NRNP6540 Week 9 Knowledge Check 2021

QUESTION 1 The NP recognizes that all of the following patients have an increased risk of developing adverse effects from metformin (Glucophage) except:

a.            Patients who are overweight

b.            Patients who drink lots of alcohol

c.             Patients who are dehydrated

d.            Patients with renal disease

QUESTION 2 Ms. Davis, a 72 y/o female with a known history of diabetes, presents to your office for her routine follow up visit. Which of the following would you recommend on an annual basis for an elderly patient with Type II Diabetes?

a.            An eye examination with an ophthalmologist

b.            An eye exam with an optometrist

c.             Colonoscopy

d.            Bone density scan

QUESTION 3Miss Johnson presents today with concerns of functional decline, progressive appetite loss, and no willingness to eat or drink. The student NP recognizes that these are symptoms of

a.Adult failure to thrive

b.            Hashimotos thyroiditis

c.             Acute pancreatitis

d.            None of the above as this is a normal part of aging

QUESTION 4Identify the lab findings consistent with primary hypothyroidism.

a.            Elevated thyroid stimulating hormone and elevated free T4 level

b.            Decreased thyroid stimulating hormone and elevated free thyroxine level

c.             Elevated thyroid stimulating hormone and decreased T4 level

d.            Decreased thyroid stimulating hormone and low free T4

QUESTION 5The most appropriate time to begin screening for renal nephropathy in a patient with Type I Diabetes is:

a.            Two to three years after diagnosis

b.            Five years after diagnosis

c.             Once annually after diagnosis

d.            At diagnosis

QUESTION 6A 68-year-old female comes to the clinic for a health evaluation. During the course of a systems review, the patient reports that she has developed episodes of blurred vision. She denies any pain or photophobia. During funduscopic examination, the nurse practitioner appreciates retinal drusen. This presentation is consistent with

a.            Cataracts

b.            Glaucoma

c.             Herpes opthalmicus

d.            Macular degeneration

QUESTION 7Which of the following groups have been recommended to be screened for thyroid disease?

a.            Men under 60

b.            Adolescent females

c.             Women over 50 years of age

d.            School-age children

QUESTION 8The NP recognizes all of the following being a contributing factor to pancreatitis except

a.            Excessive alcohol use

b.            Excessive caffeine intake

c.             Hypercalcemia

d.            Hypertriglyceridemia

QUESTION 9A 65-year old female patient who has hypothyroidism takes level thyroxine daily. Based on the following lab results, how should the nurse practitioner proceed?

TSH	28.2 mIU/L	Normal Values:  0.4-3.8 mIU/L
Free T4	0.05 ng/dL	Normal Values:  0.8-2.8 ng/dL

 

 

Total Cholesterol	272 mg/dL	Normal Values: <200 mg/dl
LDL Cholesterol	189 mg/dL	Normal Values: <100
HDL Cholesterol	34 mg/dL	Normal Values: 40-60
Triglycerides	142 mg/dL	Normal Values:  <150

 

a.            Begin statin therapy

b.            Adjust levothyroxine dose

c.             Encourage diet modifications

d.            Encourage lifestyle modifications

QUESTION 10Which of the following BMI choices would be considered obesity?

a.            BMI 30 or greater

b.            BMI 24 or greater

c.             BMI 21 or greater

d.            BMI 29 or greater