NRSG 2350 Northeastern University Final Exam –
Complete Practice Questions
Here is a comprehensive set of practice questions for the NRSG 2350 Final
Exam at Northeastern University. The final exam covers Modules 9, 10, and
11 (45 questions on new content) plus 30 questions on cumulative
content from earlier modules, for a total of 75 questions . This practice
bank covers new content from the three modules extensively, organized by
topic.
The format includes multiple-choice and select-all-that-apply questions,
mirroring the actual exam . Each question includes the correct answer
in bold italics and a detailed rationale in italics, based on course materials
and pathophysiology/pharmacology principles .
Module 9: Endocrine System
Question 1
A patient presents with classic symptoms of hyperglycemia including
polyuria, polydipsia, and weight loss. A random plasma glucose test is
performed and the result is 210 mg/dL. Based on these findings, the nurse
should recognize that:
A. The patient is asymptomatic and requires a fasting glucose test
B. The patient meets the diagnostic criteria for diabetes mellitus
C. The patient requires a 2-hour oral glucose tolerance test
D. The patient's glucose level is within normal limits
*Correct Answer: B. The patient meets the diagnostic criteria for
diabetes mellitus. *
,Rationale: Symptomatic hyperglycemia with classic symptoms (thirst,
polyuria, weight loss, blurry vision) and a random blood glucose value of 200
mg/dL or higher establishes the diagnosis of diabetes mellitus .
Question 2
A patient with type 1 diabetes is scheduled for a fasting blood glucose test.
The nurse should instruct the patient to fast for at least how many hours?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
*Correct Answer: D. 8 hours. *
Rationale: For a fasting plasma glucose (FPG) test, fasting is defined as no
caloric intake for at least 8 hours. A fasting glucose value ≥126 mg/dL (7.0
mmol/L) is diagnostic of diabetes .
Question 3
The nurse is caring for a patient with type 2 diabetes who is asymptomatic.
Which of the following criteria would establish the diagnosis of diabetes?
A. Fasting plasma glucose of 110 mg/dL
B. Two-hour plasma glucose of 140 mg/dL during an OGTT
C. Fasting plasma glucose of 130 mg/dL
D. Random glucose of 180 mg/dL
*Correct Answer: C. Fasting plasma glucose of 130 mg/dL. *
Rationale: In an asymptomatic individual, diabetes can be established with a
FPG ≥126 mg/dL (7.0 mmol/L) or a two-hour plasma glucose ≥200 mg/dL
during a 75g OGTT. A value of 130 mg/dL exceeds the diagnostic threshold .
,Question 4
A patient with type 2 diabetes is prescribed metformin. The nurse should
include which important teaching point regarding alcohol consumption?
A. Alcohol has no interaction with metformin
B. Alcohol intake in excess can lead to an adverse reaction with metformin
C. Metformin increases the metabolism of alcohol
D. Alcohol enhances the effectiveness of metformin
*Correct Answer: B. Alcohol intake in excess can lead to an adverse
reaction with metformin. *
Rationale: Alcohol intake in excess can lead to adverse reactions with
metformin, including an increased risk of lactic acidosis. Patients should be
advised to limit alcohol consumption .
Question 5
Insulin is a hormone produced by which cells of the pancreas?
A. Alpha cells
B. Beta cells
C. Delta cells
D. Gamma cells
*Correct Answer: B. Beta cells. *
Rationale: Insulin is a hormone produced by the beta cells in the islets of
Langerhans of the pancreas. It regulates blood sugar, promotes glucose
storage, and inhibits glucose production .
, Question 6
A patient newly diagnosed with type 1 diabetes is learning about insulin
administration. The nurse should teach the patient that insulin acts
primarily in which tissues?
A. Liver, muscle, and adipose tissue
B. Brain and nervous system
C. Kidneys and bladder
D. Lungs and heart
*Correct Answer: A. Liver, muscle, and adipose tissue. *
Rationale: Insulin acts primarily in the liver, muscle, and adipose tissue by
attaching to receptors on cellular membranes and facilitating the passage of
glucose, potassium, and magnesium .
Question 7
The nurse is teaching a patient about proper insulin storage. Which of the
following statements indicates correct understanding?
A. "I should keep all my insulin vials in the freezer."
B. "I can keep the vial I'm using at room temperature for up to one month."
C. "I should never refrigerate insulin."
D. "I can use insulin that has been left out for 6 months."
*Correct Answer: B. "I can keep the vial I'm using at room temperature
for up to one month." *
Rationale: Insulin vials currently in use can be kept at room temperature for
up to one month. Otherwise, insulin should be held in the refrigerator. It
should not be frozen .
