1
NSG 6005 WEEK 8 QUIZ / NSG6005 WEEK 8 QUIZ (LATEST): SOUTH
UNIVERSITY (ALREADY GRADED A)
1.
A 56-year-old patient with type 2 diabetes has been taking metformin for several
years. Before continuing therapy, the provider reviews the patient's renal function
because impaired kidney function can increase medication-related risks. Which
laboratory assessment is most important when evaluating whether metformin
remains appropriate?
A. Serum creatinine and estimated glomerular filtration rate
B. Serum amylase and lipase
C. Serum calcium and phosphate
D. Serum TSH and free T4
Answer: A
2.
A 49-year-old patient with newly diagnosed type 2 diabetes is prescribed
metformin along with lifestyle modification. The patient asks how the medication
lowers blood glucose. Which explanation is most accurate?
A. It directly replaces endogenous insulin
B. It primarily decreases hepatic glucose production and improves insulin
sensitivity
C. It stimulates pancreatic glucagon secretion
D. It permanently destroys pancreatic alpha cells
Answer: B
3.
A patient taking metformin reports severe weakness, persistent vomiting, rapid
breathing, and unusual malaise. The patient has recently developed significant
renal impairment. Which serious adverse reaction should the provider consider?
,2
A. Severe hypercalcemia
B. Thyroid storm
C. Lactic acidosis
D. Acute hypoglycemia caused directly by metformin
Answer: C
4.
A 61-year-old patient with type 2 diabetes has an A1C above the individualized
goal despite lifestyle modification. The provider wants an oral medication that
improves insulin sensitivity without directly stimulating pancreatic insulin
secretion. Which medication is most consistent with this goal?
A. Glyburide
B. Glipizide
C. Repaglinide
D. Metformin
Answer: D
5.
A 58-year-old patient with type 2 diabetes is prescribed a sulfonylurea. During
medication counseling, the provider emphasizes the possibility of hypoglycemia
because this medication class works primarily by increasing pancreatic insulin
secretion. Which drug belongs to this class?
A. Glipizide
B. Metformin
C. Acarbose
D. Pioglitazone
Answer: A
6.
,3
A patient taking a sulfonylurea reports sweating, tremulousness, palpitations,
confusion, and intense hunger several hours after missing a meal. Which condition
should the provider suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. Hyperosmolar hyperglycemic state
Answer: B
7.
A patient with diabetes becomes confused and diaphoretic in the clinic. Point-of-
care glucose is 48 mg/dL, and the patient is awake and able to swallow. What is
the most appropriate immediate intervention?
A. Administer additional insulin
B. Restrict oral intake
C. Provide a rapidly absorbed source of glucose
D. Administer a long-acting carbohydrate only
Answer: C
8.
A patient with diabetes is unconscious and has a confirmed blood glucose of 34
mg/dL. The patient cannot safely swallow. Which intervention is most appropriate
when IV access is unavailable?
A. Give oral glucose tablets
B. Give metformin
C. Give a sulfonylurea
D. Administer glucagon
Answer: D
9.
, 4
A 35-year-old patient with type 1 diabetes asks why insulin is required even when
dietary carbohydrate intake is carefully controlled. Which explanation is most
appropriate?
A. Type 1 diabetes involves inadequate endogenous insulin production because of
pancreatic beta-cell destruction
B. Type 1 diabetes is caused primarily by excessive glucagon production
C. Type 1 diabetes results from increased intestinal glucose absorption alone
D. Type 1 diabetes is caused by excessive thyroid hormone production
Answer: A
10.
A patient with type 2 diabetes asks why insulin may eventually become necessary
even after years of oral therapy. Which explanation is most appropriate?
A. Insulin therapy is used only when metformin causes nausea
B. Progressive beta-cell dysfunction can eventually result in insufficient
endogenous insulin production
C. Oral medications permanently eliminate pancreatic insulin secretion
D. Type 2 diabetes always resolves after several years
Answer: B
11.
A patient is prescribed insulin lispro before meals. The provider explains that this
insulin is designed to act rapidly after administration. Which characteristic is
associated with insulin lispro?
A. It is a long-acting basal insulin
B. It has an onset measured in several hours
C. It is a rapid-acting insulin generally administered close to meals
D. It should routinely be administered once weekly
Answer: C
12.
