NR565 Week 5 Quiz - Questions, Answers, and References
Question 1: A patient with a history of hypothyroidism presents for a prenatal visit. They
have been taking levothyroxine for the past year. What is the recommended action regarding
levothyroxine dosage for the pregnant woman?
Correct Answer: B: Increase the dosage by 30% as soon as pregnancy is confirmed.
Explanation: Pregnancy increases thyroid hormone requirements. The dose of levothyroxine should
be increased by approximately 30% as soon as pregnancy is confirmed.
Reference: Page 726
Question 2: A patient on Canagliflozin (SGLT2 Inhibitor) therapy reports symptoms of
postural hypotension and dizziness, especially when standing up. What action should the
healthcare provider take?
Correct Answer: A: Decrease the dosage of Canagliflozin.
Explanation: SGLT2 inhibitors like Canagliflozin can cause volume depletion and postural
hypotension. Dose adjustment or discontinuation may be necessary.
Reference: Page 704
Question 3: A patient presents with symptoms of hypothyroidism, including fatigue and
weight gain. Laboratory tests confirm hypothyroidism, and levothyroxine therapy is initiated.
After 8 weeks of therapy, the patient reports resolution of symptoms. What advice should the
nurse practitioner provide regarding continuation of levothyroxine therapy?
Correct Answer: C: Continue levothyroxine therapy as prescribed.
Explanation: If symptoms resolve and lab values normalize, the patient should continue therapy
without dosage change.
Reference: Page 724
Question 4: A patient with type 2 diabetes is prescribed repaglinide (a meglitinide) and
reports difficulty adhering to a strict meal schedule. How should the healthcare provider
address this concern?
Correct Answer: B: Advise the patient to take repaglinide only when meals can be guaranteed.
Explanation: Repaglinide should be taken just before meals to avoid hypoglycemia. If meals are
skipped, the dose should be skipped as well.
Reference: Page 685
Question 1: A patient with a history of hypothyroidism presents for a prenatal visit. They
have been taking levothyroxine for the past year. What is the recommended action regarding
levothyroxine dosage for the pregnant woman?
Correct Answer: B: Increase the dosage by 30% as soon as pregnancy is confirmed.
Explanation: Pregnancy increases thyroid hormone requirements. The dose of levothyroxine should
be increased by approximately 30% as soon as pregnancy is confirmed.
Reference: Page 726
Question 2: A patient on Canagliflozin (SGLT2 Inhibitor) therapy reports symptoms of
postural hypotension and dizziness, especially when standing up. What action should the
healthcare provider take?
Correct Answer: A: Decrease the dosage of Canagliflozin.
Explanation: SGLT2 inhibitors like Canagliflozin can cause volume depletion and postural
hypotension. Dose adjustment or discontinuation may be necessary.
Reference: Page 704
Question 3: A patient presents with symptoms of hypothyroidism, including fatigue and
weight gain. Laboratory tests confirm hypothyroidism, and levothyroxine therapy is initiated.
After 8 weeks of therapy, the patient reports resolution of symptoms. What advice should the
nurse practitioner provide regarding continuation of levothyroxine therapy?
Correct Answer: C: Continue levothyroxine therapy as prescribed.
Explanation: If symptoms resolve and lab values normalize, the patient should continue therapy
without dosage change.
Reference: Page 724
Question 4: A patient with type 2 diabetes is prescribed repaglinide (a meglitinide) and
reports difficulty adhering to a strict meal schedule. How should the healthcare provider
address this concern?
Correct Answer: B: Advise the patient to take repaglinide only when meals can be guaranteed.
Explanation: Repaglinide should be taken just before meals to avoid hypoglycemia. If meals are
skipped, the dose should be skipped as well.
Reference: Page 685
