NR 565 Advanced Pharmacology Final Midterm
Quiz 2 NR 547 Midterm NR 546 Chamberlain
Practice Exam Questions and Answers 2026/2027
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility - Correct AnswerC. Alcoholics
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17 - Correct AnswerA. eGFR <30
What medication is contraindicated to treat diabetes if a patient already has a cardiac ejection fraction
rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor - Correct AnswerB. Thiazolidinediones
Sabrina is a 35-year-old female who presents with complaints of fatigue, anxiety, and palpitations. She
has a long history of obesity and reports that she is happy that she has lost 23 pounds in the last 2
months. She also reports that she has trouble sleeping and her husband complains that she is keeping
1|Page
,the house too cold. Physical exam reveals slight tachycardia at 104 bpm and a slightly enlarged thyroid.
Thyroid testing reveals hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine - Correct AnswerA. Methimazole
Which of the following medications would be considered the first line of treatment for a newly
diagnosed Diabetic patient with adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide - Correct AnswerC: Oral Metformin
Of the following medications, which is most likely to cause hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones - Correct AnswerB. Insulin
Which symptoms are most expected of a patient diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
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,D. dry pale skin, brittle hair, fatigue, myxedema - Correct AnswerD. dry skin, brittle hair, fatigue,
myxedema
Patients with an increased risk for UTIs and genital infections or an active diagnosis, should avoid what
drug class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above. - Correct AnswerC. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
A 45-year-old patient with a history of type 2 diabetes presents to the clinic for a follow-up appointment.
The healthcare provider has prescribed metformin as part of the treatment plan. Which of the following
statements regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose production. - Correct AnswerD.
Metformin improves insulin sensitivity and reduces hepatic glucose production.
In what part of the body are SGLT-2 (sodium-glucose cotransporter 2) inhibitors active?
A. Small intestine
B. Pancreas
C. Renal tubules
D. Stomach - Correct AnswerC. Renal tubules
Which of the following statements is not true regarding sulfonylureas?
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, A. Sulonlyreas are safe to prescribe to pregnant and/or breast-feeding women.
B. Patients should be educated about signs and symptoms of hypoglycemia.
C. Sulfonylureas cause a dose-dependent reduction in blood glucose.
D. Sulfonylureas are indicated for only patients diagnosed with type 2 diabetes. - Correct AnswerA.
Sulonlyreas are safe to prescribe to pregnant and/or breast-feeding women.
A 33 year old woman previously diagnosed with hyperthyroidism noted have tachycardia. Which
medication should the NP add to the patients regimen?
A. atenolol
B. levothyroxine
C. lithium
D. semaglutide - Correct AnswerA. atenolol
Once a patient's thyroid is euthyroid and their dose can be maintained at the prescription, at what
interval should their TSH be re-checked?
A. every 18 months
B. every 12 months
C. every 6 months
D. every 24 months - Correct AnswerB. every 12 months
Which of the following medications reduces the absorption of levothyroxine?
A. Warfarin
B. Rifampin
C. Insulin
D. Omeprazole - Correct AnswerD. Omeprazole
Which of the following diabetic medications are most likely to cause hypoglycemia?
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Quiz 2 NR 547 Midterm NR 546 Chamberlain
Practice Exam Questions and Answers 2026/2027
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility - Correct AnswerC. Alcoholics
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17 - Correct AnswerA. eGFR <30
What medication is contraindicated to treat diabetes if a patient already has a cardiac ejection fraction
rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor - Correct AnswerB. Thiazolidinediones
Sabrina is a 35-year-old female who presents with complaints of fatigue, anxiety, and palpitations. She
has a long history of obesity and reports that she is happy that she has lost 23 pounds in the last 2
months. She also reports that she has trouble sleeping and her husband complains that she is keeping
1|Page
,the house too cold. Physical exam reveals slight tachycardia at 104 bpm and a slightly enlarged thyroid.
Thyroid testing reveals hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine - Correct AnswerA. Methimazole
Which of the following medications would be considered the first line of treatment for a newly
diagnosed Diabetic patient with adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide - Correct AnswerC: Oral Metformin
Of the following medications, which is most likely to cause hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones - Correct AnswerB. Insulin
Which symptoms are most expected of a patient diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
2|Page
,D. dry pale skin, brittle hair, fatigue, myxedema - Correct AnswerD. dry skin, brittle hair, fatigue,
myxedema
Patients with an increased risk for UTIs and genital infections or an active diagnosis, should avoid what
drug class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above. - Correct AnswerC. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
A 45-year-old patient with a history of type 2 diabetes presents to the clinic for a follow-up appointment.
The healthcare provider has prescribed metformin as part of the treatment plan. Which of the following
statements regarding metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose production. - Correct AnswerD.
Metformin improves insulin sensitivity and reduces hepatic glucose production.
In what part of the body are SGLT-2 (sodium-glucose cotransporter 2) inhibitors active?
A. Small intestine
B. Pancreas
C. Renal tubules
D. Stomach - Correct AnswerC. Renal tubules
Which of the following statements is not true regarding sulfonylureas?
3|Page
, A. Sulonlyreas are safe to prescribe to pregnant and/or breast-feeding women.
B. Patients should be educated about signs and symptoms of hypoglycemia.
C. Sulfonylureas cause a dose-dependent reduction in blood glucose.
D. Sulfonylureas are indicated for only patients diagnosed with type 2 diabetes. - Correct AnswerA.
Sulonlyreas are safe to prescribe to pregnant and/or breast-feeding women.
A 33 year old woman previously diagnosed with hyperthyroidism noted have tachycardia. Which
medication should the NP add to the patients regimen?
A. atenolol
B. levothyroxine
C. lithium
D. semaglutide - Correct AnswerA. atenolol
Once a patient's thyroid is euthyroid and their dose can be maintained at the prescription, at what
interval should their TSH be re-checked?
A. every 18 months
B. every 12 months
C. every 6 months
D. every 24 months - Correct AnswerB. every 12 months
Which of the following medications reduces the absorption of levothyroxine?
A. Warfarin
B. Rifampin
C. Insulin
D. Omeprazole - Correct AnswerD. Omeprazole
Which of the following diabetic medications are most likely to cause hypoglycemia?
4|Page
