NURS 615 exam 4 Newest 2025, Maryville University nursing exam
NURS 615 EXAM 4 NEWEST 2025, MARYVILLE UNIVERSITY NURSING
EXAM QUESTIONS, VERIFIED NURS 615 ANSWERS, NURS 615 STUDY
GUIDE PDF, NURS 615 EXAM PREP 2025, GRADED A+
Screening criteria for children who meet the following criteria should begin at age 10 and occur
every 3 years thereafter:
A. BMI above the 85th percentile for age and sex
B. Family history of diabetes in first- or second-degree relative
C. Hypertension based on criteria for children
D. Any of the above - ANSWER-D. Any of the above
Insulin is used to treat both types of diabetes. It acts by:
A. Increasing beta cell response to low blood glucose levels
B. Stimulating hepatic glucose production
C. Increasing peripheral glucose uptake by skeletal muscle and fat
D. Improving the circulation of free fatty acids - ANSWER-C. Increasing peripheral glucose uptake
by skeletal muscle and fat
Adam has Type 1 diabetes and plays tennis for his university. He exhibits a Knowledge deficit
about his insulin and his diagnosis. He should be taught that:
A. He should increase his CHO intake during times of exercise
B. Each brand of insulin is equal in bioavailability, so buy the least expensive
C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small
amounts
1|Page
, NURS 615 exam 4 Newest 2025, Maryville University nursing exam
D. If he does not want to learn to give himself injections, he may substitute an oral
hypoglycemic to control his diabetes - ANSWER-A. He should increase his CHO intake during
times of exercise
Insulin preparations are divided into categories based on onset, duration, and intensity of action
following subcutaneous inject. Which of the following insulin preparations has the shortest
onset and duration of action?
A. Insulin lispro
B. Insulin glulisine
C. Insulin glargine
D. Insulin detemir - ANSWER-B. Insulin glulisine
The drug of choice for Type 2 diabetics is metformin. Metformin:
A. Decreases glycogenolysis by the liver
B. Increases the release of insulin from beta cells
C. Increases intestinal uptake of glucose
D. Prevents weight gain associated with hyperglycemia - ANSWER-A. Decreases glycogenolysis
by the liver
Before prescribing metformin, the provider should:
A. Draw a serum creatinine level to assess renal function
B. Try the patient on insulin
C. Prescribe a thyroid preparation if the patient needs to lose weight
D. All of the above - ANSWER-A. Draw a serum creatinine level to assess renal function
2|Page
, NURS 615 exam 4 Newest 2025, Maryville University nursing exam
Sulfonylureas may be added to a treatment regimen for Type 2 diabetics when lifestyle
modifications and metformin are insufficient to achieve target glucose levels. Sulfonylureas have
been moved to Step 2 therapy because they:
A. Increase endogenous insulin secretion
B. Have a significant risk for hypoglycemia
C. Address the insulin resistance found in Type 2 diabetics
D. Improve insulin binding to receptors - ANSWER-B. Have a significant risk for hypoglycemia
Dipeptidyl peptidase-4 inhibitors (gliptins) act on the incretin system to improve glycemic
control. Advantages of these drugs include:
A. Better reduction in glucose levels than other classes
B. Less weight gain than sulfonylureas
C. Low risk for hypoglycemia
D. Can be given twice daily - ANSWER-C. Low risk for hypoglycemia
Control targets for patients with diabetes include:
A. HbA1C between 7 and 8
B. Fasting blood glucose levels between 100 and 120 mg/dl
C. Blood pressure less than 130/80 mm Hg
D. LDL lipids less than 130 mg/dl - ANSWER-C. Blood pressure less than 130/80 mm Hg
Establishing glycemic targets is the first step in treatment of both types of diabetes. For Type 1
diabetes:
3|Page
, NURS 615 exam 4 Newest 2025, Maryville University nursing exam
A. Tight control/intensive therapy can be given to adults who are willing to test their blood
glucose at least twice daily
B. Tight control is acceptable for older adults if they are without complications
C. Plasma glucose levels are the same for children as adults
D. Conventional therapy has a fasting plasma glucose target between 120 and 150 mg/dl -
ANSWER-D. Conventional therapy has a fasting plasma glucose target between 120 and 150
mg/dl
Treatment with insulin for Type 1 diabetics:
A. Starts with a total daily dose of 0.2 to 0.4 units per kg of body weight
B. Divides the total doses into three injections based on meal size
C. Uses a total daily dose of insulin glargine given once daily with no other insulin required
D. Is based on the level of blood glucose - ANSWER-A. Starts with a total daily dose of 0.2 to 0.4
units per kg of body weight
When the total daily insulin dose is split and given twice daily, which of the following rules may
be followed?
A. Give two-thirds of the total dose in the morning and one-third in the evening.
B. Give 0.3 units per kg of premixed 70/30 insulin with one-third in the morning and two-thirds
in the evening.
C. Give 50% of an insulin glargine dose in the morning and 50% in the evening.
D. Give long-acting insulin in the morning and short-acting insulin at bedtime. - ANSWER-A. Give
two-thirds of the total dose in the morning and one-third in the evening.
