NU 623 UNIT 6 QUIZ 3 | QUESTIONS AND ANSWERS |
2026 UPDATE | WITH COMPLETE SOLUTION
A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with
type 2 diabetes mellitus (DM). The A1c is 7.1%. What is the best initial
treatment?
A. No treatment at this time
B. Diet and exercise
C. Diet, exercise, and metformin
D. Diet, exercise, and exogenous insulin Answer - C. Diet, exercise, and
metformin
The clinician suspects that a patient seen in the office has hyperthyroidism.
Which test should the clinician order on the initial visit?
A. Sensitive thyroid-stimulating hormone (TSH) assay and T4
B. Free T4 and serum calcium
C. Nuclear scintigraphy with radiolabeled iodine (123I)
D. Magnetic resonance imaging Answer - A. Sensitive thyroid-stimulating
hormone (TSH) assay and T4
Which statement made by a patient with type 1 diabetes indicates successful
teaching regarding general guidelines for exercise?
A. "I will not exercise if my blood sugar is 315."
B. "I should just check my blood glucose after exercise."
C. "I should eat more carbohydrates if my blood glucose is less than 200."
, D. "I will exercise when my urine ketones are positive but blood sugar is 260."
Answer - A. "I will not exercise if my blood sugar is 315."
A male patient with type 1 diabetes comes to the clinic complaining of feeling
nervous and clammy. He states that he took his insulin this morning but was
late for work and did not eat breakfast. Which action should the clinician take
first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. Answer - B. Have him drink 4 ounces
of juice.
A patient with type 2 diabetes comes to the clinic after reading about
metformin in a magazine. Which condition that the patient also has would be a
contraindication to taking metformin?
A. Ulcerative colitis
B. Inflammatory bowel disease
C. Chronic obstructive pulmonary disease
D. Renal disease Answer - D. Renal disease
A 25-year-old patient presents to the clinic with fatigue, cold intolerance,
weight gain, and constipation for the past 3 months. On physical examination,
the clinician notices muscular stiffness; coarse, dry hair; and a delay in
relaxation in deep tendon reflexes. Which test should be ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity Answer - B. Thyroid-stimulating hormone
2026 UPDATE | WITH COMPLETE SOLUTION
A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with
type 2 diabetes mellitus (DM). The A1c is 7.1%. What is the best initial
treatment?
A. No treatment at this time
B. Diet and exercise
C. Diet, exercise, and metformin
D. Diet, exercise, and exogenous insulin Answer - C. Diet, exercise, and
metformin
The clinician suspects that a patient seen in the office has hyperthyroidism.
Which test should the clinician order on the initial visit?
A. Sensitive thyroid-stimulating hormone (TSH) assay and T4
B. Free T4 and serum calcium
C. Nuclear scintigraphy with radiolabeled iodine (123I)
D. Magnetic resonance imaging Answer - A. Sensitive thyroid-stimulating
hormone (TSH) assay and T4
Which statement made by a patient with type 1 diabetes indicates successful
teaching regarding general guidelines for exercise?
A. "I will not exercise if my blood sugar is 315."
B. "I should just check my blood glucose after exercise."
C. "I should eat more carbohydrates if my blood glucose is less than 200."
, D. "I will exercise when my urine ketones are positive but blood sugar is 260."
Answer - A. "I will not exercise if my blood sugar is 315."
A male patient with type 1 diabetes comes to the clinic complaining of feeling
nervous and clammy. He states that he took his insulin this morning but was
late for work and did not eat breakfast. Which action should the clinician take
first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. Answer - B. Have him drink 4 ounces
of juice.
A patient with type 2 diabetes comes to the clinic after reading about
metformin in a magazine. Which condition that the patient also has would be a
contraindication to taking metformin?
A. Ulcerative colitis
B. Inflammatory bowel disease
C. Chronic obstructive pulmonary disease
D. Renal disease Answer - D. Renal disease
A 25-year-old patient presents to the clinic with fatigue, cold intolerance,
weight gain, and constipation for the past 3 months. On physical examination,
the clinician notices muscular stiffness; coarse, dry hair; and a delay in
relaxation in deep tendon reflexes. Which test should be ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity Answer - B. Thyroid-stimulating hormone
