NABP Exam NAPLEX Topic 7 Question 40 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 40
Topic #: 7

JM is a 32-year-old women who comes to your diabetic clinic with complain of several episodes of hypoglycemi

a. She is on Insulin NPH/regular 70/30, 22 units twice a day with breakfast and dinner. 8 units with lunch.

After discussing with physician you decide to decrease the total daily insulin by 10% and change to insulin glargine once a day and Insulin Lispro three time a day at ratio of 50:50 -- 50 % of long and 50 % of short acting insulin.

What is her new insulin regimen? Round down to the nearest 1 unit.

A16 units of insulin glargine once daily, Insulin Lispro 4 units 3 times a day with meals

B15 units of insulin glargine once daily, Insulin Lispro 5 units 3 times a day with meals

C23 units of insulin glargine once daily, Insulin Lispro 7 units 3 times a day with meals

D30 units of insulin glargine once daily, Insulin Lispro 6 units 3 times a day with meals

E18 units of insulin glargine once daily, Insulin Lispro 6 units 3 times a day with meals

Show Suggested Answer

Suggested Answer: C

22 2 + 7 = 51 units of total insulin per day. Decrease by 10% 51 units 0.9 = 45.9 units per day round up to 46 units. 46 units 0.50 = 23 units, administer 23 units of insulin glargine once daily. 46 units 0.50 = 23 units total Insulin Lispro. Round down, divided by three times a day, 7 units 3 times a day with meals.

by Shawnda at May 04, 2022, 02:41 PM

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