(2025/2026) NURS 541 EXAM 1 NEWEST
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE
a 40-year old patient with primary hyperparathyroidism
has increased serum calcium 0.5mg/dL above normal
without signs of nephrolithiasis. what is the recommended
treatment for this patient? Correct Answer annual
monitoring of calcium, creatinine, and bone density
which findings are symptoms of hyperparathyroidism?
Correct Answer Cognitive impairment
Left ventricular hypertrophy
renali calculi
Which thyroid-stimulating hormone level indicates
hyperthyroidism? Correct Answer 0.2 uIU/L
*TSH less than 0.3
A patient has thyroid nodules and the provider suspects
thyroid cancer. to evaluate thyroid nodules for potential
malignancy, which test is performed? Correct Answer
thyroid ultrasound
a 20-year old female patient with tachycardia and weight
loss but no optic symptoms presents with the following
laboratory vales: decreased TSH, increased T3, and
increased T4 and free T4. A pregnancy test is negative.
,What is the initial treatment for this patient? Correct
Answer beta blocker medications
-Used with Graves disease to alleviate the adrenergic
symptoms of the hyperthyroidism.
a postpartum women develops fatigue, weight gain, and
constipation. laboratory values reveal elevated TSH and
decreased T3 and T4 levels. what will the provider tell this
patient? Correct Answer this condition may be transient
-may resolve on its own
a patient reports mild fatigue and palpitations. a complete
blood count reveals a decreased hemoglobin level and a
normal ferritin level. what other findings are likely to be
present? Correct Answer decreased hematocrit
a child weighing 20 kg has been diagnosed with iron-
deficiency anemia and will begin taking an oral iron
preparation. what will the provider teach the child's parents
about administration of this medication? Correct Answer
the correct dose is 30mg twice daily
a 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue,
with no neurological findings. base on these clinical
findings, what will the provider anticipate finding in the
laboratory data? Correct Answer low hemoglobin and
elevated MCV
a patient is noted to have prolonged bleeding after IV
needle is removed. a subsequent laboratory test reveals a
, prolonger activated partial thromboplastin (aPTT) time with
a normal prothrombin time (PT). Based on this result, the
provider may suspect alteration in function of which
factor? Correct Answer Factor VIII
-VIII is a part of intrinsic system, which aPTT measures.
a male patient has a history of recurrent epistaxis. prior to
scheduled surgery, the provider ask about family history of
bleeding disorders. the patient reports no female relatives
who had excessive bleeding episdoes, but states that a
maternal uncle and his maternal grandfather both had post
surgical complications related to bleeding. based on this
history, which diagnosis is possible? Correct Answer
hemophilia
-X-linked recessive disorder affecting only males and
carried by females
a patient has type 1 V on Willebrand disease. what
treatment is generally effective to prevent and treat
bleeding episodes in this patient? Correct Answer
desmopressin
a child has a recent history of leg pain, unexplained
bruising, and nosebleeds. The provider notes petechiae
and diffuse lymphadenopathy. a complete blood count
reveals a white blood cell of 30,000 cells/mm and near
normal red blood cell and platelet counts. What will the
provider do next to manage this patient? Correct Answer
refer to a specialist for a bone marrow aspirate and biopsy
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE
a 40-year old patient with primary hyperparathyroidism
has increased serum calcium 0.5mg/dL above normal
without signs of nephrolithiasis. what is the recommended
treatment for this patient? Correct Answer annual
monitoring of calcium, creatinine, and bone density
which findings are symptoms of hyperparathyroidism?
Correct Answer Cognitive impairment
Left ventricular hypertrophy
renali calculi
Which thyroid-stimulating hormone level indicates
hyperthyroidism? Correct Answer 0.2 uIU/L
*TSH less than 0.3
A patient has thyroid nodules and the provider suspects
thyroid cancer. to evaluate thyroid nodules for potential
malignancy, which test is performed? Correct Answer
thyroid ultrasound
a 20-year old female patient with tachycardia and weight
loss but no optic symptoms presents with the following
laboratory vales: decreased TSH, increased T3, and
increased T4 and free T4. A pregnancy test is negative.
,What is the initial treatment for this patient? Correct
Answer beta blocker medications
-Used with Graves disease to alleviate the adrenergic
symptoms of the hyperthyroidism.
a postpartum women develops fatigue, weight gain, and
constipation. laboratory values reveal elevated TSH and
decreased T3 and T4 levels. what will the provider tell this
patient? Correct Answer this condition may be transient
-may resolve on its own
a patient reports mild fatigue and palpitations. a complete
blood count reveals a decreased hemoglobin level and a
normal ferritin level. what other findings are likely to be
present? Correct Answer decreased hematocrit
a child weighing 20 kg has been diagnosed with iron-
deficiency anemia and will begin taking an oral iron
preparation. what will the provider teach the child's parents
about administration of this medication? Correct Answer
the correct dose is 30mg twice daily
a 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue,
with no neurological findings. base on these clinical
findings, what will the provider anticipate finding in the
laboratory data? Correct Answer low hemoglobin and
elevated MCV
a patient is noted to have prolonged bleeding after IV
needle is removed. a subsequent laboratory test reveals a
, prolonger activated partial thromboplastin (aPTT) time with
a normal prothrombin time (PT). Based on this result, the
provider may suspect alteration in function of which
factor? Correct Answer Factor VIII
-VIII is a part of intrinsic system, which aPTT measures.
a male patient has a history of recurrent epistaxis. prior to
scheduled surgery, the provider ask about family history of
bleeding disorders. the patient reports no female relatives
who had excessive bleeding episdoes, but states that a
maternal uncle and his maternal grandfather both had post
surgical complications related to bleeding. based on this
history, which diagnosis is possible? Correct Answer
hemophilia
-X-linked recessive disorder affecting only males and
carried by females
a patient has type 1 V on Willebrand disease. what
treatment is generally effective to prevent and treat
bleeding episodes in this patient? Correct Answer
desmopressin
a child has a recent history of leg pain, unexplained
bruising, and nosebleeds. The provider notes petechiae
and diffuse lymphadenopathy. a complete blood count
reveals a white blood cell of 30,000 cells/mm and near
normal red blood cell and platelet counts. What will the
provider do next to manage this patient? Correct Answer
refer to a specialist for a bone marrow aspirate and biopsy
