NUR 660 FINAL Questions with Detailed
Verified Answers (100% Correct Answers)
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The effects of GLP-1 Agonist medications include all of the following
EXCEPT:
Select one:
a. glucagon induced gluconeogenesis
b. increased satiety
c. improved glycemic control
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d. glucose dependent insulin secretion
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Ans: glucagon induced gluconeogenesis
A common adverse effect with SGLT-2 Inhibitors is:
Select one:
a. edema
b. mycotic infection
c. hypertension
d. weight gain
Ans: Mycotic Infection
Due to the increased risk for hypoglycemia, the following two medication
classes should not be used in combination:
Select one:
a. insulin and metformin
b. insulin and sulfonylurea
c. insulin and thiazolidinedione
d. insulin and acarbose
Ans: Insulin and Sulfonylurea
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A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed
with type 2 diabetes mellitus (DM). The A1c is 7.1%. What is the best initial
treatment?
Select one:
a. Diet, exercise, and metformin
b. No treatment at this time
c. Diet and exercise
d. Diet, exercise, and exogenous insulin
Ans: Diet and exercise, Diet, exercise, and metformin
Which medication is an insulin secretagogue (mechanism of action is to
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secrete insulin)?
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Select one:
a. acarbose (alpha-glucosidase inhibitor)
b. empagliflozin (SGLT2 Inhibitor)
c. rosiglitazone (thiazolidinedione)
d. glipizide (sulfonylurea)
Ans: glipizide (sulfonylurea)
The "ominous octet" includes all of the following EXCEPT:
Select one:
a. insulin resistance
b. decreased insulin production
c. decreased incretin hormones
d. increased incretin hormones
Ans: increased incretin hormones
In which patient would the clinician NOT initiate metformin?
Select one:
a. 60 year old with a history of medullary thyroid cancer
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b. 54 year old with an allergy to penicillin
c. 71 year old with an eGFR of 60
d. 62 year old with an eGFR of 40
Ans: 62 year old with an eGFR of 40
Which medication can cause hyperglycemia?
Select one:
a. Cephalexin (Keflex)
b. Levothyroxine (Synthroid)
c. Metformin (Glucophage)
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d. Prednisolone (Omnipred)
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Ans: Prednisolone (Omnipred)
Insulin should be initiated for the patient with Type 2 DM when the
HgbA1C is
Select one:
a. 7
b. 8
c. 10
d. 7.5
Ans: 10
How often should the clinician examine the feet of a person with diabetes?
Select one:
a. Every year
b. Every 3 months
c. Every visit
d. Every 6 months
Ans: Every visit
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Claire is a patient complaining that her left leg is cool, pale, smaller than
her right, and has thick toenails. Which condition may she be experiencing?
Select one:
a. Peripheral artery disease
b. Deep vein thrombosis
c. Anemia
d. Pulmonary embolism
Ans: Peripheral Artery Disease
What of the following patients is a candidate for a high intensity statin?
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Select one:
a. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%.
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b. Christa is a 65-year-old female with a history of myocardial infarction
(MI).
c. Jerry is a 55-year-old male with a history of syncope.
d. April is an 85-year-old female with a low-density lipoprotein (LDL) level
of 180.
Ans: Christa is a 65-year-old female with a history of myocardial infarction
(MI).
Which of the following may help a clinician to determine whether
palpitations are caused by a potentially lethal cardiac rhythm?
Select one:
a. Thyroid panel
b. Holter monitoring
c. Complete blood count (CBC)
d. Computed axial tomography (CAT) scan
Ans: Holter Monitoring
Nitroglycerine (NTG) is given for a patient having ischemic chest pain.
One tablet or one spray should be used under the tongue every 5 minutes for