NR 508 Week 5 Quiz (100% Correct)
NR 508 Week 5
NR 508
NR508
NR 508 Week 5 Quiz (100% Correct)
Question 1
1 / 1 pts
Your patient is a patient is
... [Show More] a 67-year-old male with T2 DM. He is on glipizide and metformin. He presents to the clinic with confusion, sluggishness, and extreme thirst. His wife tells you He does not follow his meal plan or exercise regularly, and hasn't checked his BG for 1 week. A random glucose is drawn and it is 500. What is a likely diagnosis based on preliminary assessment?
Diabetic keto acidosis (DKA)
Infection
Hypoglycemia
Correct!
Hyperglycemic hyperosmolar syndrome (HHS)
Question 2
1 / 1 pts
After starting a patient with Grave's disease on an antithyroid agent such as methimazole, patient monitoring includes TSH and free T4 every
Correct!
3 to 4 weeks.
6 to 9 months.
1 to 2 weeks.
2 to 3 months.
Question 3
1 / 1 pts
Goals when treating hypothyroidism with thyroid replacement include
Correct!
all of the above...
resolution of fatigue
weight loss to baseline
normal TSH and free T4 levels.
Question 4
1 / 1 pts
The action of "gliptins" is different from other antidiabetic agents because they
have a low risk for hypoglycemia.
close ATP-dependent potassium channels in the beta cell.
are not associated with weight gain.
Correct!
act on the incretin system to indirectly increase insulin production.
Question 5
1 / 1 pts
Which of the following is not an indication that growth hormone supplements should be discontinued?
Growth curve increases have plateaued
Imaging indication of epiphyseal closure
Correct!
Complaints of mild bone pain
Achievement of anticipated height goals
Question 6
1 / 1 pts
Your patient has type 1 diabetes and plays tennis for his university. He exhibits a knowledge deficit about his insulin and his diagnosis. He should be taught that
each brand of insulin is equal in bioavailability, so buy the least expensive.
alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts.
if he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control his diabetes.
Correct!
he should increase his carbohydrate intake during times of exercise.
Question 7
1 / 1 pts
When methimazole is started for hyperthyroidism it may take ________ to see a total reversal of hyperthyroid symptoms.
2 to 4 weeks
1 to 2 months
3 to 4 months
Correct!
6 to 12 months
Question 8
1 / 1 pts
The drug of choice for type 2 diabetics is metformin. Metformin
Increases glycogenolysis in the liver
Correct!
Increases peripheral glucose uptake and utilization
Prevents weight gain associated with hyperglycemia
Increases the release of insulin from beta cells
Question 9
1 / 1 pts
The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH) insulin to insulin glargine to improve glycemia control throughout the day. If this is done
patients who have been on high doses of NPH will need tests for insulin antibodies.
the initial dose of glargine is 2 to 10 units per day.
obese patients may require more than 100 units per day.
Correct!
the initial dose of glargine is reduced by 20% to avoid hypoglycemia.
Question 10
1 / 1 pts
Before prescribing metformin, the provider should
provider should do all of these
try the patient on insulin.
Correct!
draw a serum creatinine level to assess renal function.
prescribe a thyroid preparation if the patient needs to lose weight.
Quiz Score: 10 out of 10 [Show Less]