NR 565 VERIFIED EXAM QUESTIONS AND ANSWERS
Haemophilus influenzae type b (Hib) vaccine
Pneumococcal vaccine (PCV13)
Pneumococcal polysaccharide vaccine (PPSV)
Meningococcal vaccine (MCV4)
· Inactive viral antigen
· Toxoids
· Bacterial polysaccharide conjugated to protein
· Live virus
· Bacterial polysaccharide conjugated to protein
Meningococcal subgroup B vaccine
Live virus
Inactive viral antigen
DNA-free virus-like particles
Recombinant protein solution
Recombinant protein solution
A patient is has just been prescribed levothyroxine. The NP put in a lab order to
check TSH levels in:1. 1.4-6 weeks 2. one week 3. 6-8 weeks 4. once a year
6-8 weeks
A patient comes into the clinic complaining of sore throat and fever. She has
recently started Methimazole in the last 4 weeks. What does this suggest?
Agranulocytosis. Must check CBC and LFTS for infection. Labs may not always catch in
time since it progresses rapidly.
MONITOR LFTS WITH METHIMAZOLE
A newly pregnant mother shows understanding of Hypothyroidism in pregnant
women by stating(Select all that apply)
1. I can keep my current dose of levothyroxine
2. I know that if I don't take my medicine it can cause permanent damage to my
baby
, 3. I will need to increase my dose of medicine for a short-time
4. My baby will start to make her own thyroid hormones in week 3
2. I know that if I don't take my medicine it can cause permanent damage to my baby
3. I will need to increase my dose of medicine for a short-time
What is the role of Radioactive Iodine and what is a possible adverse effect?
TO destroy thyroid tissue with those with hyperthyroidism. And/or have not responded
to therapy.
Beta blockers in diabetes
Can mask the signs/symptoms of hypoglycemia
A1C target in children/adolescents
<7%
Insulin dose calculations
1: calculate TDD by using 0.6units/kg/day
2: calculate mealtime carbohydrate-to-insulin dose by dividing 500 (for rapid acting) or
450 (for regular insulin) by TDD
3: round your number
4: now you have your carbohydrate-to-insulin ratio such as 1:10
Example: if meal is 60g of carbs, 60g divided by 10 is the # of units of insulin
A patient receives his first lab results showing an AIC of 7.2%. What is the
diagnosis?
Repeat for confirmation
A random glucose of ________ is considered diabetic?
A random plasma glucose of over 200
A person with diabetes has recurrent severe hypoglycemia events. What should
his A1C goal be?
Less stringent A1C goals (such as <8% [64 mmol/mol]) may be appropriate for patients
with a history of severe hypoglycemia, limited life expectancy, advanced microvascular
or macrovascular complications, extensive comorbid conditions, or long-standing
diabetes in whom the goal is difficult to achieve despite DS
When is it okay for a patient to have an A1C goal of 6.5%?
Haemophilus influenzae type b (Hib) vaccine
Pneumococcal vaccine (PCV13)
Pneumococcal polysaccharide vaccine (PPSV)
Meningococcal vaccine (MCV4)
· Inactive viral antigen
· Toxoids
· Bacterial polysaccharide conjugated to protein
· Live virus
· Bacterial polysaccharide conjugated to protein
Meningococcal subgroup B vaccine
Live virus
Inactive viral antigen
DNA-free virus-like particles
Recombinant protein solution
Recombinant protein solution
A patient is has just been prescribed levothyroxine. The NP put in a lab order to
check TSH levels in:1. 1.4-6 weeks 2. one week 3. 6-8 weeks 4. once a year
6-8 weeks
A patient comes into the clinic complaining of sore throat and fever. She has
recently started Methimazole in the last 4 weeks. What does this suggest?
Agranulocytosis. Must check CBC and LFTS for infection. Labs may not always catch in
time since it progresses rapidly.
MONITOR LFTS WITH METHIMAZOLE
A newly pregnant mother shows understanding of Hypothyroidism in pregnant
women by stating(Select all that apply)
1. I can keep my current dose of levothyroxine
2. I know that if I don't take my medicine it can cause permanent damage to my
baby
, 3. I will need to increase my dose of medicine for a short-time
4. My baby will start to make her own thyroid hormones in week 3
2. I know that if I don't take my medicine it can cause permanent damage to my baby
3. I will need to increase my dose of medicine for a short-time
What is the role of Radioactive Iodine and what is a possible adverse effect?
TO destroy thyroid tissue with those with hyperthyroidism. And/or have not responded
to therapy.
Beta blockers in diabetes
Can mask the signs/symptoms of hypoglycemia
A1C target in children/adolescents
<7%
Insulin dose calculations
1: calculate TDD by using 0.6units/kg/day
2: calculate mealtime carbohydrate-to-insulin dose by dividing 500 (for rapid acting) or
450 (for regular insulin) by TDD
3: round your number
4: now you have your carbohydrate-to-insulin ratio such as 1:10
Example: if meal is 60g of carbs, 60g divided by 10 is the # of units of insulin
A patient receives his first lab results showing an AIC of 7.2%. What is the
diagnosis?
Repeat for confirmation
A random glucose of ________ is considered diabetic?
A random plasma glucose of over 200
A person with diabetes has recurrent severe hypoglycemia events. What should
his A1C goal be?
Less stringent A1C goals (such as <8% [64 mmol/mol]) may be appropriate for patients
with a history of severe hypoglycemia, limited life expectancy, advanced microvascular
or macrovascular complications, extensive comorbid conditions, or long-standing
diabetes in whom the goal is difficult to achieve despite DS
When is it okay for a patient to have an A1C goal of 6.5%?
