NURS 3365 EXAMS SCRIPT 2025/2026 QUESTIONS WITH
ANSWERS MARKED A+
✔✔How do thioamide drugs effect anticoagulants? - ✔✔increase the effect of
anticoagulants
✔✔How do thioamide drugs effects antidiabetics drugs? - ✔✔decrease the effect of anti
diabetics
✔✔How do thioamide drugs interact with other bone marrow suppressants? - ✔✔Can
result in additive bone marrow suppression if administered with other bone marrow
supressants
✔✔What is goiter? - ✔✔enlargement of the thyroid gland
✔✔What is goiter often a result of? - ✔✔hypothyroidism
✔✔What are normal T3, T4, and TSH levels? - ✔✔T3: 80-180 ng/dl
T4: 4.6 - 12 ug/dl
TSH: 0.4 - 4.0 mIU/L
✔✔What to assess for in patients taking thioamide drugs? - ✔✔baseline vitals
T3, T4, and TSH levels
monitor CBC (for leukopenia)
✔✔What foods should a patient taking anti thyroid drugs avoid? - ✔✔Foods high in
iodine such as shellfish and iodized salt
✔✔What symptoms should a patient report immediately while taking anti thyroid drugs?
- ✔✔Sore throat and fever
This could be due to agranulocytosis and if untreated could be fatal
mouth ulcers and skin eruptions
could e due to liver or bone marrow toxicity
✔✔How should a patient take antithyroid drugs? - ✔✔With a meal
✔✔What is the key diagnostic criterion of diabetes mellitus? - ✔✔blood glucose over
126 mg/dL
and/or
,an HgA1c greater than or equal to 6.5 %
✔✔What are the most common signs of diabetes? - ✔✔elevated blood glucose
polyuria
polydipsia
polyphagia
glucosuria
weight loss
blurred vision
fatigue
✔✔lispro and aspart glulisine is considered what type of insulin? - ✔✔Rapid
✔✔Rapid insulin onset - ✔✔10 - 15 minutes
✔✔Rapid insulin peak - ✔✔30 - 90 minutes
✔✔Rapid insulin duration - ✔✔4 - 5 hours
✔✔regular (Fast) insulin onset - ✔✔0.5 - 1 hr
✔✔regular (Fast) insulin peak - ✔✔2 - 4 hours
✔✔regular (Fast) insulin duration - ✔✔6 - 8 hrs
✔✔regular IV insulin onset - ✔✔15 minutes
✔✔regular IV insulin peak - ✔✔15 - 30 minutes
✔✔regular IV insulin duration - ✔✔30 - 60 minutes
✔✔NPH (intermediate) onset - ✔✔1 - 2 hours
✔✔NPH (intermediate) peak - ✔✔4 - 8 hours
✔✔NPH (intermediate) duration - ✔✔18 - 24 hours
✔✔What is considered meal time insulin? - ✔✔lispro and aspart glulisine
regular (Fast)
✔✔If NPH (intermediate) is taken at breakfast when will it peak? - ✔✔At lunch
, ✔✔When should glargine (long-acting) be administered? - ✔✔At bed time
✔✔When should a nurse check for symptoms of glargine? - ✔✔Around 2 - 4 am
✔✔What is the goal blood pressure of patients with diabetes? - ✔✔130/80 mmHg
✔✔What is the goal LDL for patients with diabetes? - ✔✔less than 100 mg/dL
✔✔What is the normal range of potassium? - ✔✔3.5-5.0 mEq/L
✔✔Lactic acidosis is an extremely rare complication of what drug? - ✔✔Metformin
✔✔What symptoms increases the chances of lactic acidosis? - ✔✔high blood glucose
levels
hypoxemia
✔✔Symptoms of lactic acidosis - ✔✔hyperventilation, cold and clammy skin, muscle
pain, abdominal pain, dizziness, and irregular heartbeat
✔✔When is sulfonylureas used? - ✔✔It is used for patients with type 2 diabetes who
have an elevated HgA1C levels while on metformin
✔✔When are incretin mimetics (exenatide and liraglutide) used? - ✔✔Only used in
patients who havent had success with metformin, sulfonylureas, and/or glitazone
✔✔When should exenatide be taken? - ✔✔60 minutes before a meal
✔✔Can exenatide be taken with insulin? - ✔✔NO
✔✔How should a patient on metformin be informed of before taking iodine containing
radiologic contrast media? - ✔✔Discontinue metformin the day of and 48 hours
afterwards or else patient will be at a higher risk of lactic acidosis and/or acute renal
failure
✔✔Assessment for sulfonylureas - ✔✔Blood glucose level
allergic reactions to sulfonamide antibiotics
✔✔Insulin should be administered at what temperature? - ✔✔Room temperature
✔✔What should you do if a patient experiences hypoglycemia? - ✔✔Glucagon, glucose
tablets or gel, corn syrup, or honey, fruit juice, non diet soft drink, crackers or half a
sandwhich
ANSWERS MARKED A+
✔✔How do thioamide drugs effect anticoagulants? - ✔✔increase the effect of
anticoagulants
✔✔How do thioamide drugs effects antidiabetics drugs? - ✔✔decrease the effect of anti
diabetics
✔✔How do thioamide drugs interact with other bone marrow suppressants? - ✔✔Can
result in additive bone marrow suppression if administered with other bone marrow
supressants
✔✔What is goiter? - ✔✔enlargement of the thyroid gland
✔✔What is goiter often a result of? - ✔✔hypothyroidism
✔✔What are normal T3, T4, and TSH levels? - ✔✔T3: 80-180 ng/dl
T4: 4.6 - 12 ug/dl
TSH: 0.4 - 4.0 mIU/L
✔✔What to assess for in patients taking thioamide drugs? - ✔✔baseline vitals
T3, T4, and TSH levels
monitor CBC (for leukopenia)
✔✔What foods should a patient taking anti thyroid drugs avoid? - ✔✔Foods high in
iodine such as shellfish and iodized salt
✔✔What symptoms should a patient report immediately while taking anti thyroid drugs?
