NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS
NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS
Question 1
1 / 1 pts
Which of the following BMI choices would be considered obesity?
BMI 21 or greater
BMI 24 or greater
Correct!
BMI 30 or greater
BMI 34 or greater
ORDER QUIZZES, EXAMS OR ASSIGNMENTS HERE
Question 2
1 / 1 pts
The NP recognizes that all of the following patients have an increased risk of developing adverse effects from metformin (Glucophage) except:
Patients who drink lots of alcohol
Patients who are dehydrated
Patients with renal disease
Correct!
Patients who are overweight
Metformin (Glucophage) often causes weight loss. Metformin may rarely cause a serious, life threatening condition called lactic acidosis. Patients with dehydration, renal disease, and alcoholism, especially binge drinking, increased their risk for developing lactic acidosis.
NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS Question 3
1 / 1 pts
Stefanie is a 70 y/o female with 2 year history of Type II 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?
Correct!
An eye examination with an ophthalmologist
Ankle brachial index
Colonoscopy
Bone density scan
Patients with Type 2 diabetes should have an initial dilated and comprehensive eye examination by an ophthalmologist shortly after the diagnosis of diabetes. Subsequent examinations for Type 1 and Type 2 Diabetic patients should be repeated annually by an ophthalmologist. Examinations will be required more frequently if retinopathy is progressing.
Question 4
1 / 1 pts
The NP is reviewing annual labs on a patient with Type II diabetes. The urine glucose level is over 200. What medication would the NP suspect that patient is taking?
Metformin
Correct!
Empagliflozin
Ozempic
Glyburide
Question 5
1 / 1 pts
A 66-year-old male 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
Begin statin therapy
Encourage diet modifications
Encourage lifestyle modifications
Correct!
Adjust levothyroxine dose
Dyslipidemia is a common finding when TSH values exceed 10 mIU/L. In patients who have hypothyroidism, there is decreased catabolism of LDL, primarily due to a reduction of cell surface receptors for LDL. This causes an accumulation of LDL cholesterol. The NP should first treat the TSH to 10 mIU/L or less. Lipids should be treated if they remain elevated after TSH is less than 10 mIU/L.
NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS Question 6
1 / 1 pts
The most appropriate time to begin screening for renal nephropathy in a patient with Type I Diabetes is:
Two to three years after diagnosis
At diagnosis
Once annually after diagnosis
Correct!
Five years after diagnosis
Patients with Type I Diabetes should be screened for renal nephropathy five years after diagnosis. Since nephropathy takes several years to develop, it is highly improbable that a newly diagnosed patient will have no properties secondary to diabetes. Diabetic nephropathy is usually diagnosed based on the presence of albuminuria and/or reduced eGFR in the absence of signs or symptoms of other primary causes of kidney damage.
Question 7
1 / 1 pts
Identify the lab findings consistent with primary hypothyroidism
Correct!
Elevated thyroid stimulating hormone and decreased T4 level
Decreased thyroid stimulating hormone and elevated free thyroxine level
Elevated thyroid stimulating hormone and elevated free T4 level
Decreased thyroid stimulating hormone and low free T4
Question 8
1 / 1 pts
According to the clinical practice guideline by the American Association of Clinical Endocrinology, the NP should consider initiating insulin therapy when the HgA1c reaches what level?
Greater than 8
Greater than 9
Correct!
Greater than 10
Greater than 11
Question 9
1 / 1 pts
A 70-year-old male is seen for his annual evaluation. The patient completins of episodes of blurred vision but denies pain and photophobis. During funduscopic examination, the nurse practitioner appreciates retinal drusen. This presentation is consistent with
Cataracts
Glaucoma
Herpes opthalmicus
Correct!
Macular degeneration
Macular degeneration is typically characterized by loss of central vision. Early complaints and findings include patchy or blurry vision and the presence of retinal drusen, pale yellow deposits visible upon ophthalmic examination.
Question 10
1
