NURS 5461 Quiz 1 Mock Exam 2026 | University of
Texas Arlington | Trusted Questions & Answers
1. Decreased acetylcholine levels are characteristic of:
Huntington's disease.
Parkinson's disease.
Alzheimer's disease.
multiple sclerosis.
2. Describe how propranolol helps manage essential tremors.
Propranolol helps manage essential tremors by reducing the
amplitude of the tremors and stabilizing muscle control.
Propranolol acts as a stimulant to enhance muscle activity.
Propranolol increases the heart rate to improve blood flow.
Propranolol is used to treat infections that may cause tremors.
3. Describe why thiazolidinediones require monitoring of liver function tests
and how their mechanism affects blood sugar over time.
Thiazolidinediones have no effect on liver function and act quickly to
lower blood sugar.
Thiazolidinediones can cause liver toxicity, necessitating LFT
monitoring, and they improve insulin sensitivity, which takes time to
lower blood sugar levels.
Thiazolidinediones are primarily used for immediate blood sugar
control without liver concerns.
Thiazolidinediones are only used in patients with kidney issues.
,4. Which of the following Parkinson's drug causes hepatotoxicity?
carbidopa/levodopa
entacapone
pramipexole
tolcapone
5. Describe how thyroid hormones influence metabolic processes in the body.
Thyroid hormones have no significant impact on metabolism.
Thyroid hormones increase the metabolic rate, affecting how the
body uses energy.
Thyroid hormones regulate the immune system.
Thyroid hormones decrease blood sugar levels.
6. Secondary prevention for coronary heart disease includes drug therapy for
patients with history of coronary heart disease and patients with risk
equivalents. What is the LDL goal?
< 130
< 160
< 100
< 70
7. *PJ* is a 50 year-old-male with type 2 diabetes for 10 years. His current
medications are metformin 1000 mg BID, glimepiride 4 mg BID, and Trulicity
1.5 mg every week. His current A1c is 9.2%. His average blood glucose
readings for the past month have been around 200 mg/dL. PJ is 6 ft. and
weighs 250 lbs. It has been decided to add basal insulin to PJ's diabetes
, regimen. Which of the following is an appropriate initial basal insulin
regimen?
Lantus 25 units once daily
Humalog 8 units with meals
Humalog 25 units once daily
Lantus 8 units with meals
8. What is the primary cause of secondary hypothyroidism?
Autoimmune response
Pituitary gland dysfunction
Thyroid gland failure
Iodine deficiency
9. What is the recommended approach for treating stage one hypertension with
a 10 year risk greater than 10%?
Start one antihypertensive medication
Lifestyle modifications only
Start two antihypertensive medications
Surgical intervention
10. Which of these statements is most accurate regarding atherosclerosis
smoking cigarettes provides a protective factor
typically asymptomatic until a significant blockage has occurred
diets high in fat can increase risk
does not increase risk of other cardiac pathologies
, 11. Target goal for LDL-C is less than
200 mg/dL
10 mg/dL
400 mg/dL
100 mg/dL
12. Which of the following is a symptom of supranuclear palsy?
Skin rash
Postural instability
Nausea
Excessive thirst
13. When reading the medical history on a patient's chart, the nurse notes that
the patient has pseudohypertension. When assessing the patient, the nurse
will anticipate
an elevated SBP with a normal DBP.
an increase in BP when the patient is stressed.
that the patient may have few symptoms of target-organ damage.
that the patient may also be diabetic or have insulin resistance.
14. The single best laboratory test on a serum sample to confirm a diagnosis of
primary hypothyroidism is:
Thyroxine (T4)
Anti-thyroglobulin antibody
Triiodothyronine (T3)
Texas Arlington | Trusted Questions & Answers
1. Decreased acetylcholine levels are characteristic of:
Huntington's disease.
Parkinson's disease.
Alzheimer's disease.
multiple sclerosis.
2. Describe how propranolol helps manage essential tremors.
Propranolol helps manage essential tremors by reducing the
amplitude of the tremors and stabilizing muscle control.
Propranolol acts as a stimulant to enhance muscle activity.
Propranolol increases the heart rate to improve blood flow.
Propranolol is used to treat infections that may cause tremors.
3. Describe why thiazolidinediones require monitoring of liver function tests
and how their mechanism affects blood sugar over time.
Thiazolidinediones have no effect on liver function and act quickly to
lower blood sugar.
Thiazolidinediones can cause liver toxicity, necessitating LFT
monitoring, and they improve insulin sensitivity, which takes time to
lower blood sugar levels.
Thiazolidinediones are primarily used for immediate blood sugar
control without liver concerns.
Thiazolidinediones are only used in patients with kidney issues.
,4. Which of the following Parkinson's drug causes hepatotoxicity?
carbidopa/levodopa
entacapone
pramipexole
tolcapone
5. Describe how thyroid hormones influence metabolic processes in the body.
Thyroid hormones have no significant impact on metabolism.
Thyroid hormones increase the metabolic rate, affecting how the
body uses energy.
Thyroid hormones regulate the immune system.
Thyroid hormones decrease blood sugar levels.
6. Secondary prevention for coronary heart disease includes drug therapy for
patients with history of coronary heart disease and patients with risk
equivalents. What is the LDL goal?
< 130
< 160
< 100
< 70
7. *PJ* is a 50 year-old-male with type 2 diabetes for 10 years. His current
medications are metformin 1000 mg BID, glimepiride 4 mg BID, and Trulicity
1.5 mg every week. His current A1c is 9.2%. His average blood glucose
readings for the past month have been around 200 mg/dL. PJ is 6 ft. and
weighs 250 lbs. It has been decided to add basal insulin to PJ's diabetes
, regimen. Which of the following is an appropriate initial basal insulin
regimen?
Lantus 25 units once daily
Humalog 8 units with meals
Humalog 25 units once daily
Lantus 8 units with meals
8. What is the primary cause of secondary hypothyroidism?
Autoimmune response
Pituitary gland dysfunction
Thyroid gland failure
Iodine deficiency
9. What is the recommended approach for treating stage one hypertension with
a 10 year risk greater than 10%?
Start one antihypertensive medication
Lifestyle modifications only
Start two antihypertensive medications
Surgical intervention
10. Which of these statements is most accurate regarding atherosclerosis
smoking cigarettes provides a protective factor
typically asymptomatic until a significant blockage has occurred
diets high in fat can increase risk
does not increase risk of other cardiac pathologies
, 11. Target goal for LDL-C is less than
200 mg/dL
10 mg/dL
400 mg/dL
100 mg/dL
12. Which of the following is a symptom of supranuclear palsy?
Skin rash
Postural instability
Nausea
Excessive thirst
13. When reading the medical history on a patient's chart, the nurse notes that
the patient has pseudohypertension. When assessing the patient, the nurse
will anticipate
an elevated SBP with a normal DBP.
an increase in BP when the patient is stressed.
that the patient may have few symptoms of target-organ damage.
that the patient may also be diabetic or have insulin resistance.
14. The single best laboratory test on a serum sample to confirm a diagnosis of
primary hypothyroidism is:
Thyroxine (T4)
Anti-thyroglobulin antibody
Triiodothyronine (T3)
