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{"id":2459,"date":"2020-07-22T16:25:11","date_gmt":"2020-07-22T16:25:11","guid":{"rendered":"https:\/\/nursingwritersbureau.com\/?p=2459"},"modified":"2020-07-22T16:25:11","modified_gmt":"2020-07-22T16:25:11","slug":"mn553-unit-5-practice-quiz-latest-2017","status":"publish","type":"post","link":"https:\/\/nursingwritersbureau.com\/mn553-unit-5-practice-quiz-latest-2017\/","title":{"rendered":"MN553 Unit 5 Practice Quiz Latest 2017"},"content":{"rendered":"Question<\/p>\n
Question 1 1 \/ 1 point<\/p>\n
Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:<\/p>\n
Question options:<\/p>\n
Excessive sedation<\/p>\n
Tachycardia and angina<\/p>\n
Weight gain<\/p>\n
Cold intolerance<\/p>\n
Question 2 1 \/ 1 point<\/p>\n
Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with propylthiouracil. Patients should be taught to report:<\/p>\n
Question options:<\/p>\n
Tinnitus and decreased salivation<\/p>\n
Fever and sore throat<\/p>\n
Hypocalcemia and osteoporosis<\/p>\n
Laryngeal edema and difficulty swallowing<\/p>\n
<\/p>\n
Question 3 1 \/ 1 point<\/p>\n
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:<\/p>\n
Question options:<\/p>\n
Substitutes for insulin usually secreted by the pancreas<\/p>\n
Decreases glycogenolysis by the liver<\/p>\n
Increases the release of insulin from beta cells<\/p>\n
Decreases peripheral glucose utilization<\/p>\n
Question 4 1 \/ 1 point<\/p>\n
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic . Signs and symptoms of hypoglycemia include:<\/p>\n
Question options:<\/p>\n
\u201cFruity\u201d breath odor and rapid respiration<\/p>\n
Diarrhea, abdominal pain, weight loss, and hypertension<\/p>\n
Dizziness, confusion, diaphoresis, and tachycardia<\/p>\n
Easy bruising, palpitations, cardiac dysrhythmias, and coma<\/p>\n
Question 5 1 \/ 1 point<\/p>\n
Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels . Sulfonylureas have been moved to Step 2 therapy because they:<\/p>\n
Question options:<\/p>\n
Increase endogenous insulin secretion<\/p>\n
Have a significant risk for hypoglycemia<\/p>\n
Address the insulin resistance found in type 2 diabetics<\/p>\n
Improve insulin binding to receptors<\/p>\n
<\/p>\n
Question 6 1 \/ 1 point<\/p>\n
Treatment with insulin for type 1 diabetics:<\/p>\n
Question options:<\/p>\n
Starts with a total daily dose of 0 . 2 to 0 . 4 units per kg of body weight<\/p>\n
Divides the total doses into three injections based on meal size<\/p>\n
Uses a total daily dose of insulin glargine given once daily with no other insulin required<\/p>\n
Is based on the level of blood glucose<\/p>\n
Question 7 1 \/ 1 point<\/p>\n
The American Heart Association states that people with diabetes have a 2- to 4-fold increase in the risk of dying from cardiovascular disease . Treatments and targets that do not appear to decrease risk for micro- and macro-vascular complications include:<\/p>\n
Question options:<\/p>\n
Glycemic targets between 7% and 7 . 5%<\/p>\n
Use of insulin in type 2 diabetics<\/p>\n
Control of hypertension and hyperlipidemia<\/p>\n
Stopping smoking<\/p>\n
Question 8 1 \/ 1 point<\/p>\n
Drugs used to treat diabetic peripheral neuropathy include:<\/p>\n
Question options:<\/p>\n
Metoclopramide<\/p>\n
Cholinergic agonists<\/p>\n
Cardioselective beta blockers<\/p>\n
Gabapentin<\/p>\n
Question 9 1 \/ 1 point<\/p>\n
The goals of therapy when prescribing hormone replacement therapy (HRT) include reducing:<\/p>\n
Question options:<\/p>\n
Cardiovascular risk<\/p>\n
Risk of stroke or other thromboembolic event<\/p>\n
Breast cancer<\/p>\n
Vasomotor symptoms<\/p>\n
Question 10 1 \/ 1 point<\/p>\n
Inadequate vitamin D intake can contribute to the development of osteoporosis by:<\/p>\n
Question options:<\/p>\n
Increasing calcitonin production<\/p>\n
