PHARM: ATI THE ENDOCRINE SYSTEM| MEDICATION MANAGEMENT| ACTUAL EXAM 2025
|77 QUESTIONS WITH ACCURATE ANSWERS
1. What is the primary medication a nurse should have on hand to treat
insulin toxicity?
Insulin
Glucagon
Metformin
Desmopressin
2. What is a key contraindication for the use of levothyroxine in patients?
Recent myocardial infarction
Hypothyroidism
Hyperthyroidism
Chronic kidney disease
3. Explain why the combination of metformin and iodine-containing
contrast dye may lead to an increased risk of acute renal failure in
patients
undergoing angiography.
Iodine contrast can cause dehydration, leading to renal
impairment.
Metformin is metabolized in the kidneys, and contrast dye can
, further impair renal function.
The interaction causes an increase in blood glucose levels,
stressing the kidneys.
Iodine contrast has no effect on renal function when taken with
metformin.
4. A patient with type two diabetes is prescribed acarbose and is also
taking metformin. What dietary advice should the nurse provide to
help manage their blood glucose levels effectively?
, Increase intake of simple sugars to boost energy
Consume a balanced diet with complex carbohydrates and fiber
Limit all carbohydrate intake to prevent spikes in blood
sugar Focus solely on protein-rich foods to avoid
carbohydrates
5. Why is it important for a nurse to monitor alanine aminotransferase
(ALT) levels in a patient taking pioglitazone?
To assess kidney function
To evaluate liver function and detect potential hepatotoxicity
To monitor blood sugar control
To check for electrolyte imbalances
6. The nurse is preparing education for a client with diabetes who is to
begin taking pramlintide acetate as an adjunct to insulin therapy. What
is the priority nursing instruction to include in this teaching plan?
"Inject the drug immediately before you eat a major meal."
"The drug's effects take place quickly after it's administered."
"Inject the drug at least 2 in away from any insulin injection site."
"Remember that diabetes is fundamentally a problem with
glucose metabolism."
7. What is the recommended timing for administering repaglinide in
relation to meals for patients with type two diabetes mellitus?
Immediately after meals
, 15 to 30 minutes before each meal
At bedtime
Once daily in the morning
|77 QUESTIONS WITH ACCURATE ANSWERS
1. What is the primary medication a nurse should have on hand to treat
insulin toxicity?
Insulin
Glucagon
Metformin
Desmopressin
2. What is a key contraindication for the use of levothyroxine in patients?
Recent myocardial infarction
Hypothyroidism
Hyperthyroidism
Chronic kidney disease
3. Explain why the combination of metformin and iodine-containing
contrast dye may lead to an increased risk of acute renal failure in
patients
undergoing angiography.
Iodine contrast can cause dehydration, leading to renal
impairment.
Metformin is metabolized in the kidneys, and contrast dye can
, further impair renal function.
The interaction causes an increase in blood glucose levels,
stressing the kidneys.
Iodine contrast has no effect on renal function when taken with
metformin.
4. A patient with type two diabetes is prescribed acarbose and is also
taking metformin. What dietary advice should the nurse provide to
help manage their blood glucose levels effectively?
, Increase intake of simple sugars to boost energy
Consume a balanced diet with complex carbohydrates and fiber
Limit all carbohydrate intake to prevent spikes in blood
sugar Focus solely on protein-rich foods to avoid
carbohydrates
5. Why is it important for a nurse to monitor alanine aminotransferase
(ALT) levels in a patient taking pioglitazone?
To assess kidney function
To evaluate liver function and detect potential hepatotoxicity
To monitor blood sugar control
To check for electrolyte imbalances
6. The nurse is preparing education for a client with diabetes who is to
begin taking pramlintide acetate as an adjunct to insulin therapy. What
is the priority nursing instruction to include in this teaching plan?
"Inject the drug immediately before you eat a major meal."
"The drug's effects take place quickly after it's administered."
"Inject the drug at least 2 in away from any insulin injection site."
"Remember that diabetes is fundamentally a problem with
glucose metabolism."
7. What is the recommended timing for administering repaglinide in
relation to meals for patients with type two diabetes mellitus?
Immediately after meals
, 15 to 30 minutes before each meal
At bedtime
Once daily in the morning
