MARYVILLE NUR 615 MAIN EXAMINATION MANUAL
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔The decision may be made to switch from twice daily neutral protamine Hagedorn
(NPH) insulin to insulin glargine to improve glycemic control throughout the day. If this is
done: - ✔✔The initial dose of glargine is reduced by 20% to avoid hypoglycemia
✔✔Prior to prescribing metformin, you as the provider should - ✔✔Draw a serum
creatinine to assess renal function
✔✔Type 2 diabetes is a complex disorder involving - ✔✔a suboptimal response of
insulin sensitive tissues in the liver
✔✔Routine screening of asymptomatic adults for diabetes is appropriate for: -
✔✔Native americans
African americans
Hispanics
✔✔The action of "gliptins" is different from other antidiabetic agents because they: -
✔✔act on the incretin system to indirectly increase insulin production
✔✔GLP-1 agonists - ✔✔Directly bind to a receptor in the pancreatic beta cell
✔✔Avoid concurrent administration of exenatide with which of the following drugs? -
✔✔Digoxin, warfarin, lovastatin
✔✔Administration of exenatide is by subcutaneous injection: - ✔✔60 minutes prior to
the morning and evening meal
✔✔Potentially fatal granulocytopenia has been associated with treatment of
hyperthyroidism with propylthiouracil (PTU). Patients should be taught to report: -
✔✔Fever and sore throat
✔✔Elderly patients who are started on levothyroxine for thyroid replacement should be
monitored for - ✔✔tachycardia, angina
✔✔What should you teach your patients when they are prescribed levothyroxine? -
✔✔Take medication on an empty stomach, preferably 30 minutes before breakfast
✔✔When methimazole is started for hyperthyroidism it may take ________ to see a
total reversal of hyperthyroid symptoms. - ✔✔6-12 months
, ✔✔In addition to methimazole, a symptomatic patient with hyperthyroidism may need a
prescription for - ✔✔beta blocker
✔✔When starting a patient on levothyroxine for hypothyroidism the patient will need
follow-up measurement of thyroid function in - ✔✔4 weeks
✔✔In hyperthyroid states, what organ system other than CV must be evaluated to
establish potential adverse issues - ✔✔they eyes
✔✔Treatment of a patient with hypothyroidism and cardiovascular disease consists of: -
✔✔levothyroxine
✔✔A woman who is pregnant and has hyperthyroidism is best managed by a specialty
team who will most likely treat her with - ✔✔Propylthiouracil (PTU)
✔✔Once a patient who is being treated for hypothyroidism returns to euthyroid with
normal TSH levels, he or she should be monitored with TSH and free T4 levels every -
✔✔6 months
✔✔What lab values will you as a provider monitor in your patient on levothyroxine? -
✔✔Blood free thyroxine and TSH levels
✔✔Goals when treating hypothyroidism with thyroid replacement include: - ✔✔Normal
TSH and free T4 levels
Resolution of fatigue Weight loss to baseline
✔✔Insulin is used to treat both types of diabetes. It acts by - ✔✔Increasing peripheral
glucose uptake by skeletal muscle and fat
✔✔Sulfonylureas may be added to a treatment regimen for type 2 diabetics when
lifestyle modifications and metformin are insufficient to achieve target glucose levels.
Sulfonylureas have been moved to Step 2 therapy because they - ✔✔Have a significant
risk for hypoglycemia
✔✔Dipeptidyl peptidase-4 inhibitors (gliptins) act on the incretin system to improve
glycemic control. Advantages of these drugs include - ✔✔Low risk for hypoglycemia
✔✔What contraindications for therapy with alpha-glucosidase inhibitors - ✔✔Patients
with IBS because of flatulence this drug can produce
✔✔What is the dosage schedule for alpha-glucosidase inhibitors - ✔✔Take within the
first bite of each meal
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔The decision may be made to switch from twice daily neutral protamine Hagedorn
(NPH) insulin to insulin glargine to improve glycemic control throughout the day. If this is
done: - ✔✔The initial dose of glargine is reduced by 20% to avoid hypoglycemia
✔✔Prior to prescribing metformin, you as the provider should - ✔✔Draw a serum
creatinine to assess renal function
✔✔Type 2 diabetes is a complex disorder involving - ✔✔a suboptimal response of
insulin sensitive tissues in the liver
✔✔Routine screening of asymptomatic adults for diabetes is appropriate for: -
✔✔Native americans
African americans
Hispanics
✔✔The action of "gliptins" is different from other antidiabetic agents because they: -
✔✔act on the incretin system to indirectly increase insulin production
✔✔GLP-1 agonists - ✔✔Directly bind to a receptor in the pancreatic beta cell
✔✔Avoid concurrent administration of exenatide with which of the following drugs? -
✔✔Digoxin, warfarin, lovastatin
✔✔Administration of exenatide is by subcutaneous injection: - ✔✔60 minutes prior to
the morning and evening meal
✔✔Potentially fatal granulocytopenia has been associated with treatment of
hyperthyroidism with propylthiouracil (PTU). Patients should be taught to report: -
✔✔Fever and sore throat
✔✔Elderly patients who are started on levothyroxine for thyroid replacement should be
monitored for - ✔✔tachycardia, angina
✔✔What should you teach your patients when they are prescribed levothyroxine? -
✔✔Take medication on an empty stomach, preferably 30 minutes before breakfast
✔✔When methimazole is started for hyperthyroidism it may take ________ to see a
total reversal of hyperthyroid symptoms. - ✔✔6-12 months
, ✔✔In addition to methimazole, a symptomatic patient with hyperthyroidism may need a
prescription for - ✔✔beta blocker
✔✔When starting a patient on levothyroxine for hypothyroidism the patient will need
follow-up measurement of thyroid function in - ✔✔4 weeks
✔✔In hyperthyroid states, what organ system other than CV must be evaluated to
establish potential adverse issues - ✔✔they eyes
✔✔Treatment of a patient with hypothyroidism and cardiovascular disease consists of: -
✔✔levothyroxine
✔✔A woman who is pregnant and has hyperthyroidism is best managed by a specialty
team who will most likely treat her with - ✔✔Propylthiouracil (PTU)
✔✔Once a patient who is being treated for hypothyroidism returns to euthyroid with
normal TSH levels, he or she should be monitored with TSH and free T4 levels every -
✔✔6 months
✔✔What lab values will you as a provider monitor in your patient on levothyroxine? -
✔✔Blood free thyroxine and TSH levels
✔✔Goals when treating hypothyroidism with thyroid replacement include: - ✔✔Normal
TSH and free T4 levels
Resolution of fatigue Weight loss to baseline
✔✔Insulin is used to treat both types of diabetes. It acts by - ✔✔Increasing peripheral
glucose uptake by skeletal muscle and fat
✔✔Sulfonylureas may be added to a treatment regimen for type 2 diabetics when
lifestyle modifications and metformin are insufficient to achieve target glucose levels.
Sulfonylureas have been moved to Step 2 therapy because they - ✔✔Have a significant
risk for hypoglycemia
✔✔Dipeptidyl peptidase-4 inhibitors (gliptins) act on the incretin system to improve
glycemic control. Advantages of these drugs include - ✔✔Low risk for hypoglycemia
✔✔What contraindications for therapy with alpha-glucosidase inhibitors - ✔✔Patients
with IBS because of flatulence this drug can produce
✔✔What is the dosage schedule for alpha-glucosidase inhibitors - ✔✔Take within the
first bite of each meal
