1|Page
Dunphy Endocrine and Metabolic Problems Exam
and Practice Test 2025 — FNP Review Questions,
Study Guide & Answers
Prepare for the Dunphy Endocrine and Metabolic Problems Exam 2025 with comprehensive
practice exams, review questions, and study materials. Master key concepts in hormonal
regulation, thyroid disorders, diabetes management, and metabolic syndromes for your
FNP or advanced nursing certification.
• Dunphy Endocrine and Metabolic Problems Exam 2025
• Dunphy practice exam questions
• Endocrine and metabolic FNP review
• Dunphy textbook exam questions and answer
Which of the following statements about diabetes mellitus is NOT true?
1.Diabetes mellitus is the most common etiology of renal failure in the United States.
2.Diabetes mellitus is the most common endocrine disorder in the United States.
3.Diabetes mellitus is characterized by impaired insulin secretion and insulin action.
4.Diabetes mellitus is curable. - ANSWER-4.Diabetes mellitus is curable.
Jeremiah, age 72, has gout and is obese. When teaching him about diet, which of the following
do you tell him?
1."Beer and wine are okay because they have no effect on uric acid."
2."Keeping your weight stable, even if you are a little overweight, is better than fluctuating."
,2|Page
3."You must go on a restricted, very low-calorie diet to effect immediate change."
4."Fluid intake should exceed three thousand milliliters daily to prevent the formation of uric
acid kidney stones." - ANSWER-4. "Fluid intake should exceed three thousand milliliters daily to
prevent the formation of uric acid kidney stones."
Betty, age 40, has had type 1 diabetes for 20 years and takes a combination of neutral
protamine Hagedorn (NPH) and regular insulin every day. She comes to the office because she
has developed a severe upper respiratory infection with chills, fever, and the production of
yellow sputum. Because of her acute infection, you know that Betty is likely to require:
1.A decrease in her daily insulin dosage.
2.An increase in her daily insulin dosage.
3.A high-calorie dietary intake and no insulin change.
4.A change in her insulin from NPH to insulin aspart (NovoLog) - ANSWER-2. An increase in her
daily insulin dosage.
Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He has heard that exenatide (Byetta) causes weight loss and
wants to try it. What do you tell him?
1."Let's adjust your oral antidiabetic agents instead."
2."That's a myth. People usually change their eating habits when taking this, and that's what
causes the weight loss."
3."With type 2 diabetes, you never want to be on injectable insulin."
4."Let's try it. Your glycohemoglobin will be lowered, and you may lose weight." - ANSWER-
4."Let's try it. Your glycohemoglobin will be lowered, and you may lose weight."
Which of the following would not be ordered on a regular basis to evaluate patients with
diabetes for end-organ damage associated with diabetes?
1.Ophthalmology evaluation
2.Lipid panel
,3|Page
3.Urinalysis and basic metabolic panel (BMP)
4.Complete blood count (CBC) - ANSWER-4. CBC
A CBC should be done in all patients at an annual physical, but patients with diabetes typically
don't have end-organ damage that would be evident on a CBC.
Which of the following statements about hypothyroidism is not true?
1.The most common worldwide cause of hypothyroidism is iodine deficiency.
2.The most common cause of autoimmune hypothyroidism is Hashimoto's thyroiditis.
3.The rate of hypothyroidism decreases with age.
4.Lithium use is a risk factor for hypothyroidism. - ANSWER-3. The rate of hypothyroidism
decreases with age.
This is not true; hypothyroidism becomes more common as we age.
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in the
diet?
1.Asparagus
2.Beans
3.Broccoli
4.Mushrooms - ANSWER-3. broccoli
Foods high in purine should be avoided by patients with gout. Broccoli is not high in purine.
Foods high in purine include all meats and seafood, meat extracts and gravies, yeast and yeast
extracts, beans, peas, lentils, oatmeal, spinach, asparagus, cauliflower, and mushrooms. Wine
and alcohol in excessive amounts impair the ability of the kidneys to excrete uric acid and
should be used in moderation.
What is the most common cause of gynecomastia?
1.Puberty
, 4|Page
2.Drug use
3.Testicular failure
4.Malnutrition - ANSWER-1. Puberty
Puberty is the most common cause of gynecomastia; most of these cases are self-limiting. Drug
use, testicular failure, and malnutrition are a less common causes of gynecomastia.
A patient presents to your urgent care center for evaluation following a motor vehicle accident.
On physical exam, the patient seems lethargic and has thin, clear nasal drainage. You also note
bruising around the eyes and mastoid process. What injury did the patient sustain in the car
accident?
1. Basilar skull fracture
2. Epidural hematoma
3. Subdural hematoma
4. Concussion - ANSWER-1. Basilar skull fracture
(The drainage from the patient's nose is cerebrospinal fluid. The bruising around the eyes and
mastoid process is associated with basilar skull fracture, an emergency condition.)
A patient presents to your urgent care office complaining of lightheadedness, dizziness, and
problems concentrating after a motor vehicle accident 7 days ago. Originally, these complaints
were more severe, but they have slowly decreased in intensity. What is the patient's diagnosis?
1.Concussion
2.Postconcussion syndrome
3.Cerebral hemorrhage
4.Malingering - ANSWER-2. Post-concussion syndrome (If they have not received one since the
car accident, you should refer them to their primary doctor or neurologist to get a computed
tomography (CT) scan of the head.)
Option 1:This patient likely suffered a concussion but is now experiencing symptoms consistent
with post-concussion syndrome, which can last up to 6 months after a concussion.
