NR 601 FINAL EXAM LATEST
DETAIL Q & A
1. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and
has been on hydrochlorothiazide 25 mg daily for years with excellent response.
During follow up visit Mrs L reports that for the last 6 months she has felt thirsty
all of the time even though she drinks at least 10 glasses of water a day. Upon
chart review the N notes that the last two fasting blood glucose levels have been
136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210
mg/dl. What is the next appropriate test?
• A: Prescribe Metformin 500 mg PO BID
2. A patient has been prescribed Metformin (Glucophage). One week later he
returns with lowered blood sugars but complaints of some loose stools during
the week. How should the NP respond?
• A: Reassure the patient that this is an anticipated side effect
3. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250,
HDL = 32, LDL=
165. The NP teaches the patient about his modifiable cardiac risk factors which
include:
• A: Diabetes, obesity, and hyperlipidemia
4. Lifestyle approaches to postmenopausal symptom management include
• A: avoiding sugar, coffee, chocolate and alcohol
DETAIL Q & A
1. Ms. L 55-year-old women with BMI of 28, has 20-year hx of primary HTN and
has been on hydrochlorothiazide 25 mg daily for years with excellent response.
During follow up visit Mrs L reports that for the last 6 months she has felt thirsty
all of the time even though she drinks at least 10 glasses of water a day. Upon
chart review the N notes that the last two fasting blood glucose levels have been
136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210
mg/dl. What is the next appropriate test?
• A: Prescribe Metformin 500 mg PO BID
2. A patient has been prescribed Metformin (Glucophage). One week later he
returns with lowered blood sugars but complaints of some loose stools during
the week. How should the NP respond?
• A: Reassure the patient that this is an anticipated side effect
3. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250,
HDL = 32, LDL=
165. The NP teaches the patient about his modifiable cardiac risk factors which
include:
• A: Diabetes, obesity, and hyperlipidemia
4. Lifestyle approaches to postmenopausal symptom management include
• A: avoiding sugar, coffee, chocolate and alcohol
