NURS 623 PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ WHAT POPULATION IS MORE LIKE TO PRESENT WITH DKA?.
Answer: TYPE I DM
◍ One of the most frequent presenting signs/symptoms of osteoporosis is:a.
Goiterb. Abnormal serum calciumc. Elevated urine biochemical markersd.
Bony fracture.
Answer: d. Bony fracture
◍ Which treatment FOR hyperthyroidism is recommended for middle age and
older adults?.
Answer: Radioactive iodine 131
◍ What diagnostic results would be seen with gout?.
Answer: elevated serum uric acid levels, ESR and WBCs;
◍ You are Seeing a patient in the office and you determine they need to start
insulin for DM2, what type of insulin would you select and how would you
initiate their dosing regimen?.
Answer: A1C <8% BASAL (LONG ACTING) 0.1-0.2 U/KGA1C >8%
BASAL (LONG ACTING) 0.2-0.3 U/KGTITRATE EVERY 2-3 DAYS
DEPENDING ON FINGER STICK GLUCOSE
◍ Which of the serum laboratory findings are present in the client with
Cushing's syndrome?.
Answer: Increased cortisol, HYPERnatremia, and HYPOkalemia
◍ Sandy, age 49, presents w/ loss of anal sphincter tone, impaires micturition,
incontinence, and progressive loss of strength in the legs. You suspect cauda
equina syndrome. What is your next action?a. order PTb. order a
lumbar/sacral x-rayc. order extensive lab workd. refer to a neurosugreon.
, Answer: d
◍ What is the initial management for an acute attack of gout?.
Answer: COLCHICINE 1.2mg PO X 1 then 0.6mg in 1 hour (within 36 hrs
of onset up to 0.6 mg) NSAIDs, AND CORTICOSTEROIDS; rest,
elevation, immobilization
◍ You are performing some neurological assessment tests on Daniel. When
you ask Daniel to lie supine and flex his head to his chest, what are you
assessing?a. Brudzinski's signb. Kernig's signc. Decorticate posturingd.
Decerebrate posturing.
Answer: a
◍ Mrs. Anderson is a 35-year-old woman who has been recently diagnosed
with carpal tunnel syndrome. She has two young children and asks the
clinician what the chances are that they also will develop carpal tunnel
syndrome. Which of the following responses would be correct regarding the
risk of developing carpal tunnel syndrome?a. Carpal tunnel syndrome
commonly occurs in families. Genetic factors are thought to account for
about one-half the risk of developing carpal tunnel.b. Only people with
occupations that require repeated flexion extension of the wrist, use of hand
tools that require forceful gripping, or use of hand tools that vibrate are at
risk for developing carpal tunnel.c. An underlying musculoskeletal disorder
must be present for a person to develop carpal tunnel.d. Carpal tunnel
syndrome only occurs in the presence of a hormonal imbalance..
Answer: a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of developing
carpal tunnel.
◍ 3. Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?a. Decreased C-reactive proteinb.
Hyperalbuminemiac. Morning stiffnessd. Weight gain.
Answer: c. Morning stiffness
◍ Which of the following drugs used for Parkinsonism mmimics dopamine?a.
anticholinergicsb. levodopa (L-dopa)c. bromocriptined. tolcapone.
, Answer: c
◍ 6. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any history of trauma.
Her examination reveals a 75% reduction in both active and passive ROM
of the right shoulder. Mrs. Gray also is experiencing tenderness with motion
and pain at the deltoid insertion. Her medical history is significant for type 1
diabetes mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination and
medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?a. History of
hypertensionb. Her affected shoulder is also her dominant arm.c. Her history
of diabetes mellitusd. Her work as a secretary predisposes her to repetitive
motions..
Answer: c. Her history of diabetes mellitus
◍ Normal estrogen function is important for preventing osteoporosis in both
men and women. Estrogen works to prevent osteoporosis in which of the
following ways?a. By decreasing the erosive activity of osteoclastsb. By
promoting osteoclastogenesisc. By inhibiting osteoclast apoptosisd. All of
the above.
Answer: a. By decreasing the erosive activity of osteoclasts
◍ What is the gold standard test for confirming Hashimoto's?.
Answer: THYROID PEROXIDASE [TPO] ANTIBODY
◍ WHAT POPULATION IS MORE LIKE TO PRESENT WITH HHS.
Answer: TYPE II DM
◍ What educational information should you discuss with a patient diagnosed
with gout?.
Answer: AVOID FOODS HIGH IN PURINE (MEAT & SEAFOOD,
YEAST, BEER/ALCOHOL, BEANS, PEAS, LENTILS, OATS,
SPINACH, ASPARAGUS, CAULIFLOWER, MUSHROOMS
◍ Name the two thyroid hormones produced by the thyroid gland?.
