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MARYVILLE NURS 623 FINAL EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!!|GUARANTEED PASS |LATEST UPDATE$21.49
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MARYVILLE NURS 623 FINAL EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW VERSION!!!|GUARANTEED PASS |LATEST UPDATE
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Course
MARYVILLE NURS 623
Institution
MARYVILLE NURS 623
MARYVILLE NURS 623 FINAL EXAM 2024
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|BRAND
NEW VERSION!!!|GUARANTEED PASS
|LATEST UPDATE
MARYVILLE NURS 623 FINAL EXAM 2024
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|BRAND
NEW VERSION!!!|GUARANTEED PASS
|LATEST UPDATE
Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow.
The pain has increased following a day of gardening one week ago. A physical finding that differentiates
the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:
a. Ecchymosis, edema, and erythema over the lateral epicondyle
b. Pain at the elbow with resisted movements at the wrist and forearm
c. Inability to supinate and pronate the arm
d. Inability to flex or extend the elbow against resistance
Pain at the elbow with resisted movements at the wrist and forearm
A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She
thought she just bruised it but is worried because it has not improved. She has used Tylenol® and ice at
home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis
but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain.
No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2
seconds. What should you do?
a. Make an immediate referral for an orthopedic evaluation without further assessment.
b. Tell her that it takes time for these bruises to improve, so she should be patient.
c. Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.
d. Send her to the emergency room for reduction of this obvious wrist fracture.
Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.
Osteoarthritis is primarily a noninflammatory condition.
TRUE
The presence of a positive rheumatoid factor is always indicative of rheumatoid arthritis
FALSE
A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes
mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment?
1|Page
,a. No treatment at this time
b. Diet and exercise for 6-week trial
c. Diet, exercise, and oral medication
d. Diet, exercise, and exogenous insulin
Diet and exercise for 6-week trial
The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests
should the clinician order on the initial visit?
a. High sensitivity thyroid-stimulating hormone (TSH) and free T4
b. Free T4 and serum calcium
c. Free T3 and T4
d. TSH and thyroxin antibodies
High sensitivity thyroid-stimulating hormone (TSH) and free T4
A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her, the
clinician must understand that exercise has what effect on the patient with type 2 diabetes?
a. Reduces postprandial blood glucose
b. Reduces triglycerides and increases high-density lipoprotein (HDL)
c. Reduces total cholesterol
d. All of the above
ALL
A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states
that he took his insulin this morning but was late for work and did not eat breakfast. Which action
should the clinician take first?
a. Check his blood sugar.
b. Have him drink 4 ounces of juice.
c. Call 911.
d. Ask him about his usual eating habits.
Have him drink 4 ounces of juice.
A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which
of the following conditions that the patient also has would be a contraindication to taking metformin?
a. Ketoacidosis
b. Cirrhosis
c. Hypoglycemic episodes
d. All of the above
ALL
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation
for the past 3 months. On physical examination, the clinician notices a sinus bradycardia; muscular
stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests
should be ordered next?
a. Serum calcium
2|Page
,b. TSH
c. Electrolytes
d. Urine specific gravity
TSH
The clinician has been doing diabetic teaching for a patient with type 1 diabetes. Which of the following
statements by the patient would indicate that teaching has been effective?
a. "As long as I don't need glasses, I don't have to worry about going blind."
b. "I know I need to have my eyes checked every year."
c. "My optometrist checks my eyes."
d. "I will see my eye doctor when my vision gets blurry."
"I know I need to have my eyes checked every year."
A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my feet feel like
they are on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left
heel. Which of the following would be an appropriate treatment?
a. Tricyclic antidepressants
b. Capsaicin cream
c. Vitamin B12 injections
d. Insulin
Tricyclic antidepressants
After removing a tack from a type 2 diabetic's heel and evaluating the site for infection, what is the best
plan for this patient?
a. Suggest she use a heating pad to improve circulation.
b. Refer to a podiatrist for a foot care treatment plan.
c. Send her for acupuncture treatments.
d. All of the above
Refer to a podiatrist for a foot care treatment plan
Joyce is seen in the clinic complaining of vague symptoms of nervousness and irritability. She says that
her hair will not hold a permanent wave anymore. On physical examination, the clinician finds an
irregular heartbeat and brisk reflexes. The differential diagnosis should include which of the following
conditions?
a. Myxedema
b. Thyrotoxicosis
c. Cushing's syndrome
d. Pan-hypopituitarism
Thyrotoxicosis
The patient is prescribed radioactive iodine (RAI) and asks the clinician how this drug works. The
clinician's response should include which of the following data?
a. RAI prevents the peripheral conversion of T4 to T3.
b. RAI binds free T4.
3|Page
, c. RAI destroys thyroid tissue.
d. RAI reduces freely circulating iodine.
RAI destroys thyroid tissue.
A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram changes should
the clinician expect as a manifestation of the disease?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardia
d. U waves
SINUS BRADY
After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat
thyroid studies?
a. Elevated TSH
b. Normal TSH
c. Low TSH
d. Undetectable TSH
NORMAL TSH
Which of the following laboratory findings should the clinician expect in a patient with untreated Graves'
disease?
a. Elevated TSH
b. Elevated T4
c. Elevated thyrotropin-releasing hormone (TRH)
d. All of the above
ALL? I am thinking TSH would be low
The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient
would indicate that your teaching has been effective?
a. "I'll take my pill at least 30 minutes before breakfast."
b. "I'll take my Glucotrol before bedtime."
c. "It is important to take my medication right after I eat."
d. "Since I only like to eat two meals a day, I can take the pill between my meals."
"I'll take my pill at least 30 minutes before breakfast."
A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels
good. Which of the following responses would be most appropriate?
a. "Control of glucose will help postpone or delay complications."
b. "Regularly checking blood sugar will help establish a routine."
c. "Monitoring glucose will promote a sense of control."
d. All of the above
ALL
4|Page
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