MARYVILLE NURS 623 EXAM 2
QUESTIONS WITH COMPLETE
SOLUTIONS
Which of the serum laboratory findings are present in the client with Cushing's syndrome? -
CORRECT ANSWER-Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: - CORRECT
ANSWER-Watchful waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have - CORRECT ANSWER-persistent
proteinuria
A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic
lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is
recommended as monotherapy? - CORRECT ANSWER-metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the
following manifestations are commonly seen in the elderly with hyperthyroidism? - CORRECT
ANSWER-a-fib, depression, weight loss
Diane has had Cushing's disease for 20 years and has been taking hydrocortisone since her
diagnosis. Today, she appears with a thick trunk and thin extremities. She has a "moon face," a
"buffalo hump," thin skin with visible capillaries, and a number of bruises that appear to be
slow in healing. To what do you attribute these symptoms? - CORRECT ANSWER-excessive
levels of cortisol
The following is a client's self-monitoring blood glucose log. The client receives 20 units Novolin
70/30 in the morning (a.m.) and 20 units Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-
dinner: 90, 150, 105, 144, 101, 172, 98, 201. What changes would you make? - CORRECT
ANSWER-increase A.M. insulin
MARYVILLE NURS 623 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
, Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and
wants to try it. What do you tell him? - CORRECT ANSWER-"Let's try it. You're glycohemoglobin
will be lowered and you may lose weight."
Which is the only treatment option that is curative for primary hyperparathyroidism? -
CORRECT ANSWER-parathyroidectomy
The most common worldwide cause of hypothyroidism is: - CORRECT ANSWER-iodine
deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? - CORRECT
ANSWER-chvostek's sign
Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic
agents, is insufficient to achieve acceptable glycemic control. Your next course of action is to -
CORRECT ANSWER-ADD LONG-ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her
diet? - CORRECT ANSWER-Broccoli
What controls the amount of calcium in the blood? - CORRECT ANSWER-Parathyroid
Thyroid hormones regulate - CORRECT ANSWER-metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - CORRECT ANSWER-t3
& Free T4 (preferred over T4)
What are the hallmark signs of Grave's disease? - CORRECT ANSWER-enlarged thyroid and
increased T3
MARYVILLE NURS 623 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
QUESTIONS WITH COMPLETE
SOLUTIONS
Which of the serum laboratory findings are present in the client with Cushing's syndrome? -
CORRECT ANSWER-Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: - CORRECT
ANSWER-Watchful waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have - CORRECT ANSWER-persistent
proteinuria
A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic
lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is
recommended as monotherapy? - CORRECT ANSWER-metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the
following manifestations are commonly seen in the elderly with hyperthyroidism? - CORRECT
ANSWER-a-fib, depression, weight loss
Diane has had Cushing's disease for 20 years and has been taking hydrocortisone since her
diagnosis. Today, she appears with a thick trunk and thin extremities. She has a "moon face," a
"buffalo hump," thin skin with visible capillaries, and a number of bruises that appear to be
slow in healing. To what do you attribute these symptoms? - CORRECT ANSWER-excessive
levels of cortisol
The following is a client's self-monitoring blood glucose log. The client receives 20 units Novolin
70/30 in the morning (a.m.) and 20 units Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-
dinner: 90, 150, 105, 144, 101, 172, 98, 201. What changes would you make? - CORRECT
ANSWER-increase A.M. insulin
MARYVILLE NURS 623 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
, Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and
wants to try it. What do you tell him? - CORRECT ANSWER-"Let's try it. You're glycohemoglobin
will be lowered and you may lose weight."
Which is the only treatment option that is curative for primary hyperparathyroidism? -
CORRECT ANSWER-parathyroidectomy
The most common worldwide cause of hypothyroidism is: - CORRECT ANSWER-iodine
deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? - CORRECT
ANSWER-chvostek's sign
Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic
agents, is insufficient to achieve acceptable glycemic control. Your next course of action is to -
CORRECT ANSWER-ADD LONG-ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her
diet? - CORRECT ANSWER-Broccoli
What controls the amount of calcium in the blood? - CORRECT ANSWER-Parathyroid
Thyroid hormones regulate - CORRECT ANSWER-metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - CORRECT ANSWER-t3
& Free T4 (preferred over T4)
What are the hallmark signs of Grave's disease? - CORRECT ANSWER-enlarged thyroid and
increased T3
MARYVILLE NURS 623 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
