NR 511 WEEK 6 CASE STUDY DISCUSSION
PART 1 2026 CERTIFICATION EVALUATION TEST
PAPER QUESTIONS SOLUTIONS GRADED A
PLUS
◉ Marsha, age 24, is preparing for radioactive iodine therapy for her
Graves disease. Which test must she undergo first?
a. Beta-human chorionic gonadotropin
b. Basal metabolism rate
c. Lithium level
d. Serum calcium.
Answer: beta HCG
◉ When teaching Marcy how to use her new insulin pump, you tell
her that she needs to monitor her blood glucose level:
At least once a day.
Only occasionally because glycemic levels are maintained very
steadily.
At least 4 times a day.
,On an as needed basis when she feels she needs to give herself an
extra dose of insulin..
Answer: at least 4 times per day
◉ joan has severe asthma and has been on high dose oral
corticosteroids for 2 years. She has been reading some home remedy
books and stops all of her medications. What condition may she
develop?
Myxedema crisis.
Diabetes insipidus.
Hypoparathyroidism.
Addisonian crisis..
Answer: addisonian crisis
◉ The process of aging results in:
An increase in liver weight and mass.
A decreased absorption of fat-soluble vitamins.
An increase in enzyme activity.
Constricted pancreatic ducts.
Answer: decreased absorption of fat soluble vitamins
,◉ Sigrid, age 48, appears with a 3-month history of heat intolerance,
increased sweating, palpitations, tachycardia, nervousness,
irritability, fatigue, and muscle weakness. Which test would you
order first?
A blood chemistry panel.
Thyroid-stimulating hormone (TSH) level.
Liver function studies.
Electrocardiogram..
Answer: TSH
◉ A client with newly diagnosed diabetes who has a glycated
hemoglobin (HbA1c) of 7.5 is started on therapeutic lifestyle
changes (TLCs) and medical nutrition therapy (MNT). Which oral
antidiabetic agent is recommended as monotherapy?
Glipizide (Glucotrol).
Sitagliptin (Januvia).
Exenatide (Byetta).
Metformin (Glucophage)..
Answer: METFORMIN
◉ Mr. Reynolds is on the antithyroid drug (ATD) methimazole
(Tapazole), so you make it a point to check his:
, Glycated hemoglobin (HbA1c).
Complete blood count (CBC) and liver transaminases.
Uric acid level.
Total thyroxine (T4).
Answer: CBC and liver enzymes
◉ Steve, age 42, has never been hypertensive but appears today in
the office with a blood pressure of 162/100 mm Hg. He also
complains of "attacks" of headaches, perspiration, and palpitations,
with frequent bouts of nausea, pain, weakness, dyspnea, and visual
disturbances. He ahs lost 10lb over the past 2 months and seems
very anxious today. Your next action would be to:
Start him on an antianxiety agent.
Obtain a 24-hour urine test for catecholamines.
Start him on a diuretic or beta blocker
Recheck his blood pressure in 1 week..
Answer: Obtain a 24-hour urine test for catecholamines.
◉ Marie, age 50, has type 1 diabetes and checks her blood glucose
level several times every day. Her blood glucose levels range from
250 to 280 mg/dL in the morning and is usually about 140 at lunch,
about 120 at dinner, and about 100 at bedtime. In the morning, she
PART 1 2026 CERTIFICATION EVALUATION TEST
PAPER QUESTIONS SOLUTIONS GRADED A
PLUS
◉ Marsha, age 24, is preparing for radioactive iodine therapy for her
Graves disease. Which test must she undergo first?
a. Beta-human chorionic gonadotropin
b. Basal metabolism rate
c. Lithium level
d. Serum calcium.
Answer: beta HCG
◉ When teaching Marcy how to use her new insulin pump, you tell
her that she needs to monitor her blood glucose level:
At least once a day.
Only occasionally because glycemic levels are maintained very
steadily.
At least 4 times a day.
,On an as needed basis when she feels she needs to give herself an
extra dose of insulin..
Answer: at least 4 times per day
◉ joan has severe asthma and has been on high dose oral
corticosteroids for 2 years. She has been reading some home remedy
books and stops all of her medications. What condition may she
develop?
Myxedema crisis.
Diabetes insipidus.
Hypoparathyroidism.
Addisonian crisis..
Answer: addisonian crisis
◉ The process of aging results in:
An increase in liver weight and mass.
A decreased absorption of fat-soluble vitamins.
An increase in enzyme activity.
Constricted pancreatic ducts.
Answer: decreased absorption of fat soluble vitamins
,◉ Sigrid, age 48, appears with a 3-month history of heat intolerance,
increased sweating, palpitations, tachycardia, nervousness,
irritability, fatigue, and muscle weakness. Which test would you
order first?
A blood chemistry panel.
Thyroid-stimulating hormone (TSH) level.
Liver function studies.
Electrocardiogram..
Answer: TSH
◉ A client with newly diagnosed diabetes who has a glycated
hemoglobin (HbA1c) of 7.5 is started on therapeutic lifestyle
changes (TLCs) and medical nutrition therapy (MNT). Which oral
antidiabetic agent is recommended as monotherapy?
Glipizide (Glucotrol).
Sitagliptin (Januvia).
Exenatide (Byetta).
Metformin (Glucophage)..
Answer: METFORMIN
◉ Mr. Reynolds is on the antithyroid drug (ATD) methimazole
(Tapazole), so you make it a point to check his:
, Glycated hemoglobin (HbA1c).
Complete blood count (CBC) and liver transaminases.
Uric acid level.
Total thyroxine (T4).
Answer: CBC and liver enzymes
◉ Steve, age 42, has never been hypertensive but appears today in
the office with a blood pressure of 162/100 mm Hg. He also
complains of "attacks" of headaches, perspiration, and palpitations,
with frequent bouts of nausea, pain, weakness, dyspnea, and visual
disturbances. He ahs lost 10lb over the past 2 months and seems
very anxious today. Your next action would be to:
Start him on an antianxiety agent.
Obtain a 24-hour urine test for catecholamines.
Start him on a diuretic or beta blocker
Recheck his blood pressure in 1 week..
Answer: Obtain a 24-hour urine test for catecholamines.
◉ Marie, age 50, has type 1 diabetes and checks her blood glucose
level several times every day. Her blood glucose levels range from
250 to 280 mg/dL in the morning and is usually about 140 at lunch,
about 120 at dinner, and about 100 at bedtime. In the morning, she
