NUR 660 FINAL COMPLETE QUESTIONS
AND ANSWERS)
The effects of GLP-1 Agonist medications include all of the following EXCEPT:
Select one:
a. glucagon induced gluconeogenesis
b. increased satiety
c. improved glycemic control
d. glucose dependent insulin secretion - ANSWER>>glucagon induced gluconeogenesis
A common adverse effect with SGLT-2 Inhibitors is:
Select one:
a. edema
b. mycotic infection
c. hypertension
d. weight gain - ANSWER>>Mycotic Infection
Due to the increased risk for hypoglycemia, the following two medication classes should not be
used in combination:
Select one:
a. insulin and metformin
b. insulin and sulfonylurea
c. insulin and thiazolidinedione
d. insulin and acarbose - ANSWER>>Insulin and Sulfonylurea
A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with type 2 diabetes
mellitus (DM). The A1c is 7.1%. What is the best initial treatment?
Select one:
a. Diet, exercise, and metformin
b. No treatment at this time
c. Diet and exercise
d. Diet, exercise, and exogenous insulin - ANSWER>>Diet and exercise, Diet, exercise, and
metformin
Which medication is an insulin secretagogue (mechanism of action is to secrete insulin)?
Select one:
,a. acarbose (alpha-glucosidase inhibitor)
b. empagliflozin (SGLT2 Inhibitor)
c. rosiglitazone (thiazolidinedione)
d. glipizide (sulfonylurea) - ANSWER>>glipizide (sulfonylurea)
The "ominous octet" includes all of the following EXCEPT:
Select one:
a. insulin resistance
b. decreased insulin production
c. decreased incretin hormones
d. increased incretin hormones - ANSWER>>increased incretin hormones
In which patient would the clinician NOT initiate metformin?
Select one:
a. 60 year old with a history of medullary thyroid cancer
b. 54 year old with an allergy to penicillin
c. 71 year old with an eGFR of 60
d. 62 year old with an eGFR of 40 - ANSWER>>62 year old with an eGFR of 40
Which medication can cause hyperglycemia?
Select one:
a. Cephalexin (Keflex)
b. Levothyroxine (Synthroid)
c. Metformin (Glucophage)
d. Prednisolone (Omnipred) - ANSWER>>Prednisolone (Omnipred)
Insulin should be initiated for the patient with Type 2 DM when the HgbA1C is
Select one:
a. 7
b. 8
c. 10
d. 7.5 - ANSWER>>10
How often should the clinician examine the feet of a person with diabetes?
Select one:
a. Every year
b. Every 3 months
c. Every visit
,d. Every 6 months - ANSWER>>Every visit
Claire is a patient complaining that her left leg is cool, pale, smaller than her right, and has thick
toenails. Which condition may she be experiencing?
Select one:
a. Peripheral artery disease
b. Deep vein thrombosis
c. Anemia
d. Pulmonary embolism - ANSWER>>Peripheral Artery Disease
What of the following patients is a candidate for a high intensity statin?
Select one:
a. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%.
b. Christa is a 65-year-old female with a history of myocardial infarction (MI).
c. Jerry is a 55-year-old male with a history of syncope.
d. April is an 85-year-old female with a low-density lipoprotein (LDL) level of 180. -
ANSWER>>Christa is a 65-year-old female with a history of myocardial infarction (MI).
Which of the following may help a clinician to determine whether palpitations are caused by a
potentially lethal cardiac rhythm?
Select one:
a. Thyroid panel
b. Holter monitoring
c. Complete blood count (CBC)
d. Computed axial tomography (CAT) scan - ANSWER>>Holter Monitoring
Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or one spray
should be used under the tongue every 5 minutes for three doses. What should be done if the
pain has not been relieved after three doses?
Select one:
a. A portable defibrillator should be located to ascertain the cardiac rhythm.
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. 911 should be called, and the patient should be transported immediately to the emergency
department. - ANSWER>>911 should be called, and the patient should be transported
immediately to the emergency department.
Which of these patients is at a higher risk for developing deep vein thrombosis?
, Select one:
a. Diane, a 15-year-old female with type 1 diabetes
b. Ben, a 23-year-old male with a history of a pneumothorax
c. Jerry, a 64-year-old man with a history of epilepsy
d. Samantha, a 45-year-old female undergoing a hysterectomy - ANSWER>>Samantha, a 45-
year-old female undergoing a hysterectomy
There are four stages of heart failure, classified as A to D, that describe the evolution and
progression of disease. In which stage do patients have refractory symptoms of heart failure?
Select one:
a. Stage A
b. Stage B
c. Stage C
d. Stage D - ANSWER>>Stage D
In which type of atrioventricular (AV) block does the (PR) interval lengthen until a beat is
dropped?
Select one:
a. Second-degree Mobitz II AV block
b. Second-degree Mobitz I AV block
c. Third-degree AV block
d. First-degree AV block - ANSWER>>Second-degree Mobitz I AV block
Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of
his history of:
Select one:
a. Severe hypertension
b. A common valvular lesion
c. A prosthetic heart valve
d. Severe asthma - ANSWER>>A prosthetic heart valve
You are assessing Molly for metabolic syndrome. Which of her parameters is indicative of this
syndrome?
Select one:
a. Her waist is 38 inches.
b. Her BP is 128/84.
c. Her triglyceride level is 140 mg/dL.
