Nr565 Week 8 Final Exam Dec-2025 Actual Week 8 Final Exam
Complete 1-100 Exam Questions Proctored Via Examplify
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A 35-year-old woman with Grave’s disease has persistent tachycardia despite starting
methimazole (Tapazole). Which adjunctive therapy would best control her heart rate?
Answers: A – D
A. Propranolol (Inderal) ✅
B. Prednisone
C. Potassium iodide
D. Radioactive iodine
When initiating levothyroxine (Synthroid) therapy in older adults, what is the
recommended approach?
Answers: A – D
A. Avoid levothyroxine and prioritize desiccated preparations
B. Start with a lower dose (e.g., 25–50 mcg/day) and titrate slowly ✅
C. Initiate full replacement dose due to delayed metabolic response in the elderly
D. Use liothyronine instead due renal clearance concerns
A 35-year-old woman with newly diagnosed type 2 diabetes (T2D) is started on metformin
(Glucophage). She asks if she should skip her medication on days when she is too busy to
eat lunch. Which is the NP’s BEST response?
Answers: A - D
✅ A. “You can take metformin even if you skip a meal”
B. “You should increase your dose if you eat fewer carbohydrates”
C. “You should hold the dose to prevent hypoglycemia”
D. “You should only take metformin with a high-carbohydrate meal”
,What is a key consideration when selecting an individualized treatment plan for a patient
with hyperthyroidism?
Answers: A – D
A. The patient’s age, comorbidities, pregnancy plans, and disease severity ✅
B. The cost of antithyroid drugs and the ability to prescribe them
C. Depending on the patient’s expectations for immediate results or a slower resolution
D. The effectiveness of radioactive iodine uptake is anticipated based on pharmacokinetics
Which of the following is the primary advantage of second-generation antihistamines
compared with first-generation agents?
A. Reduced risk of sedation and anticholinergic side effects ✅
B. Greater effectiveness in treating urticaria
C. Increased ability to cross the blood-brain barrier
D. Broader indication for the treatment of asthma
The management of tuberculosis (TB) is more complex in patients with HIV co-infection
compared to immunocompetent patients because:
A. HIV completely prevents the immune system from responding to TB infection
B. Drug interactions between TB medications and HIV antiretrovirals limit treatment
options ✅
C. TB treatment in HIV patients is always completed within a shorter time frame
D. Rifampin enhances the effectiveness of protease inhibitors and NNRTIs
A 67-year-old man with coronary artery disease had a drug-eluting stent placed 3 months
ago and is taking clopidogrel and aspirin. Which statement best explains why omeprazole
should generally be avoided in patients taking clopidogrel?
A. Omeprazole increases renal clearance of clopidogrel, lowering its plasma concentration
B. Omeprazole inhibits CYP2C19, reducing clopidogrel’s activation and antiplatelet effect
✅
C. Omeprazole displaces clopidogrel from protein-binding sites, leading to toxicity
D. Omeprazole competes with clopidogrel for absorption in the gastrointestinal tract
, The NP starts a patient on levothyroxine for newly diagnosed hypothyroidism. When
should the NP recheck serum thyroid stimulating hormone (TSH) after initiating therapy
to determine if the dosage is appropriate?
A. 3 months
B. 6–8 weeks ✅
C. 12 months
D. 1–2 weeks
Which statement BEST describes the mechanism of action of methimazole (Tapazole) and
propylthiouracil (PTU) in treating hyperthyroidism?
A. They destroy overactive thyroid tissue
B. They suppress the synthesis of thyroid hormones ✅
C. They increase the peripheral metabolism of thyroid hormones
D. They block the release of preformed thyroid hormone from the thyroid gland
Which adverse effect is MOST commonly associated with sodium-glucose cotransporter 2
(SGLT-2) inhibitors?
A. Genital fungal infections ✅
B. Pancreatitis
C. Hypoglycemia
D. Weight gain
Which drug interaction can increase the risk of theophylline toxicity?
A. Use with erythromycin (Erythrocin) ✅
B. Combination with inhaled steroids
C. Concurrent use with albuterol (Pro-Air)
D. Use with leukotriene antagonists
The NP is managing a patient with Graves’ disease in anticipation of a subtotal
thyroidectomy. Which antithyroid drug is appropriate for short-term preoperative
therapy?
A. Radioactive iodine
B. Levothyroxine (Synthroid)
C. Liothyronine (Cytomel)
D. Methimazole (Tapazole) ✅
A patient with mild asthma is relying solely on short-acting beta-agonist (SABA) inhalers
multiple times per week. What is the main risk of this strategy?
