NURS 172: Exam 3 practice questions With
Complete Solutions
A 40-year old patient is surprised to learn of the diagnosis of
type 1 diabetes mellitus. What is the nurse's best response?
1. "It is odd because it is usually a disease of childhood."
2. "It means that something has destroyed your pancreas."
3. "Type 1 diabetes mellitus can occur at any stage of life."
4. "It usually means that another disease process is present."
Correct Answers "Type 1 diabetes mellitus can occur at any
stage of life"
A 60-year-old patient asks why endocrine testing is being done.
Which is the best response for the nurse to make?
1. "Endocrine organs atrophy with aging."
2. "Endocrine function can change throughout the lifespan."
3. "Endocrine function should remain the same through the
lifespan."
4. "Endocrine testing identifies which hormone replacement
therapy you will need." Correct Answers "endocrine function
can change throughout the lifespan"
A patient experiencing diabetic ketoacidosis (DKA) is receiving
a normal saline infusion and intravenous insulin. What
additional medication does the nurse expect to be prescribed for
this patient?
1. Diuretic
2. Calcium
3. Antibiotic
4. Potassium Correct Answers potassium
,A patient has not eaten for 18 hours because of diagnostic
testing. Which pancreatic hormone is maintaining this patient's
blood glucose level?
1. Insulin
2. Cortisol
3. Glucagon
4. Epinephrine Correct Answers glucagon
A patient is diagnosed with a disorder of the hypothalamus. To
which other gland is this structure attached?
1. Thyroid
2. Thalamus
3. Pituitary gland
4. Adrenal glands Correct Answers Pituitary gland
A patient is diagnosed with insufficient growth hormone. What
effects will this have on the patient? Select all that apply.
1. Change in hair color
2. Decreased bone density
3. Increased protein synthesis
4. Increased use of fatty acids
5. Increased circulating blood glucose Correct Answers
Decreased bone density, increased use of fatty acids, increased
circulating blood glucose
A patient is diagnosed with secondary hyperparathyroidism.
Which additional health problem does the nurse assess for in this
patient's history?
1. Diabetes insipidus
2. Hyperaldosteronism
A patient is having testing to diagnose type 1 diabetes mellitus.
Which diagnostic tests might be prescribed for this patient?
Select all that apply.
1. Hemoglobin A1c
2. 2-hour postprandial
3. Serum triglycerides
4. Fasting blood glucose
5. Random blood glucose Correct Answers HbA1c, 2 hour
postprandial, fasting blood glucose, random blood glucose
A patient is newly diagnosed with type 2 diabetes mellitus. The
nurse correlates which medication classification's mechanism of
action as decreasing glucose production in the liver?
1. Biguanides
2. Meglitinides
3. Sulfonylureas
4. Alpha-glucosidase inhibitors Correct Answers biguanides
A patient is prescribed regular insulin 5 units subcutaneous
injection now. Which syringe should the nurse use for this dose
if all are readily available?
1. U-30
2. U-50
3. U-100
4. U-500 Correct Answers U-30
, A patient is recovering from a thyroidectomy. Which
observation needs to be reported immediately to the healthcare
provider?
1. Changes in voice tone
2. Hypoactive bowel sounds
3. Blood pressure 138/70 mm Hg
4. Incisional pain Correct Answers changes in voice tone
A patient recovering from surgery to place a permanent
colostomy as treatment for colon cancer is concerned that her
spouse will no longer find her sexually attractive. Which
response by the nurse is the most appropriate?
1. "Tell me more about the concerns you are having."
2. "Would you like me to speak with your husband for you?"
3. "I am sure that he will get used to the change in your body."
4. "I will refer you to a counselor to talk about your concerns."
Correct Answers Tell me more about the concerns you are
having
A patient spontaneously develops manifestations of
hypoparathyroidism. The nurse correlates which data from the
patient's history as the cause for this health problem?
1. Diabetes mellitus
2. Thyroid hypertrophy
3. Low intake of calcium-rich foods
4. Congenital absence of parathyroid glands Correct Answers
diabetes mellitus
A patient undergoes a total thyroidectomy, leaving one lobe of
the parathyroid gland intact. Which laboratory value would
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