QUESTIONS WITH ANSWERS GRADED A+
◍ WHAT POPULATION IS MORE LIKE TO PRESENT WITH DKA?.
Answer: TYPE I DM
◍ One of the most frequent presenting signs/symptoms of osteoporosis is:a.
Goiterb. Abnormal serum calciumc. Elevated urine biochemical markersd.
Bony fracture.
Answer: d. Bony fracture
◍ Which treatment FOR hyperthyroidism is recommended for middle age and
older adults?.
Answer: Radioactive iodine 131
◍ What diagnostic results would be seen with gout?.
Answer: elevated serum uric acid levels, ESR and WBCs;
◍ You are Seeing a patient in the office and you determine they need to start
insulin for DM2, what type of insulin would you select and how would you
initiate their dosing regimen?.
Answer: A1C <8% BASAL (LONG ACTING) 0.1-0.2 U/KGA1C >8%
BASAL (LONG ACTING) 0.2-0.3 U/KGTITRATE EVERY 2-3 DAYS
DEPENDING ON FINGER STICK GLUCOSE
◍ Which of the serum laboratory findings are present in the client with
Cushing's syndrome?.
Answer: Increased cortisol, HYPERnatremia, and HYPOkalemia
◍ Sandy, age 49, presents w/ loss of anal sphincter tone, impaires micturition,
incontinence, and progressive loss of strength in the legs. You suspect cauda
equina syndrome. What is your next action?a. order PTb. order a
lumbar/sacral x-rayc. order extensive lab workd. refer to a neurosugreon.
, Answer: d
◍ What is the initial management for an acute attack of gout?.
Answer: COLCHICINE 1.2mg PO X 1 then 0.6mg in 1 hour (within 36 hrs
of onset up to 0.6 mg) NSAIDs, AND CORTICOSTEROIDS; rest,
elevation, immobilization
◍ You are performing some neurological assessment tests on Daniel. When
you ask Daniel to lie supine and flex his head to his chest, what are you
assessing?a. Brudzinski's signb. Kernig's signc. Decorticate posturingd.
Decerebrate posturing.
Answer: a
◍ Mrs. Anderson is a 35-year-old woman who has been recently diagnosed
with carpal tunnel syndrome. She has two young children and asks the
clinician what the chances are that they also will develop carpal tunnel
syndrome. Which of the following responses would be correct regarding the
risk of developing carpal tunnel syndrome?a. Carpal tunnel syndrome
commonly occurs in families. Genetic factors are thought to account for
about one-half the risk of developing carpal tunnel.b. Only people with
occupations that require repeated flexion extension of the wrist, use of hand
tools that require forceful gripping, or use of hand tools that vibrate are at
risk for developing carpal tunnel.c. An underlying musculoskeletal disorder
must be present for a person to develop carpal tunnel.d. Carpal tunnel
syndrome only occurs in the presence of a hormonal imbalance..
Answer: a. Carpal tunnel syndrome commonly occurs in families. Genetic
factors are thought to account for about one-half the risk of developing
carpal tunnel.
◍ 3. Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?a. Decreased C-reactive proteinb.
Hyperalbuminemiac. Morning stiffnessd. Weight gain.
Answer: c. Morning stiffness
◍ Which of the following drugs used for Parkinsonism mmimics dopamine?a.
anticholinergicsb. levodopa (L-dopa)c. bromocriptined. tolcapone.
, Answer: c
◍ 6. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any history of trauma.
Her examination reveals a 75% reduction in both active and passive ROM
of the right shoulder. Mrs. Gray also is experiencing tenderness with motion
and pain at the deltoid insertion. Her medical history is significant for type 1
diabetes mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination and
medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?a. History of
hypertensionb. Her affected shoulder is also her dominant arm.c. Her history
of diabetes mellitusd. Her work as a secretary predisposes her to repetitive
motions..
Answer: c. Her history of diabetes mellitus
◍ Normal estrogen function is important for preventing osteoporosis in both
men and women. Estrogen works to prevent osteoporosis in which of the
following ways?a. By decreasing the erosive activity of osteoclastsb. By
promoting osteoclastogenesisc. By inhibiting osteoclast apoptosisd. All of
the above.
Answer: a. By decreasing the erosive activity of osteoclasts
◍ What is the gold standard test for confirming Hashimoto's?.
Answer: THYROID PEROXIDASE [TPO] ANTIBODY
◍ WHAT POPULATION IS MORE LIKE TO PRESENT WITH HHS.
Answer: TYPE II DM
◍ What educational information should you discuss with a patient diagnosed
with gout?.
Answer: AVOID FOODS HIGH IN PURINE (MEAT & SEAFOOD,
YEAST, BEER/ALCOHOL, BEANS, PEAS, LENTILS, OATS,
SPINACH, ASPARAGUS, CAULIFLOWER, MUSHROOMS
◍ Name the two thyroid hormones produced by the thyroid gland?.
