NU 623 UNIT 6 QUIZ 3 EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
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?
A. No treatment at this time
B. Diet and exercise
C. Diet, exercise, and metformin
D. Diet, exercise, and exogenous insulin - ANS C. Diet, exercise, and metformin
The clinician suspects that a patient seen in the office has hyperthyroidism. Which test should
the clinician order on the initial visit?
A. Sensitive thyroid-stimulating hormone (TSH) assay and T4
B. Free T4 and serum calcium
C. Nuclear scintigraphy with radiolabeled iodine (123I)
D. Magnetic resonance imaging - ANS A. Sensitive thyroid-stimulating hormone (TSH) assay
and T4
Which statement made by a patient with type 1 diabetes indicates successful teaching
regarding general guidelines for exercise?
A. "I will not exercise if my blood sugar is 315."
B. "I should just check my blood glucose after exercise."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, C. "I should eat more carbohydrates if my blood glucose is less than 200."
D. "I will exercise when my urine ketones are positive but blood sugar is 260." - ANS A. "I will
not exercise if my blood sugar is 315."
A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and
clammy. He states that he took his insulin this morning but was late for work and did not eat
breakfast. Which action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. - ANS B. Have him drink 4 ounces of juice.
A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine.
Which condition that the patient also has would be a contraindication to taking metformin?
A. Ulcerative colitis
B. Inflammatory bowel disease
C. Chronic obstructive pulmonary disease
D. Renal disease - ANS D. Renal disease
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and
constipation for the past 3 months. On physical examination, the clinician notices muscular
stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which test should
be ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity - ANS B. Thyroid-stimulating hormone
The clinician has been doing diabetic teaching for a patient with type 1 diabetes with no
retinopathy. Which statement by the patient would indicate that teaching has been effective?
A. "As long as I don't need glasses, I don't have to worry about going blind."
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
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?
A. No treatment at this time
B. Diet and exercise
C. Diet, exercise, and metformin
D. Diet, exercise, and exogenous insulin - ANS C. Diet, exercise, and metformin
The clinician suspects that a patient seen in the office has hyperthyroidism. Which test should
the clinician order on the initial visit?
A. Sensitive thyroid-stimulating hormone (TSH) assay and T4
B. Free T4 and serum calcium
C. Nuclear scintigraphy with radiolabeled iodine (123I)
D. Magnetic resonance imaging - ANS A. Sensitive thyroid-stimulating hormone (TSH) assay
and T4
Which statement made by a patient with type 1 diabetes indicates successful teaching
regarding general guidelines for exercise?
A. "I will not exercise if my blood sugar is 315."
B. "I should just check my blood glucose after exercise."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, C. "I should eat more carbohydrates if my blood glucose is less than 200."
D. "I will exercise when my urine ketones are positive but blood sugar is 260." - ANS A. "I will
not exercise if my blood sugar is 315."
A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and
clammy. He states that he took his insulin this morning but was late for work and did not eat
breakfast. Which action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. - ANS B. Have him drink 4 ounces of juice.
A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine.
Which condition that the patient also has would be a contraindication to taking metformin?
A. Ulcerative colitis
B. Inflammatory bowel disease
C. Chronic obstructive pulmonary disease
D. Renal disease - ANS D. Renal disease
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and
constipation for the past 3 months. On physical examination, the clinician notices muscular
stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which test should
be ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity - ANS B. Thyroid-stimulating hormone
The clinician has been doing diabetic teaching for a patient with type 1 diabetes with no
retinopathy. Which statement by the patient would indicate that teaching has been effective?
A. "As long as I don't need glasses, I don't have to worry about going blind."
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
