NURS 660 EXAM 1 ANTIPSYCHOTIC
MEDICATIONS STUDY GUIDE SUMMARY
WITH PRACTICE SOLUTION
⩥ 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%.
MEDICATIONS STUDY GUIDE SUMMARY
WITH PRACTICE SOLUTION
⩥ 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%.
