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NU 578 Unit 4 Exam| Questions and Answers |with Detailed Rationales| 2026 Graded A+

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1. Insulin is used to treat: A. Hypertension B. Diabetes mellitus C. Asthma D. Infection Rationale: Insulin replaces or supplements endogenous insulin to regulate blood glucose levels, especially in type 1 and advanced type 2 diabetes. ________________________________________ 2. Which type of insulin has the fastest onset? A. Long-acting B. Rapid-acting C. Intermediate D. Mixed Rationale: Rapid-acting insulin (e.g., lispro) begins working within minutes, making it ideal for mealtime glucose control. ________________________________________ 3. Long-acting insulin is used to: A. Treat hypoglycemia B. Maintain basal glucose levels C. Provide rapid control D. Replace meals Rationale: Long-acting insulin provides steady background insulin over 24 hours. ________________________________________ 4. A major side effect of insulin therapy is: A. Hypertension B. Hypoglycemia C. Hyperkalemia D. Fever Rationale: Excess insulin lowers blood glucose too much, causing hypoglycemia. ________________________________________ 5. Metformin works by: A. Increasing insulin secretion B. Decreasing hepatic glucose production C. Increasing appetite D. Blocking insulin Rationale: Metformin reduces glucose production in the liver and improves insulin sensitivity. ________________________________________ 6. Metformin is contraindicated in: A. Hypertension B. Renal failure C. Diabetes D. Obesity Rationale: Renal impairment increases risk of lactic acidosis with metformin. ________________________________________

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NU 578



NU 578 Unit 4 Exam| Questions and Answers
|with Detailed Rationales| 2026 Graded A+

1.

Insulin is used to treat:
A. Hypertension
B. Diabetes mellitus
C. Asthma
D. Infection

Rationale:
Insulin replaces or supplements endogenous insulin to regulate blood glucose levels,
especially in type 1 and advanced type 2 diabetes.



2.

Which type of insulin has the fastest onset?
A. Long-acting
B. Rapid-acting
C. Intermediate
D. Mixed

Rationale:
Rapid-acting insulin (e.g., lispro) begins working within minutes, making it ideal for
mealtime glucose control.



3.

Long-acting insulin is used to:
A. Treat hypoglycemia
B. Maintain basal glucose levels
C. Provide rapid control
D. Replace meals


NU 578

, NU 578


Rationale:
Long-acting insulin provides steady background insulin over 24 hours.



4.

A major side effect of insulin therapy is:
A. Hypertension
B. Hypoglycemia
C. Hyperkalemia
D. Fever

Rationale:
Excess insulin lowers blood glucose too much, causing hypoglycemia.



5.

Metformin works by:
A. Increasing insulin secretion
B. Decreasing hepatic glucose production
C. Increasing appetite
D. Blocking insulin

Rationale:
Metformin reduces glucose production in the liver and improves insulin sensitivity.



6.

Metformin is contraindicated in:
A. Hypertension
B. Renal failure
C. Diabetes
D. Obesity

Rationale:
Renal impairment increases risk of lactic acidosis with metformin.



NU 578

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