NURSING EXAMS
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NURSE WISEMAN 2026/2027 MEDICINE
,Nurs 615 Exam IV Nurse Practitioners
Review Exam (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A+
How will you prescribe lipase, protease, and amylase
components? - ANSWER✅✅Patients with cystic
fibrosis are often prescribed enzyme replacement for
pancreatic secretions each replacement drug has
amylase, lipase and protease components, however the
drug is prescribed in units of lipase
What is the medication of choice for hypertensive crisis
with pheochromocytoma? - ANSWER✅✅Surgical
resection of the tumor is the first treatment of choice
either my open laparotomy or laparoscopy either surgical
option requires prior treatment of nonspecific irreversible
adrenergic adraonoreceptor blocker phenoxybenzamine
or a shorter acting alpha antagonists, prazosin, terazosin,
and doxazosin. Mainly use phenozibenamine in practice.
Doing so promotes the surgery to proceed while
minimizing the likelihood of severe intraoperative
hypertension which is likely when the tumor is
manipulated.
,What is the onset of action, peak of action, and duration
of action of each insulin preparation? -
ANSWER✅✅(Intermediate Acting) NPH
Onset-60-90 min after administration,
Peak 48 hrs
Duration 10-18 hrs.
(Short Acting) Regular Onset 30-60 min
Peak 2-4 hrs
Duration 6-10 hrs
(Long Acting) Aspart, Lispro, Glulisine
Onset less than 15 min
Peak 1-2 hrs
Duration 3-6 hrs
(Long Acting) Glargine, Detemir
Onset 1-2 hrs
Peak NO PEAK
Duration 24 hrs
, Identify the symptoms of hypoglycemia, hyperglycemia,
and ketoacidosis. - ANSWER✅✅Hypoglycemia-
dizziness, confusion, diaphoresis, tachycardia
Hyperglycemia- polyphagia, polydipsia, polyuria, blurred
vision, and fatigue
Ketoacidosis- hallmark symptoms include acetone breath
like nail polish remover or fruity breath. Also abdominal
pain, nausea, vomiting and sob.
When changing from NPH to glargine insulin, how will you
adjust the patient's dose? - ANSWER✅✅The initial
dose of glargine is reduced by 20% to prevent
hypoglycemia.
How does metformin work? -
ANSWER✅✅Decreases hyperglycemia by decreasing
hepatic glucose production called hepatic
gluconeogenesis. The average person with type 2
diabetes has three times the rate of gluconeogenesis,
metformin treatment reduces this by over 1/3rd. The
molecular mechanism of metformin isn't completely
understood. In addition to suppressing hepatic glucose
production, metformin increases insulin sensitivity,
enhances peripheral glucose uptake by inducing the
phosphorilization of glu4 enhancer factor, decreases
insulin induced suppression of fatty acid oxidation, and
• Nursing Exam Prep Made Easy — Get
Your Documents Today!
NURSE WISEMAN 2026/2027 MEDICINE
,Nurs 615 Exam IV Nurse Practitioners
Review Exam (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A+
How will you prescribe lipase, protease, and amylase
components? - ANSWER✅✅Patients with cystic
fibrosis are often prescribed enzyme replacement for
pancreatic secretions each replacement drug has
amylase, lipase and protease components, however the
drug is prescribed in units of lipase
What is the medication of choice for hypertensive crisis
with pheochromocytoma? - ANSWER✅✅Surgical
resection of the tumor is the first treatment of choice
either my open laparotomy or laparoscopy either surgical
option requires prior treatment of nonspecific irreversible
adrenergic adraonoreceptor blocker phenoxybenzamine
or a shorter acting alpha antagonists, prazosin, terazosin,
and doxazosin. Mainly use phenozibenamine in practice.
Doing so promotes the surgery to proceed while
minimizing the likelihood of severe intraoperative
hypertension which is likely when the tumor is
manipulated.
,What is the onset of action, peak of action, and duration
of action of each insulin preparation? -
ANSWER✅✅(Intermediate Acting) NPH
Onset-60-90 min after administration,
Peak 48 hrs
Duration 10-18 hrs.
(Short Acting) Regular Onset 30-60 min
Peak 2-4 hrs
Duration 6-10 hrs
(Long Acting) Aspart, Lispro, Glulisine
Onset less than 15 min
Peak 1-2 hrs
Duration 3-6 hrs
(Long Acting) Glargine, Detemir
Onset 1-2 hrs
Peak NO PEAK
Duration 24 hrs
, Identify the symptoms of hypoglycemia, hyperglycemia,
and ketoacidosis. - ANSWER✅✅Hypoglycemia-
dizziness, confusion, diaphoresis, tachycardia
Hyperglycemia- polyphagia, polydipsia, polyuria, blurred
vision, and fatigue
Ketoacidosis- hallmark symptoms include acetone breath
like nail polish remover or fruity breath. Also abdominal
pain, nausea, vomiting and sob.
When changing from NPH to glargine insulin, how will you
adjust the patient's dose? - ANSWER✅✅The initial
dose of glargine is reduced by 20% to prevent
hypoglycemia.
How does metformin work? -
ANSWER✅✅Decreases hyperglycemia by decreasing
hepatic glucose production called hepatic
gluconeogenesis. The average person with type 2
diabetes has three times the rate of gluconeogenesis,
metformin treatment reduces this by over 1/3rd. The
molecular mechanism of metformin isn't completely
understood. In addition to suppressing hepatic glucose
production, metformin increases insulin sensitivity,
enhances peripheral glucose uptake by inducing the
phosphorilization of glu4 enhancer factor, decreases
insulin induced suppression of fatty acid oxidation, and
