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

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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

The Impact OF Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

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.&nbsp;

Question 10

1 / 1 pts
Mrs Thompson presents today with concerns of functional decline, progressive appetite loss, and no willingness to eat or drink. The NP recognizes that these are symptoms of:
Correct!

Adult failure to thrive

 

Hashimotos thyroiditis

 

Acute pancreatitis

 

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

 

Miss Johnson’s symptoms are consistent with adult failure to thrive. It is important that the NP recognizes that this is not a normal part of aging and it should be assessed properly.

NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS