NUR 106 (Pharmacology - Chapters 20-24) NCLEX STYLE
Questions with Correct Answers (Grade A+)
Question 1: Which risk factors for metabolic syndrome should the nurse include when assessing a
patient who came into the clinic for a yearly checkup? (Select all that apply.)
A. Regular exercise
B. Being overweight
C. Smoking
D. Genetic predisposition
E. Having high blood pressure
Answer: B, C, D, & E (Being overweight) (Smoking) (Genetic predisposition) (Having high BP)
Question 2: A patient in the clinic asked the nurse for ways to reduce the risk of developing metabolic
syndrome. The nurse replied
A. "You can't do anything to prevent metabolic syndrome because it is in your genes."
B. "The best thing you can do to prevent metabolic syndrome is to not get diabetes."
C. "Lifestyle modifications, including a heart-healthy diet and exercise, are important to practice to prevent the
development of metabolic syndrome."
D. "If you routinely get your blood checked for high cholesterol and eat a low fat diet, you will not get
metabolic syndrome."
Answer: C ("Lifestyle modifications, including a heart-healthy diet and exercise, are important to practice to
prevent the development of metabolic syndrome.")
Question 3: Patients evaluated for metabolic syndrome should have which laboratory test(s) done?
(Select all that apply.)
A. Blood glucose
B. Liver enzymes
C. Thyroid hormone
D. Lipid profile
E. Hemoglobin A1C
Answer: A, D, & E (Blood glucose) (Lipid profile) (Hemoglobin A1C)
Page 1
,Question 4: Recommendations for patients on how to manage their diabetes to prevent metabolic
syndrome include(s): (Select all that apply.)
A. eating a balanced meal.
B. maintaining an A1C of less than 8%.
C. keeping the blood sugar less than 180 after meals.
D. being physically active.
E. having a BMI less than 25.
Answer: A, C, D, & E (Eating a balanced meal) (Keeping the blood sugar less than 180 after meals) (Being
physically active) (Having a BMI less than 25)
Question 5: A patient with metabolic syndrome who requires drug therapy after lifestyle changes were
not effective was told by the nurse that these drugs may be used to manage the underlying diseases
(hypertension, hyperlipidemia) causing the metabolic syndrome. (Select all that apply.)
A. Thiazide diuretics
B. Testosterone
C. Statins
D. Analgesics
E. Angiotensin-converting enzyme inhibitors (ACE inhibitors)
Answer: A, C, & E (Thiazide diuretics) (Statins) (Angiotensin-converting enzyme inhibitors = ACE
inhibitors)
Question 6: A patient is diagnosed with metabolic syndrome. Which patient data needs to be improved?
A. Postprandial plasma glucose level of 168 mg/dL
B. LDL level of 104 mg/dL
C. Blood pressure of 128/72 mm Hg
D. HDL level of 25 mg/dL
Answer: B (LDL level of 104 mg/DL) *The LDL goal for treatment of metabolic syndrome is less than 100
mg/dL (or less than 70 mg/dL for patients with cardiovascular disease)
Question 7: What are the key characteristics found in individuals who have been diagnosed with
metabolic syndrome? (Select all that apply.)
A. Hypertriglyceridemia
B. Type 1 Diabetes
C. Type 2 Diabetes
D. Generalized Obesity
E. Abdominal Obesity
Answer: A, C, & E (Hypertriglyceridemia) (Type 2 Diabetes) (Abdominal Obesity)
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, Question 8: Which activities are important to improve cardiovascular function? (Select all that apply.)
A. Maintaining body weight in adults within a BMI range of 18 to 25 kg/m2
B. Maintaining daily maximum caloric levels based on height, weight, and gender
C. Increasing physical activity
D. Decreasing HDL levels
E. Reducing job related stress
Answer: A, B, C, & E (Maintaining body weight in adults within a BMI range of 18 to 25 kg/m2)
(Maintaining daily maximum caloric levels based on height, weight, and gender) (Increasing physical
activity) (Reducing job related stress)
Question 9: Which drug categories are used as preferred antihypertensive treatments in patients with
metabolic syndrome? (Select all that apply.)
A. Thiazide diuretics
B. ACE inhibitors
C. Alpha blockers
D. Calcium channel blockers
E. Beta blockers
Answer: A, B, & E (Thiazide diuretics) (ACE inhibitors) (Beta blockers)
Question 10: What is the focus of drug treatment for dyslipidemia?
A. Increase the level of HDLs and lower LDLs in the body
B. Decrease insulin resistance to lipids, enabling them to be used by the cells
C. Increase the production of insulin by the beta cells in the pancreas
D. Decrease high density lipoproteins (HDLs) and increase low density lipoproteins (LDLS
Answer: A (Increase the level of HDLs and lower LDLs in the body)
Question 11: Which class of antidiabetic drug inhibits alpha glucosidase and delays glucose absorption?
A. Alpha-glycosidase inhibitors
B. Thiazolidinediones
C. Sulfonylureas
D. Biguanides
Answer: A (Alpha-glycosidase inhibitors)
Question 12: What criteria meets a general treatment goal for patients with metabolic syndrome?