Dunphy Endocrine and Metabolic Problems Exam
and Practice Test 2025 — FNP Review Questions,
Study Guide & Answers
Prepare for the Dunphy Endocrine and Metabolic Problems Exam 2025 with comprehensive
practice exams, review questions, and study materials. Master key concepts in hormonal
regulation, thyroid disorders, diabetes management, and metabolic syndromes for your
FNP or advanced nursing certification.
• Dunphy Endocrine and Metabolic Problems Exam 2025
• Dunphy practice exam questions
• Endocrine and metabolic FNP review
• Dunphy textbook exam questions and answer
Which of the following statements about diabetes mellitus is NOT true?
1.Diabetes mellitus is the most common etiology of renal failure in the United States.
2.Diabetes mellitus is the most common endocrine disorder in the United States.
3.Diabetes mellitus is characterized by impaired insulin secretion and insulin action.
4.Diabetes mellitus is curable. - ANSWER-4.Diabetes mellitus is curable.
Jeremiah, age 72, has gout and is obese. When teaching him about diet, which of the following
do you tell him?
1."Beer and wine are okay because they have no effect on uric acid."
2."Keeping your weight stable, even if you are a little overweight, is better than fluctuating."
,2|Page
3."You must go on a restricted, very low-calorie diet to effect immediate change."
4."Fluid intake should exceed three thousand milliliters daily to prevent the formation of uric
acid kidney stones." - ANSWER-4. "Fluid intake should exceed three thousand milliliters daily to
prevent the formation of uric acid kidney stones."
Betty, age 40, has had type 1 diabetes for 20 years and takes a combination of neutral
protamine Hagedorn (NPH) and regular insulin every day. She comes to the office because she
has developed a severe upper respiratory infection with chills, fever, and the production of
yellow sputum. Because of her acute infection, you know that Betty is likely to require:
1.A decrease in her daily insulin dosage.
2.An increase in her daily insulin dosage.
3.A high-calorie dietary intake and no insulin change.
4.A change in her insulin from NPH to insulin aspart (NovoLog) - ANSWER-2. An increase in her
daily insulin dosage.
Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He has heard that exenatide (Byetta) causes weight loss and
wants to try it. What do you tell him?
1."Let's adjust your oral antidiabetic agents instead."
2."That's a myth. People usually change their eating habits when taking this, and that's what
causes the weight loss."
3."With type 2 diabetes, you never want to be on injectable insulin."
4."Let's try it. Your glycohemoglobin will be lowered, and you may lose weight." - ANSWER-
4."Let's try it. Your glycohemoglobin will be lowered, and you may lose weight."
Which of the following would not be ordered on a regular basis to evaluate patients with
diabetes for end-organ damage associated with diabetes?
1.Ophthalmology evaluation
2.Lipid panel
,3|Page
3.Urinalysis and basic metabolic panel (BMP)
4.Complete blood count (CBC) - ANSWER-4. CBC
A CBC should be done in all patients at an annual physical, but patients with diabetes typically
don't have end-organ damage that would be evident on a CBC.
Which of the following statements about hypothyroidism is not true?
1.The most common worldwide cause of hypothyroidism is iodine deficiency.
2.The most common cause of autoimmune hypothyroidism is Hashimoto's thyroiditis.
3.The rate of hypothyroidism decreases with age.
4.Lithium use is a risk factor for hypothyroidism. - ANSWER-3. The rate of hypothyroidism
decreases with age.
This is not true; hypothyroidism becomes more common as we age.
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in the
diet?
1.Asparagus
2.Beans
3.Broccoli
4.Mushrooms - ANSWER-3. broccoli
Foods high in purine should be avoided by patients with gout. Broccoli is not high in purine.
Foods high in purine include all meats and seafood, meat extracts and gravies, yeast and yeast
extracts, beans, peas, lentils, oatmeal, spinach, asparagus, cauliflower, and mushrooms. Wine
and alcohol in excessive amounts impair the ability of the kidneys to excrete uric acid and
should be used in moderation.
What is the most common cause of gynecomastia?
1.Puberty
, 4|Page
2.Drug use
3.Testicular failure
4.Malnutrition - ANSWER-1. Puberty
Puberty is the most common cause of gynecomastia; most of these cases are self-limiting. Drug
use, testicular failure, and malnutrition are a less common causes of gynecomastia.
A patient presents to your urgent care center for evaluation following a motor vehicle accident.
On physical exam, the patient seems lethargic and has thin, clear nasal drainage. You also note
bruising around the eyes and mastoid process. What injury did the patient sustain in the car
accident?
1. Basilar skull fracture
2. Epidural hematoma
3. Subdural hematoma
4. Concussion - ANSWER-1. Basilar skull fracture
(The drainage from the patient's nose is cerebrospinal fluid. The bruising around the eyes and
mastoid process is associated with basilar skull fracture, an emergency condition.)
A patient presents to your urgent care office complaining of lightheadedness, dizziness, and
problems concentrating after a motor vehicle accident 7 days ago. Originally, these complaints
were more severe, but they have slowly decreased in intensity. What is the patient's diagnosis?
1.Concussion
2.Postconcussion syndrome
3.Cerebral hemorrhage
4.Malingering - ANSWER-2. Post-concussion syndrome (If they have not received one since the
car accident, you should refer them to their primary doctor or neurologist to get a computed
tomography (CT) scan of the head.)
Option 1:This patient likely suffered a concussion but is now experiencing symptoms consistent
with post-concussion syndrome, which can last up to 6 months after a concussion.
