April Woodland
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Quiz on Endocrine/ Pain Quiz, created by April Woodland on 02/13/2018.

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April Woodland
Created by April Woodland about 6 years ago
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Pharm - Endocrine/ Pain Quiz

Question 1 of 73

1

If a patient has Type 1 Diabetes, what type of medication would you expect the patient to be on?

Select one of the following:

  • Oral diabetic drugs

  • No drugs, healthy diet and excercise

  • Insulin

  • oral diabetic drugs and insulin

Explanation

Question 2 of 73

1

A patient newly diagnosed with Type 1 Diabetes asks what causes this to happen, what response should the nurse reply with?

Select one of the following:

  • The cause is unknown

  • The body has become resistant to the insulin produced by the pancreas

  • The pancreas can not produce insulin properly

  • the pancreas has stopped working completely

Explanation

Question 3 of 73

1

Type 2 diabetes is caused by what?

Select one of the following:

  • insufficient production of insulin

  • the body becomes resistant to insulin

  • there is no known cause

  • pancreas stops working completely

Explanation

Question 4 of 73

1

What are the options for treating Type 2 Diabetes? (select all that apply)

Select one or more of the following:

  • Change in diet and exercise

  • No treatment available

  • Oral Medications

  • Insulin

Explanation

Question 5 of 73

1

What are some risk factors for getting Type 2 Diabetes?

Select one or more of the following:

  • Age , race

  • obesity, limited physical activity

  • Sex

  • family history of diabetes

  • Gestational Diabetes

Explanation

Question 6 of 73

1

When looking for signs of Diabetes, What is Polydipsia?

Select one of the following:

  • excessive eating

  • increased urination

  • excessive thirst

  • dehydration

Explanation

Question 7 of 73

1

What is polyphagia?

Select one of the following:

  • excessive eating

  • excessive thirst

  • increased urination

  • dehydration

Explanation

Question 8 of 73

1

What is Polyuria?

Select one of the following:

  • dehydration

  • excessive thirst

  • excessive eating

  • increased urination

Explanation

Question 9 of 73

1

What does insulin regulate?

Select one of the following:

  • how glucose gets into cells and how its used

  • cell growth

  • how glucose is stored and made

  • The pancreas

Explanation

Question 10 of 73

1

What does Insulin treat? (select all that apply)

Select one or more of the following:

  • Type 1 Diabetes

  • Type 2 Diabetes

  • Diabetic Ketoacidosis

  • Hypokalemia

Explanation

Question 11 of 73

1

What are the major adverse reactions of Insulin? (select all that apply)

Select one or more of the following:

  • Hypoglycemia

  • Hyperglycemia

  • fever

  • heart attack

Explanation

Question 12 of 73

1

What is an example of rapid acting insulin?

Select one of the following:

  • regular insuilin

  • humalog/Novalog

  • humulin

  • Lantus/Levemir

Explanation

Question 13 of 73

1

what is an example of short acting insulin?

Select one of the following:

  • humalog/novalog

  • regular insulin

  • Humulin

  • levemir/lantus

Explanation

Question 14 of 73

1

what is an example of intermediate Insulin?

Select one of the following:

  • humalog

  • NPH insulin

  • humulin

  • lantus

Explanation

Question 15 of 73

1

What is an example of a long acting insulin?

Select one of the following:

  • lantus/levemir

  • novalog/humalog

  • humulin

  • NPH

Explanation

Question 16 of 73

1

What are some methods for giving insulin? (select all that apply)

Select one or more of the following:

  • Jet injections (pens)

  • implants

  • disposable needles and syringes

  • insulin pumps

Explanation

Question 17 of 73

1

how long can insulin be stored room temperature once opened?

Select one of the following:

  • 60 days

  • 90 days

  • 30 days

  • 15 days

Explanation

Question 18 of 73

1

With pregnancy when should you check blood sugars?

Select one of the following:

  • After meals

  • before meals

  • only in the morning

  • only in the evening

Explanation

Question 19 of 73

1

When should you check blood sugars with a non pregnant patient?

Select one of the following:

  • after meals

  • before meals

  • only in the morning

  • only in the evening

Explanation

Question 20 of 73

1

What are some signs of hypoglycemia? (select all that apply)
'

Select one or more of the following:

  • lethargy

  • jittery/shakes

  • sweating

  • acting intoxicated

Explanation

Question 21 of 73

1

In a hypoglycemic episode, what should you do first if a gag reflex is not present?

Select one of the following:

  • administer glucagon IM injection

  • Call the physician

  • have patient drink milk

  • reposition patient

Explanation

Question 22 of 73

1

how long does glucagon last ?

Select one of the following:

  • two hours

  • fifteen minutes

  • half an hour

  • 4 hours

Explanation

Question 23 of 73

1

during a hypoglycemic attack, what would your first choice of drink to give the patient, if gag reflex is present?

Select one of the following:

  • milk

  • orange juice

  • soda

  • water

Explanation

Question 24 of 73

1

What are some signs of Hyperglycemia? (select all that apply)

Select one or more of the following:

  • The 3 P's

  • irritablility

  • lethargy

  • altered mental status

Explanation

Question 25 of 73

1

What causes Diabetic Ketoacidosis?

