MARYVILLE NURS 623 PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
● Which of the serum laboratory findings are present in the client with Cushing's
syndrome?. Answer: Increased cortisol, HYPERnatremia, and HYPOkalemia
● Alice, age 48, has a benign thyroid nodule. The most common treatment involves:.
Answer: Watchful waiting with an annual follow-up
● ACE inhibitors are given to clients with diabetes who have. Answer: persistent
proteinuria
● A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on
therapeutic lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral
antidiabetic agent is recommended as monotherapy?. Answer: metformin
● An elderly client with hyperthyroidism may present with atypical symptoms. Which
of the following manifestations are commonly seen in the elderly with
hyperthyroidism?. Answer: a-fib, depression, weight loss
● Diane has had Cushing's disease for 20 years and has been taking hydrocortisone
since her diagnosis. Today, she appears with a thick trunk and thin extremities. She
has a "moon face," a "buffalo hump," thin skin with visible capillaries, and a number of
bruises that appear to be slow in healing. To what do you attribute these symptoms?.
Answer: excessive levels of cortisol
● The following is a client's self-monitoring blood glucose log. The client receives 20
units Novolin 70/30 in the morning (a.m.) and 20 units Novolin 70/30 in the evening
(p.m.): Fasting a.m. pre-dinner: 90, 150, 105, 144, 101, 172, 98, 201. What changes would
you make?. Answer: increase A.M. insulin
● Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting
his glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight
loss and wants to try it. What do you tell him?. Answer: "Let's try it. You're
glycohemoglobin will be lowered and you may lose weight."
● Which is the only treatment option that is curative for primary hyperparathyroidism?.
Answer: parathyroidectomy
, ● The most common worldwide cause of hypothyroidism is:. Answer: iodine deficiency
● What should be assessed for during exam on pt with HYPOparathyroidism?. Answer:
chvostek's sign
● Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral
antidiabetic agents, is insufficient to achieve acceptable glycemic control. Your next
course of action is to. Answer: ADD LONG-ACTING INSULIN
● Joy has gout. In teaching her about her disease, which food do you tell her is
allowed in her diet?. Answer: Broccoli
● What controls the amount of calcium in the blood?. Answer: Parathyroid
● Thyroid hormones regulate. Answer: metabolism
● Which tests should you order to confirm a diagnosis of hypothyroidism?. Answer: t3
& Free T4 (preferred over T4)
● What are the hallmark signs of Grave's disease?. Answer: enlarged thyroid and
increased T3
● What is the gold standard screening for thyroid TUMOR/NODULE?. Answer:
ULTRASOUND
● What is the diagnostic screening for thyroid cancer?. Answer: FINE NEEDLE BIOPSY
● What is the preferred treatment of Grave's disease in pregnancy. Answer:
Propylthiouracil (PTU):
● Before starting anti-thyroid meds what should be checked?. Answer: LIVER
FUNCTIONS
● what is the goal of thyroid treatment. Answer: euthyroid state
● What are signs and symptoms of hypothyroidism overtreatment?. Answer:
hyperglycemia; cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
● Hyperthyroidism causes an excessive secretion of which thyroid hormones?.
Answer: T3 & T4
● What are S/S of hyperthyroidism?. Answer: "Hot/buldging/fast" heat intolerance, eye
buldge, tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
QUESTIONS WITH ANSWERS GRADED A+
● Which of the serum laboratory findings are present in the client with Cushing's
syndrome?. Answer: Increased cortisol, HYPERnatremia, and HYPOkalemia
● Alice, age 48, has a benign thyroid nodule. The most common treatment involves:.
Answer: Watchful waiting with an annual follow-up
● ACE inhibitors are given to clients with diabetes who have. Answer: persistent
proteinuria
● A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on
therapeutic lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral
antidiabetic agent is recommended as monotherapy?. Answer: metformin
● An elderly client with hyperthyroidism may present with atypical symptoms. Which
of the following manifestations are commonly seen in the elderly with
hyperthyroidism?. Answer: a-fib, depression, weight loss
● Diane has had Cushing's disease for 20 years and has been taking hydrocortisone
since her diagnosis. Today, she appears with a thick trunk and thin extremities. She
has a "moon face," a "buffalo hump," thin skin with visible capillaries, and a number of
bruises that appear to be slow in healing. To what do you attribute these symptoms?.
Answer: excessive levels of cortisol
● The following is a client's self-monitoring blood glucose log. The client receives 20
units Novolin 70/30 in the morning (a.m.) and 20 units Novolin 70/30 in the evening
(p.m.): Fasting a.m. pre-dinner: 90, 150, 105, 144, 101, 172, 98, 201. What changes would
you make?. Answer: increase A.M. insulin
● Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting
his glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight
loss and wants to try it. What do you tell him?. Answer: "Let's try it. You're
glycohemoglobin will be lowered and you may lose weight."
● Which is the only treatment option that is curative for primary hyperparathyroidism?.
Answer: parathyroidectomy
, ● The most common worldwide cause of hypothyroidism is:. Answer: iodine deficiency
● What should be assessed for during exam on pt with HYPOparathyroidism?. Answer:
chvostek's sign
● Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral
antidiabetic agents, is insufficient to achieve acceptable glycemic control. Your next
course of action is to. Answer: ADD LONG-ACTING INSULIN
● Joy has gout. In teaching her about her disease, which food do you tell her is
allowed in her diet?. Answer: Broccoli
● What controls the amount of calcium in the blood?. Answer: Parathyroid
● Thyroid hormones regulate. Answer: metabolism
● Which tests should you order to confirm a diagnosis of hypothyroidism?. Answer: t3
& Free T4 (preferred over T4)
● What are the hallmark signs of Grave's disease?. Answer: enlarged thyroid and
increased T3
● What is the gold standard screening for thyroid TUMOR/NODULE?. Answer:
ULTRASOUND
● What is the diagnostic screening for thyroid cancer?. Answer: FINE NEEDLE BIOPSY
● What is the preferred treatment of Grave's disease in pregnancy. Answer:
Propylthiouracil (PTU):
● Before starting anti-thyroid meds what should be checked?. Answer: LIVER
FUNCTIONS
● what is the goal of thyroid treatment. Answer: euthyroid state
● What are signs and symptoms of hypothyroidism overtreatment?. Answer:
hyperglycemia; cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
● Hyperthyroidism causes an excessive secretion of which thyroid hormones?.
Answer: T3 & T4
● What are S/S of hyperthyroidism?. Answer: "Hot/buldging/fast" heat intolerance, eye
buldge, tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
