NR 511 WEEK 6 CASE STUDY DISCUSSION
PART 1 2026 COMPREHENSIVE ASSESSMENT
SCRIPT SOLVED QUESTIONS ANSWERS
UPDATED REVIEW SET
◉ Jenny, age 46, has hypertension that has been controlled with
hydrochlorothiazide 50 mg every day for the past 3 years. She is 5 ft
8 in tall and weighs 220 lb. Her fasting blood sugar (FBS) is
300mg/dL, serum cholesterol level is 250 mg/dL, serum potassium
level is 3.4mEq, and she has 4+ glucosuria. Your next course of
action would be to:
Discontinue her hydrochlorothiazide.
Order a glucose tolerance test (GTT).
Repeat her FBS and do a glycated hemoglobin (HbA1c).
Start insulin therapy.
Answer: Repeat her FBS and do a glycated hemoglobin (HbA1c).
◉ An elderly client presents with atrial fibrillation. Which of the
following lab tests is important in forming the diagnosis?
Complete blood count (CBC).
,C-reactive protein (CRP).
Comprehensive metabolic panel (CMP).
Thyroid-stimulating hormone (TSH)..
Answer: TSH
◉ Juanita, age 23, complains of palpitations that started a few weeks
ago; the occur 2 to 4 times a day and last 5 to 10 minutes. She feels
nervous and is having trouble sleeping. Her stools have been
frequent (1-3 per day) and loose. She is taking levothyroxine 150
mcg daily. Her labs indicated free thyroxine (T4) 2.28 and thyroid-
stimulating hormone (TSH) 0.022. She has a history of Graves
disease and had radioactive iodine (RAI) treatment a few months
ago. She has been on thyroid replacement for 2 months. Based on
these data, you decide to:
Increase the levothyroxine dosage.
Decrease the levothyroxine dosage.
Keep the dosage the same.
Start propranolol every 8 hours.
Answer: decrease levothyroxine dosage
◉ Ben, a client with type 1 diabetes, is hospitalized with an
admitting diagnosis of diabetic ketoacidosis (DKA). Which of the
following signs and symptoms would be consistent with this
condition?
,Hypoglucemia and glycosuria.
Decrease respiratory rate with shallow respirations.
Polydipsia and an increased blood pH.
Ketonuria and polyuria..
Answer: ketonuria and polyuria
◉ A low thyroid-stimulating hormone (TSH) can lead to:
Osteoporosis.
Weight gain.
Bradycardia.
Brittle hair..
Answer: osteoporosis
◉ Sara, age 40, has diabetes and is now experiencing anhidrosis on
the hands and feet, increased sweating on the face and truck,
dysphagia, anorexia, and heartburn. Which complication of diabetes
do you suspect?
Macrocirculation changes.
Microcirculation changes.
, Peripheral neuropathies.
Autonomic neuropathies.
Answer: autonomic neuropathies
◉ Martin, age 62, has acute nontransient abdominal pain that grows
steadily worse in the epigastric area and radiates straight through to
the back. The pain has lasted for days. He is also complaining of
nausea, vomiting, sweating, weakness, and pallor. Physical
examination reveals abdominal tenderness and distention and a
low-grade fever. What do you suspect?
Cholecystitis.
Acute pancreatitis.
Cirrhosis.
Cushing syndrome..
Answer: acute pancreatitis
◉ Your client with diabetes asks you about insulin glargine (Lantus).
You tellher that:
It may be administered subcutaneously at home or intravenously in
the hospital if need be.
The onset of action is 15 minutes.
Insulin glargine (Lantus) stays in your system for 24 hours.
PART 1 2026 COMPREHENSIVE ASSESSMENT
SCRIPT SOLVED QUESTIONS ANSWERS
UPDATED REVIEW SET
◉ Jenny, age 46, has hypertension that has been controlled with
hydrochlorothiazide 50 mg every day for the past 3 years. She is 5 ft
8 in tall and weighs 220 lb. Her fasting blood sugar (FBS) is
300mg/dL, serum cholesterol level is 250 mg/dL, serum potassium
level is 3.4mEq, and she has 4+ glucosuria. Your next course of
action would be to:
Discontinue her hydrochlorothiazide.
Order a glucose tolerance test (GTT).
Repeat her FBS and do a glycated hemoglobin (HbA1c).
Start insulin therapy.
Answer: Repeat her FBS and do a glycated hemoglobin (HbA1c).
◉ An elderly client presents with atrial fibrillation. Which of the
following lab tests is important in forming the diagnosis?
Complete blood count (CBC).
,C-reactive protein (CRP).
Comprehensive metabolic panel (CMP).
Thyroid-stimulating hormone (TSH)..
Answer: TSH
◉ Juanita, age 23, complains of palpitations that started a few weeks
ago; the occur 2 to 4 times a day and last 5 to 10 minutes. She feels
nervous and is having trouble sleeping. Her stools have been
frequent (1-3 per day) and loose. She is taking levothyroxine 150
mcg daily. Her labs indicated free thyroxine (T4) 2.28 and thyroid-
stimulating hormone (TSH) 0.022. She has a history of Graves
disease and had radioactive iodine (RAI) treatment a few months
ago. She has been on thyroid replacement for 2 months. Based on
these data, you decide to:
Increase the levothyroxine dosage.
Decrease the levothyroxine dosage.
Keep the dosage the same.
Start propranolol every 8 hours.
Answer: decrease levothyroxine dosage
◉ Ben, a client with type 1 diabetes, is hospitalized with an
admitting diagnosis of diabetic ketoacidosis (DKA). Which of the
following signs and symptoms would be consistent with this
condition?
,Hypoglucemia and glycosuria.
Decrease respiratory rate with shallow respirations.
Polydipsia and an increased blood pH.
Ketonuria and polyuria..
Answer: ketonuria and polyuria
◉ A low thyroid-stimulating hormone (TSH) can lead to:
Osteoporosis.
Weight gain.
Bradycardia.
Brittle hair..
Answer: osteoporosis
◉ Sara, age 40, has diabetes and is now experiencing anhidrosis on
the hands and feet, increased sweating on the face and truck,
dysphagia, anorexia, and heartburn. Which complication of diabetes
do you suspect?
Macrocirculation changes.
Microcirculation changes.
, Peripheral neuropathies.
Autonomic neuropathies.
Answer: autonomic neuropathies
◉ Martin, age 62, has acute nontransient abdominal pain that grows
steadily worse in the epigastric area and radiates straight through to
the back. The pain has lasted for days. He is also complaining of
nausea, vomiting, sweating, weakness, and pallor. Physical
examination reveals abdominal tenderness and distention and a
low-grade fever. What do you suspect?
Cholecystitis.
Acute pancreatitis.
Cirrhosis.
Cushing syndrome..
Answer: acute pancreatitis
◉ Your client with diabetes asks you about insulin glargine (Lantus).
You tellher that:
It may be administered subcutaneously at home or intravenously in
the hospital if need be.
The onset of action is 15 minutes.
Insulin glargine (Lantus) stays in your system for 24 hours.
