2.2 PHAR 622 Hyperglycemia Exam Questions
with Correct Answers 2024/2025
In an inpatient setting, hyperglycemia is defined as BG > _______ mg/dL. - Correct Answer 140
If an inpatient has a BG > 140 mg/dL, do an A1C test if not performed within the last _________. -
Correct Answer 3 months
In an inpatient setting, if BG > _______ mg/dL, insulin therpay should be initiated. - Correct Answer
180
In an inpatient setting, an A1C > _______ yields a diagnosis of diabetes. - Correct Answer 6.5%
In an inpatient setting, a common blood glucose goal is between ____ and ____ mg/dL - Correct
Answer 140, 180
For less stringent patients, such as those that are terminally ill, a blood glucose goal is ________
mg/dL. - Correct Answer >180
For more stringent patients, such as post-surgical or post-cardiac patients, a blood glucose goal is
between _____ and _____ mg/dL. - Correct Answer 110, 140
Hypoglycemia is defined as BG < ______ mg/dL. - Correct Answer 70 (level 1: 54-70; level 2: <54;
level 3: requires assistance)
If a patient is NPO, how often should their blood glucose be monitored? - Correct Answer Q4-6 hours
If a patient is eating, how often should their blood glucose be monitored? - Correct Answer before
meals (and at bedtime, "AC & HS")
If a patient is on IV insulin infusion, how often should their blood glucose be monitored? - Correct
Answer Q0.5-2 hours
In an inpatient setting, what is the primary treatment of hyperglycemia? - Correct Answer insulin
, If a patient is non-critical and has poor intake, what insulin regimen(s) should be used? - Correct
Answer basal, basal and bolus correction
If a patient is non-critical and NPO, what insulin regimen(s) should be used? - Correct Answer basal,
basal and bolus correction
If a patient is non-critical and has good nutritional intake, what insulin regimen(s) should be used? -
Correct Answer basal and bolus correction and prandial
__________ insulin corrects a patients BG if it's high before a meal, while ____________ insulin
accounts for the BG acquired during the meal. - Correct Answer bolus correction, prandial
Which insulin regimen has a different dose depending on BG? - Correct Answer SSI (sliding scale
insulin) (don't use alone)
Why is prandial insulin sometimes given right after a meal instead of just before? - Correct Answer
prevent low (makes sure patient eats their entire meal)
When transitioning from insulin drip to subcutaneous, what should the new dose be? - Correct
Answer 60-80% (of) daily (infusion) dose
When transitioning from insulin drip to subcutaneous drip in a patient with DKA, should the new
dose be 60-80% of the daily infusion dose? - Correct Answer No
While it has a DDI with contrast dye, _________ is sometimes used in inpatient settings to treat
hyperglycemia. - Correct Answer metformin
Does a patient with T1DM still need basal insulin even if feedings stop? - Correct Answer Yes
What 3 things are associated with Diabetic Ketoacidosis (DKA)? - Correct Answer hyperglycemia,
metabolic acidosis, ketone (production)
What 3 things are associated with Hyperosmolar Hyperglycemis State (HHS)? - Correct Answer
hyperglycemia, hyperosmolality, dehydration
with Correct Answers 2024/2025
In an inpatient setting, hyperglycemia is defined as BG > _______ mg/dL. - Correct Answer 140
If an inpatient has a BG > 140 mg/dL, do an A1C test if not performed within the last _________. -
Correct Answer 3 months
In an inpatient setting, if BG > _______ mg/dL, insulin therpay should be initiated. - Correct Answer
180
In an inpatient setting, an A1C > _______ yields a diagnosis of diabetes. - Correct Answer 6.5%
In an inpatient setting, a common blood glucose goal is between ____ and ____ mg/dL - Correct
Answer 140, 180
For less stringent patients, such as those that are terminally ill, a blood glucose goal is ________
mg/dL. - Correct Answer >180
For more stringent patients, such as post-surgical or post-cardiac patients, a blood glucose goal is
between _____ and _____ mg/dL. - Correct Answer 110, 140
Hypoglycemia is defined as BG < ______ mg/dL. - Correct Answer 70 (level 1: 54-70; level 2: <54;
level 3: requires assistance)
If a patient is NPO, how often should their blood glucose be monitored? - Correct Answer Q4-6 hours
If a patient is eating, how often should their blood glucose be monitored? - Correct Answer before
meals (and at bedtime, "AC & HS")
If a patient is on IV insulin infusion, how often should their blood glucose be monitored? - Correct
Answer Q0.5-2 hours
In an inpatient setting, what is the primary treatment of hyperglycemia? - Correct Answer insulin
, If a patient is non-critical and has poor intake, what insulin regimen(s) should be used? - Correct
Answer basal, basal and bolus correction
If a patient is non-critical and NPO, what insulin regimen(s) should be used? - Correct Answer basal,
basal and bolus correction
If a patient is non-critical and has good nutritional intake, what insulin regimen(s) should be used? -
Correct Answer basal and bolus correction and prandial
__________ insulin corrects a patients BG if it's high before a meal, while ____________ insulin
accounts for the BG acquired during the meal. - Correct Answer bolus correction, prandial
Which insulin regimen has a different dose depending on BG? - Correct Answer SSI (sliding scale
insulin) (don't use alone)
Why is prandial insulin sometimes given right after a meal instead of just before? - Correct Answer
prevent low (makes sure patient eats their entire meal)
When transitioning from insulin drip to subcutaneous, what should the new dose be? - Correct
Answer 60-80% (of) daily (infusion) dose
When transitioning from insulin drip to subcutaneous drip in a patient with DKA, should the new
dose be 60-80% of the daily infusion dose? - Correct Answer No
While it has a DDI with contrast dye, _________ is sometimes used in inpatient settings to treat
hyperglycemia. - Correct Answer metformin
Does a patient with T1DM still need basal insulin even if feedings stop? - Correct Answer Yes
What 3 things are associated with Diabetic Ketoacidosis (DKA)? - Correct Answer hyperglycemia,
metabolic acidosis, ketone (production)
What 3 things are associated with Hyperosmolar Hyperglycemis State (HHS)? - Correct Answer
hyperglycemia, hyperosmolality, dehydration
