NURS 615 exam 3 2025, Maryville University nursing exam
NURS 615 EXAM 3 2025, MARYVILLE UNIVERSITY NURSING EXAM
QUESTIONS, VERIFIED NURS 615 ANSWERS, NURS 615 STUDY GUIDE
PDF, NURS 615 EXAM PREP 2025, GRADED A+
Lispro is an insulin analogue produced by recombinant DNA technology. Based on the
statements below which is NOT TRUE?
a. Duration of action is increased when the dose in increased
b. Optimal time of preprandial injection is 15 minutes
c. It has no pronounced peak
d. It is compatible with neutral protamine Hagedorn insulin - ANSWER-a. Duration of action is
increased when the dose in increased
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it: -
ANSWER-Decreases glycogneolysis by the liver
When blood glucose levels are difficult to control in type 2 diabetes some form of insulin may
be added to the treatment regimen to control blood glucose and limit complication risks. Which
of the following statements is accurate based on research?
a. Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than
long-acting insulins.
b. Premixed insulin analogues are better at lowering HbA1C and have less risk for hypoglycemia.
c. Patients who are not controlled on oral agents and have postprandial hyperglycemia can have
neutral protamine Hagedorn insulin added at bedtime.
d. Premixed insulin analogues and the newer premixed insulins are associated with more weight
gain than the oral antidiabetic agents. - ANSWER-a. Newer premixed insulins are better at
lowering HbA1C and postprandial glucose levels than long-acting insulins.
The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH) insulin
to insulin glargine to improve glycemic control throughout the day. If this is done: - ANSWER-
The initial dose of glargine is reduced by 20% to avoid hypoglycemia
1|Page
, NURS 615 exam 3 2025, Maryville University nursing exam
Prior to prescribing metformin, you as the provider should - ANSWER-Draw a serum creatinine
to assess renal function
Type 2 diabetes is a complex disorder involving - ANSWER-a suboptimal response of insulin
sensitive tissues in the liver
Routine screening of asymptomatic adults for diabetes is appropriate for: - ANSWER-Native
americans
African americans
Hispanics
The action of "gliptins" is different from other antidiabetic agents because they: - ANSWER-act
on the incretin system to indirectly increase insulin production
GLP-1 agonists - ANSWER-Directly bind to a receptor in the pancreatic beta cell
Avoid concurrent administration of exenatide with which of the following drugs? - ANSWER-
Digoxin, warfarin, lovastatin
Administration of exenatide is by subcutaneous injection: - ANSWER-60 minutes prior to the
morning and evening meal
Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you
diagnose him with gout. Of the following options which would be the best treatment for Mr.
Holloway? - ANSWER-Low-dose colchicine
How is low dose colchicine prescribed? - ANSWER-1.2 mg followed by 0.6 mg one hour later or
1.8 mg total
2|Page
, NURS 615 exam 3 2025, Maryville University nursing exam
How is high dose colchicine prescribed? - ANSWER-1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg
total
Patient education when prescribing colchicine includes? - ANSWER-Colchicine always causes
some degree of diarrhea
You have a patient who is taking allopurinol to prevent gout. What labs will you monitor for this
patient on allopurinol? - ANSWER-BUN, creatinine, and creatinine clearance
Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be
educated on what to expect. - ANSWER-Gout may worsen with therapy
Ms. Jensen has been on prednisone for 6 months. Patients who have been on prednisone for
some time should be assessed for what - ANSWER-Osteoporosis
What dose predinisone do in diabetics? - ANSWER-Worsen blood glucose control
What teaching do you given patients taking prednisone? - ANSWER-report and black, tarry
stools or abdominal pain
When you place a patient on prednisone and the total dose exceeds 1 gram, what additional
drug should you prescribe - ANSWER-Omeprazole, a proton-pump inhibitor to prevent PUD
Janet has fractured her ankle and you give her a prescription for Vicodin (acetaminophen
+hydrocodone). What education should you provide before they leave your clinic? - ANSWER-
Patient should not take any other medications that contain acetaminophen
What is the first line of pain control? - ANSWER-NSAIDS
3|Page
NURS 615 EXAM 3 2025, MARYVILLE UNIVERSITY NURSING EXAM
QUESTIONS, VERIFIED NURS 615 ANSWERS, NURS 615 STUDY GUIDE
PDF, NURS 615 EXAM PREP 2025, GRADED A+
Lispro is an insulin analogue produced by recombinant DNA technology. Based on the
statements below which is NOT TRUE?