Increasing calcium absorption from the intestine<\/p>\n
Altering calcium metabolism<\/p>\n
Stimulating bone formation<\/p>\n
Question 11 1 \/ 1 point<\/p>\n
The drug recommended as primary prevention of osteoporosis in men over age 70 years is:<\/p>\n
Question options:<\/p>\n
Alendronate (Fosamax)<\/p>\n
Ibandronate (Boniva)<\/p>\n
Calcium carbonate<\/p>\n
Raloxifene (Evista)<\/p>\n
Question 12 1 \/ 1 point<\/p>\n
In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for:<\/p>\n
Question options:<\/p>\n
A calcium channel blocker<\/p>\n
A beta blocker<\/p>\n
Liothyronine<\/p>\n
An alpha blocker<\/p>\n
Question 13 1 \/ 1 point<\/p>\n
When starting a patient on levothyroxine for hypothyroidism the patient will need follow-up measurement of thyroid function in:<\/p>\n
Question options:<\/p>\n
2 weeks<\/p>\n
4 weeks<\/p>\n
2 months<\/p>\n
6 months<\/p>\n
Question 14 1 \/ 1 point<\/p>\n
Treatment of a patient with hypothyroidism and cardiovascular disease consists of:<\/p>\n
Question options:<\/p>\n
Levothyroxine<\/p>\n
Liothyronine<\/p>\n
Liotrix<\/p>\n
Methimazole<\/p>\n
Question 15 1 \/ 1 point<\/p>\n
Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:<\/p>\n
Question options:<\/p>\n
Washing their hands after applying the gel<\/p>\n
Wearing occlusive clothing while using the gel<\/p>\n
Exposure to estrogens while using the gel<\/p>\n
Skin-to-skin contact with pregnant women while using the gel<\/p>\n
Question 16 1 \/ 1 point<\/p>\n
A 22-year-old woman receives a prescription for oral contraceptives . Education for this patient includes:<\/p>\n
Question options:<\/p>\n
Counseling regarding decreasing or not smoking while taking oral contraceptives<\/p>\n
Advising a monthly pregnancy test for the first 3 months she is taking the contraceptive<\/p>\n
Advising that she may miss two pills in a row and not be concerned about pregnancy<\/p>\n
Recommending that her next follow-up visit is in 1 year for a refill and annual exam<\/p>\n
Question 17 1 \/ 1 point<\/p>\n
A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her symptoms with the lowest adverse effects she should be prescribed:<\/p>\n
Question options:<\/p>\n
Low-dose oral estrogen<\/p>\n
A low-dose estrogen\/progesterone combination<\/p>\n
A vaginal estradiol ring<\/p>\n
Vaginal progesterone cream<\/p>\n
Question 18 1 \/ 1 point<\/p>\n
Ashley comes to the clinic with a request for oral contraceptives . She has successfully used oral contraceptives before and has recently started dating a new boyfriend so would like to restart contraception . She denies recent intercourse and has a negative urine pregnancy test in the clinic . An appropriate plan of care would be:<\/p>\n
Question options:<\/p>\n
Recommend she return to the clinic at the start of her next menses to get a Depo Provera shot .<\/p>\n
Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first 7 days .<\/p>\n
Prescribe oral contraceptives and have her start them the same day as the visit with a back-up method used for the first 7 days .<\/p>\n
Discuss the advantages of using the topical birth control patch and recommend she consider using the patch .<\/p>\n
Question 19 1 \/ 1 point<\/p>\n
Women who are prescribed progestin-only contraception need education regarding which common adverse drug effects?<\/p>\n
Question options:<\/p>\n
Increased migraine headaches<\/p>\n
Increased risk of developing blood clots<\/p>\n
Irregular vaginal bleeding for the first few months<\/p>\n
Increased risk for hypercalcemia<\/p>\n
Question 20 1 \/ 1 point<\/p>\n
Oral emergency contraception (Plan B) is contraindicated in women who:<\/p>\n
Question options:<\/p>\n
Had intercourse within the past 72 hours<\/p>\n
May be pregnant<\/p>\n
Are taking combined oral contraceptives<\/p>\n
Are using a diaphragm<\/p>\n
<\/p>\n
<\/p>\n \n
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