NU 560 exam 3 UPDATED ACTUAL
Questions and CORRECT Answers
Which of the following measures is most effective in monitoring the pharmacotherapeutic effect of
levothyroxine (synthroid) on thyroid function?
A: Total T3 and T4
B: TSH only
C: TSH and Free T4
D: TSH and Free T3 - CORRECT ANSWER -C: TSH and Free T4
Which of the following classes of antidiabetic medications is least likely to produce hypoglycemia?
A: Amylin analogues
B: Sulfonylureas
C: Meglitinides
D: Biguandes - CORRECT ANSWER -Biguandes
Which condition would warrant beginning type 2 diabetes therapy with insulin?
A: A presenting fasting blood sugar of 588
B: Cardiovascular disease
C: A Hgb A1c <7%
D: Sulfa allergy - CORRECT ANSWER -A: A presenting fasting blood sugar of 588
The patient was transferred to your med surg unit from the ICU yesterday. The nurse asks you to come
and see him as his blood glucose has been over 300 since his intravenous insulin was changed to SQ.
Elements to help you decide the appropiate dose of insulin for this patient include which three of the
following?
A: Checking his insulin infusion/total daily dose in the ICU
B: Family history of insulin use
C: Evaluating his fluid/electrolyte status
, D: The patient is now eating food - CORRECT ANSWER -A: Checking his insulin infusion/total
daily dose in the ICU C: Evaluating his fluid/electrolyte status
D: The patient is now eating food
The patient is diagnosed with hyperthyroidism. She is having palpitations, interrupted sleep and feeling
jumpy 1/1
and jittery most of the time. The best class of drugs to provide her with prompt relief of symptoms is
A: Beta blockers
B: Sympathomimetics
C: Antihistamines
D: Selective Serotonin Reuptake Inhibitors - CORRECT ANSWER -A: Beta Blockers
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most
likely treat her with:
A: Methimazole
B: Propylthiouracil (PTU)
C: Radioactive iodine
D: Nothing, treatment is best delayed until after her pregnancy ends - CORRECT ANSWER -B:
Propylthiouracil (PTU)
Changes in insulin dosing are based upon
A: Blood urea nitrogen levels and Insulin levels
B: Dipeptidyl Peptidase 4 (DPP4) levels
C: Hypoglycemic episodes and blood glucose patterns
D: Glucagon like protein (GLP1) responses - CORRECT ANSWER -C: Hypoglycemic episodes
and blood glucose patterns
Metformin use is contraindicated in whch of the following conditions? 1/1
A: Chronic diarrhea
B: Serum Creatine > 1.4 mg/dl
Questions and CORRECT Answers
Which of the following measures is most effective in monitoring the pharmacotherapeutic effect of
levothyroxine (synthroid) on thyroid function?
A: Total T3 and T4
B: TSH only
C: TSH and Free T4
D: TSH and Free T3 - CORRECT ANSWER -C: TSH and Free T4
Which of the following classes of antidiabetic medications is least likely to produce hypoglycemia?
A: Amylin analogues
B: Sulfonylureas
C: Meglitinides
D: Biguandes - CORRECT ANSWER -Biguandes
Which condition would warrant beginning type 2 diabetes therapy with insulin?
A: A presenting fasting blood sugar of 588
B: Cardiovascular disease
C: A Hgb A1c <7%
D: Sulfa allergy - CORRECT ANSWER -A: A presenting fasting blood sugar of 588
The patient was transferred to your med surg unit from the ICU yesterday. The nurse asks you to come
and see him as his blood glucose has been over 300 since his intravenous insulin was changed to SQ.
Elements to help you decide the appropiate dose of insulin for this patient include which three of the
following?
A: Checking his insulin infusion/total daily dose in the ICU
B: Family history of insulin use
C: Evaluating his fluid/electrolyte status
, D: The patient is now eating food - CORRECT ANSWER -A: Checking his insulin infusion/total
daily dose in the ICU C: Evaluating his fluid/electrolyte status
D: The patient is now eating food
The patient is diagnosed with hyperthyroidism. She is having palpitations, interrupted sleep and feeling
jumpy 1/1
and jittery most of the time. The best class of drugs to provide her with prompt relief of symptoms is
A: Beta blockers
B: Sympathomimetics
C: Antihistamines
D: Selective Serotonin Reuptake Inhibitors - CORRECT ANSWER -A: Beta Blockers
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most
likely treat her with:
A: Methimazole
B: Propylthiouracil (PTU)
C: Radioactive iodine
D: Nothing, treatment is best delayed until after her pregnancy ends - CORRECT ANSWER -B:
Propylthiouracil (PTU)
Changes in insulin dosing are based upon
A: Blood urea nitrogen levels and Insulin levels
B: Dipeptidyl Peptidase 4 (DPP4) levels
C: Hypoglycemic episodes and blood glucose patterns
D: Glucagon like protein (GLP1) responses - CORRECT ANSWER -C: Hypoglycemic episodes
and blood glucose patterns
Metformin use is contraindicated in whch of the following conditions? 1/1
A: Chronic diarrhea
B: Serum Creatine > 1.4 mg/dl
