2026 SOLUTIONS GRADED A+
◉ A patient is diagnosed with type 1 diabetes. What distinguishing
characteristic is associated with type 1 diabetes?
A. The disease always starts in childhood.
B. Oral agents can control blood sugar.
C. Exogenous insulin is required for life.
D. Blood glucose levels can be controlled by diet. Answer: Exogenous
insulin is required for life.
Type 1 diabetes will result in eventual destruction of beta cells, and
no insulin is produced. The blood glucose level can only be
controlled by diet in type 2 diabetes. In type 2 diabetes, oral agents
can be administered. Type 1 diabetes is diagnosed at many ages, not
only in childhood.
◉ A patient is in diabetic ketoacidosis. The patient blood glucose
level is over 600 mg/dL. The physician has ordered the patient to
receive an initial dose of 25 units of insulin intravenously. What type
of insulin will most likely be administered?
A. Ultralente insulin
, B. Lente insulin
C. Regular insulin
D. NPH insulin Answer: Regular insulin
Regular insulin has rapid onset of action and can be given via IV. It is
the drug of choice for acute situations, such as diabetic ketoacidosis.
Isophane insulin (NPH) is used for long-term insulin therapy. Lente
insulin is an intermediate-acting insulin. Ultralente insulin is a long-
acting insulin.
◉ During a teaching session on the care of the diabetic patient, a
family member asks why her daughter has a different insulin than
her best friend. The nurse should make which of the following
statements to explain the differences in insulin?
A. "Insulin is prescribed based on the insurer's criteria for
reimbursement."
B. "Insulins have different onsets and durations of action."
C. "Insulin type is matched with the appropriate oral hypoglycemic
agent."
D. "Insulin is prescribed based on the patient's age." Answer:
"Insulins have different onsets and durations of action."
When insulin therapy is indicated, the physician may choose from
several preparations that vary in composition, onset, duration of