Questions with Correct Answers, Study Notes, Covering All
Major Nursing Topics/NURS 565 Final Already Graded A+
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
a. Metoprolol
b. Methimazole
c. Allopurinol
d. Levothyroxine
b
Which of the following agents is the preferred treatment option
for thyroid storm?
a. Iodine-131
b. Methylphenidate
c. Levothyroxine
d. PTU
d
Which laboratory tests should be completed before prescribing
methimazole? Select all that apply.
a. thyroid-stimulating hormone (TSH)
b. CMP
c. free thyroxine (T4)
d. free triiodothyronine (T3)
e. CBC
f. LFTs
a, c, d, e, f
pg. 1
,Sabrina is seen one year later and reports that she has developed
atrial fibrillation and was put on warfarin by a new cardiologist.
What monitoring concerns are associated with taking warfarin?
a. Vitamin K
b. INR
c. Creatinine
d. Lipid Panel
b
Which of the following agents is the first-line treatment for
hypothyroidism?
a. Methimazole
b. Allopurinol
c. Metoprolol
d. Levothyroxine
d
Cecilia is started on levothyroxine 100 micrograms daily. When
should her TSH be re-checked?
a. 6 weeks
b. 8 weeks
c. 4 weeks
d. 2 weeks
a
Once her labs reveal that her thyroid is euthyroid and her dose
can be maintained at the current level, at what interval should her
TSH be re-checked?
a. every 12 months
b. every 18 months
pg. 2
,c. every 6 months
d. every 24 months
a
Acute symptoms of diabetes plus casual plasma glucose
concentration greater than or equal to 200 mg/dL.
*Casual is defined as any time of day without regard to time since
last meal. The classic symptoms of diabetes are polyuria,
polydipsia, and unexplained weight loss.
a. Pre-diabetes
b. Diabetes mellitus
b
Fasting plasma glucose greater than or equal to 126 mg/dL.
*Fasting is defined as no caloric intake for at least 8 hours.
a. Diabetes mellitus
b. Pre-diabetes
a
2-hour post-load plasma glucose in an oral glucose tolerance test
greater than or equal to 200 mg/dL. The test uses a glucose load
containing the equivalent of 75 g anhydrous glucose dissolved in
water.
a. Pre-diabetes
b. Diabetes mellitus
b
HgbA1c greater than or equal to 6.5%
a. Diabetes mellitus
b. Pre-diabetes
a
pg. 3
, Fasting plasma glucose 100 to 125 mg/dL (IFG) or
a. Diabetes mellitus
b. Pre-diabetes
b
Plasma glucose 140 to 199 mg/dL (IGT) 2 hours post-ingestion of
standard glucose load (75 g) or
a. Diabetes mellitus
b. Pre-diabetes
b
HgbA1c 5.7% to 6.4%
a. Diabetes mellitus
b. Pre-diabetes
b
______________ should be used with caution in patients with
renal dysfunction, cardiovascular disease, dehydration, and
diabetes mellitus (can cause hyperglycaemia). These agents are
contraindicated in older adults, and patients with heart failure.
saline agents
Sodium phosphate is a routine order for bowel cleansing before a
colonoscopy. The patient's lab tests report an elevated creatinine
clearance and blood urea nitrogen. What is the best course of
action for this patient?
a. Suggest that the patient reduce the dietary sodium intake
b. Prescribe polyethylene glycol and electrolytes (PEG-ELS)
instead
c. Reduce the amount of fluid given with the laxative to prevent
fluid retention
pg. 4