WorksheetsDaqy 10 pharm DM meds
Total questions: 25
Worksheet time: 38mins
A nurse is teaching a client newly prescribed metformin. Which statement best describes how the medication works?
It stimulates the pancreas to secrete more insulin.
It decreases hepatic glucose production and improves insulin sensitivity.
It blocks glucose absorption in the intestines completely.
It increases glycogen breakdown in the liver.
A client asks why they are prescribed metformin. Which is the correct response?
It is primarily used to treat type 1 diabetes.
It treats low blood sugar.
It is used for type 2 diabetes to control high blood sugar.
It increases weight gain to prevent hypoglycemia.
Which of the following is a common side effect of metformin?
Hypotension
Diarrhea and nausea
Bradycardia
Hyperkalemia
A nurse instructs a client on the rare but serious risk of metformin. Which condition is most important to monitor?
Hypoglycemia
Hyperthyroidism
Lactic acidosis
Pancreatitis
A client on metformin is scheduled for a contrast-enhanced CT scan. What should the nurse teach?
Stop the medication one month prior to the scan.
Hold metformin before and 48 hours after the contrast study, and check renal function before restarting.
Continue metformin as usual; no special precautions are needed.
Double your dose the day before the test.
A nurse evaluates a client taking metformin for type 2 diabetes. Which finding indicates the medication is effective?
Fasting blood glucose of 250 mg/dL
Postprandial blood glucose of 220 mg/dL
Fasting blood glucose of 100 mg/dL
Blood glucose fluctuating between 300–400 mg/dL
A nurse is teaching a client prescribed glipizide. Which statement best describes how the medication works?
It decreases glucose absorption in the intestines.
It stimulates the pancreas to secrete more insulin.
It blocks glucose production in the liver.
It increases insulin sensitivity in peripheral tissues only.
Which instruction should a nurse give to a client taking a sulfonylurea?
Hypoglycemia is not a concern.
Carry a source of glucose (e.g., glucose tablets) at all times.
Only check blood glucose weekly.
Take medication regardless of meal timing.
Which statement about alcohol use and sulfonylureas is correct?
Alcohol is safe in moderation.
Alcohol decreases the effectiveness of the drug.
Alcohol has no interaction.
Alcohol may cause a disulfiram-like reaction with nausea, vomiting, and flushing.
Which complication should a nurse monitor in a client on long-term sulfonylurea therapy?
Hypoglycemia
Lactic acidosis
Bradycardia
Hyperthyroidism
A client is prescribed Humulin R. When should the nurse instruct the client to administer it?
With breakfast, lunch, and dinner
30 minutes before meals
At bedtime only
Immediately after meals
Which of the following is an early sign of hypoglycemia?
Hyperactivity
Sweating, tremors, and hunger
Weight gain
Increased urination
A client is unresponsive with hypoglycemia. What should the nurse do?
Give oral glucose
Administer glucagon
Encourage fluid intake
Give insulin to stabilize
A client receives lispro at 8:00 AM. When is the peak effect most likely to occur?
8:15–8:30 AM
8:30–9:00 AM
9:00–10:00 AM
12:00 PM
Which statement about NPH insulin is correct?
NPH has no peak
NPH peaks 4–12 hours after injection
NPH is rapid-acting
NPH must be taken with every meal
Why should regular insulin be drawn first when mixing with NPH?
To reduce injection pain
To avoid contaminating the short-acting insulin with intermediate insulin
To speed up absorption
To make cloudy insulin clear
Which instruction should a client on insulin follow regarding exercise?
Avoid all exercise
Check blood glucose before and after exercise
Exercise only immediately after insulin
Skip meals if exercising
Which client scenario best matches the use of insulin glargine?
A client needing rapid reduction in postprandial glucose
A client needing basal insulin coverage for 24 hours
A client needing insulin only before dinner
A client needing correction for hypoglycemia
Which symptom is most indicative of early hypoglycemia?
Increased urination
Weight gain
Shakiness and sweating
Hyperactivity
Correcting Hypoglycemia – Alert Client: A client is alert and has blood glucose 60 mg/dL. What is the best intervention?
Administer IV dextrose
Encourage exercise
Provide 15 grams of fast-acting carbohydrate orally and recheck glucose in 15 minutes
Delay treatment and continue monitoring
Which statement differentiates rapid-acting from short-acting insulin?
Rapid-acting has a slower onset than short-acting
Rapid-acting has a faster onset and shorter duration than short-acting
Short-acting peaks earlier than rapid-acting
Both have identical onset and peak
A nurse is teaching a client who is prescribed insulin aspart for type 1 diabetes. Which statement by the client indicates correct understanding of the timing of this medication?
I should inject lispro 30–60 minutes before meals.
I should inject lispro only at bedtime.
I should inject lispro immediately before or right after I start eating.
I can inject lispro at any time during the day, regardless of meals.
A nurse is reviewing the client's insulin regimen and notes that the client is prescribed insulin glargine (Lantus) once daily and regular insulin before meals. Which statement is correct regarding mixing these insulins?
Glargine can be mixed with regular insulin in the same syringe before injection.
Glargine should be drawn first, then regular insulin.
Glargine can be mixed with NPH insulin safely.
Glargine should never be mixed with any other insulin in the same syringe
A client with type 1 diabetes has just received their rapid-acting insulin (lispro), but their breakfast tray has not arrived. What is the priority nursing action?
Encourage the client to wait patiently for the tray.
Administer a snack with at least 15 grams of carbohydrates immediately.
Hold the insulin and document.
Give half the insulin dose and wait for the tray.
Match insulin to its class
Novolin R
Short acting
Glargine
Long acting
Humalog
Rapid acting
Novolin N
Intermediate acting
