NURS 623/624 Exam 2
QUESTIONS AND VERIFED
CORRECT ANSWERS
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GUARANTEED PASS
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?
A. Decreased adrenal androgen levels
B. Malfunctioning of the adrenal cortex
C. Excessive levels of circulating cortisol
D. Ectopic secretion of adrenocorticotropic hormone - CORRECT ANSWER-C. Excessive levels of
circulating cortisol
Margie has hypoparathyroidism. Which of the following would you assess during your
examination?
A. Skin turgor
B. Heart tones
,C. Chvostek's sign
D. Homans' sign - CORRECT ANSWER-C. Chvostek's sign
Sidney has been taking a sulfonylurea for 5 years to treat his type 2 diabetes. He asks how long
he needs to take the medication before he tries another medication. You tell him:
A. "Sulfonylureas are usually effective for 7 to 10 years in most clients."
B. "You'll probably be on this medication for the rest of your life."
C. "After about 5 years, you will need to start on insulin therapy."
D. "After a few years, you can stop altogether and just regulate your diabetes with your diet." -
CORRECT ANSWER-A. "Sulfonylureas are usually effective for 7 to 10 years in most clients."
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?
A. Increase the p.m. insulin.
B. Increase the a.m. insulin.
C. Add NovoLog at bedtime (hs).
D. Increase the a.m. and p.m. insulin. - CORRECT ANSWER-B. Increase the a.m. insulin.
Mandy has type 2 diabetes. She says she heard that if she becomes pregnant, she must go on
insulin therapy. How do you respond?
A. "You're under good glycemic control now with your oral agents. As long as you stay in good
control, you'll stay on the medication you are on now."
B. "Don't worry about it now; wait until you get pregnant."
C. "Insulin is commonly used during pregnancy. Some oral agents are now being used."
,D. "You need to start on insulin therapy now before you get pregnant. You'll also need it
throughout your pregnancy." - CORRECT ANSWER-C. "Insulin is commonly used during
pregnancy. Some oral agents are now being used."
Which of the following serum laboratory findings are present in the client with Cushing's
syndrome?
A. Increased cortisol, decreased sodium, and decreased potassium levels
B. Decreased cortisol, decreased potassium, and decreased glucose levels
C. Increased cortisol, increased sodium, and decreased potassium levels
D. Normal blood urea nitrogen, increased sodium, and decreased potassium levels - CORRECT
ANSWER-C. Increased cortisol, increased sodium, and decreased potassium levels
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her
diet?
A. Asparagus
B. Beans
C. Broccoli
D. Mushrooms - CORRECT ANSWER-C. Broccoli
The mechanism of action of metformin (Glucophage®) is as:
A. an insulin-production enhancer.
B. a product virtually identical in action to sulfonylureas.
C. a drug that increases insulin action in the peripheral tissues and reduces hepatic glucose
production.
, D. a facilitator of renal glucose excretion. - CORRECT ANSWER-C. a drug that increases insulin
action in the peripheral tissues and reduces hepatic glucose production.
Hypothyroidism most often develops as a result of:
A. primary pituitary failure.
B. thyroid neoplasia.
C. autoimmune thyroiditis.
D. radioactive iodine exposure. - CORRECT ANSWER-C. autoimmune thyroiditis.
Which of the following medications is a helpful treatment option for relief of tremor and
tachycardia seen with untreated hyperthyroidism?
A. propranolol
B. diazepam
C. carbamazepine
D. verapamil - CORRECT ANSWER-A. propranolol
Which of the following is a mineralocorticoid?
A. cortisol
B. aldosterone
C. insulin
D. hydrocortisone - CORRECT ANSWER-B. aldosterone
When counseling about malabsorptive bariatric surgery, the NP provides the following
information:
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
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?
A. Decreased adrenal androgen levels
B. Malfunctioning of the adrenal cortex
C. Excessive levels of circulating cortisol
D. Ectopic secretion of adrenocorticotropic hormone - CORRECT ANSWER-C. Excessive levels of
circulating cortisol
Margie has hypoparathyroidism. Which of the following would you assess during your
examination?
A. Skin turgor
B. Heart tones
,C. Chvostek's sign
D. Homans' sign - CORRECT ANSWER-C. Chvostek's sign
Sidney has been taking a sulfonylurea for 5 years to treat his type 2 diabetes. He asks how long
he needs to take the medication before he tries another medication. You tell him:
A. "Sulfonylureas are usually effective for 7 to 10 years in most clients."
B. "You'll probably be on this medication for the rest of your life."
C. "After about 5 years, you will need to start on insulin therapy."
D. "After a few years, you can stop altogether and just regulate your diabetes with your diet." -
CORRECT ANSWER-A. "Sulfonylureas are usually effective for 7 to 10 years in most clients."
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?
A. Increase the p.m. insulin.
B. Increase the a.m. insulin.
C. Add NovoLog at bedtime (hs).
D. Increase the a.m. and p.m. insulin. - CORRECT ANSWER-B. Increase the a.m. insulin.
Mandy has type 2 diabetes. She says she heard that if she becomes pregnant, she must go on
insulin therapy. How do you respond?
A. "You're under good glycemic control now with your oral agents. As long as you stay in good
control, you'll stay on the medication you are on now."
B. "Don't worry about it now; wait until you get pregnant."
C. "Insulin is commonly used during pregnancy. Some oral agents are now being used."
,D. "You need to start on insulin therapy now before you get pregnant. You'll also need it
throughout your pregnancy." - CORRECT ANSWER-C. "Insulin is commonly used during
pregnancy. Some oral agents are now being used."
Which of the following serum laboratory findings are present in the client with Cushing's
syndrome?
A. Increased cortisol, decreased sodium, and decreased potassium levels
B. Decreased cortisol, decreased potassium, and decreased glucose levels
C. Increased cortisol, increased sodium, and decreased potassium levels
D. Normal blood urea nitrogen, increased sodium, and decreased potassium levels - CORRECT
ANSWER-C. Increased cortisol, increased sodium, and decreased potassium levels
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her
diet?
A. Asparagus
B. Beans
C. Broccoli
D. Mushrooms - CORRECT ANSWER-C. Broccoli
The mechanism of action of metformin (Glucophage®) is as:
A. an insulin-production enhancer.
B. a product virtually identical in action to sulfonylureas.
C. a drug that increases insulin action in the peripheral tissues and reduces hepatic glucose
production.
, D. a facilitator of renal glucose excretion. - CORRECT ANSWER-C. a drug that increases insulin
action in the peripheral tissues and reduces hepatic glucose production.
Hypothyroidism most often develops as a result of:
A. primary pituitary failure.
B. thyroid neoplasia.
C. autoimmune thyroiditis.
D. radioactive iodine exposure. - CORRECT ANSWER-C. autoimmune thyroiditis.
Which of the following medications is a helpful treatment option for relief of tremor and
tachycardia seen with untreated hyperthyroidism?
A. propranolol
B. diazepam
C. carbamazepine
D. verapamil - CORRECT ANSWER-A. propranolol
Which of the following is a mineralocorticoid?
A. cortisol
B. aldosterone
C. insulin
D. hydrocortisone - CORRECT ANSWER-B. aldosterone
When counseling about malabsorptive bariatric surgery, the NP provides the following
information:
