623 ADULT - ENDOCRINE - DIABETES NP CERTIFICATION
(FITZGERALD 4TH ED): TEST QUESTIONS WITH ANSWERS
1) The mechanism of action of sulfonylureas is as:
A) An antagonist of insulin receptor site activity
B) A product that enhances insulin release
C) A facilitator of renal glucose excretion
D) An agent that can reduce hepatic glucose production -- Correct
Answer ✔✔ b. A product that enhances insulin release
2) When caring for a pt with diabetes, HTN, and persistent proteinuria, the NP
prioritizes the choice of antihypertension and prescribes:
A) Furosemide
B) Methyldopa
C) Fosinopril
D) Nifedipine -- Correct Answer ✔✔ c. Fosinopril
3) Clinical presentation of type 1 diabetes usually includes all of the following
EXCEPT:
A) Report of recent unintended wt gain
B) Ketosis
C) Thirst
, D) Polyphagia -- Correct Answer ✔✔ a. Report of recent unintended wt
gain
4) Which of the following should be periodically monitored with the use of a
biguanide?
A) Creatine kinase (CK)
B) Alkaline phosphatase (ALP)
C) Alanine aminotransferase (ALT)
D) Creatinine (Cr) -- Correct Answer ✔✔ d. Creatinine (Cr)
5) Which of the following should be periodically monitored with the use of a
thiazolidinedione?
A) CK
B) ALP
C) ALT
D) Cr -- Correct Answer ✔✔ c. ALT
6) All fo the following are risks for lactic acidosis in individuals taking metformin
EXCEPT:
A) Presence of chronic renal insufficiency
B) Acute dehydration
C) Radiographic contrast dye use
D) Hx of allergic rx to sulfonamides -- Correct Answer ✔✔ d. Hx of
allergic rx to sulfonamides
7) Secondary causes of hyperglycemia potentially include the use of all of the
following meds EXCEPT:
A) High dose niacin
B) Systemic corticosteroids
C) High dose thiazide diuretics
D) Low dose angiotensin receptor blockers -- Correct Answer ✔✔ d.
Low dose angiotensin receptor blockers
8) Hemoglobin A1c best provides information on glucose control over the past:
(FITZGERALD 4TH ED): TEST QUESTIONS WITH ANSWERS
1) The mechanism of action of sulfonylureas is as:
A) An antagonist of insulin receptor site activity
B) A product that enhances insulin release
C) A facilitator of renal glucose excretion
D) An agent that can reduce hepatic glucose production -- Correct
Answer ✔✔ b. A product that enhances insulin release
2) When caring for a pt with diabetes, HTN, and persistent proteinuria, the NP
prioritizes the choice of antihypertension and prescribes:
A) Furosemide
B) Methyldopa
C) Fosinopril
D) Nifedipine -- Correct Answer ✔✔ c. Fosinopril
3) Clinical presentation of type 1 diabetes usually includes all of the following
EXCEPT:
A) Report of recent unintended wt gain
B) Ketosis
C) Thirst
, D) Polyphagia -- Correct Answer ✔✔ a. Report of recent unintended wt
gain
4) Which of the following should be periodically monitored with the use of a
biguanide?
A) Creatine kinase (CK)
B) Alkaline phosphatase (ALP)
C) Alanine aminotransferase (ALT)
D) Creatinine (Cr) -- Correct Answer ✔✔ d. Creatinine (Cr)
5) Which of the following should be periodically monitored with the use of a
thiazolidinedione?
A) CK
B) ALP
C) ALT
D) Cr -- Correct Answer ✔✔ c. ALT
6) All fo the following are risks for lactic acidosis in individuals taking metformin
EXCEPT:
A) Presence of chronic renal insufficiency
B) Acute dehydration
C) Radiographic contrast dye use
D) Hx of allergic rx to sulfonamides -- Correct Answer ✔✔ d. Hx of
allergic rx to sulfonamides
7) Secondary causes of hyperglycemia potentially include the use of all of the
following meds EXCEPT:
A) High dose niacin
B) Systemic corticosteroids
C) High dose thiazide diuretics
D) Low dose angiotensin receptor blockers -- Correct Answer ✔✔ d.
Low dose angiotensin receptor blockers
8) Hemoglobin A1c best provides information on glucose control over the past:
