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NURS 623 Exam 2 2026 (150 Questions) – Endocrine Disorders, Diabetes, Thyroid & Metabolic Conditions – Maryville University

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This document contains approximately 150 exam-style questions with verified answers for NURS 623 Exam 2, focusing on advanced endocrine and metabolic disorders. It covers key topics such as thyroid dysfunction (Graves’ disease, Hashimoto’s, hypothyroidism), adrenal disorders (Cushing’s syndrome, Addison’s disease), diabetes management (Type 1, Type 2, DKA, HHS), and metabolic conditions like gout and obesity. The structured Q&A format enhances clinical reasoning, reinforces diagnostic criteria, and supports effective preparation for graduate-level nursing exams. The material is highly relevant for graduate nursing students enrolled in Family Nurse Practitioner (FNP), Adult-Gerontology Primary Care, and advanced clinical practice programs. It is particularly useful for courses such as Advanced Pathophysiology, Endocrinology, Clinical Management, and Primary Care. The content aligns with widely used textbooks such as Bates’ Guide to Physical Examination and History Taking by Lynn Bickley and Primary Care: A Collaborative Practice by Terry Mahan Buttaro, making it a valuable supplementary resource. This resource is ideal for nurse practitioner students, advanced practice nursing students, and healthcare professionals preparing for clinical exams, certification assessments, or advanced coursework. It is especially beneficial for those aiming to strengthen their understanding of endocrine disorders, improve diagnostic accuracy, and master evidence-based treatment strategies in primary care settings. Keywords: NURS 623 exam prep, endocrine disorders, thyroid diseases, diabetes management, DKA, HHS, Cushing syndrome, Addison disease, Graves disease, Hashimoto thyroiditis, metabolic disorders, gout management, obesity, insulin therapy, clinical nursing, pathophysiology, advanced nursing, diagnostic criteria, primary care, nurse practitioner prep

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MARYVILLE NURS 623 EXAM 2
2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS




Which of the serum laboratory findings are present in the client with

Cushing's syndrome? - 🧠 ANSWER ✔✔Increased cortisol,

HYPERnatremia, and HYPOkalemia

Alice, age 48, has a benign thyroid nodule. The most common treatment

involves: - 🧠 ANSWER ✔✔Watchful waiting with an annual follow-up

,ACE inhibitors are given to clients with diabetes who have - 🧠 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? - 🧠

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? - 🧠 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? - 🧠 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? - 🧠 ANSWER

✔✔increase A.M. insulin


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? - 🧠

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? - 🧠 ANSWER ✔✔parathyroidectomy


The most common worldwide cause of hypothyroidism is: - 🧠 ANSWER

✔✔iodine deficiency


What should be assessed for during exam on pt with

HYPOparathyroidism? - 🧠 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 - 🧠 ANSWER ✔✔ADD LONG-

ACTING INSULIN



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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