NR 667 |NR 667 Week 2 Practice Exam| Questions & Answers: Latest Updated

A patient is having increased thirst and urination. You have ruled out diabetes mellitus. After a compete history and physical you suspect diabetes insipidus. Your initial lab tests should include? Renal US and 24-hour urine for volume Plasma sodium, 24-hour urine osmolality and volume Plasma sodium and renal US Recording Intake and output (Ans- Plasma sodium, 24-hour urine osmolality and volume An adult patient presents with tachycardia and nervousness. The patient is currently taking levothyroxine (Synthroid), 75 mcg daily. The nurse practitioner orders a thyroid-stimulating hormone (TSH) and anticipates having to: add atenolol, 50 mg daily. raise the dose to 100 mcg daily. continue the same daily dose. lower the dose to 50 mcg daily. (Ans- lower the dose to 50 mcg daily.All the following are symptoms of hypocalcemia except: Abdominal pain Visual field deficits Tetany Paresthesia in fingers and toes (Ans- Visual field deficits An adult male is seen for an initial visit. He denies tobacco, drug, or alcohol use. He has a sedentary lifestyle and no family history of diabetes. BP = 120/80, P = 76, and BMI = 31. Which of the following diabetes screening tests should the nurse practitioner order? No screening is indicated until age 45 Urine for glycosuria Basic metabolic panel Fasting plasma glucose (Ans- Fasting plasma glucose A 33-year-old woman presents with intermittent palpitations, anxiety, and heat intolerance. Her thyroid function tests reveal low TSH and high free T4. What is the most likely diagnosis? Hypothyroidism HyperthyroidismThyroiditis Graves' disease (Ans- Hyperthyroidism A 40-year-old female presents with abnormal thyroid labs. Her labs show: TSH 0.25 (0.4-5.69), Free T4 1.5 (0.5-1.1), TSI antibody positive. You counsel her that: She likely has autoimmune hypothyroidism and will need thyroid hormone replacement She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be helpful She likely has a multinodular toxic goiter Plan to monitor her for S&S and repeat labs in 6-8 weeks (Ans- She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be help