NURS 617 EXAM 100 QUESTIONS & CORRECT
ANSWERS LATEST 2025
What types of patients are likely to have the greatest challenges using insulin -
ANSWER-Patients with neuropathy and retinopathy might find it difficult to draw
up their insulin and might benefit from prefilled insulin syringes with aids such as
clicks and magnifiers.
How long do you wait between dosing changes for Levothyroxine - ANSWER-start
low and go slow method. For adults, start at 50mcg daily and increase in incr. of
25 every 2-4 weeks. For older adults, start at 25-50 mcg and increase by 12.5-25
mcg every 6-8 weeks.
Lower doses and longer intervals are recommended for those with CV disease or
long standing hypothyroidism.
How to determine appropriate dosage size for Levothyroxine - ANSWER-For
adults with no CV impairment start at 50mcg/day and increase by 25mcg every 2-
4 weeks.
For Older adults with no CV impairment start at 25-50mcg and increase by 12.5-
25 mcg every 6-8 weeks
Lower doses and longer intervals are recommended for those with CV impairment
and those with long standing hypothyroidism.
Therapy is decided by TSH levels as well. Most adults require a dose less than
200mcg and a dose of >300mcg lack of adherence or malabsorption.
What drugs are capable of having a drug-drug interaction with Synthroid. -
ANSWER-Potentiates effects of adrenergic agonists.
May inhibit adrenergic blocking drugs
,Which medication is best for chronic hypothyroidism - ANSWER-Levothyroxine
Which thyroid medication is most cardiotoxic - ANSWER-Liothyronine
Which thyroid medication has the disadvantage of not having content stability -
ANSWER-Liotrix
What are some advantages of Liothyronine over Levothyroxine - ANSWER-
Liothyronine has a faster onset of action and is more potent.
Advantage of using Levothyroxine over Liothyronine - ANSWER-Less cardiotoxic
and has a longer duration of action meaning that even if some doses are missed
thyroid levels can remain therapeutic.
What are some signs of Thyroid medication toxicity? - ANSWER-irritability,
insomnia, tachycardia, arrhythmias, elevated blood pressure, anxiety, weight loss,
all similar signs of hyperthyroidism.
Which antithyroid drug is used in pregnancy - ANSWER-Propylthiouracil
Which antithyroid drug has a black box warning for liver injury - ANSWER-
Propylthiouracil
Advantages of Methimazole over Propylthiouracil - ANSWER-Methimazole is more
potent, less toxic, not protein bound, and does not carry black box warning about
liver damage
, What adverse reactions can antithyroid medications cause - ANSWER-Allergic
reactions such as rash, and urticaria; Nausea and vomiting during initiation of
therapy; agranulocytosis and thrombocytopenia; Hypothyroidism (with long term
therapy); reoccurrence of hyperthyroidism after stopping treatment.
Which antidiabetics cause hypoglycemia - ANSWER-Sulfonylureas, meglitinides,
amylin agonists can all cause hypoglycemia.
Thiazolidinediones, Alpha Glucose inhibitors, and GLP-1 analogs can potentiate
hypoglycemia when given with other antidiabetics.
Which anti-diabetics are nephroprotective - ANSWER-DPP-4 (-gliptins) because in
patients without severe renal impairment, the typical progression of
microalbuminuria to proteinuria in DM appears to be reversed after 2 years on
saxagliptin use
Which anti-diabetics require dosage adjustments for renal impairment. -
ANSWER-DPP-4 (gliptins) and SGLT-2 inhibitors require dosage adjustments while
Metformin and Sulfonylureas are contraindicated in patients with renal failure.
