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Advanced Pharmacology Week 8 Final Exam
1. A nurse obtaining an admission history on an adult patient notes that the
patient has a heart rate of 62 beats/minute, a blood pressure of 105/62 mm
Hg, and a temperature of 96.2°F. The patient appears pale and complains of
always feeling cold and tired. The nurse will contact the provider to discuss
tests for which condition?
a. Cretinism
b. Graves disease
c. Hypothyroidism
d. Plummer disease: c
2. A patient has a free T4 level of 0.6 ng/dL and a free T3 level of 220 pg/dL.
The patient asks the nurse what these laboratory values mean. How will the
nurse respond?
a. "These laboratory values indicate that you may have Graves disease."
b. "These results suggest you may have hyperthyroidism."
c. "We will need to obtain a total T4 and a total T3 to tell for sure."
d. "We will need to obtain a TSH level to better evaluate your diagnosis.": d
3. A patient with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resistance.
b. Using the two agents together increases the risk of ketoacidosis.
c. Propranolol increases insulin requirements because of receptor blocking.
d. The beta blocker can mask the symptoms of hypoglycemia.: d
4. A patient is admitted to the hospital and will begin taking levothyroxine
[Synthroid]. The nurse learns that the patient also takes warfarin
[Coumadin]. The nurse will notify the provider to discuss the dose.
a. reducing; levothyroxine
b. reducing; warfarin
c. increasing; levothyroxine
d. increasing; warfarin: b
5. The nurse assesses a newly diagnosed patient for short-term
complications of diabetes. What does this assessment include?
a. Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis.