4|Page
NURS 615 EXAM 4 NEWEST 2025, MARYVILLE UNIVERSITY NURSING
EXAM QUESTIONS, VERIFIED NURS 615 ANSWERS, NURS 615 STUDY
GUIDE PDF, NURS 615 EXAM PREP 2025, GRADED A+
Screening criteria for children who meet the following criteria should begin at age 10 and occur
every 3 years thereafter:
A. BMI above the 85th percentile for age and sex
B. Family history of diabetes in first- or second-degree relative
C. Hypertension based on criteria for children
D. Any of the above - ANSWER-D. Any of the above
Insulin is used to treat both types of diabetes. It acts by:
A. Increasing beta cell response to low blood glucose levels
B. Stimulating hepatic glucose production
C. Increasing peripheral glucose uptake by skeletal muscle and fat
D. Improving the circulation of free fatty acids - ANSWER-C. Increasing peripheral glucose uptake
by skeletal muscle and fat
Adam has Type 1 diabetes and plays tennis for his university. He exhibits a Knowledge deficit
about his insulin and his diagnosis. He should be taught that:
A. He should increase his CHO intake during times of exercise
B. Each brand of insulin is equal in bioavailability, so buy the least expensive
C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small
amounts
1|Page
, NURS 615 exam 4 Newest 2025, Maryville University nursing exam
D. If he does not want to learn to give himself injections, he may substitute an oral
hypoglycemic to control his diabetes - ANSWER-A. He should increase his CHO intake during
times of exercise
Insulin preparations are divided into categories based on onset, duration, and intensity of action
following subcutaneous inject. Which of the following insulin preparations has the shortest
onset and duration of action?
A. Insulin lispro
B. Insulin glulisine
C. Insulin glargine
D. Insulin detemir - ANSWER-B. Insulin glulisine
The drug of choice for Type 2 diabetics is metformin. Metformin:
A. Decreases glycogenolysis by the liver
B. Increases the release of insulin from beta cells
C. Increases intestinal uptake of glucose
D. Prevents weight gain associated with hyperglycemia - ANSWER-A. Decreases glycogenolysis
by the liver
Before prescribing metformin, the provider should:
A. Draw a serum creatinine level to assess renal function
B. Try the patient on insulin
C. Prescribe a thyroid preparation if the patient needs to lose weight
D. All of the above - ANSWER-A. Draw a serum creatinine level to assess renal function
2|Page
, NURS 615 exam 4 Newest 2025, Maryville University nursing exam
Sulfonylureas may be added to a treatment regimen for Type 2 diabetics when lifestyle
modifications and metformin are insufficient to achieve target glucose levels. Sulfonylureas have
been moved to Step 2 therapy because they:
A. Increase endogenous insulin secretion
B. Have a significant risk for hypoglycemia
C. Address the insulin resistance found in Type 2 diabetics
D. Improve insulin binding to receptors - ANSWER-B. Have a significant risk for hypoglycemia
Dipeptidyl peptidase-4 inhibitors (gliptins) act on the incretin system to improve glycemic
control. Advantages of these drugs include:
A. Better reduction in glucose levels than other classes
B. Less weight gain than sulfonylureas
C. Low risk for hypoglycemia
D. Can be given twice daily - ANSWER-C. Low risk for hypoglycemia
Control targets for patients with diabetes include:
A. HbA1C between 7 and 8
B. Fasting blood glucose levels between 100 and 120 mg/dl
C. Blood pressure less than 130/80 mm Hg
D. LDL lipids less than 130 mg/dl - ANSWER-C. Blood pressure less than 130/80 mm Hg
Establishing glycemic targets is the first step in treatment of both types of diabetes. For Type 1
diabetes:
3|Page
, NURS 615 exam 4 Newest 2025, Maryville University nursing exam
A. Tight control/intensive therapy can be given to adults who are willing to test their blood
glucose at least twice daily
B. Tight control is acceptable for older adults if they are without complications
C. Plasma glucose levels are the same for children as adults
D. Conventional therapy has a fasting plasma glucose target between 120 and 150 mg/dl -
ANSWER-D. Conventional therapy has a fasting plasma glucose target between 120 and 150
mg/dl
Treatment with insulin for Type 1 diabetics:
A. Starts with a total daily dose of 0.2 to 0.4 units per kg of body weight
B. Divides the total doses into three injections based on meal size
C. Uses a total daily dose of insulin glargine given once daily with no other insulin required
D. Is based on the level of blood glucose - ANSWER-A. Starts with a total daily dose of 0.2 to 0.4
units per kg of body weight
When the total daily insulin dose is split and given twice daily, which of the following rules may
be followed?
A. Give two-thirds of the total dose in the morning and one-third in the evening.
B. Give 0.3 units per kg of premixed 70/30 insulin with one-third in the morning and two-thirds
in the evening.
C. Give 50% of an insulin glargine dose in the morning and 50% in the evening.
D. Give long-acting insulin in the morning and short-acting insulin at bedtime. - ANSWER-A. Give
two-thirds of the total dose in the morning and one-third in the evening.
4|Page