Select one of the following:

  • Lactic acid build up

  • sugar too high

  • sugar too low

  • pancreatic cancer

Explanation

Question 26 of 73

1

How do we treat diabetic ketoacidosis? (select all that apply)

Select one or more of the following:

  • Lots of fluids

  • low doses of insulin

  • oral antidiabetic drugs

  • pain killers

Explanation

Question 27 of 73

1

How often does a diabetic patients A1C get tested?

Select one of the following:

  • every three months

  • weekly

  • once a month

  • twice a year

Explanation

Question 28 of 73

1

during preadministration assessment, what do we asses? (select all that apply)

Select one or more of the following:

  • Injection sites (must rotate)

  • check mucous membranes (for dehydration)

  • Check wounds/ extremities

Explanation

Question 29 of 73

1

what is the most serious side effect of sulfonylureas?

Select one of the following:

  • hyperglycemia

  • hypoglycemia

  • diabetic ketoacidosis

  • hypotension

Explanation

Question 30 of 73

1

How do you check for the effectiveness of the therapy?

Select one of the following:

  • A1C levels stable

  • Blood sugars are "normal"

  • stable blood pressures

  • no need for insulin anymore

Explanation

Question 31 of 73

1

When do you give sulfonylureas?

Select one of the following:

  • 30 minutes before meals

  • 30 minutes after meals

  • a hour before meals

  • a hour after meals

Explanation

Question 32 of 73

1

What are adverse effects of metformin ? (select all that apply)

Select one or more of the following:

  • excessive weight loss

  • hyperventilation

  • jittery/shakes

  • diarrhea

Explanation

Question 33 of 73

1

Metformin should be taken with meals, but how often should it be taken?

Select one of the following:

  • one time a day, every morning, with meals

  • three times a day, with meals

  • one time a day, every evening, with meals

  • once a week, with meals

Explanation

Question 34 of 73

1

Where is the pituitary gland located?

Select one of the following:

  • In the brain

  • in the neck

  • in the heart

  • in the stomach

Explanation

Question 35 of 73

1

What does the anterior pituitary gland excrete? (select all that apply)

Select one or more of the following:

  • Thyroid stimulating hormone

  • gandotropins

  • vasopressin

  • growth hormone

Explanation

Question 36 of 73

1

When taking metformin you need to monitor for mental changes, such as suicidal thoughts

Select one of the following:

  • True
  • False

Explanation

Question 37 of 73

1

What does the posterior pituitary gland excrete? (select all that apply)

Select one or more of the following:

  • vasopressin

  • oxytocin

  • FSH

  • TSH

Explanation

Question 38 of 73

1

Which sex does hypothyroidism effect more?

Select one of the following:

  • male

  • female

Explanation

Question 39 of 73

1

The thyroid gland excretes what to control metabolism? (select all that apply)

Select one or more of the following:

  • T3

  • T4

  • T6

  • T7

Explanation

Question 40 of 73

1

What are some symptoms of a thyroid storm? (select all that apply)

Select one or more of the following:

  • increased heart rate

  • diaphoresis

  • altered mental status

  • fever

  • irritability

Explanation

Question 41 of 73

1

What other medication can not be taken with synthroid?

Select one of the following:

  • omeprazole

  • lisinopril

  • beta blocker

  • tramadol

Explanation

Question 42 of 73

1

What are some signs that you are getting too much hypothyroid medications? (select all that apply)

Select one or more of the following:

  • weight loss

  • palpations

  • diaphoresis

  • anxiety

Explanation

Question 43 of 73

1

when receiving radioactive isotopes what must we watch for?

Select one of the following:

  • Hyperthyroidism

  • hypothyroidism

Explanation

Question 44 of 73

1

When a patient is receiving radioactive isotopes we must be cautious with the patients urine

Select one of the following:

  • True
  • False

Explanation

Question 45 of 73

1

What is the most common salicylate?

Select one of the following:

  • Aspirin

  • acetaminophen

  • ibuprofen

  • morphine

Explanation

Question 46 of 73

1

What is the most common nonsalicylate?

Select one of the following:

  • aspirin

  • acetaminophen

  • ibuprofen

  • morphine

Explanation

Question 47 of 73

1

What actions do Aspirin have? (Select all that apply)

Select one or more of the following:

  • antipyretic

  • anti-inflammatory

  • analgesic

  • antiplatelet

Explanation

Question 48 of 73

1

When taking Aspirin , What do we asses for bleeding?

Select one of the following:

  • emesis and stool

  • emesis

  • stool

  • Blood levels

Explanation

Question 49 of 73

1

If you allergic to aspirin you are also allergic to what other medication?

