. MVU Nurs 623 Exam 2 Latest Update 2025-2026
Exam 80 Questions with 100% Verified Correct
Answers Guaranteed A+
Are there any contraindications for starting the recommended first choice oral
hyperglycemic medication? Yes/ no? If so, what are the contraindications? - CORRECT
ANSWER: Yes-Impaired renal function (GFR<30), liver dz, ETOH abuse, unstable or
acute HF, past hx of lactic acidosis during metformin therapy, decreased tissue
perfusion or hemodynamic instability due to infections or other causes
A 10-year-old boy has type 1 DM. His late afternoon blood sugars over the past 2 weeks
have ranged from 210 to 230. HE currently injects 10 units of regular insulin and 25
unites of NPH in the am. And 15 units of regular insulin and 10 units of NPH in the
evening. Which of the following is the best treatment plan for this patient?
A. Increase both types of morning dose
B. Increase only the NPH insulin in the am
C. Decrease the afternoon dose of NPH
D. Decrease both NPH and regular insulin in the am - CORRECT ANSWER: Increase
only the NPH insulin in the am
A 21-year-old new mother reports that she has been feeling irritable and jittery almost
daily for the past few months. She complaints of frequent palpitations and more frequent
bowel movements along with weight loss. Her BP is 160/70 mmHg, pulse is 110 bpm,
and is afebrile. All of the following conditions should be considered in the differential
diagnosis for this patient except:
A. Mitral regurgitation
B. Grave's Disease
C. Generalized anxiety disorder
D. Illicit drug use - CORRECT ANSWER: Mitral regurgitation
,A 28-year-old woman with history of hypothyroidism presents to urgent care clinic
complaining of numbness and tingling in the fingertips of both her hands for several
hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient
reports that over the past few months she has had identical episodes, each lasting
several hours. During these episodes, the skin changes color from blue to white, and
then to dark red. Eventually, it returns to normal and the tingling and numbness
disappear. Which of the following conditions is best described? A. Hashimoto's disease
B. Raynaud's phenomenon
C. Peripheral neuropathy
D. Vitamin B 12 deficiency anemia. - CORRECT ANSWER: Raynaud's phenomenon
A 30-year-old woman with type 2 DM uses regular and NPH insulin the am and in the
evening. She denies changes to her diet or any illness but recently started attending
aerobic classes in the afternoon. Her fasting blood glucose level before breakfast and is
now elevated. Which of the following is best described?
A. Somogyi phenomenon
B. Dawn phenomenon
C. Raynaud's phenomenon
D. Insulin resistance - CORRECT ANSWER: Somogyi Phenomenon
A 35-year-old woman is complaining of gradual weight gain, lack of energy, and
amenorrhea. The urine pregnancy test is negative. A CBC count shows that hemoglobin
of 13.5 and MCV 84. The NP suspects that the patient may have hypothyroidism. The
TSH level is 10. Which of the following is the next step in the evaluation?
A. Check Thyroid profile
B. Check total T3 level
C. Check FSH level
D. Recheck TSH in 4-6 months - CORRECT ANSWER: Check Thyroid profile
A 55-year-old woman who has had type 2 diabetes for 20 years is concerned about her
kidneys. She has a history of three UTI's within the last 8 months but is currently
asymptomatic. Which of the following is the best course to follow?
, A. Recheck urine during visit, send urine specimen for culture and sensitivity, an refer to
a nephrologist
B. Order UA dipstick test to be repeated monthly
C. Order CT scan of kidneys
D. Provide empiric treatment for UTI - CORRECT ANSWER: Recheck urine during visit
and send for culture.
A 65-year-old Hispanic woman has a history of type 2 DM. A routine UA reveals a few
epithelial cells and negative for leukocytes, nitrates, and protein. The serum creatinine
is 1.5 mg/dL. Which of the following actions would you recommend next?
A. Order a urine test for culture and sensitivity (C and S)
B. Order a spot urine for microalbumin to creatinine ration
C. Because the urinalysis is negative, no further testing necessary.
D. Recommend a screening IV pyelogram - CORRECT ANSWER: Order spot urine for
microalbumin
A female patient who has BMI of 29 has a 20-year history of primary hypertension. She
has been taking HCTZ 25 mg po daily with excellent results. On this visit, she
complaints of feeling thirsty all the time even though she drinks more than 10 glasses of
water per day. She reports to the NP that she has been having this problem for about 6
months. Upon reading the chart, the NP notes that the last two fasting Blood sugars
have been 140 and 168. The result of the random blood glucose test is 210. Which of
the following is the appropriate action to follow at this visit?
A. Order another random blood glucose in 2 weeks
B. Initiate prescription for metformin 500 mg po BID
C. Order 3-hour glucose tolerance test
D. Order A1C - CORRECT ANSWER: Order an A1C
A male patient has type 2 DM and a "sensitive stomach". Which medication is least
likely cause him GI distress?
