NR 565 FINAL -ADVANCED PHARMACOLOGY
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
CORRECT ANSWER
C. Alcoholics
Question 2
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
CORRECT ANSWER
A. eGFR <30
1
,Question 3
What medication is contraindicated to treat diabetes if a patient already has a cardiac
ejection fraction rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor
CORRECT ANSWER
B. Thiazolidinediones
Question 4
Sabrina is a 35-year-old female who presents with complaints of fatigue, anxiety, and
palpitations. She has a long history of obesity and reports that she is happy that she has
lost 23 pounds in the last 2 months. She also reports that she has trouble sleeping and her
husband complains that she is keeping the house too cold. Physical exam reveals slight
tachycardia at 104 bpm and a slightly enlarged thyroid. Thyroid testing reveals
hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for hyperthyroidism or Grave's
disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
CORRECT ANSWER
A. Methimazole
2
,Question 5
Which of the following medications would be considered the first line of treatment for a
newly diagnosed Diabetic patient with adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide
CORRECT ANSWER
C: Oral Metformin
Question 6
Of the following medications, which is most likely to cause hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones
CORRECT ANSWER
B. Insulin
Question 7
Which symptoms are most expected of a patient diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
3
, C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema
CORRECT ANSWER
D. dry skin, brittle hair, fatigue, myxedema
Question 8
Patients with an increased risk for UTIs and genital infections or an active diagnosis,
should avoid what drug class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above.
CORRECT ANSWER
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
Question 9
A 45-year-old patient with a history of type 2 diabetes presents to the clinic for a follow-up
appointment. The healthcare provider has prescribed metformin as part of the treatment
plan. Which of the following statements regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose production.
CORRECT ANSWER
4
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
CORRECT ANSWER
C. Alcoholics
Question 2
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
CORRECT ANSWER
A. eGFR <30
1
,Question 3
What medication is contraindicated to treat diabetes if a patient already has a cardiac
ejection fraction rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor
CORRECT ANSWER
B. Thiazolidinediones
Question 4
Sabrina is a 35-year-old female who presents with complaints of fatigue, anxiety, and
palpitations. She has a long history of obesity and reports that she is happy that she has
lost 23 pounds in the last 2 months. She also reports that she has trouble sleeping and her
husband complains that she is keeping the house too cold. Physical exam reveals slight
tachycardia at 104 bpm and a slightly enlarged thyroid. Thyroid testing reveals
hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for hyperthyroidism or Grave's
disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
CORRECT ANSWER
A. Methimazole
2
,Question 5
Which of the following medications would be considered the first line of treatment for a
newly diagnosed Diabetic patient with adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide
CORRECT ANSWER
C: Oral Metformin
Question 6
Of the following medications, which is most likely to cause hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones
CORRECT ANSWER
B. Insulin
Question 7
Which symptoms are most expected of a patient diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
3
, C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema
CORRECT ANSWER
D. dry skin, brittle hair, fatigue, myxedema
Question 8
Patients with an increased risk for UTIs and genital infections or an active diagnosis,
should avoid what drug class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above.
CORRECT ANSWER
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
Question 9
A 45-year-old patient with a history of type 2 diabetes presents to the clinic for a follow-up
appointment. The healthcare provider has prescribed metformin as part of the treatment
plan. Which of the following statements regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose production.
CORRECT ANSWER
4
