NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
KEY:
All un-highlighted questions are required for Patho-Pharm 1
Red Text = Should Understand
Green Text = Absolutely Should Know
Yellow Highlight = Patho-Pharm 2 Material (Skip in Patho-Pharm 1)
Blue Highlight = Skip (In both Patho-Pharm 1 & 2)
Endocrine Medications
1. The nurse is teaching a client how to mix regular insulin and NPH insulin in the
same syringe. Which action, if performed by the client, indicates the need for
further teaching?
1. Withdraws the NPH insulin first
2. Withdraws the regular insulin first
3. Injects air into NPH insulin vial first
4. Injects an amount of air equal to the desired dose of insulin
into each vial Correct answer: 4
Rationale: When preparing a mixture of short-acting insulin, such as regular
insulin, with another insulin preparation, the short-acting insulin is drawn into the
syringe first. This sequence will avoid contaminating the vial of short-acting insulin
with insulin of another type. Options 2, 3, and 4 identify correct actions for
preparing NPH and short-acting insulin.
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
,NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
2. The home care nurse visits a client recently diagnosed with diabetes mellitus
who is taking Humulin NPH insulin daily. The client asks the nurse how to store
the unopened vials of insulin. The nurse should tell the client to take which
action?
1. Freeze the insulin.
2. Refrigerate the insulin.
3. Store the insulin in a dark, dry place.
4. Keep the insulin at room temperature.
Correct answer: 2
Rationale: Insulin in unopened vials should be stored under refrigeration until
needed. Vials should not be frozen. When stored unopened under refrigeration,
insulin can be used up to the expiration date on the vial. Options 1, 3, and 4 are
incorrect.
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
,NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
3. Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs
the client that which food items are most acceptable to consume while taking this
medication? Select all that apply.
1. Alcohol
2. Red meats
3. Whole-grain cereals
4. Low-calorie desserts
5. Carbonated beverages
Correct answer: 2, 3, 5
Rationale: When alcohol is combined with glimepiride {Oral Hpoglycemic med}, a
disulfiram- like reaction may occur. This syndrome includes flushing, palpitations,
and nausea. Alcohol can also potentiate the hypoglycemic effects of the
medication. Clients need to be instructed to avoid alcohol consumption while
taking this medication. Low-calorie desserts should also be avoided. Even though
the calorie content may be low, carbohydrate content is most likely high and can
affect the blood glucose. The items in options 2, 3, and 5 are acceptable to
consume.
4. The nurse is providing discharge teaching for a client newly diagnosed with
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
, NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
type 2 diabetes mellitus who has been prescribed metformin. Which client
statement indicates the need for further teaching?
1. "It is okay if I skip meals now and then."
2. "I need to constantly watch for signs of low blood sugar."
3. "I need to let my health care provider know if I get unusually tired."
4. "I will be sure to not drink alcohol excessively while on this
medication." Correct answer: 2
Rationale: Metformin is classified as a biguanide and is the most commonly used
medication for type 2 diabetes mellitus initially. It is also often used as a
preventive medication for those at high risk for developing diabetes mellitus.
When used alone, metformin lowers the blood sugar after meal intake as well as
fasting blood glucose levels. Metformin does not stimulate insulin release and
therefore poses little risk for hypoglycemia. For this reason, metformin is well
suited for clients who skip meals. Unusual somnolence, as well as
hyperventilation, myalgia, and malaise, are early signs of lactic acidosis, a toxic
effect associated with metformin. If any of these signs or symptoms occur, the
client should inform the health care provider immediately.
While it is best to avoid consumption of alcohol, it is not always realistic or
feasible for clients to quit drinking altogether; for this reason, clients should be
informed that excessive alcohol intake can cause an adverse reaction with
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
KEY:
All un-highlighted questions are required for Patho-Pharm 1
Red Text = Should Understand
Green Text = Absolutely Should Know
Yellow Highlight = Patho-Pharm 2 Material (Skip in Patho-Pharm 1)
Blue Highlight = Skip (In both Patho-Pharm 1 & 2)
Endocrine Medications
1. The nurse is teaching a client how to mix regular insulin and NPH insulin in the
same syringe. Which action, if performed by the client, indicates the need for
further teaching?
1. Withdraws the NPH insulin first
2. Withdraws the regular insulin first
3. Injects air into NPH insulin vial first
4. Injects an amount of air equal to the desired dose of insulin
into each vial Correct answer: 4
Rationale: When preparing a mixture of short-acting insulin, such as regular
insulin, with another insulin preparation, the short-acting insulin is drawn into the
syringe first. This sequence will avoid contaminating the vial of short-acting insulin
with insulin of another type. Options 2, 3, and 4 identify correct actions for
preparing NPH and short-acting insulin.
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
,NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
2. The home care nurse visits a client recently diagnosed with diabetes mellitus
who is taking Humulin NPH insulin daily. The client asks the nurse how to store
the unopened vials of insulin. The nurse should tell the client to take which
action?
1. Freeze the insulin.
2. Refrigerate the insulin.
3. Store the insulin in a dark, dry place.
4. Keep the insulin at room temperature.
Correct answer: 2
Rationale: Insulin in unopened vials should be stored under refrigeration until
needed. Vials should not be frozen. When stored unopened under refrigeration,
insulin can be used up to the expiration date on the vial. Options 1, 3, and 4 are
incorrect.
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
,NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
3. Glimepiride is prescribed for a client with diabetes mellitus. The nurse instructs
the client that which food items are most acceptable to consume while taking this
medication? Select all that apply.
1. Alcohol
2. Red meats
3. Whole-grain cereals
4. Low-calorie desserts
5. Carbonated beverages
Correct answer: 2, 3, 5
Rationale: When alcohol is combined with glimepiride {Oral Hpoglycemic med}, a
disulfiram- like reaction may occur. This syndrome includes flushing, palpitations,
and nausea. Alcohol can also potentiate the hypoglycemic effects of the
medication. Clients need to be instructed to avoid alcohol consumption while
taking this medication. Low-calorie desserts should also be avoided. Even though
the calorie content may be low, carbohydrate content is most likely high and can
affect the blood glucose. The items in options 2, 3, and 5 are acceptable to
consume.
4. The nurse is providing discharge teaching for a client newly diagnosed with
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
, NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
type 2 diabetes mellitus who has been prescribed metformin. Which client
statement indicates the need for further teaching?
1. "It is okay if I skip meals now and then."
2. "I need to constantly watch for signs of low blood sugar."
3. "I need to let my health care provider know if I get unusually tired."
4. "I will be sure to not drink alcohol excessively while on this
medication." Correct answer: 2
Rationale: Metformin is classified as a biguanide and is the most commonly used
medication for type 2 diabetes mellitus initially. It is also often used as a
preventive medication for those at high risk for developing diabetes mellitus.
When used alone, metformin lowers the blood sugar after meal intake as well as
fasting blood glucose levels. Metformin does not stimulate insulin release and
therefore poses little risk for hypoglycemia. For this reason, metformin is well
suited for clients who skip meals. Unusual somnolence, as well as
hyperventilation, myalgia, and malaise, are early signs of lactic acidosis, a toxic
effect associated with metformin. If any of these signs or symptoms occur, the
client should inform the health care provider immediately.
While it is best to avoid consumption of alcohol, it is not always realistic or
feasible for clients to quit drinking altogether; for this reason, clients should be
informed that excessive alcohol intake can cause an adverse reaction with
NUR MISC Pharm Endocrine Medications exam questions
and answers 100%correct/verified assured satisfaction
latest update 2022/2023
