NR601 Final Exam Questions And Correct Verified Answers New
Version Chamberlain University
Diagnose type 2 diabetes mellitus and begin management
A 58-year-old reports polyuria and blurred vision. Fasting glucose is 131 mg/dL
today and 128 mg/dL last week. Best next step? 3 multiple choice options
Diabetes can be diagnosed now
A 60-year-old has random glucose 225 mg/dL and classic symptoms
(polyuria, polydipsia). What is most accurate? 3 multiple choice options
A newly diagnosed T2DM patient asks for first-line Metformin
medication.Most appropriate? 3 multiple choice options
A patient asks how metformin works.Best explanation? Reduces hepatic glucose production and improves insulin sensitivity
3 multiple choice options
, A patient has eGFR 25 mL/min. Which diabetes Metformin
medication should be avoided?
3 multiple choice options
A patient with T2DM and HF needs add-on therapy with SGLT2 inhibitor (empagliflozin)
cardio/renal benefit. Best option?
3 multiple choice options
A patient on an SGLT2 inhibitor has nausea, abdominal pain,anion gap Euglycemic DKA
metabolic acidosis, glucose 165. Most
3 multiple choice options
concerning diagnosis?
A patient starting an SGLT2 inhibitor should be counseled about Genitourinary infections
which common adverse effect?
3 multiple choice options
A patient wants diabetes medication that supports weight loss and GLP-1 receptor agonist (semaglutide)
CV benefit.Best class?
3 multiple choice options
A patient with edema and HF symptoms worsens after starting TZDs can cause fluid retention and worsen HF
pioglitazone.Why?
3 multiple choice options
A patient's AIC goal should be relaxed due to <8%
age/comorbidities.Which target is most appropriate?
3 multiple choice options
A patient with T2DM has severe hyperglycemia and weight Initiate insulin therapy
loss despite oral therapy.Best next step?
3 multiple choice options
A 45-year-old has fatigue, weight gain, constipation, cold Primary hypothyroidism
intolerance. TSH 12 and free T4 low.Diagnosis?
3 multiple choice options
A 72-year-old with CAD needs thyroid replacement. Best initiation Start low and totrate slowly
strategy?
3 multiple choice options
Best counseling on levothyroxine administration? Take on an empty stomach,separate from calcium/iron
3 multiple choice options
A patient on levothyroxine also takes calcium Separate doses by at least 4 hours
supplements.Best advice?
3 multiple choice options
Version Chamberlain University
Diagnose type 2 diabetes mellitus and begin management
A 58-year-old reports polyuria and blurred vision. Fasting glucose is 131 mg/dL
today and 128 mg/dL last week. Best next step? 3 multiple choice options
Diabetes can be diagnosed now
A 60-year-old has random glucose 225 mg/dL and classic symptoms
(polyuria, polydipsia). What is most accurate? 3 multiple choice options
A newly diagnosed T2DM patient asks for first-line Metformin
medication.Most appropriate? 3 multiple choice options
A patient asks how metformin works.Best explanation? Reduces hepatic glucose production and improves insulin sensitivity
3 multiple choice options
, A patient has eGFR 25 mL/min. Which diabetes Metformin
medication should be avoided?
3 multiple choice options
A patient with T2DM and HF needs add-on therapy with SGLT2 inhibitor (empagliflozin)
cardio/renal benefit. Best option?
3 multiple choice options
A patient on an SGLT2 inhibitor has nausea, abdominal pain,anion gap Euglycemic DKA
metabolic acidosis, glucose 165. Most
3 multiple choice options
concerning diagnosis?
A patient starting an SGLT2 inhibitor should be counseled about Genitourinary infections
which common adverse effect?
3 multiple choice options
A patient wants diabetes medication that supports weight loss and GLP-1 receptor agonist (semaglutide)
CV benefit.Best class?
3 multiple choice options
A patient with edema and HF symptoms worsens after starting TZDs can cause fluid retention and worsen HF
pioglitazone.Why?
3 multiple choice options
A patient's AIC goal should be relaxed due to <8%
age/comorbidities.Which target is most appropriate?
3 multiple choice options
A patient with T2DM has severe hyperglycemia and weight Initiate insulin therapy
loss despite oral therapy.Best next step?
3 multiple choice options
A 45-year-old has fatigue, weight gain, constipation, cold Primary hypothyroidism
intolerance. TSH 12 and free T4 low.Diagnosis?
3 multiple choice options
A 72-year-old with CAD needs thyroid replacement. Best initiation Start low and totrate slowly
strategy?
3 multiple choice options
Best counseling on levothyroxine administration? Take on an empty stomach,separate from calcium/iron
3 multiple choice options
A patient on levothyroxine also takes calcium Separate doses by at least 4 hours
supplements.Best advice?
3 multiple choice options
