NUR 600
NUR 600 EXAM 5 |QUESTIONS AND CORRECT
ANSWERS| 2026 GRADED A+
the lower esophageal sphincter is incompetent causing gastric acid to g up into
the esophagus. -Correct Answer ✔-Gastroesophageal Reflux (GERD)
GERD Diagnosis -Correct Answer ✔-Endoscopy biopsy and pH of esophageal
contents (normal pH is close to 7.0)
GERD Prevention -Correct Answer ✔-AVOID full stomach, eat small portions every
3hrs, HOB elevated, AVOID coffee, alcohol, fats, smoking!
GERD Medications -Correct Answer ✔-(-ZOLE), Proton pump inhibitors:
Omeprazole, Lansoprazole, Pantoprazole, metoclopramide (Reglan). (Produces
anticholinergic effects, Peripheral nervous system is stimulated -FAST, DRY,
DILATED)
.First-Line treatment for Type 2 Diabetes Mellitus -Correct Answer ✔-Metformin
Metformin
is recommended as initial pharmacologic treatment for -Correct Answer ✔-type 2
diabetes.
It has been shown to decrease triglycerides and LDLs. -Correct Answer ✔-
Metformin
Metformin Most common side effects is -Correct Answer ✔-LACTIC ACIDOSIS
Symptoms of lactic acidosis include -Correct Answer ✔-nausea abdominal pain,
and tachycardia.
lACTIC ACIDOSIS Test should include -Correct Answer ✔-electrolytes, ketones, and
serum glucose.
NUR 600
,NUR 600
Obese Patients with normal renal function and elevated fasting plasma glucose
may be started on -Correct Answer ✔-combination of Metformin & a second-
generation sulfonylurea.
should be considered for patients with diabetes during times of physical stress,
such as illness or surgery. -Correct Answer ✔-Insulin
Do NOT Use oral hypoglycemic meds in the -Correct Answer ✔-perioperative
period.
to Prevent onset or delay onset of diabetes: Patients with impaired glucose should
be advised to lose -Correct Answer ✔-5% to 10% (10-15 lbs) of body weight.
Testing for type 2 diabetes should be considered in all adults with BMI GREATER
then -Correct Answer ✔-25
A patient with a triglycerides greater then 250mg/dL or a HDL less than n
35mg/dL is a risk for developing -Correct Answer ✔-type 2 diabetes
A fasting plasma lever greater then 126mg/dL indicates . -Correct Answer ✔-
diabetes
A fasting plasma of what level indicates diabetes -Correct Answer ✔-126 mg/dL
Peptic Ulcer: Caused by -Correct Answer ✔-Helicobacter pylori infection.
Peptic ulcer treatment: Combination of -Correct Answer ✔-2 Abx (Amoxicillin +
clarithromycin or Metronidazole and PPI (protonix)
eradicate H.Pylori by triple or quad therapy for -Correct Answer ✔-3-4 weeks.
NUR 600
, NUR 600
Peptic ulcer treatment for patient who have allergic to penicillin, clarithromycin or
metronidazole. -Correct Answer ✔-Tetracycline
Peptic ulcer combination of 2 abx ,the use of acid buffer and antimicrobial -Correct
Answer ✔-PPI, and Pepto Bismol
Patient is conformed with Hpylori, MD already has ordered PPI + Clarithromycin
+amoxicillin and after 14 days Hpyloris is still present, what's next? -Correct
Answer ✔-Quadruple theorapy: PPI + Tetracycline + Metroniidazole + Pepto
Bismol.
Primary treatment for hypothyroidism -Correct Answer ✔-LEVOTHYROXINE
(Synthroid)
10. Inflammatory bowel disease (Chron's disease and Ulcerative Colitis) treatment
for diarrhea -Correct Answer ✔-ANTICHOLINERGICS, SELECTIVE SEROTONIN
RECEPTOR ANTAGONISTS -Clidinium/chlordiazepoxide (Librax), dicyclomine
(Bentyl), Glycopyrrolate (Robinul), hyoscyamine (Levsin, Anapaz)
Lotrenex( alosteron, SSRA) dispensed on -Correct Answer ✔-restricted program.
Constipation predominate tx: -Correct Answer ✔-Chloride Channel Activator(CCA)
or Guanylate cyclase-C
Agonist(GCA): Amitiza (lubiprostone: chloride channel activator)*take with -
Correct Answer ✔-food
Linzess (GCA)* take on -Correct Answer ✔-empty stomach.
Inflammatory bowel disease (Chron's disease and Ulcerative Colitis) self manage
treatment -Correct Answer ✔-high fiber diet, dietary fiber, physical exercise, stress
management.
