NR 565 / NR565 ADVANCED PHARMACOLOGY EXAM REVIEW | WEEKS 5-8 COVERED| COMPLETE GUIDE WITH QUESTIONS AND VERIFIED ANSWERS GRADED A+ / NR565 ADVANCED PHARMACOLOGY EXAM REVIEW | WEEKS 5-8 COVERED| COMPLETE GUIDE WITH QUESTIONS AND VERIFIED ANSWERS GRADED A+

NR 565 / NR565 ADVANCED PHARMACOLOGY




NR 565 / NR565 ADVANCED PHARMACOLOGY EXAM REVIEW | WEEKS 5-8 COVERED|
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED ANSWERS GRADED A+




QUESTION
A patient receives his first lab results showing an A1C of 7.2%. What is the diagnosis?

ANS >>
-Cannot confirm because you need a second A1C after 3 months (value is borderline)



QUESTION
An A1C of is considered prediabetes.

ANS >>
5.7%-6.4%



QUESTION
A random glucose of is considered diabetic.

ANS >>
200 with signs and symptoms



QUESTION
A person with diabetes has recurrent severe hypoglycemia events. What should his A1C goal be?

ANS >>
8%

,NR 565 / NR565 ADVANCED PHARMACOLOGY




QUESTION
When is it okay for a patient to have an A1C goal of 6.5%?

ANS >>
When they can tolerate it and have no comorbidities.




QUESTION
How often should an A1C be monitored when stable or when unstable? -


ANS >>
-Stable: every 6 months
-Unstable: every 3 months (A1C of 7 or >)



QUESTION
A person comes in with an A1C of 10% and a fasting blood glucose of
>300.What are the next steps for the provider?

ANS >>
-Start insulin
(when A1C is above >9% start at step 2= insulin combo therapy)



QUESTION
Who should not take Metformin?

ANS >>
-Due to increased risk of Lactic acidosis:
patients with CHF, older than 80 years of age, kidney disease (Renal insufficiency)



QUESTION
Sulfonylureas should not be used during or with

,NR 565 / NR565 ADVANCED PHARMACOLOGY


or impairments.

ANS >>
-Pregnancy
-Liver
-Renal



QUESTION
A patient who has a history of bladder cancer and HF should avoid what class of DM meds?

ANS >>
Pioglitazones
-Can cause renal fluid retention associated with HF



QUESTION
When is it appropriate to increase insulin needs?

ANS >>
-Pregnancy
-Infection
-Stress
-Growth spurts



QUESTION
What is the TDD of a person that weighs 70kg?

ANS >>
TDD= (Kgx0.6)
50% will be long acting
50% Rapid acting



QUESTION
IF a person is eating a 50-carb meal, how much insulin will be needed based on the TDD from
the above question?

, NR 565 / NR565 ADVANCED PHARMACOLOGY


ANS >>
500 / TDD = Carb to insulin ratio
500/42 = 11.9
50/ 11 = 4.5 Units



QUESTION
Metformin

ANS >>
-Best antidiabetic for patients that skip meals
-Can be used to treat PCOS



QUESTION
A patient states that she will take her insulin lispro 30-60 minutes before a meal?

ANS >>
Nope- must be within 15-30 mins of meal



QUESTION
"As long as the short-acting insulin is drawn up first I can mix my insulin glargine with it".

ANS >>
Nope- Only NPH can be mixed with short acting
-Always draw regular (Clear) before NPH (Cloudy)



QUESTION
A patient states, "My sugars have been around 65-68 at times but I feel like the med is working".

ANS >>
Nope- Values are too low
-Hypoglycemia unawareness, need to educate



QUESTION