CMSRN |ACTUAL QUESTIONS AND VERIFIED
ANSWERS |LATEST 2026/2027 UPDATE|GRADED
A+
Question 1
Antidiuretic hormone (ADH) is synthesized in the:
A. Hypothalamus
B. Pituitary gland
C. Pineal gland
D. Thalamus
ANSWER
A. Hypothalamus
Antidiuretic hormone is an example of a neuroendocrine hormone; it has components of
both the endocrine and the nervous system. It is synthesized in the hypothalamus and
travels along axons that terminate adjacent to capillaries in the posterior pituitary.
Question 2
The physician has ordered chlorpropamide (Diabinese) to treat a patient with central
diabetes insipidus. The nurse is aware:
A. Contraindications include heart disease and renal insufficiency
B. Usual dosing in diabetes insipidus is 100 mg daily
C. This medication is an oral hypoglycemic
D. This medication suppresses the release of vasopressin
ANSWER
C. This medication is an oral hypoglycemic
1
@THE STUDY VAULT
, Chlorpropamide is an oral hypoglycemic (first generation sulfonylurea). It lowers blood
glucose levels by enhancing pancreatic beta-cell insulin secretion (primary use). It also
potentiates the action (not suppresses the release) of small or residual amounts of
circulating vasopressin (ADH), making it useful in treating diabetes insipidus
(hyposecretion of ADH). Usual dosing in diabetes insipidus is 125-500 mg daily.
Contraindications include liver disease (not heart disease) and renal insufficiency.
Question 3
In patients with diabetes mellitus who have normal renal function, protein intake should be:
A. 30%-35% of daily caloric intake
B. 20%-25% of daily caloric intake
C. 15%-20% of daily caloric intake
D. 5%-10% of daily caloric intake
ANSWER
C. 15%-20% of daily caloric intake
In patients with diabetes mellitus, who have normal renal function, there is little evidence
to suggest that usual protein intake (15-20% of daily caloric intake) should be modified.
With evidence of neuropathy, it may be necessary to restrict protein to the adult.
Question 4
You are caring for a patient with Type 2 diabetes mellitus who has been prescribed glipizide
(Glucotrol), an oral antidiabetic agent, for trouble controlling blood glucose levels through
diet and exercise alone. Which medication instruction should you provide to the patient?
A. "After you start taking glipizide, you won't need to check your blood glucose levels
anymore."
B. "Take glipizide after meals to prevent heartburn."
2
@THE STUDY VAULT
ANSWERS |LATEST 2026/2027 UPDATE|GRADED
A+
Question 1
Antidiuretic hormone (ADH) is synthesized in the:
A. Hypothalamus
B. Pituitary gland
C. Pineal gland
D. Thalamus
ANSWER
A. Hypothalamus
Antidiuretic hormone is an example of a neuroendocrine hormone; it has components of
both the endocrine and the nervous system. It is synthesized in the hypothalamus and
travels along axons that terminate adjacent to capillaries in the posterior pituitary.
Question 2
The physician has ordered chlorpropamide (Diabinese) to treat a patient with central
diabetes insipidus. The nurse is aware:
A. Contraindications include heart disease and renal insufficiency
B. Usual dosing in diabetes insipidus is 100 mg daily
C. This medication is an oral hypoglycemic
D. This medication suppresses the release of vasopressin
ANSWER
C. This medication is an oral hypoglycemic
1
@THE STUDY VAULT
, Chlorpropamide is an oral hypoglycemic (first generation sulfonylurea). It lowers blood
glucose levels by enhancing pancreatic beta-cell insulin secretion (primary use). It also
potentiates the action (not suppresses the release) of small or residual amounts of
circulating vasopressin (ADH), making it useful in treating diabetes insipidus
(hyposecretion of ADH). Usual dosing in diabetes insipidus is 125-500 mg daily.
Contraindications include liver disease (not heart disease) and renal insufficiency.
Question 3
In patients with diabetes mellitus who have normal renal function, protein intake should be:
A. 30%-35% of daily caloric intake
B. 20%-25% of daily caloric intake
C. 15%-20% of daily caloric intake
D. 5%-10% of daily caloric intake
ANSWER
C. 15%-20% of daily caloric intake
In patients with diabetes mellitus, who have normal renal function, there is little evidence
to suggest that usual protein intake (15-20% of daily caloric intake) should be modified.
With evidence of neuropathy, it may be necessary to restrict protein to the adult.
Question 4
You are caring for a patient with Type 2 diabetes mellitus who has been prescribed glipizide
(Glucotrol), an oral antidiabetic agent, for trouble controlling blood glucose levels through
diet and exercise alone. Which medication instruction should you provide to the patient?
A. "After you start taking glipizide, you won't need to check your blood glucose levels
anymore."
B. "Take glipizide after meals to prevent heartburn."
2
@THE STUDY VAULT
