Nursing Pharmacology Practice Questions – Diabetes and Endocrine

Welcome to your Nursing Pharmacology Practice Questions - Diabetes and Endocrine

Metformin ADRs

Which of the following deficiencies could result from the use of metformin?

Hypoglycemia Risk

Which diabetes medication is most likely to cause hypoglycemia when used as monotherapy (by itself)?

Heart Failure

One of your patients has severe heart failure with substantial edema. He began a new diabetes medication. Which medication would be most likely to worsen edema and heart failure?

Diabetes Medication ADRs

You are meeting with a patient today and he describes significant nausea. He thinks it is his diabetes medications that are causing this. Which medication would you likely suspect is causing this?

Metformin Mechanism of Action

Which best describes the mechanism of action of metformin?

Diabetes and Weight Loss

Which medication class also has an indication for weight loss?

Cancer and GLP-1 Agonists

JS is a 61-year-old female who is interested in trying semaglutide for weight loss and diabetes management. Her primary care provider prescribes it to her but as she is leaving the clinic she mentions that she has a history of cancer. What type of cancer would be most concerning?

Administration With Meals

Which medication would it be most important to administer with meals to reduce GI upset?

Type 1 Diabetes Management

A 2-year-old male is diagnosed with type 1 diabetes. Which of the following agents would be most appropriate to initiate to manage hyperglycemia?

Insulin Glargine T/F

Which of the following is true with regard to insulin glargine?

Graves Disease

Graves disease is associated with what disorder?

TSH and Dose Changes

Typically, if TSH is suppressed, the levothyroxine dose should be:

Dose Adjustment

Of the following, which would be the most appropriate increase in levothyroxine dose with a TSH of 12 and mild symptoms? The patient is on 75 mcg daily.

Untreated Hypothyroidism

A psychiatric patient with severe delusions has refused to take their thyroid supplement. What is an uncommon but potentially fatal complication of hypothyroidism that can occur if left untreated for a long time or when hypothyroidism decompensates?

Drug Induced Hypothyroidism

Which of the following medications can cause hypothyroidism?

Binding Interactions With Levothyroxine

Binding interactions are common with levothyroxine. What drugs would be least likely to affect thyroid replacement hormone treatment? 

Increase Levothyroxine In What Situation?

What situation would prompt you to discuss levothyroxine dosing with the provider?