- ✔✔Sore throat and fever
This could be due to agranulocytosis and if untreated could be fatal
mouth ulcers and skin eruptions
could e due to liver or bone marrow toxicity
✔✔How should a patient take antithyroid drugs? - ✔✔With a meal
✔✔What is the key diagnostic criterion of diabetes mellitus? - ✔✔blood glucose over
126 mg/dL
and/or
,an HgA1c greater than or equal to 6.5 %
✔✔What are the most common signs of diabetes? - ✔✔elevated blood glucose
polyuria
polydipsia
polyphagia
glucosuria
weight loss
blurred vision
fatigue
✔✔lispro and aspart glulisine is considered what type of insulin? - ✔✔Rapid
✔✔Rapid insulin onset - ✔✔10 - 15 minutes
✔✔Rapid insulin peak - ✔✔30 - 90 minutes
✔✔Rapid insulin duration - ✔✔4 - 5 hours
✔✔regular (Fast) insulin onset - ✔✔0.5 - 1 hr
✔✔regular (Fast) insulin peak - ✔✔2 - 4 hours
✔✔regular (Fast) insulin duration - ✔✔6 - 8 hrs
✔✔regular IV insulin onset - ✔✔15 minutes
✔✔regular IV insulin peak - ✔✔15 - 30 minutes
✔✔regular IV insulin duration - ✔✔30 - 60 minutes
✔✔NPH (intermediate) onset - ✔✔1 - 2 hours
✔✔NPH (intermediate) peak - ✔✔4 - 8 hours
✔✔NPH (intermediate) duration - ✔✔18 - 24 hours
✔✔What is considered meal time insulin? - ✔✔lispro and aspart glulisine
regular (Fast)
✔✔If NPH (intermediate) is taken at breakfast when will it peak? - ✔✔At lunch
, ✔✔When should glargine (long-acting) be administered? - ✔✔At bed time
✔✔When should a nurse check for symptoms of glargine? - ✔✔Around 2 - 4 am
✔✔What is the goal blood pressure of patients with diabetes? - ✔✔130/80 mmHg
✔✔What is the goal LDL for patients with diabetes? - ✔✔less than 100 mg/dL
✔✔What is the normal range of potassium? - ✔✔3.5-5.0 mEq/L
✔✔Lactic acidosis is an extremely rare complication of what drug? - ✔✔Metformin
✔✔What symptoms increases the chances of lactic acidosis? - ✔✔high blood glucose
levels
hypoxemia
✔✔Symptoms of lactic acidosis - ✔✔hyperventilation, cold and clammy skin, muscle
pain, abdominal pain, dizziness, and irregular heartbeat
✔✔When is sulfonylureas used? - ✔✔It is used for patients with type 2 diabetes who
have an elevated HgA1C levels while on metformin
✔✔When are incretin mimetics (exenatide and liraglutide) used? - ✔✔Only used in
patients who havent had success with metformin, sulfonylureas, and/or glitazone
✔✔When should exenatide be taken? - ✔✔60 minutes before a meal
✔✔Can exenatide be taken with insulin? - ✔✔NO
✔✔How should a patient on metformin be informed of before taking iodine containing
radiologic contrast media? - ✔✔Discontinue metformin the day of and 48 hours
afterwards or else patient will be at a higher risk of lactic acidosis and/or acute renal
failure
✔✔Assessment for sulfonylureas - ✔✔Blood glucose level
allergic reactions to sulfonamide antibiotics
✔✔Insulin should be administered at what temperature? - ✔✔Room temperature
✔✔What should you do if a patient experiences hypoglycemia? - ✔✔Glucagon, glucose
tablets or gel, corn syrup, or honey, fruit juice, non diet soft drink, crackers or half a
sandwhich
