NUR 654 Final Exam Study Set Questions With Solved Solutions.
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Course
NUR 6541
Institution
NUR 6541
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once confirmatory tests are performed, what is a possible treatment for this patient? - Answer Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin pigmentatio...
NUR 654 Final Exam Study Set
Questions With Solved Solutions.
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once
confirmatory tests are performed, what is a possible treatment for this patient? - Answer Pituitary
tumor resection
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory tests will the provider order vs
NOT order - Answer ORDER: Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit and updated at
preventive visits - Answer T
T or F: A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs
immediate ER workup - Answer T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT - Answer Treatment
of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care - Answer T
What is an effective pharmacologic medication to treat non-cancer chronic pain? - Answer Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and brain -
Answer T
What is an FDA approved treatment for osteoporosis? - Answer Biphosphonate therapy
,T or F: Bone density improvement is the primary goal of biphosphonate treatment? - Answer F (it is to
slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT - Answer
Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone and specific
deformities (long bone bowing) - Answer T
Symptoms of Cushing's Syndrome include - Answer Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if indicated - Answer
T
Addison's Disease may cause which of the following lab abnormalities? - Answer Elevated ACTH (not
hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an evaluation -
Answer T
A positive Trousseau's sign occurs with which serum abnormality? - Answer HYPOcalcemia
Which of the following can cause hypocalcemia? - Answer Vit D Deficiency, hypomagnesemia
T or F: Low serum albumin may lower serum calcium - Answer T
Which can cause hyperkalemia in a patient with normal renal function? - Answer Adrenocorticol
deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring of calcium,
creatinine, and bone density - Answer T
, Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all EXCEPT - Answer
under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH along with
hypercalcemia - Answer F
T or F: Patients with a history of migraines with aura is an absolute contraindication for combined oral
contraceptives - Answer T
When an OCP is forgotten for 2 days or fewer... - Answer 2 pills for 2 days, resume pills, use back up
method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG needs no further
evaluation for underlying cause - Answer F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have not been proven
effective and may be harmful - Answer T
Neuropathic pain may be characterized by - Answer poorly localized, shooting or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be dosed: 500mg
initially then 250mg q12 hours - Answer T
The medical diagnosis associated with a transgender patient is - Answer gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido, and orgasm in
postmenopausal women - Answer T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT - Answer endometriosis
Lab work for a primary amenorrhea includes - Answer thyroid panel, pregnancy test, prolactin
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