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623 Adult - Endocrine Metabolic - AG and FNP Certification Exam 4th ed. Winland-Brown and Dunphy
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623 Adult - Endocrine Metabolic - AG and FNP Certification Exam 4th ed. Winland-Brown and Dunphy...
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623 Adult - Endocrine Metabolic - AG and FNP Certification Exam 4thed. Winland-Brown and Dunphy
c. abnormal deposits of mucin in the skin - Which of the following statements are true
about insulin lispro?
c. abnormal deposits of mucin in the skin
b. taken 30 minutes before a meal decreases after meal hyperglycemia
c. has an onset of action of about 4-5 hrs
d. is taken with the first bite of food
d. visceral neuropathies - ANSWER Jane has diabetes and is now experiencing
anhidrosis of the hands and feet, increased sweating of the face and trunk, dysphagia,
anorexia, and heartburn. Which complication of diabetes do you suspect?
a. macrocirculation changes
b. microcirculation changes
c. somatic neuropathies
d. visceral neuropathies
c. metformin - ANSWER a clt with diabetes c/o paresthesia. Which of the following
medications can cause sensory changes?
a. glipizide
b. sitagliptin (Januvia)
c. metformin
d. exenatide (Byetta)
b. add a dose of long-acting insulin at bedtime to the regimen - ANSWER Mike has type 2
diabetes. His tx, diet, exercise, and oral antidiabetic agents is not sufficient to achieve
acceptable glycemic control. Your next step is to:
,a. increase the dose of the oral antidiabetic agents
b. add a dose of long-acting insulin at bedtime to the regimen
c. d/c the oral antidiabetic agents and initiate insulin tx
d. recommend tx with an insulin pump
b. increase the am insulin - QUESTION the following is a SMBG log on a clt recieving 20
units Novolin 70/30 in the am and 20 unites of Novolin 70/30 in the pm: fasting am
pre-dinner: 90, 150, 105, 144, 101, 172, 98, 201. What adjustment would you make?
a. Increase pm insulin
b. Increase am insulin
c. Add NovoLog at bedtime (hs)
d. Increase the am and pm insulin
d. TSH - ANSWER an older adult client is diagnosed with atrial fibrillation. Which of the
following laboratory studies are significant in establishing the diagnosis?
a. CBC
b. CRP
c. CMP
d. TSH
b. the American Diabetes Association recommends that you start on aspirin tx now -
ANSWER Annie, age 32 has type 2 diabetes. She said that she heard that she should
taken an aspirin a day after she reaches menopause for its cardioprotective action. She
does not have coronary artery disease, but her father does. How do you respond?
a. you are right, your hormones protect you against coronary artery diseases till
menopause; then you should start aspirin tx
b. the American Diabetes Association recommends that you start on aspirin tx now
c. aspirin tx is indicated only if you have a family hx of coronary artery disease
d. if you maintain good glycemic control, you don't need aspirin tx
d. exenatide (Byetta) - ANSWER Pancreatitis has been associated with which of the
, following antidiabetic drugs?
a. glipizide
b. metformin
c. glargine (lantus)
d. exenatide (Byetta)
d. drink 4 oz of fruit juice - ANSWER Mary, age 72, has been taking insulin for several
yrs. She just called you because she realized that yesterday she put her short-acting
insulin in the long-acting insulin box and vice versa. She just took 22 units of regular
insulin when she was supposed to take only 5 units.
She reports that she attempted to do a fingerstick to assess her glucose level but could
not get any blood. She reports that she is feeling okay. What do you instruct her to do
first?
a. continue trying to get a finger-stick and call me back with the results
b. call 911 before you collapse
c. drive immediately to the ER
d. drink 4 oz of fruit juice
c. add physical activity between lunch and dinner - ANSWER Janice has
insulin-dependent diabetes mellitus and has been experiencing hyperglycemia before
dinner. A possible solution to this problem is to:
a. adjust her am dose of rapid acting insulin
b. increase her mid-afternoon snack
c. add physical activity between lunch and dinner
d. reduce the amt of carbohydrates at dinner
d. hypothyroidism - ANSWER when you examine the integumentary system of clts with
endocrine disorders, coarse hair may be in an indicator of:
a. Addison's disease
b. diabetes mellitus
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