NUR 600
NUR 600 EXAM 5 |QUESTIONS AND CORRECT
ANSWERS| 2026 GRADED A+
the lower esophageal sphincter is incompetent causing gastric acid to g up into
the esophagus. -Correct Answer ✔-Gastroesophageal Reflux (GERD)
GERD Diagnosis -Correct Answer ✔-Endoscopy biopsy and pH of esophageal
contents (normal pH is close to 7.0)
GERD Prevention -Correct Answer ✔-AVOID full stomach, eat small portions every
3hrs, HOB elevated, AVOID coffee, alcohol, fats, smoking!
GERD Medications -Correct Answer ✔-(-ZOLE), Proton pump inhibitors:
Omeprazole, Lansoprazole, Pantoprazole, metoclopramide (Reglan). (Produces
anticholinergic effects, Peripheral nervous system is stimulated -FAST, DRY,
DILATED)
.First-Line treatment for Type 2 Diabetes Mellitus -Correct Answer ✔-Metformin
Metformin
is recommended as initial pharmacologic treatment for -Correct Answer ✔-type 2
diabetes.
It has been shown to decrease triglycerides and LDLs. -Correct Answer ✔-
Metformin
Metformin Most common side effects is -Correct Answer ✔-LACTIC ACIDOSIS
Symptoms of lactic acidosis include -Correct Answer ✔-nausea abdominal pain,
and tachycardia.
lACTIC ACIDOSIS Test should include -Correct Answer ✔-electrolytes, ketones, and
serum glucose.
NUR 600
,NUR 600
Obese Patients with normal renal function and elevated fasting plasma glucose
may be started on -Correct Answer ✔-combination of Metformin & a second-
generation sulfonylurea.
should be considered for patients with diabetes during times of physical stress,
such as illness or surgery. -Correct Answer ✔-Insulin
Do NOT Use oral hypoglycemic meds in the -Correct Answer ✔-perioperative
period.
to Prevent onset or delay onset of diabetes: Patients with impaired glucose should
be advised to lose -Correct Answer ✔-5% to 10% (10-15 lbs) of body weight.
Testing for type 2 diabetes should be considered in all adults with BMI GREATER
then -Correct Answer ✔-25
A patient with a triglycerides greater then 250mg/dL or a HDL less than n
35mg/dL is a risk for developing -Correct Answer ✔-type 2 diabetes
A fasting plasma lever greater then 126mg/dL indicates . -Correct Answer ✔-
diabetes
A fasting plasma of what level indicates diabetes -Correct Answer ✔-126 mg/dL
Peptic Ulcer: Caused by -Correct Answer ✔-Helicobacter pylori infection.
Peptic ulcer treatment: Combination of -Correct Answer ✔-2 Abx (Amoxicillin +
clarithromycin or Metronidazole and PPI (protonix)
eradicate H.Pylori by triple or quad therapy for -Correct Answer ✔-3-4 weeks.
NUR 600
, NUR 600
Peptic ulcer treatment for patient who have allergic to penicillin, clarithromycin or
metronidazole. -Correct Answer ✔-Tetracycline
Peptic ulcer combination of 2 abx ,the use of acid buffer and antimicrobial -Correct
Answer ✔-PPI, and Pepto Bismol
Patient is conformed with Hpylori, MD already has ordered PPI + Clarithromycin
+amoxicillin and after 14 days Hpyloris is still present, what's next? -Correct
Answer ✔-Quadruple theorapy: PPI + Tetracycline + Metroniidazole + Pepto
Bismol.
Primary treatment for hypothyroidism -Correct Answer ✔-LEVOTHYROXINE
(Synthroid)
10. Inflammatory bowel disease (Chron's disease and Ulcerative Colitis) treatment
for diarrhea -Correct Answer ✔-ANTICHOLINERGICS, SELECTIVE SEROTONIN
RECEPTOR ANTAGONISTS -Clidinium/chlordiazepoxide (Librax), dicyclomine
(Bentyl), Glycopyrrolate (Robinul), hyoscyamine (Levsin, Anapaz)
Lotrenex( alosteron, SSRA) dispensed on -Correct Answer ✔-restricted program.
Constipation predominate tx: -Correct Answer ✔-Chloride Channel Activator(CCA)
or Guanylate cyclase-C
Agonist(GCA): Amitiza (lubiprostone: chloride channel activator)*take with -
Correct Answer ✔-food
Linzess (GCA)* take on -Correct Answer ✔-empty stomach.
Inflammatory bowel disease (Chron's disease and Ulcerative Colitis) self manage
treatment -Correct Answer ✔-high fiber diet, dietary fiber, physical exercise, stress
management.
NUR 600
