1.
What is the main complication associated with insulin use?
A
Slowed digestions
B
Orthostatic hypotension
C
Hypoglycemia
2.
Which lab value would indicate hypoglycemia?
A
Blood glucose > 80 mg/dl
B
Blood glucose < 70 mg/dl
C
Blood glucose < 90 mg/dl
3.
What can someone do to prevent hypoglycemia?
A
Take insulin regularly
B
Carry snacks
C
Practice fasting
4.
What is a sign of hypoglycemia?
A
Diaphoresis
B
Bradycardia
C
Sense of calm
5.
Which of these is not a concern in hypokalemia?
A
Muscle cramping
B
Dysrhythmias
C
Hypertension
6.
How can a nurse prevent lipohypertrophy fronm insulin injections?
A
Apply a cold compress after administration
B
Do not administer if area is sore
C
Roates injection site
7.
Which of these cannot be admistered via IV?
A
Regular insulin
B
Long-acting insulin
C
Rapid-acting insulin
8.
Which of these is not a good area for insulin injections?
A
Triceps
B
Abdomen
C
Calves
9.
Which area has the highest absorption rate for subcutaneous insulin?
A
Abdomen
B
Glutes
C
Mid-thigh
10.
How long can premixed vials be stored if refrigerated?
A
3 months
B
1 month
C
6 months
11.
How long should an in-use vial of insulin be stored?
A
1 week
B
1 month
C
12 days
12.
When mixing insulins in a syringe, which would you draw first?
A
Glargine
B
Intermediate-acting
C
Short-acting
13.
What is your first step when mixing insulin in a syringe?
A
Inject a proportional amount of air into each syringe
B
Draw from the short-acting first
C
Ensure the patient has eaten in the past 3 hours
14.
What do glucocorticoids do to blood glucose?
A
Hide signs of hypoglycemia
B
Lower blood glucose levels
C
Raise blood glucose levels
15.
What is a potential interaction between insulin and sulfonylureas, meglitinides and alcohol?
A
Hypoglycemia effects
B
Hyperglycemic effects
C
Weight gain
16.
How do beta blockers affect the body's response to hypoglycemia?
A
They mask signs/symptoms of hypoglycemia
B
They encourage insulin production
C
They encourage glucose to be released
17.
Which of these is not a beta blocker?
A
Atenolol
B
Inezezol
C
Propranolol
18.
Which of these is not an example of a sulfonylureas?
A
Glimepiride
B
Oxcarbazepine
C
Glyburide
19.
What is the MOA of meglitinides?
A
Increase insulin production
B
Increase insulin release
C
Simulate insulin in the body
20.
Which of these is not a complication of meglitinides?
A
Hypoglycemia
B
Weight gain
C
Constipation
21.
What is the MOA of biguanides?
A
Glucose receptor agonist
B
Reduction of glucose uptake
C
Reduction of glucose production
22.
A patient is taking metformin, what vitamin might their HCP consider supplementing?
A
Folate
B
B12
C
Potassium
23.
A patient taking metformin is scheduled to have a contrast CT scan of their blood vessels. You anticipate they will be given iodinated media for this scan, how does this impact the administration of their diabetes medication?
A
Administer as usual, but increase fluid intake
B
Withhold the drug 24 hours before the scan
C
Withhold the drug for 48 hours before and after testing