Which anti-diabetic medications are contraindicated in Liver disease - ANSWER-
Metformin, Sulfonylureas, and Thiazolidinediones
What oral hypoglycemic is preferred in pregnancy - ANSWER-Metformin
Which oral hypoglycemic drug has a black box warning for CHF - ANSWER-
Thiazolidinediones (zones)
ANSWERS LATEST 2025
What types of patients are likely to have the greatest challenges using insulin -
ANSWER-Patients with neuropathy and retinopathy might find it difficult to draw
up their insulin and might benefit from prefilled insulin syringes with aids such as
clicks and magnifiers.
How long do you wait between dosing changes for Levothyroxine - ANSWER-start
low and go slow method. For adults, start at 50mcg daily and increase in incr. of
25 every 2-4 weeks. For older adults, start at 25-50 mcg and increase by 12.5-25
mcg every 6-8 weeks.
Lower doses and longer intervals are recommended for those with CV disease or
long standing hypothyroidism.
How to determine appropriate dosage size for Levothyroxine - ANSWER-For
adults with no CV impairment start at 50mcg/day and increase by 25mcg every 2-
4 weeks.
For Older adults with no CV impairment start at 25-50mcg and increase by 12.5-
25 mcg every 6-8 weeks
Lower doses and longer intervals are recommended for those with CV impairment
and those with long standing hypothyroidism.
Therapy is decided by TSH levels as well. Most adults require a dose less than
200mcg and a dose of >300mcg lack of adherence or malabsorption.
What drugs are capable of having a drug-drug interaction with Synthroid. -
ANSWER-Potentiates effects of adrenergic agonists.
May inhibit adrenergic blocking drugs
,Which medication is best for chronic hypothyroidism - ANSWER-Levothyroxine
Which thyroid medication is most cardiotoxic - ANSWER-Liothyronine
Which thyroid medication has the disadvantage of not having content stability -
ANSWER-Liotrix
What are some advantages of Liothyronine over Levothyroxine - ANSWER-
Liothyronine has a faster onset of action and is more potent.
Advantage of using Levothyroxine over Liothyronine - ANSWER-Less cardiotoxic
and has a longer duration of action meaning that even if some doses are missed
thyroid levels can remain therapeutic.
What are some signs of Thyroid medication toxicity? - ANSWER-irritability,
insomnia, tachycardia, arrhythmias, elevated blood pressure, anxiety, weight loss,
all similar signs of hyperthyroidism.
Which antithyroid drug is used in pregnancy - ANSWER-Propylthiouracil
Which antithyroid drug has a black box warning for liver injury - ANSWER-
Propylthiouracil
Advantages of Methimazole over Propylthiouracil - ANSWER-Methimazole is more
potent, less toxic, not protein bound, and does not carry black box warning about
liver damage
, What adverse reactions can antithyroid medications cause - ANSWER-Allergic
reactions such as rash, and urticaria; Nausea and vomiting during initiation of
therapy; agranulocytosis and thrombocytopenia; Hypothyroidism (with long term
therapy); reoccurrence of hyperthyroidism after stopping treatment.
Which antidiabetics cause hypoglycemia - ANSWER-Sulfonylureas, meglitinides,
amylin agonists can all cause hypoglycemia.
Thiazolidinediones, Alpha Glucose inhibitors, and GLP-1 analogs can potentiate
hypoglycemia when given with other antidiabetics.
Which anti-diabetics are nephroprotective - ANSWER-DPP-4 (-gliptins) because in
patients without severe renal impairment, the typical progression of
microalbuminuria to proteinuria in DM appears to be reversed after 2 years on
saxagliptin use
Which anti-diabetics require dosage adjustments for renal impairment. -
ANSWER-DPP-4 (gliptins) and SGLT-2 inhibitors require dosage adjustments while
Metformin and Sulfonylureas are contraindicated in patients with renal failure.
Which anti-diabetic medications are contraindicated in Liver disease - ANSWER-
Metformin, Sulfonylureas, and Thiazolidinediones
What oral hypoglycemic is preferred in pregnancy - ANSWER-Metformin
Which oral hypoglycemic drug has a black box warning for CHF - ANSWER-
Thiazolidinediones (zones)