A. SABAs alone can permanently reverse airway remodeling
B. Overuse may increase asthma-related exacerbations and mortality ✅
Complete 1-100 Exam Questions Proctored Via Examplify
Chamberlain University With Correct Answers | 100% Pass
Guaranteed | Graded A+ |
A 35-year-old woman with Grave’s disease has persistent tachycardia despite starting
methimazole (Tapazole). Which adjunctive therapy would best control her heart rate?
Answers: A – D
A. Propranolol (Inderal) ✅
B. Prednisone
C. Potassium iodide
D. Radioactive iodine
When initiating levothyroxine (Synthroid) therapy in older adults, what is the
recommended approach?
Answers: A – D
A. Avoid levothyroxine and prioritize desiccated preparations
B. Start with a lower dose (e.g., 25–50 mcg/day) and titrate slowly ✅
C. Initiate full replacement dose due to delayed metabolic response in the elderly
D. Use liothyronine instead due renal clearance concerns
A 35-year-old woman with newly diagnosed type 2 diabetes (T2D) is started on metformin
(Glucophage). She asks if she should skip her medication on days when she is too busy to
eat lunch. Which is the NP’s BEST response?
Answers: A - D
✅ A. “You can take metformin even if you skip a meal”
B. “You should increase your dose if you eat fewer carbohydrates”
C. “You should hold the dose to prevent hypoglycemia”
D. “You should only take metformin with a high-carbohydrate meal”
,What is a key consideration when selecting an individualized treatment plan for a patient
with hyperthyroidism?
Answers: A – D
A. The patient’s age, comorbidities, pregnancy plans, and disease severity ✅
B. The cost of antithyroid drugs and the ability to prescribe them
C. Depending on the patient’s expectations for immediate results or a slower resolution
D. The effectiveness of radioactive iodine uptake is anticipated based on pharmacokinetics
Which of the following is the primary advantage of second-generation antihistamines
compared with first-generation agents?
A. Reduced risk of sedation and anticholinergic side effects ✅
B. Greater effectiveness in treating urticaria
C. Increased ability to cross the blood-brain barrier
D. Broader indication for the treatment of asthma
The management of tuberculosis (TB) is more complex in patients with HIV co-infection
compared to immunocompetent patients because:
A. HIV completely prevents the immune system from responding to TB infection
B. Drug interactions between TB medications and HIV antiretrovirals limit treatment
options ✅
C. TB treatment in HIV patients is always completed within a shorter time frame
D. Rifampin enhances the effectiveness of protease inhibitors and NNRTIs
A 67-year-old man with coronary artery disease had a drug-eluting stent placed 3 months
ago and is taking clopidogrel and aspirin. Which statement best explains why omeprazole
should generally be avoided in patients taking clopidogrel?
A. Omeprazole increases renal clearance of clopidogrel, lowering its plasma concentration
B. Omeprazole inhibits CYP2C19, reducing clopidogrel’s activation and antiplatelet effect
✅
C. Omeprazole displaces clopidogrel from protein-binding sites, leading to toxicity
D. Omeprazole competes with clopidogrel for absorption in the gastrointestinal tract
, The NP starts a patient on levothyroxine for newly diagnosed hypothyroidism. When
should the NP recheck serum thyroid stimulating hormone (TSH) after initiating therapy
to determine if the dosage is appropriate?
A. 3 months
B. 6–8 weeks ✅
C. 12 months
D. 1–2 weeks
Which statement BEST describes the mechanism of action of methimazole (Tapazole) and
propylthiouracil (PTU) in treating hyperthyroidism?
A. They destroy overactive thyroid tissue
B. They suppress the synthesis of thyroid hormones ✅
C. They increase the peripheral metabolism of thyroid hormones
D. They block the release of preformed thyroid hormone from the thyroid gland
Which adverse effect is MOST commonly associated with sodium-glucose cotransporter 2
(SGLT-2) inhibitors?
A. Genital fungal infections ✅
B. Pancreatitis
C. Hypoglycemia
D. Weight gain
Which drug interaction can increase the risk of theophylline toxicity?
A. Use with erythromycin (Erythrocin) ✅
B. Combination with inhaled steroids
C. Concurrent use with albuterol (Pro-Air)
D. Use with leukotriene antagonists
The NP is managing a patient with Graves’ disease in anticipation of a subtotal
thyroidectomy. Which antithyroid drug is appropriate for short-term preoperative
therapy?
A. Radioactive iodine
B. Levothyroxine (Synthroid)
C. Liothyronine (Cytomel)
D. Methimazole (Tapazole) ✅
A patient with mild asthma is relying solely on short-acting beta-agonist (SABA) inhalers
multiple times per week. What is the main risk of this strategy?
A. SABAs alone can permanently reverse airway remodeling
B. Overuse may increase asthma-related exacerbations and mortality ✅