AND ANSWERS)
The effects of GLP-1 Agonist medications include all of the following EXCEPT:
Select one:
a. glucagon induced gluconeogenesis
b. increased satiety
c. improved glycemic control
d. glucose dependent insulin secretion - ANSWER>>glucagon induced gluconeogenesis
A common adverse effect with SGLT-2 Inhibitors is:
Select one:
a. edema
b. mycotic infection
c. hypertension
d. weight gain - ANSWER>>Mycotic Infection
Due to the increased risk for hypoglycemia, the following two medication classes should not be
used in combination:
Select one:
a. insulin and metformin
b. insulin and sulfonylurea
c. insulin and thiazolidinedione
d. insulin and acarbose - ANSWER>>Insulin and Sulfonylurea
A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with type 2 diabetes
mellitus (DM). The A1c is 7.1%. What is the best initial treatment?
Select one:
a. Diet, exercise, and metformin
b. No treatment at this time
c. Diet and exercise
d. Diet, exercise, and exogenous insulin - ANSWER>>Diet and exercise, Diet, exercise, and
metformin
Which medication is an insulin secretagogue (mechanism of action is to secrete insulin)?
Select one:
,a. acarbose (alpha-glucosidase inhibitor)
b. empagliflozin (SGLT2 Inhibitor)
c. rosiglitazone (thiazolidinedione)
d. glipizide (sulfonylurea) - ANSWER>>glipizide (sulfonylurea)
The "ominous octet" includes all of the following EXCEPT:
Select one:
a. insulin resistance
b. decreased insulin production
c. decreased incretin hormones
d. increased incretin hormones - ANSWER>>increased incretin hormones
In which patient would the clinician NOT initiate metformin?
Select one:
a. 60 year old with a history of medullary thyroid cancer
b. 54 year old with an allergy to penicillin
c. 71 year old with an eGFR of 60
d. 62 year old with an eGFR of 40 - ANSWER>>62 year old with an eGFR of 40
Which medication can cause hyperglycemia?
Select one:
a. Cephalexin (Keflex)
b. Levothyroxine (Synthroid)
c. Metformin (Glucophage)
d. Prednisolone (Omnipred) - ANSWER>>Prednisolone (Omnipred)
Insulin should be initiated for the patient with Type 2 DM when the HgbA1C is
Select one:
a. 7
b. 8
c. 10
d. 7.5 - ANSWER>>10
How often should the clinician examine the feet of a person with diabetes?
Select one:
a. Every year
b. Every 3 months
c. Every visit
,d. Every 6 months - ANSWER>>Every visit
Claire is a patient complaining that her left leg is cool, pale, smaller than her right, and has thick
toenails. Which condition may she be experiencing?
Select one:
a. Peripheral artery disease
b. Deep vein thrombosis
c. Anemia
d. Pulmonary embolism - ANSWER>>Peripheral Artery Disease
What of the following patients is a candidate for a high intensity statin?
Select one:
a. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%.
b. Christa is a 65-year-old female with a history of myocardial infarction (MI).
c. Jerry is a 55-year-old male with a history of syncope.
d. April is an 85-year-old female with a low-density lipoprotein (LDL) level of 180. -
ANSWER>>Christa is a 65-year-old female with a history of myocardial infarction (MI).
Which of the following may help a clinician to determine whether palpitations are caused by a
potentially lethal cardiac rhythm?
Select one:
a. Thyroid panel
b. Holter monitoring
c. Complete blood count (CBC)
d. Computed axial tomography (CAT) scan - ANSWER>>Holter Monitoring
Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or one spray
should be used under the tongue every 5 minutes for three doses. What should be done if the
pain has not been relieved after three doses?
Select one:
a. A portable defibrillator should be located to ascertain the cardiac rhythm.
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. 911 should be called, and the patient should be transported immediately to the emergency
department. - ANSWER>>911 should be called, and the patient should be transported
immediately to the emergency department.
Which of these patients is at a higher risk for developing deep vein thrombosis?
, Select one:
a. Diane, a 15-year-old female with type 1 diabetes
b. Ben, a 23-year-old male with a history of a pneumothorax
c. Jerry, a 64-year-old man with a history of epilepsy
d. Samantha, a 45-year-old female undergoing a hysterectomy - ANSWER>>Samantha, a 45-
year-old female undergoing a hysterectomy
There are four stages of heart failure, classified as A to D, that describe the evolution and
progression of disease. In which stage do patients have refractory symptoms of heart failure?
Select one:
a. Stage A
b. Stage B
c. Stage C
d. Stage D - ANSWER>>Stage D
In which type of atrioventricular (AV) block does the (PR) interval lengthen until a beat is
dropped?
Select one:
a. Second-degree Mobitz II AV block
b. Second-degree Mobitz I AV block
c. Third-degree AV block
d. First-degree AV block - ANSWER>>Second-degree Mobitz I AV block
Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of
his history of:
Select one:
a. Severe hypertension
b. A common valvular lesion
c. A prosthetic heart valve
d. Severe asthma - ANSWER>>A prosthetic heart valve
You are assessing Molly for metabolic syndrome. Which of her parameters is indicative of this
syndrome?
Select one:
a. Her waist is 38 inches.
b. Her BP is 128/84.
c. Her triglyceride level is 140 mg/dL.
