NR 565 ADVANCED
PHARMACOLOGY EXAM | WEEK
5-8 | COMPLETE AND VERIFIED
ANSWERS - CHAMBERLAIN
QUESTION 1
A patient receives his first lab results showing an A1C of 7.2%. What is the diagnosis?
Answer:
-Cannot confirm because you need a second A1C after 3 months (value is borderline)
QUESTION 2
An A1C of is considered prediabetes.
Answer:
5.7%-6.4%
QUESTION 3
A random glucose of is considered diabetic.
Answer:
200 with signs and symptoms
QUESTION 4
A person with diabetes has recurrent severe hypoglycemia events. What should his A1C goal be?
Answer:
,8%
QUESTION 5
When is it okay for a patient to have an A1C goal of 6.5%?
Answer:
When they can tolerate it and have no comorbidities.
QUESTION 6
How often should an A1C be monitored when stable or when unstable?-
Answer:
-Stable: every 6 months
-Unstable: every 3 months (A1C of 7 or >)
QUESTION 7
A person comes in with an A1C of 10% and a fasting blood glucose of
>300.What are the next steps for the provider?
Answer:
-Start insulin
(when A1C is above >9% start at step 2= insulin combo therapy)
QUESTION 8
Who should not take Metformin?
Answer:
-Due to increased risk of Lactic acidosis:
patients with CHF, older than 80 years of age, kidney disease (Renal insufficiency)
QUESTION 9
Sulfonylureas should not be used during or with
,or impairments.
Answer:
-Pregnancy
-Liver
-Renal
QUESTION 10
A patient who has a history of bladder cancer and HF should avoid what class of DM meds?
Answer:
Pioglitazones
-Can cause renal fluid retention associated with HF
QUESTION 11
When is it appropriate to increase insulin needs?
Answer:
-Pregnancy
-Infection
-Stress
-Growth spurts
QUESTION 12
What is the TDD of a person that weighs 70kg?
Answer:
TDD= (Kgx0.6)
50% will be long acting 50% Rapid acting
QUESTION 13
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD from the
above question?
, Answer:
500 / TDD = Carb to insulin ratio 500/42 = 11.9
50/ 11 = 4.5 Units
QUESTION 14
Metformin
Answer:
-Best antidiabetic for patients that skip meals
-Can be used to treat PCOS
QUESTION 15
A patient states that she will take her insulin lispro 30-60 minutes before a meal?
Answer:
Nope- must be within 15-30 mins of meal
QUESTION 16
"As long as the short-acting insulin is drawn up first I can mix my insulin glargine with it".
Answer:
Nope- Only NPH can be mixed with short acting
-Always draw regular (Clear) before NPH (Cloudy)
QUESTION 17
A patient states, "My sugars have been around 65-68 at times but I feel like the med is working".
Answer:
Nope- Values are too low
-Hypoglycemia unawareness, need to educate
QUESTION 18
PHARMACOLOGY EXAM | WEEK
5-8 | COMPLETE AND VERIFIED
ANSWERS - CHAMBERLAIN
QUESTION 1
A patient receives his first lab results showing an A1C of 7.2%. What is the diagnosis?
Answer:
-Cannot confirm because you need a second A1C after 3 months (value is borderline)
QUESTION 2
An A1C of is considered prediabetes.
Answer:
5.7%-6.4%
QUESTION 3
A random glucose of is considered diabetic.
Answer:
200 with signs and symptoms
QUESTION 4
A person with diabetes has recurrent severe hypoglycemia events. What should his A1C goal be?
Answer:
,8%
QUESTION 5
When is it okay for a patient to have an A1C goal of 6.5%?
Answer:
When they can tolerate it and have no comorbidities.
QUESTION 6
How often should an A1C be monitored when stable or when unstable?-
Answer:
-Stable: every 6 months
-Unstable: every 3 months (A1C of 7 or >)
QUESTION 7
A person comes in with an A1C of 10% and a fasting blood glucose of
>300.What are the next steps for the provider?
Answer:
-Start insulin
(when A1C is above >9% start at step 2= insulin combo therapy)
QUESTION 8
Who should not take Metformin?
Answer:
-Due to increased risk of Lactic acidosis:
patients with CHF, older than 80 years of age, kidney disease (Renal insufficiency)
QUESTION 9
Sulfonylureas should not be used during or with
,or impairments.
Answer:
-Pregnancy
-Liver
-Renal
QUESTION 10
A patient who has a history of bladder cancer and HF should avoid what class of DM meds?
Answer:
Pioglitazones
-Can cause renal fluid retention associated with HF
QUESTION 11
When is it appropriate to increase insulin needs?
Answer:
-Pregnancy
-Infection
-Stress
-Growth spurts
QUESTION 12
What is the TDD of a person that weighs 70kg?
Answer:
TDD= (Kgx0.6)
50% will be long acting 50% Rapid acting
QUESTION 13
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD from the
above question?
, Answer:
500 / TDD = Carb to insulin ratio 500/42 = 11.9
50/ 11 = 4.5 Units
QUESTION 14
Metformin
Answer:
-Best antidiabetic for patients that skip meals
-Can be used to treat PCOS
QUESTION 15
A patient states that she will take her insulin lispro 30-60 minutes before a meal?
Answer:
Nope- must be within 15-30 mins of meal
QUESTION 16
"As long as the short-acting insulin is drawn up first I can mix my insulin glargine with it".
Answer:
Nope- Only NPH can be mixed with short acting
-Always draw regular (Clear) before NPH (Cloudy)
QUESTION 17
A patient states, "My sugars have been around 65-68 at times but I feel like the med is working".
Answer:
Nope- Values are too low
-Hypoglycemia unawareness, need to educate
QUESTION 18