A. HDL level of 39 mg/dL
B. LDL level of 104 mg/dL
C. BP reading of 128/72 mm Hg
D. Fasting glucose of 138 mg/dL
Answer: C (BP reading of 128/72 mm Hg)
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Questions with Correct Answers (Grade A+)
Question 1: Which risk factors for metabolic syndrome should the nurse include when assessing a
patient who came into the clinic for a yearly checkup? (Select all that apply.)
A. Regular exercise
B. Being overweight
C. Smoking
D. Genetic predisposition
E. Having high blood pressure
Answer: B, C, D, & E (Being overweight) (Smoking) (Genetic predisposition) (Having high BP)
Question 2: A patient in the clinic asked the nurse for ways to reduce the risk of developing metabolic
syndrome. The nurse replied
A. "You can't do anything to prevent metabolic syndrome because it is in your genes."
B. "The best thing you can do to prevent metabolic syndrome is to not get diabetes."
C. "Lifestyle modifications, including a heart-healthy diet and exercise, are important to practice to prevent the
development of metabolic syndrome."
D. "If you routinely get your blood checked for high cholesterol and eat a low fat diet, you will not get
metabolic syndrome."
Answer: C ("Lifestyle modifications, including a heart-healthy diet and exercise, are important to practice to
prevent the development of metabolic syndrome.")
Question 3: Patients evaluated for metabolic syndrome should have which laboratory test(s) done?
(Select all that apply.)
A. Blood glucose
B. Liver enzymes
C. Thyroid hormone
D. Lipid profile
E. Hemoglobin A1C
Answer: A, D, & E (Blood glucose) (Lipid profile) (Hemoglobin A1C)
Page 1
,Question 4: Recommendations for patients on how to manage their diabetes to prevent metabolic
syndrome include(s): (Select all that apply.)
A. eating a balanced meal.
B. maintaining an A1C of less than 8%.
C. keeping the blood sugar less than 180 after meals.
D. being physically active.
E. having a BMI less than 25.
Answer: A, C, D, & E (Eating a balanced meal) (Keeping the blood sugar less than 180 after meals) (Being
physically active) (Having a BMI less than 25)
Question 5: A patient with metabolic syndrome who requires drug therapy after lifestyle changes were
not effective was told by the nurse that these drugs may be used to manage the underlying diseases
(hypertension, hyperlipidemia) causing the metabolic syndrome. (Select all that apply.)
A. Thiazide diuretics
B. Testosterone
C. Statins
D. Analgesics
E. Angiotensin-converting enzyme inhibitors (ACE inhibitors)
Answer: A, C, & E (Thiazide diuretics) (Statins) (Angiotensin-converting enzyme inhibitors = ACE
inhibitors)
Question 6: A patient is diagnosed with metabolic syndrome. Which patient data needs to be improved?
A. Postprandial plasma glucose level of 168 mg/dL
B. LDL level of 104 mg/dL
C. Blood pressure of 128/72 mm Hg
D. HDL level of 25 mg/dL
Answer: B (LDL level of 104 mg/DL) *The LDL goal for treatment of metabolic syndrome is less than 100
mg/dL (or less than 70 mg/dL for patients with cardiovascular disease)
Question 7: What are the key characteristics found in individuals who have been diagnosed with
metabolic syndrome? (Select all that apply.)
A. Hypertriglyceridemia
B. Type 1 Diabetes
C. Type 2 Diabetes
D. Generalized Obesity
E. Abdominal Obesity
Answer: A, C, & E (Hypertriglyceridemia) (Type 2 Diabetes) (Abdominal Obesity)
Page 2
, Question 8: Which activities are important to improve cardiovascular function? (Select all that apply.)
A. Maintaining body weight in adults within a BMI range of 18 to 25 kg/m2
B. Maintaining daily maximum caloric levels based on height, weight, and gender
C. Increasing physical activity
D. Decreasing HDL levels
E. Reducing job related stress
Answer: A, B, C, & E (Maintaining body weight in adults within a BMI range of 18 to 25 kg/m2)
(Maintaining daily maximum caloric levels based on height, weight, and gender) (Increasing physical
activity) (Reducing job related stress)
Question 9: Which drug categories are used as preferred antihypertensive treatments in patients with
metabolic syndrome? (Select all that apply.)
A. Thiazide diuretics
B. ACE inhibitors
C. Alpha blockers
D. Calcium channel blockers
E. Beta blockers
Answer: A, B, & E (Thiazide diuretics) (ACE inhibitors) (Beta blockers)
Question 10: What is the focus of drug treatment for dyslipidemia?
A. Increase the level of HDLs and lower LDLs in the body
B. Decrease insulin resistance to lipids, enabling them to be used by the cells
C. Increase the production of insulin by the beta cells in the pancreas
D. Decrease high density lipoproteins (HDLs) and increase low density lipoproteins (LDLS
Answer: A (Increase the level of HDLs and lower LDLs in the body)
Question 11: Which class of antidiabetic drug inhibits alpha glucosidase and delays glucose absorption?
A. Alpha-glycosidase inhibitors
B. Thiazolidinediones
C. Sulfonylureas
D. Biguanides
Answer: A (Alpha-glycosidase inhibitors)
Question 12: What criteria meets a general treatment goal for patients with metabolic syndrome?
A. HDL level of 39 mg/dL
B. LDL level of 104 mg/dL
C. BP reading of 128/72 mm Hg
D. Fasting glucose of 138 mg/dL
Answer: C (BP reading of 128/72 mm Hg)
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