin detemir a...
lilley chapter 32
Which is a rapid-acting insulin with an onset of action of less than 15 minutes?
A. Insulin aspart
B. Insulin glargine
C. Regular insulin
D. Insulin detemir - correct answer A.
Insulin aspart is a rapid-acting insulin. Insulin glargine and insulin detemir are long-acting insulins.
Regular insulin is a short-acting insulin.
Which long-acting insulin mimics natural, basal insulin with no peak action and a duration of 24 hours?
A. Insulin glulisine
B. Insulin glargine
C. NPH insulin
D. Regular insulin - correct answer B.
Insulin glargine has a duration of action of 24 hours with no peaks, mimicking the natural, basal insulin
secretion of the pancreas.
Which insulin can be administered by continuous intravenous (IV) infusion?
A. Insulin detemir
B. Insulin glargine
C. Regular insulin
D. Insulin aspart - correct answer C.
Regular insulin is the only insulin used for IV therapy.
Assuming the patient eats breakfast at 8:30 A.M., lunch at noon, and dinner at 6:00 P.M., he or she is at
highest risk of hypoglycemia after an 8:00 A.M. dose of NPH insulin at what time?
A. 8:00 P.M.
B. 2:00 P.M.
C. 5:00 P.M.
, D. 10:00 A.M. - correct answer C.
Breakfast eaten at 8:30 A.M. would cover the onset of NPH insulin, and lunch will cover the 2 P.M. time
frame. However, if the patient does not eat a mid-afternoon snack, the NPH insulin may be peaking just
before dinner without sufficient glucose on hand to prevent hypoglycemia.
The nurse is preparing a patient for a computed tomography scan using iodine contrast media. What
medication would the nurse question if prescribed 1 day before the scheduled procedure?
A. Repaglinide
B. Pioglitazone
C. Acarbose
D. Metformin - correct answer D.
The concurrent use of metformin with iodinated (iodine-containing) radiologic contrast media has been
associated with both acute renal failure and lactic acidosis. Therefore, metformin should be
discontinued the day of the test and for at least 48 hours after the patient undergoes any radiologic
study that requires the use of such contrast media.
What oral hypoglycemic drug has a quick onset and short duration of action, enabling the patient to take
the medication 30 minutes before eating and skip the dose if he or she does not eat?
A.Acarbose
B. Metformin
C. Repaglinide
D. Pioglitazone - correct answer C.
Repaglinide is known as the "Humalog of oral hypoglycemic drugs." The drug's very fast onset of action
allows patients to take the drug with meals and skip a dose when they skip a meal.
Pramlintide is prescribed as supplemental drug therapy to the treatment plan for a patient with type 1
diabetes mellitus. What information would the nurse include when teaching the patient about the
action of this medication?
A. Pramlintide slows gastric emptying.
B. Pramlintide increases glucagon excretion.
C. Pramlintide stimulates glucose production.
D. Pramlintide corrects insulin receptor sensitivity. - correct answer A.
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