A nurse is caring for a client with type 1 diabetes. The client's medication administration record includes the administration of Humulin-R (regular insulin or Novolin-R three times daily. Knowing that the client's lunch tray will arrive at 11:45 AM, when should the nurse administer the insulin?

10:45 AM

11:30 AM

11:50 AM

11:45 AM

Answer and Explanation

The Correct Answer is A

A. 10:45 AM: Regular insulin has an onset of about 30 minutes to 1 hour. Administering it at 10:45 AM (about an hour before the meal) allows the insulin to start working just as glucose from the meal enters the bloodstream, helping to control the post-meal blood sugar rise effectively.
B. 11:30 AM: Administering insulin only 15 minutes before the meal may be too close to meal time. The insulin may start working slightly after glucose absorption begins, leading to a mismatch in timing, which can cause postprandial hyperglycemia (high blood sugar after eating). This timing is generally too short for regular insulin, which has a slower onset compared to rapid-acting insulins.
C. 11:50 AM: Administering insulin after the meal has started (or just as the tray arrives) is too late for regular insulin. Insulin action will be delayed, and blood glucose may rise significantly after eating before the insulin takes effect. This increases the risk of hyperglycemia.
D. 11:45 AM: Giving insulin exactly at meal time is also usually too late for regular insulin. Since regular insulin needs time to start working, waiting until the tray arrives delays insulin action relative to glucose absorption, risking high blood sugar spikes.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. The nurse does not determine the presence or absence of mental illness; this is a medical assessment.
B. The spouse’s agreement is not required for the client’s consent; consent must come directly from the client if competent.
C. The nurse’s signature as a witness confirms that the client appears competent and voluntarily signs the consent form.
D. It is the provider’s responsibility, not the nurse’s, to explain the risks and benefits of the procedure.

A. Dyspnea B. Gastrointestinal bloating. C. Weight loss of 4 pounds. D. A blood pressure of 120/80.

Correct Answer is A

Explanation

A. Dyspnea is a common sign of fluid overload, especially in clients with heart failure.
B. Gastrointestinal bloating is not a typical manifestation of fluid overload.
C. Weight loss indicates fluid loss, not overload.
D. A blood pressure of 120/80 is normal and does not indicate fluid overload.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client with type 1 diabetes. The client's medication administration record includes the administration of Humulin-R (regular insulin or Novolin-R three times daily. Knowing that the client's lunch tray will arrive at 11:45 AM, when should the nurse administer the insulin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a preoperative client. The nurse signs as a witness on the client's consent form. Which of the following does the nurse's signature on the consent form indicate?

Correct Answer is C

Explanation

A nurse is preparing to administer a transfusion of red blood cells to a client who has a history of heart failure. Which of the following manifestations would indicate that the client has fluid overload?

Correct Answer is A

Explanation

Which assessment finding would the nurse expect from a client with chronic peripheral arterial disease (PAD)?

A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

The nurse caring for a client post-colon resection assesses the client on the second postoperative day. The nasogastric tube remains patent and is draining moderate amounts of greenish fluid. Which assessment finding would suggest that the client's potassium level is too low?

A nurse is assessing a client who has been diagnosed with cholecystitis and is experiencing localized abdominal pain. When determining the characteristics of the client's pain, the nurse should anticipate where it may radiate.

A nurse observes mild hand tremors in a client who has diabetes mellitus. What actions should the nurse take after obtaining a glucose meter reading of 60 mg/dL?

While hospitalized and recovering from an episode of diabetic ketoacidosis, the client calls the nurse and reports feeling anxious, nervous, and sweaty. What is the nurse's priority action based on the client's report?

The nurse is preparing a preoperative teaching plan about using an incentive spirometer. Which of the following should the nurse include in the teaching plan?

A nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. Which of the following statements by the client indicates the need for further teaching?