NR 661 Week 3 APEA Module: Endocrine / Disorders – APEA Practice Exam 2

Question: A patient has 2 non- fasting glucose values of 101 mg/dL and 114 mg/dL that were measured on 2 separate days in the same week. This patient: Question: The most appropriate screen for diabetic nephropathy is: ...

Question: A patient has 2 non- fasting glucose values of 101 mg/dL and 114 mg/dL that were measured on 2 separate days in the same week. This patient: Question: The most appropriate screen for diabetic nephropathy is: Question: A 65 year-old diabetic has been on oral anti-hyperglycemic agents and is still having poor glycemic control. His AM fasting glucoses range from 140s-160s. You decide to add insulin. He weighs 127 kilograms. What should the NP order as an initial starting dose? Question: The most appropriate time to begin screening for renal nephropathy in a patient with Type 1 diabetes is: Question: Which choice best describes the most common presentation of a patient with Type 2 diabetes? Question: A recently … patient with type 2 diabetes presents today with fever and burning with urination. She is … with a urinary tract infection (UTI). Her urine dipstick is positive for protein. Which statement is correct? Question: A patient has been prescribed pioglitazone. The nurse practitioner must remember to: Question: A patient who is 73 years old was … with diabetes several years ago. His A1C has remained elevated on oral agents and a decision to use insulin has been made. What is the goal post prandial glucose for him? Question: Hyperthyroidism may affect the blood pressure: Question: Metformin is a good choice for many older adults with type 2 diabetes. What should be monitored carefully? Question: Which laboratory abnormality very commonly accompanies hypothyroidism? Question: What is the earliest detectable glycemic abnormality in a patient with Type 2 diabetes? Question: A 55-year-old female patient with diabetes has these fasting lipid values: Total cholesterol 200 mg/dL HDL 45 mg/dL LDL levels of 120 mg/dL Triglyceride 309 mg/dL According to American Diabetes Association (ADA) which patient lipid value(s) meet(s) the goal for this patient? Question: LDL Cholesterol….What is Optimal levels: Question: Total Cholesterol….What are the desirable levels Question: HDL Cholesterol…what are low risk levels for females and males? Question: Fasting Triglycerides…..what are the desirable levels for fasting triglycerides? Question: Non-HDL Cholesterol Question: A 69 year old adult with coronary artery disease is found to have hypothyroidism. Which dose of levothyroxine is considered appropriate for initial treatment? Question: The most appropriate time to begin screening for renal nephropathy in a patient with Type 1 diabetes is: Question: A patient who has been treated for hypothyroidism presents for her annual exam. Her TSH is 14.1 (normal = 0.4- 3.8). She complains of weight gain and fatigue. How should the NP proceed? Question: A pregnant patient took L-thyroxin prior to becoming pregnant. What should be done about the L-thyroxin now that she is pregnant? Question: A patient presents with consistently elevated blood glucose before his evening meal. What choice below represents an insulin change that would improve his evening glucose? Current regimen: AM: 22u intermediate-acting insulin, 12u short-acting insulin PM: 10u intermediate-acting insulin, 8u short-acting insulin: Question: A 37 year-old overweight male is … today with Type II diabetes. His fasting glucose is 159 mg/dL. He is hyperlipidemic (LDL = 210 mg/dL) and hypertensive (146/102). What medications should be initiated today? Question: Smith, an overweight 48 year-old male with … type 2 diabetes mellitus presents to your clinic. Which symptom is least likely associated with type 2 diabetes mellitus? Question: A diagnosis of Type 2 diabetes mellitus can be made: Question: Which drug listed below is NOT associated with weight gain? Question: A female patient has the following characteristics. Which one represents a risk factor for Type II diabetes? Question: A patient with a past history of treatment for hyperthyroidism is most likely to exhibit: Question: A 38 year-old male patient, thought to be in good health, presents to a primary care clinic. On routine exam the patient’s fasting blood sugar is 242 mg/dl. A repeat value after eating is 288 mg/dL. Which of the following is least helpful in the initial evaluation of this patient? Question: In order to determine how much T4 replacement a patient needs to re-establish a euthyroid state, the nurse practitioner considers: Question: A 76 year-old patient has fasting glucose values of 151 mg/dL and 138 mg/dL on different days. This patient: Question: A patient has non-fasting glucose values of 110 mg/dL and 116 mg/dL. This patient: Question: What is the most sensitive laboratory assay for screening and identifying the vast majority of ambulatory patients with primary hypothyroidism? Question: Which medication used to treat diabetes is … with diarrhea and flatulence? Question: An 80 year-old patient who is overweight and sedentary has developed elevated, fasting glucose levels (142, 153, and 147 mg/dL). She was … with diabetes today. Considering her age, how should the nurse practitioner proceed? Question: A patient has 2 non-fasting glucose values of 111 mg/dL and 124 mg/dL that were measured on 2 separate days in the same week. This patient: Question: A 45 year-old female patient has a screening TSH performed. Her TSH value is 13 mU/L. It was … in one week and … 15 mU/L. What explains this finding? Question: A 78 year-old has been … with diabetes about 10 years ago. An older adult with a hypoglycemic episode is more likely to exhibit: Question: A 52 year-old presents with symptoms of diabetes today. His glucose is 302 mg/dL. How should this … managed today?