Insulin Mixing Essentials for Nursing Students

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Quiz on safe insulin mixing practices.

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Lisa Ferrigno

United States

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Insulin Mixing Essentials for Nursing Students


Froggy Jumps Insulin Mixing Essentials for Nursing StudentsOnline version Quiz on safe insulin mixing practices. by Lisa Ferrigno 1 Which insulin types are commonly mixed in the same syringe for regimens? a Detemir and Aspart b Lispro and Glargine c Regular and NPH 2 What is the proper order when drawing from a premixed insulin vial? a Draw equal parts of both without order b Withdraw the clear insulin first, then the cloudy c Withdraw the cloudy first 3 A patient is prescribed 20 units NPH and 5 units regular. How many total units in the syringe? a 15 units b 25 units c 30 units 4 After mixing, how should a new insulin syringe be stored if not used immediately? a Leave at room temp all week b Refrigerate (use by recommended date) c Freeze it to preserve potency 5 Why do you roll cloudy insulin gently before drawing? a To sterilize the solution b To resuspend the insulin particles c To warm the insulin 6 Which syringe and needle setup is typical for mixing insulins? a 3 mL syringe with 18 gauge b 1 mL syringe with 26–28 gauge needle c 5 mL syringe with 22 gauge 7 What should you do if air is drawn into the syringe before insulin? a Ignore it if the dose is small b Tap and expel air before drawing more insulin c Shake vigorously to mix air out 8 Which step helps prevent dosing errors during insulin mixing? a Only check the dose b Mix quickly without verification c Check patient name, insulin type, dose, and time 9 If a patient’s order changes, what must you do before administering? a Proceed with the old order b Guess based on patient’s appetite c Verify the new order and re-check the insulin type 10 What is a key safety practice when preparing mixed insulin? a Label the syringe with type, dose, time b Leave it unlabeled until administration c Label after the patient leaves the room 11 Which insulins are commonly mixed together in the same syringe? a Long-acting with rapid-acting b Regular (short-acting) with NPH (intermediate-acting) c Glargine with lispro 12 Can long-acting insulins like glargine be mixed with other insulins in a syringe? a Yes, always b No, they should not be mixed with other insulins c Only with rapid-acting in the same syringe 13 What is the recommended order when drawing up a mixed insulin combination? a Draw up rapid-acting insulin first, then NPH b Draw up both at once without order c Draw up NPH first, then rapid-acting 14 Which insulin can be mixed with NPH in many regimens? a Regular (short-acting) insulin b Operative insulin c Long-acting insulin 15 Why should you rotate injection sites when mixing insulins? a To save needles b To prevent tissue changes that affect absorption c To change insulin potency 16 What should you do if you accidentally mix a long-acting insulin with another type? a Shake more and inject b Inject as usual c Do not inject; consult a clinician for guidance 17 Which rapid-acting insulins are commonly mixed with NPH? a Regular insulin b Glargine or detemir c Lispro, aspart, or glulisine 18 What is a key safety check after mixing insulins? a Shake vigorously before injecting b Ignore any discoloration c Verify the appearance and homogeneity before drawing 19 Can detemir (Levemir) be mixed with NPH in the same syringe? a Only with short-acting b Always recommended c Generally not recommended 20 Which action helps ensure accurate dosing after mixing insulins? a Store at room temperature for a week b Use a new syringe and label the mixture c Reuse the old syringe 21 Which insulins can be mixed in one syringe? a Long-acting glargine with others b Regular or rapid-acting with NPH c Only NPH with any insulin 22 Which insulin should not be mixed with others in the same syringe? a Regular insulin b Long-acting insulin (e.g., glargine, detemir) c Rapid-acting insulin 23 When mixing NPH with rapid-acting insulin, which should be drawn up first? a NPH (cloudy) first b Any order; it doesn't matter c Rapid-acting insulin (clear) first 24 Can glargine (long-acting) be mixed with other insulins? a Yes, with rapid-acting b No, it should not be mixed c Only with NPH 25 What is a common reason to mix insulins in a syringe? a To save injections only b To extend shelf life of insulin c To combine bolus and basal needs 26 After mixing, how soon should the insulin be used? a Use immediately b Store in fridge for 24 hours c Refrigerate for 1 week 27 Which insulin provides basal (long-acting) coverage? a Regular insulin b Long-acting insulin (e.g., glargine, detemir) c Rapid-acting insulin 28 Which statement is true about drawing up insulins? a Always draw cloudy first b Draw clear insulin first, then cloudy if mixing c Order does not matter in any case 29 If you mix rapid-acting with NPH, what should you monitor after injection? a Only the rapid-acting effect b Only the NPH effect c Onset, peak, and duration of both 30 Which combination is typically used to mimic mealtime and basal needs? a Long-acting alone b Regular with glargine c Rapid-acting plus NPH

Insulin Mixing Essentials for Nursing Students

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Insulin Mixing Essentials for Nursing StudentsOnline version

by Lisa Ferrigno

Which insulin types are commonly mixed in the same syringe for regimens?

What is the proper order when drawing from a premixed insulin vial?

A patient is prescribed 20 units NPH and 5 units regular. How many total units in the syringe?

After mixing, how should a new insulin syringe be stored if not used immediately?

Why do you roll cloudy insulin gently before drawing?

Which syringe and needle setup is typical for mixing insulins?

What should you do if air is drawn into the syringe before insulin?

Which step helps prevent dosing errors during insulin mixing?

If a patient’s order changes, what must you do before administering?

What is a key safety practice when preparing mixed insulin?

Which insulins are commonly mixed together in the same syringe?

Can long-acting insulins like glargine be mixed with other insulins in a syringe?

What is the recommended order when drawing up a mixed insulin combination?

Which insulin can be mixed with NPH in many regimens?

Why should you rotate injection sites when mixing insulins?

What should you do if you accidentally mix a long-acting insulin with another type?

Which rapid-acting insulins are commonly mixed with NPH?

What is a key safety check after mixing insulins?

Can detemir (Levemir) be mixed with NPH in the same syringe?

Which action helps ensure accurate dosing after mixing insulins?

Which insulins can be mixed in one syringe?

Which insulin should not be mixed with others in the same syringe?

When mixing NPH with rapid-acting insulin, which should be drawn up first?

Can glargine (long-acting) be mixed with other insulins?

What is a common reason to mix insulins in a syringe?

After mixing, how soon should the insulin be used?

Which insulin provides basal (long-acting) coverage?

Which statement is true about drawing up insulins?

If you mix rapid-acting with NPH, what should you monitor after injection?

Which combination is typically used to mimic mealtime and basal needs?