NUR 6210 Exam 2 Questions and 100% Correct Answers 2026/27 Latest –
William Paterson University
1) You have determined that a 35 y/o woman is hypothyroid. in order to determine how much t4
replacement a patient needs to establish a euthyroid state, the APN considers the patients:
body weight
↳ based on weight, age, overall health (young/healthy= 1.6mcg/kg PO daily)
2) Which laboratory abnormality very commonly occur with hypothyroidism?
Dyslipidemia
↳ Common, especially when TSH >10
3) When serum free T4 concentration falls?
the TSH rises
↳ compensating (from pituitary gland)
4) When is the best time to measure TSH after initiating thyroid replacement therapy?
6-8 weeks (or 4-8)
↳ After starting or adjusting the dose
5) A 75 years old patient with no other significant medical history has been diagnosed with
hypothyroidism. The patient weights 155 pounds with medication and appropriate dosage should
the patient be on?
25-50mcg PO daily
↳ adults >50-60 w/o significant hx 25-50mcg PO daily
6) At 70 years old woman present with symptoms of weight loss palpitation and Constipation TSH:
0.03, T4: 33 your next step to evaluate the thyroid is:
Check T3, Radioactive Uptake Scan, US, EKG, LFTs
↳b
7) What is the most sensitive laboratory assay for the screening ambulatory patient for primary
hypothyroidism?
TSH only
↳b
8) Bariatric surgery for weight loss is recommended to patient with?
BMI >35 w significant co-morbidities or BMMI >40
↳ option s/p failed dietary & pharm tx
9) The diagnostic criteria for metabolic syndrome include all of the following except:
xxx
↳ must have 3/5:
1) waist circumference >40in (M) >35in (F)
2) hypertriglyceridemia >150 mg/dL
3) Low HDL cholesterol <40 mg/dl (M) <50mg/dL (F)
4) HTN >130-85
5) Fasting BG >110
10) In patients with metabolic syndrome an expected last finding would include:
T2DM, atherosclerosis
, ↳ stroke, heart disease, PAD, nonalcoholic fatty liver
11) The meglitinide analogs (Prandin) are particularly helpful adjuncts in type 2 diabetes mellitus
care to minimize risk of?
post-prandial hyperglycemia
↳
12) A 40 year old newly diagnosed type 2 DM patient was started on metformin. The dose has
been titrated to 1000 milligrams BID his latest HGb MoveA1C was 8.1% which of the following is
an appropriate next step?
add a second agent
↳ combo tx in pts w initial A1C> 9 or >7 w monotherapy
13) An active 72 years old patient with DM type 2 is feeling well with no symptoms. he is on
metformin 500 milligrams BID has a follow up HGB A1C up 7.4% you would?
increase the dose
↳ goal < 7
14) A thiazolidinedione TZD drug can be prescribed to which of the following patients?
T2DM
↳ avoid w HF, bladder CA, insulin; hepatotoxicity risk
15) 42 years old diabetic patient is on metformin and sulfonylurea his. HGbA1C is 6.5% he's
complaining of dizziness with episodes of low blood sugar which of the following changes would
be the most appropriate?
decrease the dosage of sulfonylurea
16) A 55 years old type 2 DM patient is maximizing on two oral medication. HGBA1C is 9.8% he his
weight is 120 kilograms what is your next step?
intensify tx regimen/insulin/lifestyle mod
17) At 38 years old female patient in good health presents to the clinic. she has a strong family
history of type 2 DM. the patient thinks she has type 2 the end based on symptoms of polydipsia
polyuria and polyphagia .her fasting BG is 285. the nurse practitioner knows that this:
T2DM
18) A 45 years old patient has been diabetic for five years. he has been on metformin but lately he
his fasting glucose has been elevated and his latest HGV A1C is 8.2%. you consider adding a
second Hold oral medication. which medication would you not likely use?