Select one of the following:

  • NSAIDS

  • acetaminophen

  • morphine

  • tramadol

Explanation

Question 50 of 73

1

Kids should not take aspirin with what condition

Select one of the following:

  • scarlet fever

  • strep throat

  • chicken pox

  • the flu

Explanation

Question 51 of 73

1

Aspirin is safe for pregnancy

Select one of the following:

  • True
  • False

Explanation

Question 52 of 73

1

What actions does acetaminophen have ? (select all that apply)

Select one or more of the following:

  • analgesic

  • anitpyretic

  • anti-inflammatory

  • anticoagulant

Explanation

Question 53 of 73

1

Is acetaminophen safe for pregnancy and kids?

Select one of the following:

  • yes

  • no

Explanation

Question 54 of 73

1

What is the recommended max amount of acetaminophen in one day?

Select one of the following:

  • 3000-4000 mg

  • 2000-3000 mg

  • 4000-5000 mg

  • 1000- 2000 mg

Explanation

Question 55 of 73

1

What actions do NSAIDS have ? (Select all that apply)

Select one or more of the following:

  • Anti-inflammatory

  • Analgesic

  • Antipyretic

  • Sports injuries

  • Musculoskeletal diseases

Explanation

Question 56 of 73

1

NSAIDS can cause which blood cells to decrease (select all that apply)

Select one or more of the following:

  • White blood cells

  • Red blood cells

  • Osteoclasts

  • Thrombocytes

Explanation

Question 57 of 73

1

What does Tylenol increase the risk of in the elderly population?

Select one of the following:

  • Ulcers

  • Hypertension

  • Hypoglycemia

  • Hyperglycemia

Explanation

Question 58 of 73

1

Taking Tylenol with what other medication increases the chance for a certain toxicity ?

Select one of the following:

  • Lithium

  • Tylenol

  • Liver

  • Kidney

Explanation

Question 59 of 73

1

What are some adverse reactions to NSAIDS? (Select all that apply )

Select one or more of the following:

  • Jaundice

  • Drowsiness

  • N/v/d

  • Dry mouth

  • Decreased urine output

Explanation

Question 60 of 73

1

Migraines cause the blood vessels to dilate or spasms of the vessels to occur

Select one of the following:

  • True
  • False

Explanation

Question 61 of 73

1

What do migraine medications do?

Select one of the following:

  • vasoconstrict

  • vasodilate

Explanation

Question 62 of 73

1

taking what medication with migraine medications can increase how well the migraine medication works? (which is not a good thing)

Select one of the following:

  • oral contraceptives

  • antihypertensives

  • antidiabetics

  • antiemetics

Explanation

Question 63 of 73

1

How do opioids work in the brain?

Select one of the following:

  • tells the brain there is pain

  • tells the brain that there is no pain

  • tells the brain to secrete serotonin

  • tells brain to vasoconstrict

Explanation

Question 64 of 73

1

The alteration of chemicals in the brain when taking opioids is what causes dependency of the drug

Select one of the following:

  • True
  • False

Explanation

Question 65 of 73

1

what is the major adverse reaction to observe for when patient is on an opioid?

Select one of the following:

  • hypotension

  • hypertension

  • respiratory depression

  • hyperglycemia

Explanation

Question 66 of 73

1

what must be monitored when low dose opioids are administered during labor?

Select one of the following:

  • mom and babys heart rate

  • mom and babys temperature

  • mom and babys blood pressure

  • Mom and babys respiration rate

Explanation

Question 67 of 73

1

How long should you wait after receiving an opioid should you wait to breast feed?

Select one of the following:

  • 24-48 hours

  • 4-6 hours

  • 1-2 hours

  • 8-10 hours

Explanation

Question 68 of 73

1

What should you expect to see with a patient withdrawing from an opioid? (select all that apply)

Select one or more of the following:

  • sweating

  • tingiling/numbness

  • anger

  • insomnia

  • restlessness

Explanation

Question 69 of 73

1

what is the antidote for an opioid?

Select one of the following:

  • naproxen

  • narcan

  • fetanyl

  • synthroid

Explanation

Question 70 of 73

1

What is the onset, peak , and duration of rapid insulin?

Select one of the following:

  • 30 minutes, 2 hours, 8 hours

  • 15 minutes, 1 hour, 3 hours

  • 2 hours, 8 hours, 16 hours

  • 2 hours, none, 24 hours

Explanation

Question 71 of 73

1

What is the onset, peak, and duration of short acting insulin?

Select one of the following:

  • 15 minutes, 1 hour, 3 hours

  • 30 minutes, 2 hours, 8 hours

  • 2 hours, 8 hours, 16 hours

  • 2 hours, none, 24 hours

Explanation

Question 72 of 73

1

What is the onset, peak, and duration of intermediate insulin?

Select one of the following:

  • 15 minutes, 1 hours, 3 hours

  • 30 minutes, 2 hours, 8 hours

  • 2 hours, 8 hours, 16 hours

  • 2 hours, none, 24 hours

Explanation

Question 73 of 73

1

What is the onset, peak, and duration of long acting insulin?

Select one of the following:

  • 15 minutes, 1 hours, 3 hours

  • 30 minutes, 2 hours, 8 hours

  • 2 hours, 8 hours, 16 hours

  • 2 hours, none, 24 hours

Explanation

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