NR 565 ADVANCED PHARMACOLOGY
Final Exam Test Bank
QUESTION
A Patient Receives His First Lab Results Showing An A1C Of 7.2%. What Is The Diagnosis?
Answer:
-Cannot Confirm Because You Need A Second A1C After 3 Months (Value Is Borderline)
QUESTION
An A1C Of Is Considered Prediabetes.
Answer: 5.7%6.4%
QUESTION
A Random Glucose Of Is Considered Diabetic.
Answer:
200 With Signs And Symptoms
QUESTION
A Person With Diabetes Has Recurrent Severe Hypoglycemia Events. What Should His A1C
Goal Be?
Answer:
8%
,QUESTION
When Is It Okay For A Patient To Have An A1C Goal Of 6.5%?
Answer: When They Can Tolerate It And Have No
Comorbidities.
QUESTION
How Often Should An A1C Be Monitored When Stable Or When Unstable?-
Answer:
-Stable: Every 6 Months
-Unstable: Every 3 Months (A1C Of 7 Or >)
QUESTION
A Person Comes In With An A1C Of 10% And A Fasting Blood Glucose Of
>300.What Are The Next Steps For The Provider?
Answer:
-Start Insulin
(When A1C Is Above >9% Start At Step 2= Insulin Combo Therapy)
QUESTION
Who Should Not Take Metformin?
Answer:
-Due To Increased Risk Of Lactic Acidosis: Patients With CHF, Older Than 80
Years Of Age, Kidney Disease (Renal Insufficiency)
QUESTION
Sulfonylureas Should Not Be Used During Or
With Or Impairments.
Answer:
, -Pregnancy
-Liver -Renal
QUESTION
A Patient Who Has A History Of Bladder Cancer And HF Should Avoid What Class Of DM
Meds?
Answer:
Pioglitazones
-Can Cause Renal Fluid Retention Associated With HF
QUESTION
When Is It Appropriate To Increase Insulin Needs?
Answer:
-Pregnancy
-Infection
-Stress -Growth
Spurts
QUESTION
What Is The TDD Of A Person That Weighs 70kg?
Answer:
TDD= (Kgx0.6)
50% Will Be Long Acting 50%
Rapid Acting
QUESTION
IF A Person Is Eating A 50 Carb Meal, How Much Insulin Will Be Needed Based On The TDD
From The Above Question?
500 / TDD = Carb To Insulin Ratio
500/42 = 11.9 50/
11 = 4.5 Units
, QUESTION
Metformin
Answer:
-Best Antidiabetic For Patients That Skip Meals
-Can Be Used To Treat PCOS
QUESTION
A Patient States That She Will Take Her Insulin Lispro 30-60 Minutes Before A Meal?
Answer:
Nope- Must Be Within 15-30 Mins Of Meal
QUESTION
"As Long As The Short-Acting Insulin Is Drawn Up First I Can Mix My Insulin Glargine With
It".
Answer:
Nope- Only NPH Can Be Mixed With Short Acting -Always
Draw Regular (Clear) Before NPH (Cloudy)
QUESTION
A Patient States, "My Sugars Have Been Around 65-68 At Times But I Feel Like The Med Is
Working".
Answer:
Nope- Values Are Too Low
-Hypoglycemia Unawareness, Need To Educate
QUESTION
A Woman Taking Pioglitazone States, "I'm Glad That This Med Promotes Weight Loss."
Final Exam Test Bank
QUESTION
A Patient Receives His First Lab Results Showing An A1C Of 7.2%. What Is The Diagnosis?
Answer:
-Cannot Confirm Because You Need A Second A1C After 3 Months (Value Is Borderline)
QUESTION
An A1C Of Is Considered Prediabetes.
Answer: 5.7%6.4%
QUESTION
A Random Glucose Of Is Considered Diabetic.
Answer:
200 With Signs And Symptoms
QUESTION
A Person With Diabetes Has Recurrent Severe Hypoglycemia Events. What Should His A1C
Goal Be?
Answer:
8%
,QUESTION
When Is It Okay For A Patient To Have An A1C Goal Of 6.5%?
Answer: When They Can Tolerate It And Have No
Comorbidities.
QUESTION
How Often Should An A1C Be Monitored When Stable Or When Unstable?-
Answer:
-Stable: Every 6 Months
-Unstable: Every 3 Months (A1C Of 7 Or >)
QUESTION
A Person Comes In With An A1C Of 10% And A Fasting Blood Glucose Of
>300.What Are The Next Steps For The Provider?
Answer:
-Start Insulin
(When A1C Is Above >9% Start At Step 2= Insulin Combo Therapy)
QUESTION
Who Should Not Take Metformin?
Answer:
-Due To Increased Risk Of Lactic Acidosis: Patients With CHF, Older Than 80
Years Of Age, Kidney Disease (Renal Insufficiency)
QUESTION
Sulfonylureas Should Not Be Used During Or
With Or Impairments.
Answer:
, -Pregnancy
-Liver -Renal
QUESTION
A Patient Who Has A History Of Bladder Cancer And HF Should Avoid What Class Of DM
Meds?
Answer:
Pioglitazones
-Can Cause Renal Fluid Retention Associated With HF
QUESTION
When Is It Appropriate To Increase Insulin Needs?
Answer:
-Pregnancy
-Infection
-Stress -Growth
Spurts
QUESTION
What Is The TDD Of A Person That Weighs 70kg?
Answer:
TDD= (Kgx0.6)
50% Will Be Long Acting 50%
Rapid Acting
QUESTION
IF A Person Is Eating A 50 Carb Meal, How Much Insulin Will Be Needed Based On The TDD
From The Above Question?
500 / TDD = Carb To Insulin Ratio
500/42 = 11.9 50/
11 = 4.5 Units
, QUESTION
Metformin
Answer:
-Best Antidiabetic For Patients That Skip Meals
-Can Be Used To Treat PCOS
QUESTION
A Patient States That She Will Take Her Insulin Lispro 30-60 Minutes Before A Meal?
Answer:
Nope- Must Be Within 15-30 Mins Of Meal
QUESTION
"As Long As The Short-Acting Insulin Is Drawn Up First I Can Mix My Insulin Glargine With
It".
Answer:
Nope- Only NPH Can Be Mixed With Short Acting -Always
Draw Regular (Clear) Before NPH (Cloudy)
QUESTION
A Patient States, "My Sugars Have Been Around 65-68 At Times But I Feel Like The Med Is
Working".
Answer:
Nope- Values Are Too Low
-Hypoglycemia Unawareness, Need To Educate
QUESTION
A Woman Taking Pioglitazone States, "I'm Glad That This Med Promotes Weight Loss."