Exam 80 Questions with 100% Verified Correct
Answers Guaranteed A+
Are there any contraindications for starting the recommended first choice oral
hyperglycemic medication? Yes/ no? If so, what are the contraindications? - CORRECT
ANSWER: Yes-Impaired renal function (GFR<30), liver dz, ETOH abuse, unstable or
acute HF, past hx of lactic acidosis during metformin therapy, decreased tissue
perfusion or hemodynamic instability due to infections or other causes
A 10-year-old boy has type 1 DM. His late afternoon blood sugars over the past 2 weeks
have ranged from 210 to 230. HE currently injects 10 units of regular insulin and 25
unites of NPH in the am. And 15 units of regular insulin and 10 units of NPH in the
evening. Which of the following is the best treatment plan for this patient?
A. Increase both types of morning dose
B. Increase only the NPH insulin in the am
C. Decrease the afternoon dose of NPH
D. Decrease both NPH and regular insulin in the am - CORRECT ANSWER: Increase
only the NPH insulin in the am
A 21-year-old new mother reports that she has been feeling irritable and jittery almost
daily for the past few months. She complaints of frequent palpitations and more frequent
bowel movements along with weight loss. Her BP is 160/70 mmHg, pulse is 110 bpm,
and is afebrile. All of the following conditions should be considered in the differential
diagnosis for this patient except:
A. Mitral regurgitation
B. Grave's Disease
C. Generalized anxiety disorder
D. Illicit drug use - CORRECT ANSWER: Mitral regurgitation
,A 28-year-old woman with history of hypothyroidism presents to urgent care clinic
complaining of numbness and tingling in the fingertips of both her hands for several
hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient
reports that over the past few months she has had identical episodes, each lasting
several hours. During these episodes, the skin changes color from blue to white, and
then to dark red. Eventually, it returns to normal and the tingling and numbness
disappear. Which of the following conditions is best described? A. Hashimoto's disease
B. Raynaud's phenomenon
C. Peripheral neuropathy
D. Vitamin B 12 deficiency anemia. - CORRECT ANSWER: Raynaud's phenomenon
A 30-year-old woman with type 2 DM uses regular and NPH insulin the am and in the
evening. She denies changes to her diet or any illness but recently started attending
aerobic classes in the afternoon. Her fasting blood glucose level before breakfast and is
now elevated. Which of the following is best described?
A. Somogyi phenomenon
B. Dawn phenomenon
C. Raynaud's phenomenon
D. Insulin resistance - CORRECT ANSWER: Somogyi Phenomenon
A 35-year-old woman is complaining of gradual weight gain, lack of energy, and
amenorrhea. The urine pregnancy test is negative. A CBC count shows that hemoglobin
of 13.5 and MCV 84. The NP suspects that the patient may have hypothyroidism. The
TSH level is 10. Which of the following is the next step in the evaluation?
A. Check Thyroid profile
B. Check total T3 level
C. Check FSH level
D. Recheck TSH in 4-6 months - CORRECT ANSWER: Check Thyroid profile
A 55-year-old woman who has had type 2 diabetes for 20 years is concerned about her
kidneys. She has a history of three UTI's within the last 8 months but is currently
asymptomatic. Which of the following is the best course to follow?
, A. Recheck urine during visit, send urine specimen for culture and sensitivity, an refer to
a nephrologist
B. Order UA dipstick test to be repeated monthly
C. Order CT scan of kidneys
D. Provide empiric treatment for UTI - CORRECT ANSWER: Recheck urine during visit
and send for culture.
A 65-year-old Hispanic woman has a history of type 2 DM. A routine UA reveals a few
epithelial cells and negative for leukocytes, nitrates, and protein. The serum creatinine
is 1.5 mg/dL. Which of the following actions would you recommend next?
A. Order a urine test for culture and sensitivity (C and S)
B. Order a spot urine for microalbumin to creatinine ration
C. Because the urinalysis is negative, no further testing necessary.
D. Recommend a screening IV pyelogram - CORRECT ANSWER: Order spot urine for
microalbumin
A female patient who has BMI of 29 has a 20-year history of primary hypertension. She
has been taking HCTZ 25 mg po daily with excellent results. On this visit, she
complaints of feeling thirsty all the time even though she drinks more than 10 glasses of
water per day. She reports to the NP that she has been having this problem for about 6
months. Upon reading the chart, the NP notes that the last two fasting Blood sugars
have been 140 and 168. The result of the random blood glucose test is 210. Which of
the following is the appropriate action to follow at this visit?
A. Order another random blood glucose in 2 weeks
B. Initiate prescription for metformin 500 mg po BID
C. Order 3-hour glucose tolerance test
D. Order A1C - CORRECT ANSWER: Order an A1C
A male patient has type 2 DM and a "sensitive stomach". Which medication is least
likely cause him GI distress?