NSG 6005 WEEK 8 QUIZ / NSG6005 WEEK 8 QUIZ (LATEST): SOUTH
UNIVERSITY (ALREADY GRADED A)
1.
A 56-year-old patient with type 2 diabetes has been taking metformin for several
years. Before continuing therapy, the provider reviews the patient's renal function
because impaired kidney function can increase medication-related risks. Which
laboratory assessment is most important when evaluating whether metformin
remains appropriate?
A. Serum creatinine and estimated glomerular filtration rate
B. Serum amylase and lipase
C. Serum calcium and phosphate
D. Serum TSH and free T4
Answer: A
2.
A 49-year-old patient with newly diagnosed type 2 diabetes is prescribed
metformin along with lifestyle modification. The patient asks how the medication
lowers blood glucose. Which explanation is most accurate?
A. It directly replaces endogenous insulin
B. It primarily decreases hepatic glucose production and improves insulin
sensitivity
C. It stimulates pancreatic glucagon secretion
D. It permanently destroys pancreatic alpha cells
Answer: B
3.
A patient taking metformin reports severe weakness, persistent vomiting, rapid
breathing, and unusual malaise. The patient has recently developed significant
renal impairment. Which serious adverse reaction should the provider consider?
,2
A. Severe hypercalcemia
B. Thyroid storm
C. Lactic acidosis
D. Acute hypoglycemia caused directly by metformin
Answer: C
4.
A 61-year-old patient with type 2 diabetes has an A1C above the individualized
goal despite lifestyle modification. The provider wants an oral medication that
improves insulin sensitivity without directly stimulating pancreatic insulin
secretion. Which medication is most consistent with this goal?
A. Glyburide
B. Glipizide
C. Repaglinide
D. Metformin
Answer: D
5.
A 58-year-old patient with type 2 diabetes is prescribed a sulfonylurea. During
medication counseling, the provider emphasizes the possibility of hypoglycemia
because this medication class works primarily by increasing pancreatic insulin
secretion. Which drug belongs to this class?
A. Glipizide
B. Metformin
C. Acarbose
D. Pioglitazone
Answer: A
6.
,3
A patient taking a sulfonylurea reports sweating, tremulousness, palpitations,
confusion, and intense hunger several hours after missing a meal. Which condition
should the provider suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Diabetic ketoacidosis
D. Hyperosmolar hyperglycemic state
Answer: B
7.
A patient with diabetes becomes confused and diaphoretic in the clinic. Point-of-
care glucose is 48 mg/dL, and the patient is awake and able to swallow. What is
the most appropriate immediate intervention?
A. Administer additional insulin
B. Restrict oral intake
C. Provide a rapidly absorbed source of glucose
D. Administer a long-acting carbohydrate only
Answer: C
8.
A patient with diabetes is unconscious and has a confirmed blood glucose of 34
mg/dL. The patient cannot safely swallow. Which intervention is most appropriate
when IV access is unavailable?
A. Give oral glucose tablets
B. Give metformin
C. Give a sulfonylurea
D. Administer glucagon
Answer: D
9.
, 4
A 35-year-old patient with type 1 diabetes asks why insulin is required even when
dietary carbohydrate intake is carefully controlled. Which explanation is most
appropriate?
A. Type 1 diabetes involves inadequate endogenous insulin production because of
pancreatic beta-cell destruction
B. Type 1 diabetes is caused primarily by excessive glucagon production
C. Type 1 diabetes results from increased intestinal glucose absorption alone
D. Type 1 diabetes is caused by excessive thyroid hormone production
Answer: A
10.
A patient with type 2 diabetes asks why insulin may eventually become necessary
even after years of oral therapy. Which explanation is most appropriate?
A. Insulin therapy is used only when metformin causes nausea
B. Progressive beta-cell dysfunction can eventually result in insufficient
endogenous insulin production
C. Oral medications permanently eliminate pancreatic insulin secretion
D. Type 2 diabetes always resolves after several years
Answer: B
11.
A patient is prescribed insulin lispro before meals. The provider explains that this
insulin is designed to act rapidly after administration. Which characteristic is
associated with insulin lispro?
A. It is a long-acting basal insulin
B. It has an onset measured in several hours
C. It is a rapid-acting insulin generally administered close to meals
D. It should routinely be administered once weekly
Answer: C
12.
