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Examen

NUR 660 FINAL Questions & 100% correct Answers- Latest Test | Graded A+ | Passed

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The effects of GLP-1 Agonist medications include all of the following EXCEPT: Select one: a. glucagon induced gluconeogenesis b. increased satiety c. improved glycemic control d. glucose dependent insulin secretion Ξ -:- glucagon induced gluconeogenesis A common adverse effect with SGLT-2 Inhibitors is: Select one: a. edema b. mycotic infection c. hypertension d. weight gain Ξ -:- Mycotic Infection Due to the increased risk for hypoglycemia, the following two medication classes should not be used in combination: Select one: a. insulin and metformin b. insulin and sulfonylurea c. insulin and thiazolidinedione d. insulin and acarbose Ξ -:- Insulin and Sulfonylurea E x c e l l e n c e i s k e y | 2 0 2 4 / 2 0 2 5 ~ P a g e | 2 26/08/2024 | © Copyright- This work may not be copied for profit. A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with type 2 diabetes mellitus (DM). The A1c is 7.1%. What is the best initial treatment? Select one: a. Diet, exercise, and metformin b. No treatment at this time c. Diet and exercise d. Diet, exercise, and exogenous insulin Ξ -:- Diet and exercise, Diet, exercise, and metformin Which medication is an insulin secretagogue (mechanism of action is to secrete insulin)? Select one: a. acarbose (alpha-glucosidase inhibitor) b. empagliflozin (SGLT2 Inhibitor) c. rosiglitazone (thiazolidinedione) d. glipizide (sulfonylurea) Ξ -:- glipizide (sulfonylurea) The "ominous octet" includes all of the following EXCEPT: Select one: a. insulin resistance b. decreased insulin production c. decreased incretin hormones d. increased incretin hormones Ξ -:- increased incretin hormones In which patient would the clinician NOT initiate metformin? Select one: a. 60 year old with a history of medullary thyroid cancer b. 54 year old with an allergy to penicillin c. 71 year old with an eGFR of 60 d. 62 year old with an eGFR of 40 E x c e l l e n c e i s k e y | 2 0 2 4 / 2 0 2 5 ~ P a g e | 3 26/08/2024 | © Copyright- This work may not be copied for profit. Ξ -:- 62 year old with an eGFR of 40 Which medication can cause hyperglycemia? Select one: a. Cephalexin (Keflex) b. Levothyroxine (Synthroid) c. Metformin (Glucophage) d. Prednisolone (Omnipred) Ξ -:- Prednisolone (Omnipred

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E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |1




NUR 660 FINAL Questions & 100%
correct Answers- Latest Test | Graded A+ |
Passed
The effects of GLP-1 Agonist medications include all of the following EXCEPT:

Select one:

a. glucagon induced gluconeogenesis

b. increased satiety

c. improved glycemic control

d. glucose dependent insulin secretion

Ξ -:- glucagon induced gluconeogenesis



A common adverse effect with SGLT-2 Inhibitors is:

Select one:

a. edema

b. mycotic infection

c. hypertension

d. weight gain

Ξ -:- Mycotic Infection



Due to the increased risk for hypoglycemia, the following two medication classes should not be
used in combination:

Select one:

a. insulin and metformin

b. insulin and sulfonylurea

c. insulin and thiazolidinedione

d. insulin and acarbose

Ξ -:- Insulin and Sulfonylurea




26/08/2024 | © Copyright- This work may not be copied for profit.

, E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |2


A patient is 66 inches in height, weighing 200 lbs, and newly diagnosed with type 2 diabetes
mellitus (DM). The A1c is 7.1%. What is the best initial treatment?

Select one:

a. Diet, exercise, and metformin

b. No treatment at this time

c. Diet and exercise

d. Diet, exercise, and exogenous insulin

Ξ -:- Diet and exercise, Diet, exercise, and metformin



Which medication is an insulin secretagogue (mechanism of action is to secrete insulin)?

Select one:

a. acarbose (alpha-glucosidase inhibitor)

b. empagliflozin (SGLT2 Inhibitor)

c. rosiglitazone (thiazolidinedione)

d. glipizide (sulfonylurea)

Ξ -:- glipizide (sulfonylurea)



The "ominous octet" includes all of the following EXCEPT:

Select one:

a. insulin resistance

b. decreased insulin production

c. decreased incretin hormones

d. increased incretin hormones

Ξ -:- increased incretin hormones



In which patient would the clinician NOT initiate metformin?

Select one:

a. 60 year old with a history of medullary thyroid cancer

b. 54 year old with an allergy to penicillin

c. 71 year old with an eGFR of 60

d. 62 year old with an eGFR of 40


26/08/2024 | © Copyright- This work may not be copied for profit.

, E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |3


Ξ -:- 62 year old with an eGFR of 40



Which medication can cause hyperglycemia?

Select one:

a. Cephalexin (Keflex)

b. Levothyroxine (Synthroid)

c. Metformin (Glucophage)

d. Prednisolone (Omnipred)

Ξ -:- Prednisolone (Omnipred)



Insulin should be initiated for the patient with Type 2 DM when the HgbA1C is

Select one:

a. 7

b. 8

c. 10

d. 7.5

Ξ -:- 10



How often should the clinician examine the feet of a person with diabetes?

Select one:

a. Every year

b. Every 3 months

c. Every visit

d. Every 6 months

Ξ -:- Every visit



Claire is a patient complaining that her left leg is cool, pale, smaller than her right, and has thick
toenails. Which condition may she be experiencing?

Select one:

a. Peripheral artery disease

b. Deep vein thrombosis


26/08/2024 | © Copyright- This work may not be copied for profit.

, E x c e l l e n c e i s k e y | 2 0 2 0 2 5 ~ P a g e |4


c. Anemia

d. Pulmonary embolism

Ξ -:- Peripheral Artery Disease



What of the following patients is a candidate for a high intensity statin?

Select one:

a. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%.

b. Christa is a 65-year-old female with a history of myocardial infarction (MI).

c. Jerry is a 55-year-old male with a history of syncope.

d. April is an 85-year-old female with a low-density lipoprotein (LDL) level of 180.

Ξ -:- Christa is a 65-year-old female with a history of myocardial infarction (MI).



Which of the following may help a clinician to determine whether palpitations are caused by a
potentially lethal cardiac rhythm?

Select one:

a. Thyroid panel

b. Holter monitoring

c. Complete blood count (CBC)

d. Computed axial tomography (CAT) scan

Ξ -:- Holter Monitoring



Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or one spray
should be used under the tongue every 5 minutes for three doses. What should be done if the pain
has not been relieved after three doses?

Select one:

a. A portable defibrillator should be located to ascertain the cardiac rhythm.

b. One more dose of NTG may be tried.

c. The person should be given two aspirin to chew.

d. 911 should be called, and the patient should be transported immediately to the emergency
department.




26/08/2024 | © Copyright- This work may not be copied for profit.

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Subido en
27 de agosto de 2024
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53
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