NURS 660 PSYCHOPHARM EXAM 1 ,2,3 AND 4 LATEST
MARYVILLE UNIVERSITY COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
The effects of GLP-1 Agonist medications include all of the following EXCEPT:
Select one:
a. glucagon induced gluconeogenesis
b. increased satiety
c. improved glycemic control
d. glucose dependent insulin secretion - ANSWER: glucagon induced gluconeogenesis
A common adverse effect with SGLT-2 Inhibitors is:
Select one:
a. edema
b. mycotic infection
c. hypertension
d. weight gain - ANSWER: Mycotic Infection
Due to the increased risk for hypoglycemia, the following two medication classes
should not be used in combination:
Select one:
a. insulin and metformin
b. insulin and sulfonylurea
c. insulin and thiazolidinedione
d. insulin and acarbose - ANSWER: Insulin and Sulfonylurea
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?
Select one:
a. Diet, exercise, and metformin
b. No treatment at this time
c. Diet and exercise
d. Diet, exercise, and exogenous insulin - ANSWER: Diet and exercise, Diet, exercise,
and metformin
Which medication is an insulin secretagogue (mechanism of action is to secrete
insulin)?
Select one:
a. acarbose (alpha-glucosidase inhibitor)
b. empagliflozin (SGLT2 Inhibitor)
c. rosiglitazone (thiazolidinedione)
d. glipizide (sulfonylurea) - ANSWER: glipizide (sulfonylurea)
The "ominous octet" includes all of the following EXCEPT:
,Select one:
a. insulin resistance
b. decreased insulin production
c. decreased incretin hormones
d. increased incretin hormones - ANSWER: increased incretin hormones
In which patient would the clinician NOT initiate metformin?
Select one:
a. 60 year old with a history of medullary thyroid cancer
b. 54 year old with an allergy to penicillin
c. 71 year old with an eGFR of 60
d. 62 year old with an eGFR of 40 - ANSWER: 62 year old with an eGFR of 40
Which medication can cause hyperglycemia?
Select one:
a. Cephalexin (Keflex)
b. Levothyroxine (Synthroid)
c. Metformin (Glucophage)
d. Prednisolone (Omnipred) - ANSWER: Prednisolone (Omnipred)
Insulin should be initiated for the patient with Type 2 DM when the HgbA1C is
Select one:
a. 7
b. 8
c. 10
d. 7.5 - ANSWER: 10
How often should the clinician examine the feet of a person with diabetes?
Select one:
a. Every year
b. Every 3 months
c. Every visit
d. Every 6 months - ANSWER: Every visit
Claire is a patient complaining that her left leg is cool, pale, smaller than her right,
and has thick toenails. Which condition may she be experiencing?
Select one:
a. Peripheral artery disease
b. Deep vein thrombosis
c. Anemia
d. Pulmonary embolism - ANSWER: Peripheral Artery Disease
What of the following patients is a candidate for a high intensity statin?
Select one:
a. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%.
b. Christa is a 65-year-old female with a history of myocardial infarction (MI).
c. Jerry is a 55-year-old male with a history of syncope.
,d. April is an 85-year-old female with a low-density lipoprotein (LDL) level of 180. -
ANSWER: Christa is a 65-year-old female with a history of myocardial infarction (MI).
Which of the following may help a clinician to determine whether palpitations are
caused by a potentially lethal cardiac rhythm?
Select one:
a. Thyroid panel
b. Holter monitoring
c. Complete blood count (CBC)
d. Computed axial tomography (CAT) scan - ANSWER: Holter Monitoring
Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or
one spray should be used under the tongue every 5 minutes for three doses. What
should be done if the pain has not been relieved after three doses?
Select one:
a. A portable defibrillator should be located to ascertain the cardiac rhythm.
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. 911 should be called, and the patient should be transported immediately to the
emergency department. - ANSWER: 911 should be called, and the patient should be
transported immediately to the emergency department.
Which of these patients is at a higher risk for developing deep vein thrombosis?
Select one:
a. Diane, a 15-year-old female with type 1 diabetes
b. Ben, a 23-year-old male with a history of a pneumothorax
c. Jerry, a 64-year-old man with a history of epilepsy
d. Samantha, a 45-year-old female undergoing a hysterectomy - ANSWER: Samantha,
a 45-year-old female undergoing a hysterectomy
There are four stages of heart failure, classified as A to D, that describe the evolution
and progression of disease. In which stage do patients have refractory symptoms of
heart failure?
