NURS 566 PHARM EXAM|CARE OR THE
FAMILY QUESTIONS WITH ANSWERS
2022/2023
I understand the value of doing my own work and learning this skill to support my future
independent practice as a nurse practitioner. I understand that while there may be opportunities
Question 1
pts
beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit
my own personal and professional growth to do so. I agree to do my own work and take personal
responsibility for my learning.
I do not.
I do.
Question 2
pts
Use the John Jones case study to answer the following question.
Which glucose level equates with a Hgb A1C of 8.1%?
~204 mg/dl
~160 mg/dl
~175 mg/dl
~183 mg/dl
The correct answer is ~ 183mg/ dl. See page 400, Table 48.4, Hemoglobin A1c levels and their
corresponding eAG levels for complete information.
Question 3
pts
Use the John Jones case study to answer the following question.
John calls the office and reports that he is scheduled for diagnostic testing that requires IV
contrast for imaging. He inquires if there are concerns with undergoing this procedure while
taking his medications. What instructions should be given to John regarding his metformin
regimen?
,NURS 566 PHARM EXAM|CARE OR THE
FAMILY QUESTIONS WITH ANSWERS
2022/2023
Don’t take the metformin the day of the procedure and for 48 hours afterward.
,No special instructions are
needed.
Take the metformin the morning of the procedure but don’t take it for 48 hours afterward.
Don’t take the metformin the day of the procedure but resume the following day.
Metformin must be withheld on the day of the procedure and for 48 hours afterward. Serum
creatinine levels should be normal before resuming metformin.
Question 4
pts
Use the John Jones case study to answer the following question.
Which of the following lab test should be evaluated before prescribing metformin?
Complete blood count (CBC)
Complete metabolic profile (CMP)
Lipid Panel
Urinalysis
CMP provides a baseline evaluation for both hepatic and renal function which should be
evaluated throughout treatment with metformin.
Question 5
pts
Use the John Jones case study to answer the following question.
Which behavior in John’s social history poses a potential concern with initiating metformin?
His diet largely consists of fast-food meals. He drinks sweet tea with every meal.
He reports drinking ―a few beers on the weekend during football season‖.
, No answer text provided.
He drinks 3-4 cups of coffee per day.
Metformin is contraindicated in alcoholics. Although it does not sound as if John is an alcoholic,
further questioning is needed, and the discussion should be documented. Metformin taken by
alcoholics increases the risk of lactic acidosis so John should be educated on this risk along with
signs and symptoms of lactic acidosis.
Question 6
pts
Use the John Jones case study to answer the following question.
Metformin works by decreasing and .
glucogenesis; incretin secretion
incretin secretion; insulin production
Correct Answer
glucogenesis; insulin resistance
insulin resistance; incretin secretion
Metformin decreases glucogenesis and insulin resistance.
Question 7
pts
Use the John Jones case study to answer the following question.
Using the ADA Standards of Medical Care in Diabetes-2020, which of the following medications
should be prescribed for John?
Canagliflozin
Glyburide
Dulaglutide
FAMILY QUESTIONS WITH ANSWERS
2022/2023
I understand the value of doing my own work and learning this skill to support my future
independent practice as a nurse practitioner. I understand that while there may be opportunities
Question 1
pts
beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit
my own personal and professional growth to do so. I agree to do my own work and take personal
responsibility for my learning.
I do not.
I do.
Question 2
pts
Use the John Jones case study to answer the following question.
Which glucose level equates with a Hgb A1C of 8.1%?
~204 mg/dl
~160 mg/dl
~175 mg/dl
~183 mg/dl
The correct answer is ~ 183mg/ dl. See page 400, Table 48.4, Hemoglobin A1c levels and their
corresponding eAG levels for complete information.
Question 3
pts
Use the John Jones case study to answer the following question.
John calls the office and reports that he is scheduled for diagnostic testing that requires IV
contrast for imaging. He inquires if there are concerns with undergoing this procedure while
taking his medications. What instructions should be given to John regarding his metformin
regimen?
,NURS 566 PHARM EXAM|CARE OR THE
FAMILY QUESTIONS WITH ANSWERS
2022/2023
Don’t take the metformin the day of the procedure and for 48 hours afterward.
,No special instructions are
needed.
Take the metformin the morning of the procedure but don’t take it for 48 hours afterward.
Don’t take the metformin the day of the procedure but resume the following day.
Metformin must be withheld on the day of the procedure and for 48 hours afterward. Serum
creatinine levels should be normal before resuming metformin.
Question 4
pts
Use the John Jones case study to answer the following question.
Which of the following lab test should be evaluated before prescribing metformin?
Complete blood count (CBC)
Complete metabolic profile (CMP)
Lipid Panel
Urinalysis
CMP provides a baseline evaluation for both hepatic and renal function which should be
evaluated throughout treatment with metformin.
Question 5
pts
Use the John Jones case study to answer the following question.
Which behavior in John’s social history poses a potential concern with initiating metformin?
His diet largely consists of fast-food meals. He drinks sweet tea with every meal.
He reports drinking ―a few beers on the weekend during football season‖.
, No answer text provided.
He drinks 3-4 cups of coffee per day.
Metformin is contraindicated in alcoholics. Although it does not sound as if John is an alcoholic,
further questioning is needed, and the discussion should be documented. Metformin taken by
alcoholics increases the risk of lactic acidosis so John should be educated on this risk along with
signs and symptoms of lactic acidosis.
Question 6
pts
Use the John Jones case study to answer the following question.
Metformin works by decreasing and .
glucogenesis; incretin secretion
incretin secretion; insulin production
Correct Answer
glucogenesis; insulin resistance
insulin resistance; incretin secretion
Metformin decreases glucogenesis and insulin resistance.
Question 7
pts
Use the John Jones case study to answer the following question.
Using the ADA Standards of Medical Care in Diabetes-2020, which of the following medications
should be prescribed for John?
Canagliflozin
Glyburide
Dulaglutide