a. Duration of action is increased when the dose in increased
b. Optimal time of preprandial injection is 15 minutes
c. It has no pronounced peak
d. It is compatible with neutral protamine Hagedorn insulin - ANSWER-a. Duration of action is
increased when the dose in increased
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it: -
ANSWER-Decreases glycogneolysis by the liver
When blood glucose levels are difficult to control in type 2 diabetes some form of insulin may
be added to the treatment regimen to control blood glucose and limit complication risks. Which
of the following statements is accurate based on research?
a. Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than
long-acting insulins.
b. Premixed insulin analogues are better at lowering HbA1C and have less risk for hypoglycemia.
c. Patients who are not controlled on oral agents and have postprandial hyperglycemia can have
neutral protamine Hagedorn insulin added at bedtime.
d. Premixed insulin analogues and the newer premixed insulins are associated with more weight
gain than the oral antidiabetic agents. - ANSWER-a. Newer premixed insulins are better at
lowering HbA1C and postprandial glucose levels than long-acting insulins.
The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH) insulin
to insulin glargine to improve glycemic control throughout the day. If this is done: - ANSWER-
The initial dose of glargine is reduced by 20% to avoid hypoglycemia
1|Page
, NURS 615 exam 3 2025, Maryville University nursing exam
Prior to prescribing metformin, you as the provider should - ANSWER-Draw a serum creatinine
to assess renal function
Type 2 diabetes is a complex disorder involving - ANSWER-a suboptimal response of insulin
sensitive tissues in the liver
Routine screening of asymptomatic adults for diabetes is appropriate for: - ANSWER-Native
americans
African americans
Hispanics
The action of "gliptins" is different from other antidiabetic agents because they: - ANSWER-act
on the incretin system to indirectly increase insulin production
GLP-1 agonists - ANSWER-Directly bind to a receptor in the pancreatic beta cell
Avoid concurrent administration of exenatide with which of the following drugs? - ANSWER-
Digoxin, warfarin, lovastatin
Administration of exenatide is by subcutaneous injection: - ANSWER-60 minutes prior to the
morning and evening meal
Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you
diagnose him with gout. Of the following options which would be the best treatment for Mr.
Holloway? - ANSWER-Low-dose colchicine
How is low dose colchicine prescribed? - ANSWER-1.2 mg followed by 0.6 mg one hour later or
1.8 mg total
2|Page
, NURS 615 exam 3 2025, Maryville University nursing exam
How is high dose colchicine prescribed? - ANSWER-1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg
total
Patient education when prescribing colchicine includes? - ANSWER-Colchicine always causes
some degree of diarrhea
You have a patient who is taking allopurinol to prevent gout. What labs will you monitor for this
patient on allopurinol? - ANSWER-BUN, creatinine, and creatinine clearance
Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be
educated on what to expect. - ANSWER-Gout may worsen with therapy
Ms. Jensen has been on prednisone for 6 months. Patients who have been on prednisone for
some time should be assessed for what - ANSWER-Osteoporosis
What dose predinisone do in diabetics? - ANSWER-Worsen blood glucose control
What teaching do you given patients taking prednisone? - ANSWER-report and black, tarry
stools or abdominal pain
When you place a patient on prednisone and the total dose exceeds 1 gram, what additional
drug should you prescribe - ANSWER-Omeprazole, a proton-pump inhibitor to prevent PUD
Janet has fractured her ankle and you give her a prescription for Vicodin (acetaminophen
+hydrocodone). What education should you provide before they leave your clinic? - ANSWER-
Patient should not take any other medications that contain acetaminophen
What is the first line of pain control? - ANSWER-NSAIDS
3|Page
