GUIDE 2026 COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
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<RECENT VERSION>
1. Difference between Type 1 and Type 2 DM - ANSWER ✔ Type 1: pancreas
produces little or no insulin
Type 2: pancreas makes insulin, but cells resist insulin's action
2. What are the labs done to identify diabetes in a patient? - ANSWER ✔
Hemoglobin A1C (Big indicator for DM)
Glucose Tolerant Test
Fasting Glucose
3. What are the different types of TYPE 1 DM insulins? - ANSWER ✔ Rapid
Insulin
Immediate Insulin
Short & Long Acting
4. Are there any insulins that you shouldn't mix? - ANSWER ✔ Yes, DO NOT
mix long acting with ANYTHING
, Long Acting is always by itself
5. Why is insulin given subQ? - ANSWER ✔ GI tract neutralizes so it doesn't
really distribute it if given the oral route
6. What is the reverse medication for "too much insulin"? - ANSWER ✔
Glucagon: IM route
7. Blood glucose is low, what should you do first? - ANSWER ✔ Assess blood
sugar, LOC, swallow & gag, hospital protocol
8. Can Type 2 DM become a Type 1? - ANSWER ✔ Yes with modifiable
factors --> Diet & Exercise
9. 3 P's of diabetes - ANSWER ✔ Polyuria, Polydipsia, Polyphagia
10.Sulfonylureas - ANSWER ✔ Helps secrete insulin
Location: Pancreas
Adverse effect: Too much insulin, glucose drops (Hypoglycemia)
Nursing Considerations: NO ETOH
MED TO KNOW: Glucotrol
, PO
11.Omeprazole - ANSWER ✔ -Short term therapy of gastric and duodenal
ulcer
-Only take 4-8 weeks
-Complications: Osteoporosis, COPD
-Take before breakfast
12.H2 receptor antagonists: cimetidine - ANSWER ✔ -blocks H2 receptors in
the stomach
-to treat Gerd,heartburn,indigestion
complications: COPD, Renal impairment
- DO NOT TAKE ANTACIDS
-TAKE at BEDTIME
-NO alcohol or spicy food
13.aluminum hydroxide - ANSWER ✔ -Neutralizes and reduce acidity of
gastric acid
-Complications: Constipation, fluid retention
- GI issues
-DO NOT TAKE ANTACIDS or OTHER MEDICATIONS
- 1-3 after meals at bedtime
14.metoclopramide - ANSWER ✔ - gastric emptying & peristalsis
controls nausea & vomitting
Complications: tardive dyskinesia, diarrhea
-DO NOT DRINK ALCOHOL OR CNS DEPRESSANTS
- can be given orally or iv
, 15.Sucralfate - ANSWER ✔ -jelly like protective barrier
- treats acute ulcers & neutralizes/reduce stomach acid
-DO NOT TAKE ANTACIDS
-take 4 times a day, 1 hour before meals and at bedtime
- DO NOT CHEW OR CRUSH
16.Misoprostol - ANSWER ✔ -*PREGNANCY TEST REQUIRED****
-Category X
- for patients using long-term NSAIDS
- take with food and at bedtime
17.Prochlorperazine - ANSWER ✔ -CAN'T SEE,SPIT,PEE,SHIT
-Complication: hypotension
- DO NOT TAKE CNS DEPRESSANTS OR ANTIHISTAMINES
18.Ondansetron - ANSWER ✔ - use for vomiting
& nausea
-complications: HEADACHE & HEART DYSRHYTHMIA
- 1 hour before chemo or anesthesia
19.Diphenoxylate - ANSWER ✔ - slows down peristalsis
- decrease frequency & fluid of the stool
complications: constipation, tachycardia
- NO ALCOHOL OR CAFFEINE
20.Mucilloid - ANSWER ✔ -bulks forming
-softens boo boo
-use for constipation & diarrhea
NO interactions
complications: cramps obstruction of esophagus/intestines
- lowers cholesterol