Complete Practice Questions
Here is a comprehensive set of practice questions for the NRSG 2350 Final
Exam at Northeastern University. The final exam covers Modules 9, 10, and
11 (45 questions on new content) plus 30 questions on cumulative
content from earlier modules, for a total of 75 questions . This practice
bank covers new content from the three modules extensively, organized by
topic.
The format includes multiple-choice and select-all-that-apply questions,
mirroring the actual exam . Each question includes the correct answer
in bold italics and a detailed rationale in italics, based on course materials
and pathophysiology/pharmacology principles .
Module 9: Endocrine System
Question 1
A patient presents with classic symptoms of hyperglycemia including
polyuria, polydipsia, and weight loss. A random plasma glucose test is
performed and the result is 210 mg/dL. Based on these findings, the nurse
should recognize that:
A. The patient is asymptomatic and requires a fasting glucose test
B. The patient meets the diagnostic criteria for diabetes mellitus
C. The patient requires a 2-hour oral glucose tolerance test
D. The patient's glucose level is within normal limits
*Correct Answer: B. The patient meets the diagnostic criteria for
diabetes mellitus. *
,Rationale: Symptomatic hyperglycemia with classic symptoms (thirst,
polyuria, weight loss, blurry vision) and a random blood glucose value of 200
mg/dL or higher establishes the diagnosis of diabetes mellitus .
Question 2
A patient with type 1 diabetes is scheduled for a fasting blood glucose test.
The nurse should instruct the patient to fast for at least how many hours?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
*Correct Answer: D. 8 hours. *
Rationale: For a fasting plasma glucose (FPG) test, fasting is defined as no
caloric intake for at least 8 hours. A fasting glucose value ≥126 mg/dL (7.0
mmol/L) is diagnostic of diabetes .
Question 3
The nurse is caring for a patient with type 2 diabetes who is asymptomatic.
Which of the following criteria would establish the diagnosis of diabetes?
A. Fasting plasma glucose of 110 mg/dL
B. Two-hour plasma glucose of 140 mg/dL during an OGTT
C. Fasting plasma glucose of 130 mg/dL
D. Random glucose of 180 mg/dL
*Correct Answer: C. Fasting plasma glucose of 130 mg/dL. *
Rationale: In an asymptomatic individual, diabetes can be established with a
FPG ≥126 mg/dL (7.0 mmol/L) or a two-hour plasma glucose ≥200 mg/dL
during a 75g OGTT. A value of 130 mg/dL exceeds the diagnostic threshold .
,Question 4
A patient with type 2 diabetes is prescribed metformin. The nurse should
include which important teaching point regarding alcohol consumption?
A. Alcohol has no interaction with metformin
B. Alcohol intake in excess can lead to an adverse reaction with metformin
C. Metformin increases the metabolism of alcohol
D. Alcohol enhances the effectiveness of metformin
*Correct Answer: B. Alcohol intake in excess can lead to an adverse
reaction with metformin. *
Rationale: Alcohol intake in excess can lead to adverse reactions with
metformin, including an increased risk of lactic acidosis. Patients should be
advised to limit alcohol consumption .
Question 5
Insulin is a hormone produced by which cells of the pancreas?
A. Alpha cells
B. Beta cells
C. Delta cells
D. Gamma cells
*Correct Answer: B. Beta cells. *
Rationale: Insulin is a hormone produced by the beta cells in the islets of
Langerhans of the pancreas. It regulates blood sugar, promotes glucose
storage, and inhibits glucose production .
, Question 6
A patient newly diagnosed with type 1 diabetes is learning about insulin
administration. The nurse should teach the patient that insulin acts
primarily in which tissues?
A. Liver, muscle, and adipose tissue
B. Brain and nervous system
C. Kidneys and bladder
D. Lungs and heart
*Correct Answer: A. Liver, muscle, and adipose tissue. *
Rationale: Insulin acts primarily in the liver, muscle, and adipose tissue by
attaching to receptors on cellular membranes and facilitating the passage of
glucose, potassium, and magnesium .
Question 7
The nurse is teaching a patient about proper insulin storage. Which of the
following statements indicates correct understanding?
A. "I should keep all my insulin vials in the freezer."
B. "I can keep the vial I'm using at room temperature for up to one month."
C. "I should never refrigerate insulin."
D. "I can use insulin that has been left out for 6 months."
*Correct Answer: B. "I can keep the vial I'm using at room temperature
for up to one month." *
Rationale: Insulin vials currently in use can be kept at room temperature for
up to one month. Otherwise, insulin should be held in the refrigerator. It
should not be frozen .
