ADVANCED MED SURG HESI FINAL RN V2
EXAM PREP STUDY GUIDE 2026 PRACTICE
QUESTIONS AND SOLUTIONS GRADED A+
◉ Type 2 DM Primary Defect. Answer: insulin resistance, decreased
insulin production over time
◉ Type 1 DM Onset/ etiology. Answer: Young children, under 20/
autoimmune
◉ Type 2 DM Onset/etiology. Answer: Overweight, adulthood
◉ Clinical Manifestations of DM Type 1. Answer: Rapid onset,
polydipsia, polyuria, polyphagia- weight loss and fatigue common
◉ Clinical Manifestation of DM Type 2. Answer: Gradual Onset,
Recurrent infection, Three P's,
◉ Rapid Action Insulin
Lispro Aspart, Glulsine. Answer: Onset: 15 Minutes
Peak 60-90 min
Duration- 3-4hrs
, Inject 15 minutes before meal
◉ Short Acting: Regular & Novolin. Answer: Onset: .5-1 hr
Peak:, 2-3 hours
Duration: 3-6 hours
Injected 30-45 minutes premeal
◉ Intermediate action insulin: NPH,. Answer: Onset: 2-4 hours
Peak: 4-10 hours
Duration: 10-16 hrs
◉ Long Action Insulin: Glargine, Detemir. Answer: Onset: 1-2 hours
Peak: non
Duration: 24+ hour
Injected once/ day
◉ What is the insulin pump?. Answer: Continuous subQ infusion,
battery operated, connected via plastic tube to a catheter inserted
into subQ tissue in the abdomen, potential for tight glucose control
◉ Biguanides MOA. Answer: increase rate of hepatic glucose
production; augment glucose uptake by tissues, especially muscles
EXAM PREP STUDY GUIDE 2026 PRACTICE
QUESTIONS AND SOLUTIONS GRADED A+
◉ Type 2 DM Primary Defect. Answer: insulin resistance, decreased
insulin production over time
◉ Type 1 DM Onset/ etiology. Answer: Young children, under 20/
autoimmune
◉ Type 2 DM Onset/etiology. Answer: Overweight, adulthood
◉ Clinical Manifestations of DM Type 1. Answer: Rapid onset,
polydipsia, polyuria, polyphagia- weight loss and fatigue common
◉ Clinical Manifestation of DM Type 2. Answer: Gradual Onset,
Recurrent infection, Three P's,
◉ Rapid Action Insulin
Lispro Aspart, Glulsine. Answer: Onset: 15 Minutes
Peak 60-90 min
Duration- 3-4hrs
, Inject 15 minutes before meal
◉ Short Acting: Regular & Novolin. Answer: Onset: .5-1 hr
Peak:, 2-3 hours
Duration: 3-6 hours
Injected 30-45 minutes premeal
◉ Intermediate action insulin: NPH,. Answer: Onset: 2-4 hours
Peak: 4-10 hours
Duration: 10-16 hrs
◉ Long Action Insulin: Glargine, Detemir. Answer: Onset: 1-2 hours
Peak: non
Duration: 24+ hour
Injected once/ day
◉ What is the insulin pump?. Answer: Continuous subQ infusion,
battery operated, connected via plastic tube to a catheter inserted
into subQ tissue in the abdomen, potential for tight glucose control
◉ Biguanides MOA. Answer: increase rate of hepatic glucose
production; augment glucose uptake by tissues, especially muscles
