ATI Diabetes Mellitus Management
A nurse is teaching a client who has type 1 diabetes mellitus about the peak time of
neutral protamine hagedorn (MPH) inulin. Which of the following statements by the
client indicates an understanding of the teaching?
a. "NPH insulin peaks in 1 to 5 hours."
b. "NPH insulin is peakless."
c. "NPH insulin peaks in 6 to 14 hours."
d. "NPH insulin peaks in 12 to 24 hours." - *answers *a
NPH insulin has an onset of 60 to 120 min, peaks in 6 to 14 hr, and has a duration of 16
to 24 hr.
A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who
started using the pen the previous week. The client asks what can be done to help
reduce injection pain. Which of the following instructions should the nurse give the
client?
a. Agitate the syringe slightly before injection.
b. Store the pens with the needle pointing upward.
c. Inserting the needle rapidly minimizes injection pain.
d. Keep the pen at room temperature for a few minutes. - *answers *d
Injecting room-temperature insulin is less painful than injecting cold insulin.
A nurse is caring for a client who has type one diabetes mellitus and reports feeling
anxious and having palpitations. The glucometer reads 50 mg/dL. Which of the following
actions should the nurse take?
a. give the client 1 tsp of honey
b. give the client 4 oz of apple juice
c. give the client 4 oz of skim milk
d. give the client one or to glucose tablets - *answers *b
After confirming hypoglycemia, the nurse should give the client 15 to 20 g of a rapid-
acting, concentrated carbohydrate source, such as 4 to 6 oz of fruit juice, 8 oz of skim
milk, 1 tbsp of honey, or commercially prepared glucose tablets per package
instructions.
A nurse is teaching a client who has type one diabetes about the use of an insulin
pump. Which of the following information should the nurse include in the teaching?
a. the pump should remain in place while bathing
b. insulin is injected intermittently based on the client's glucose level
c. the pump uses intermediate-acting insulin
d. the risk for developing DKA can be increased with the use of an insulin pump -
*answers *d
A nurse is teaching a client who has type 1 diabetes mellitus about the peak time of
neutral protamine hagedorn (MPH) inulin. Which of the following statements by the
client indicates an understanding of the teaching?
a. "NPH insulin peaks in 1 to 5 hours."
b. "NPH insulin is peakless."
c. "NPH insulin peaks in 6 to 14 hours."
d. "NPH insulin peaks in 12 to 24 hours." - *answers *a
NPH insulin has an onset of 60 to 120 min, peaks in 6 to 14 hr, and has a duration of 16
to 24 hr.
A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who
started using the pen the previous week. The client asks what can be done to help
reduce injection pain. Which of the following instructions should the nurse give the
client?
a. Agitate the syringe slightly before injection.
b. Store the pens with the needle pointing upward.
c. Inserting the needle rapidly minimizes injection pain.
d. Keep the pen at room temperature for a few minutes. - *answers *d
Injecting room-temperature insulin is less painful than injecting cold insulin.
A nurse is caring for a client who has type one diabetes mellitus and reports feeling
anxious and having palpitations. The glucometer reads 50 mg/dL. Which of the following
actions should the nurse take?
a. give the client 1 tsp of honey
b. give the client 4 oz of apple juice
c. give the client 4 oz of skim milk
d. give the client one or to glucose tablets - *answers *b
After confirming hypoglycemia, the nurse should give the client 15 to 20 g of a rapid-
acting, concentrated carbohydrate source, such as 4 to 6 oz of fruit juice, 8 oz of skim
milk, 1 tbsp of honey, or commercially prepared glucose tablets per package
instructions.
A nurse is teaching a client who has type one diabetes about the use of an insulin
pump. Which of the following information should the nurse include in the teaching?
a. the pump should remain in place while bathing
b. insulin is injected intermittently based on the client's glucose level
c. the pump uses intermediate-acting insulin
d. the risk for developing DKA can be increased with the use of an insulin pump -
*answers *d
