Question 1
pts
Prior to prescribing metformin, the provider should:
Correct!
Draw a serum creatinine to assess renal function
Try the patient on insulin
Tell the patient to increase iodine intake
Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
Question 2
pts
Administration of exenatide is by subcutaneous injection:
Thirty minutes prior to the morning meal
Sixty minutes prior to the morning and evening meal
Fifteen minutes after the evening meal
Sixty minutes before each meal daily
Question 3
pts
When given subcutaneously, how long until neutral protamine Hagedorn (NPH) insulin begins to
take effect (onset of action) after administration?
Fifteen to thirty minutes
Sixty to ninety minutes
Three to four hours
Six to eight hours
Question 4
pts
Angiotensin-converting enzyme (ACE) inhibitors are considered renal-protective in DM;
however, they must be reduced and/or discontinued when:
Correct!
, The patient reaches stage 3 chronic kidney disease (CKD)
Creatinine levels reach 1.1
Potassium levels are consistently found to be below four
The patient first starts spilling protein in their urine
Question 5
pts
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:
Substitutes for insulin usually secreted by the pancreas
Correct!
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Decreases peripheral glucose utilization
Question 6
pts
Routine screening of asymptomatic adults for diabetes is appropriate for:
Individuals who are older than 45 and have a body mass index (BMI) of less than 25 kg/m2
Native Americans, African Americans, and Hispanics
Persons with high-density lipoprotein (HDL) cholesterol greater than 100 mg/dL
Persons with prediabetes confirmed on at least two occasions
Question 7
pts
Adam has type 1 diabetes and plays tennis for his university. He exhibits a knowledge deficit
about his insulin and his diagnosis. He should be taught that:
Correct!
He should increase his carbohydrate intake during times of exercise.
Each brand of insulin is equal in bioavailability, so he can buy the least expensive.
Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to
control his diabetes.
pts
Prior to prescribing metformin, the provider should:
Correct!
Draw a serum creatinine to assess renal function
Try the patient on insulin
Tell the patient to increase iodine intake
Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
Question 2
pts
Administration of exenatide is by subcutaneous injection:
Thirty minutes prior to the morning meal
Sixty minutes prior to the morning and evening meal
Fifteen minutes after the evening meal
Sixty minutes before each meal daily
Question 3
pts
When given subcutaneously, how long until neutral protamine Hagedorn (NPH) insulin begins to
take effect (onset of action) after administration?
Fifteen to thirty minutes
Sixty to ninety minutes
Three to four hours
Six to eight hours
Question 4
pts
Angiotensin-converting enzyme (ACE) inhibitors are considered renal-protective in DM;
however, they must be reduced and/or discontinued when:
Correct!
, The patient reaches stage 3 chronic kidney disease (CKD)
Creatinine levels reach 1.1
Potassium levels are consistently found to be below four
The patient first starts spilling protein in their urine
Question 5
pts
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:
Substitutes for insulin usually secreted by the pancreas
Correct!
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Decreases peripheral glucose utilization
Question 6
pts
Routine screening of asymptomatic adults for diabetes is appropriate for:
Individuals who are older than 45 and have a body mass index (BMI) of less than 25 kg/m2
Native Americans, African Americans, and Hispanics
Persons with high-density lipoprotein (HDL) cholesterol greater than 100 mg/dL
Persons with prediabetes confirmed on at least two occasions
Question 7
pts
Adam has type 1 diabetes and plays tennis for his university. He exhibits a knowledge deficit
about his insulin and his diagnosis. He should be taught that:
Correct!
He should increase his carbohydrate intake during times of exercise.
Each brand of insulin is equal in bioavailability, so he can buy the least expensive.
Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to
control his diabetes.