Select one:
a. Stage A
b. Stage B
c. Stage C
d. Stage D - ANSWER: Stage D
In which type of atrioventricular (AV) block does the (PR) interval lengthen until a
beat is dropped?
Select one:
a. Second-degree Mobitz II AV block
b. Second-degree Mobitz I AV block
c. Third-degree AV block
d. First-degree AV block - ANSWER: Second-degree Mobitz I AV block
, Samuel is going to the dentist for some work and must take endocarditis prophylaxis
because of his history of:
Select one:
a. Severe hypertension
b. A common valvular lesion
c. A prosthetic heart valve
d. Severe asthma - ANSWER: A prosthetic heart valve
You are assessing Molly for metabolic syndrome. Which of her parameters is
indicative of this syndrome?
Select one:
a. Her waist is 38 inches.
b. Her BP is 128/84.
c. Her triglyceride level is 140 mg/dL.
d. Her fasting blood sugar (BS) is 108 mg/dL. - ANSWER: Her waist is 38 inches., Her
fasting blood sugar (BS) is 108 mg/dL.
Which high-density lipoprotein (HDL) level is considered cardioprotective?
Select one:
a. Greater than 60
b. Greater than 50
c. Greater than 30
d. Greater than 40 - ANSWER: Greater than 60
Laboratory results for thalassemia may be similar to laboratory results for which
other condition?
Select one:
a. folate-deficiency anemia
b. Vitamin B12-deficiency anemia
c. aplastic anemia
d. iron deficiency anemia - ANSWER: iron deficiency anemia
A majority of cases of infectious mononucleosis are caused by one of the following:
Select one:
a. CMV
b. HBV
c. HIV
d. EBV - ANSWER: EBV
What is the current goal of treatment for a patient with HIV infection?
Select one:
a. Compete eradication of the virus
b. Total abstinence
c. Limit contact with uninfected individuals
d. Viral suppression to undetectable levels - ANSWER: Viral suppression to
undetectable levels
MARYVILLE UNIVERSITY COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
The effects of GLP-1 Agonist medications include all of the following EXCEPT:
Select one:
a. glucagon induced gluconeogenesis
b. increased satiety
c. improved glycemic control
d. glucose dependent insulin secretion - ANSWER: glucagon induced gluconeogenesis
A common adverse effect with SGLT-2 Inhibitors is:
Select one:
a. edema
b. mycotic infection
c. hypertension
d. weight gain - ANSWER: Mycotic Infection
Due to the increased risk for hypoglycemia, the following two medication classes
should not be used in combination:
Select one:
a. insulin and metformin
b. insulin and sulfonylurea
c. insulin and thiazolidinedione
d. insulin and acarbose - ANSWER: Insulin and Sulfonylurea
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?
Select one:
a. Diet, exercise, and metformin
b. No treatment at this time
c. Diet and exercise
d. Diet, exercise, and exogenous insulin - ANSWER: Diet and exercise, Diet, exercise,
and metformin
Which medication is an insulin secretagogue (mechanism of action is to secrete
insulin)?
Select one:
a. acarbose (alpha-glucosidase inhibitor)
b. empagliflozin (SGLT2 Inhibitor)
c. rosiglitazone (thiazolidinedione)
d. glipizide (sulfonylurea) - ANSWER: glipizide (sulfonylurea)
The "ominous octet" includes all of the following EXCEPT:
,Select one:
a. insulin resistance
b. decreased insulin production
c. decreased incretin hormones
d. increased incretin hormones - ANSWER: increased incretin hormones
In which patient would the clinician NOT initiate metformin?
Select one:
a. 60 year old with a history of medullary thyroid cancer
b. 54 year old with an allergy to penicillin
c. 71 year old with an eGFR of 60
d. 62 year old with an eGFR of 40 - ANSWER: 62 year old with an eGFR of 40
Which medication can cause hyperglycemia?
Select one:
a. Cephalexin (Keflex)
b. Levothyroxine (Synthroid)
c. Metformin (Glucophage)
d. Prednisolone (Omnipred) - ANSWER: Prednisolone (Omnipred)
Insulin should be initiated for the patient with Type 2 DM when the HgbA1C is
Select one:
a. 7
b. 8
c. 10
d. 7.5 - ANSWER: 10
How often should the clinician examine the feet of a person with diabetes?
Select one:
a. Every year
b. Every 3 months
c. Every visit
d. Every 6 months - ANSWER: Every visit
Claire is a patient complaining that her left leg is cool, pale, smaller than her right,
and has thick toenails. Which condition may she be experiencing?
Select one:
a. Peripheral artery disease
b. Deep vein thrombosis
c. Anemia
d. Pulmonary embolism - ANSWER: Peripheral Artery Disease
What of the following patients is a candidate for a high intensity statin?
Select one:
a. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%.
b. Christa is a 65-year-old female with a history of myocardial infarction (MI).
c. Jerry is a 55-year-old male with a history of syncope.
,d. April is an 85-year-old female with a low-density lipoprotein (LDL) level of 180. -
ANSWER: Christa is a 65-year-old female with a history of myocardial infarction (MI).
Which of the following may help a clinician to determine whether palpitations are
caused by a potentially lethal cardiac rhythm?
Select one:
a. Thyroid panel
b. Holter monitoring
c. Complete blood count (CBC)
d. Computed axial tomography (CAT) scan - ANSWER: Holter Monitoring
Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or
one spray should be used under the tongue every 5 minutes for three doses. What
should be done if the pain has not been relieved after three doses?
Select one:
a. A portable defibrillator should be located to ascertain the cardiac rhythm.
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. 911 should be called, and the patient should be transported immediately to the
emergency department. - ANSWER: 911 should be called, and the patient should be
transported immediately to the emergency department.
Which of these patients is at a higher risk for developing deep vein thrombosis?
Select one:
a. Diane, a 15-year-old female with type 1 diabetes
b. Ben, a 23-year-old male with a history of a pneumothorax
c. Jerry, a 64-year-old man with a history of epilepsy
d. Samantha, a 45-year-old female undergoing a hysterectomy - ANSWER: Samantha,
a 45-year-old female undergoing a hysterectomy
There are four stages of heart failure, classified as A to D, that describe the evolution
and progression of disease. In which stage do patients have refractory symptoms of
heart failure?
Select one:
a. Stage A
b. Stage B
c. Stage C
d. Stage D - ANSWER: Stage D
In which type of atrioventricular (AV) block does the (PR) interval lengthen until a
beat is dropped?
Select one:
a. Second-degree Mobitz II AV block
b. Second-degree Mobitz I AV block
c. Third-degree AV block
d. First-degree AV block - ANSWER: Second-degree Mobitz I AV block
, Samuel is going to the dentist for some work and must take endocarditis prophylaxis
because of his history of:
Select one:
a. Severe hypertension
b. A common valvular lesion
c. A prosthetic heart valve
d. Severe asthma - ANSWER: A prosthetic heart valve
You are assessing Molly for metabolic syndrome. Which of her parameters is
indicative of this syndrome?
Select one:
a. Her waist is 38 inches.
b. Her BP is 128/84.
c. Her triglyceride level is 140 mg/dL.
d. Her fasting blood sugar (BS) is 108 mg/dL. - ANSWER: Her waist is 38 inches., Her
fasting blood sugar (BS) is 108 mg/dL.
Which high-density lipoprotein (HDL) level is considered cardioprotective?
Select one:
a. Greater than 60
b. Greater than 50
c. Greater than 30
d. Greater than 40 - ANSWER: Greater than 60
Laboratory results for thalassemia may be similar to laboratory results for which
other condition?
Select one:
a. folate-deficiency anemia
b. Vitamin B12-deficiency anemia
c. aplastic anemia
d. iron deficiency anemia - ANSWER: iron deficiency anemia
A majority of cases of infectious mononucleosis are caused by one of the following:
Select one:
a. CMV
b. HBV
c. HIV
d. EBV - ANSWER: EBV
What is the current goal of treatment for a patient with HIV infection?
Select one:
a. Compete eradication of the virus
b. Total abstinence
c. Limit contact with uninfected individuals
d. Viral suppression to undetectable levels - ANSWER: Viral suppression to
undetectable levels