Acarbose** or sulfonylureas
19) Dan, 45 years old is obese and has type 2 DM has been having difficulty getting his HGbA1C
under control he heard that GLP-1 receptor agonist(Byetta) cause weight loss. What is an
William Paterson University
1) You have determined that a 35 y/o woman is hypothyroid. in order to determine how much t4
replacement a patient needs to establish a euthyroid state, the APN considers the patients:
body weight
↳ based on weight, age, overall health (young/healthy= 1.6mcg/kg PO daily)
2) Which laboratory abnormality very commonly occur with hypothyroidism?
Dyslipidemia
↳ Common, especially when TSH >10
3) When serum free T4 concentration falls?
the TSH rises
↳ compensating (from pituitary gland)
4) When is the best time to measure TSH after initiating thyroid replacement therapy?
6-8 weeks (or 4-8)
↳ After starting or adjusting the dose
5) A 75 years old patient with no other significant medical history has been diagnosed with
hypothyroidism. The patient weights 155 pounds with medication and appropriate dosage should
the patient be on?
25-50mcg PO daily
↳ adults >50-60 w/o significant hx 25-50mcg PO daily
6) At 70 years old woman present with symptoms of weight loss palpitation and Constipation TSH:
0.03, T4: 33 your next step to evaluate the thyroid is:
Check T3, Radioactive Uptake Scan, US, EKG, LFTs
↳b
7) What is the most sensitive laboratory assay for the screening ambulatory patient for primary
hypothyroidism?
TSH only
↳b
8) Bariatric surgery for weight loss is recommended to patient with?
BMI >35 w significant co-morbidities or BMMI >40
↳ option s/p failed dietary & pharm tx
9) The diagnostic criteria for metabolic syndrome include all of the following except:
xxx
↳ must have 3/5:
1) waist circumference >40in (M) >35in (F)
2) hypertriglyceridemia >150 mg/dL
3) Low HDL cholesterol <40 mg/dl (M) <50mg/dL (F)
4) HTN >130-85
5) Fasting BG >110
10) In patients with metabolic syndrome an expected last finding would include:
T2DM, atherosclerosis
, ↳ stroke, heart disease, PAD, nonalcoholic fatty liver
11) The meglitinide analogs (Prandin) are particularly helpful adjuncts in type 2 diabetes mellitus
care to minimize risk of?
post-prandial hyperglycemia
↳
12) A 40 year old newly diagnosed type 2 DM patient was started on metformin. The dose has
been titrated to 1000 milligrams BID his latest HGb MoveA1C was 8.1% which of the following is
an appropriate next step?
add a second agent
↳ combo tx in pts w initial A1C> 9 or >7 w monotherapy
13) An active 72 years old patient with DM type 2 is feeling well with no symptoms. he is on
metformin 500 milligrams BID has a follow up HGB A1C up 7.4% you would?
increase the dose
↳ goal < 7
14) A thiazolidinedione TZD drug can be prescribed to which of the following patients?
T2DM
↳ avoid w HF, bladder CA, insulin; hepatotoxicity risk
15) 42 years old diabetic patient is on metformin and sulfonylurea his. HGbA1C is 6.5% he's
complaining of dizziness with episodes of low blood sugar which of the following changes would
be the most appropriate?
decrease the dosage of sulfonylurea
16) A 55 years old type 2 DM patient is maximizing on two oral medication. HGBA1C is 9.8% he his
weight is 120 kilograms what is your next step?
intensify tx regimen/insulin/lifestyle mod
17) At 38 years old female patient in good health presents to the clinic. she has a strong family
history of type 2 DM. the patient thinks she has type 2 the end based on symptoms of polydipsia
polyuria and polyphagia .her fasting BG is 285. the nurse practitioner knows that this:
T2DM
18) A 45 years old patient has been diabetic for five years. he has been on metformin but lately he
his fasting glucose has been elevated and his latest HGV A1C is 8.2%. you consider adding a
second Hold oral medication. which medication would you not likely use?
Acarbose** or sulfonylureas
19) Dan, 45 years old is obese and has type 2 DM has been having difficulty getting his HGbA1C
under control he heard that GLP-1 receptor agonist(Byetta) cause weight loss. What is an
