Thomas Jefferson University :NU 560/NU560 Quiz 5 | Answered 100% correct with Rationales | updated fall 2025/26.

Thomas Jefferson University :NU 560/NU560 Quiz 5 | Answered 100% correct with Rationales | updated fall 2025/26. QUIZ 5 Endo/Pain/Mental health Question 1 1 / 1 pts A 65-year-old patient presents with increased urination. The patient states there is a strong family history of type 2 diabetes and expresses concern about “getting diabetes.” The physical assessment indicates vital signs are within normal limits and body mass index (BMI) is 29%. Along with obtaining laboratory tests, what intervention should the healthcare provider perform at this initial visit? a- Identify family members with a history of diabetes. b- Share with the patient that eventual insulin therapy is likely to be needed. c- Talk to the patient about adjusting calorie intake to promote weight loss. d- Suggest that starting on empagliflozin therapy immediately would be appropriate. Question 2 1 / 1 pts Which statement(s) presents a relevant characteristic of the pathogenesis of type 2 diabetes and so is a consideration in its treatment? Select all that apply. a- Insulin secretion is impaired. b- Muscle cells become insulin resistant. c- The liver glucose production is increased. d- To compensate, circulating insulin concentrations decrease. e- Faulty beta cells are the primary cause of this form of diabetes. Question 3 1 / 1 pts The patient who presented for an annual well physical 3 months ago had an elevated A1C. Today’s HBA1C result is 7.5% (0.75), having only decreased minimally with diet and lifestyle changes alone. What action will the healthcare provider discuss with the patient in response to this information? Needing to prescribe acarbose Initiating monotherapy using metformin Starting a fixed-dose combination product Considering short-term use of insulin on a sliding scale Question 4 1 / 1 pts The healthcare provider will recognize canagliflozin is contraindicated for the treatment of which patient diagnosed with type 2 diabetes? 50-year-old on hemodialysis 70-year-old on insulin therapy 45-year-old with a history of hypokalemia 60-year-old with albumin excretion of 350 mg/day Question 5 1 / 1 pts A patient who has initiated medication therapy for hypothyroidism is asked to return for blood work to monitor for effectiveness. When should the patient return for a repeat thyroid-stimulating hormone (TSH) level? 1 to 2 weeks 3 to 5 weeks 6 to 8 weeks 9 to 12 weeks Question 6 1 / 1 pts A healthcare provider is preparing to write a prescription as part of the treatment plan for a patient being treated for hyperthyroidism. The treatment plan includes teaching the patient about methimazole and what possible side effect(s)? Select all that apply. Urticaria Arthralgia Fever Agranulocystosis Nephrotoxicity Question 7 1 / 1 pts Which prescription is most appropriate for a 10-year-old child being treated for depression? Escitalopram Paroxetine Venlafaxine Fluoxetine Question 8 1 / 1 pts Which intervention(s) should the healthcare provider implement initially when assessing a patient demonstrating symptoms associated with generalized anxiety disorder (GAD)? Select all that apply. Order an A1C level. Ask, “How do you define anxiety?” Screen for cognitive dysfunction. Order a complete blood count (CBC). Ask, “What medications are you currently taking?” Ask, “How much alcohol do you consume in an average week?” Question 9 1 / 1 pts A patient has been diagnosed with restless leg syndrome (RLS) and is being considered for medication therapy. What medication should the healthcare provider consider as a first-line therapy for this patient? Fluoxetine Ferrous iron Pramipexole Carbidopa–levodopa Question 10 1 / 1 pts A 7-year-old child has been diagnosed with attention-deficient/hyperactivity disorder (ADHD). Which intervention(s) will the healthcare provider consider for inclusion in this child’s plan of care? Select all that apply. Family counseling Behavioral therapy Methylphenidate Atomoxetine Bupropion Question 11 1 / 1 pts The healthcare provider is planning to prescribe buprenorphine for a patient diagnosed with an opioid use disorder. What assessment observations support the appropriateness of the intervention? Select all that apply. Patient is diaphoric. Patient reports abdominal cramping. Patient reports a headache that has lasted 12 hours. Patient reports being “constipated for nearly one week.” Erythema noted about the face, neck and upper trunk noted periodically. Question 12 1 / 1 pts Which disorder is associated with nociceptive pain? Diabetes Gout Migraine Multiple Sclerosis Page Number and Header: 146, Types of Pain, 147, Box 9.1 Question 13 1 / 1 pts Which common side effect of opioid analgesics is most likely to persist during prolonged use? Somnolence Respiratory depression Constipation Dysphoria Question 14 1 / 1 pts A patient prescribed opioid therapy undergoes a random urine drug screen, which produces unexpected results. What should be the next course of action? Dismiss the patient from the practice for violating the controlled substance agreement. Refer the patient to a specialist for treatment of opioid use disorder. Report the finding to the patient’s Prescription Drug Monitoring Program (PDMP) profile. Perform gas chromatography–mass spectrometry. Question 15 1 / 1 pts From what part of the cannabis plant is the highest concentration of cannabinoids produced? Pistil Stigmas Trichomes Resin glands