CRITICAL CARE PARAMEDIC KYLE FAUDREES FLIGHT COMPREHENSIVE EXAM SCRIPT
COMPLETE QUESTIONS VERIFIED SOLUTIONS
Question:
In explaining the condition to a client, a nurse would say that Cushing's syndrome is caused
primarily by: Answers:A. Low levels of glucocorticoidsB. Excess secretion of sodium C.
Autoimmunity in the pancreasD. Elevated levels of cortisol.
Answer:
DCushing's syndrome is caused by elevated levels of cortisol. Glucocorticoids tend to cause this.
Question:
What are sick day rules for diabetes?
Answer:
Sick day rules for diabetes involve monitoring blood glucose levels more frequently, staying
hydrated, taking medications as prescribed, and seeking medical advice if blood glucose levels are
out of range.
Question:
What are the signs and symptoms of hyperthyroidism?
Answer:
Weight loss, heat intolerance, tachycardia, anxiety, exophthalmos.
Question:
18. A client with type 1 diabetes mellitus tells the nurse, "I usually begin to feel sick late in the
afternoon; is there something wrong with me?" The appropriate response by the nurse is which of
the following?a) don't worry about that. Most diabetics feel that wayb) can you describe what you
mean by feeling sick?c) let me know if that happens todayd) most people feel tired late in the
afternoon.
,Answer:
18) B- An excess of insulin relative to the amount of blood glucose induces hypoglycemia.
Depending on the length of action of the insulin administered, the risk of hypoglycemia may be
greatest in the late afternoon. The nurse needs to collect more data to determine if the client is
actually experiencing hypoglycemia. Asking the client to describe the sick feeling provides the
nurse with more data. Options A, C, and D are nontherapeutic communication statements.
Question:
What are the postoperative priorities after thyroid surgery?
Answer:
Monitor airway patency, hemorrhage, hypocalcemia, and laryngeal nerve damage.
Question:
The nurse is aware that the best time of day for the total large corticosteroid dose is between:7:00
AM and 8:00 AM8:00 PM and 9:00 PM4:00 AM and 5:00 AM4:00 PM and 6:00 PM.
Answer:
7:00 AM and 8:00 AM
Question:
Asked review of systems for genitourinary.
Answer:
Denies genitourinary issues
Question:
Family History.
Answer:
Determine age and health, or age and cause of death, of parents, sibling, and grandparents, noting
the presence of specific illnesses in family (e.g. hypertension, addiction, type II diabetes).
, Question:
A nurse is caring for a client with a kidney disorder. What hormone released by the kidneys initiates
the production of angiotensin and aldosterone to increase blood pressure and blood
volume?reninerythropoietincholecystokiningastrin.
Answer:
renin
Question:
Asked review of systems for musculoskeletal.
Answer:
Denies musculoskeletal issues
Question:
The nurse is administering a medication to a client with hyperthyroidism to block the production of
thyroid hormone. The client is not a candidate for surgical intervention at this time. What
medication should the nurse administer to the
client?LevothyroxineSpironolactonePropylthiouracilPropranolol.
Answer:
Propylthiouracil
Question:
What is the primary pathophysiology of Cushing's Disease?
Answer:
Excessive circulating glucocorticoid steroid (cortisol)
Question:
What stress-related issues are associated with adrenal insufficiency?
COMPLETE QUESTIONS VERIFIED SOLUTIONS
Question:
In explaining the condition to a client, a nurse would say that Cushing's syndrome is caused
primarily by: Answers:A. Low levels of glucocorticoidsB. Excess secretion of sodium C.
Autoimmunity in the pancreasD. Elevated levels of cortisol.
Answer:
DCushing's syndrome is caused by elevated levels of cortisol. Glucocorticoids tend to cause this.
Question:
What are sick day rules for diabetes?
Answer:
Sick day rules for diabetes involve monitoring blood glucose levels more frequently, staying
hydrated, taking medications as prescribed, and seeking medical advice if blood glucose levels are
out of range.
Question:
What are the signs and symptoms of hyperthyroidism?
Answer:
Weight loss, heat intolerance, tachycardia, anxiety, exophthalmos.
Question:
18. A client with type 1 diabetes mellitus tells the nurse, "I usually begin to feel sick late in the
afternoon; is there something wrong with me?" The appropriate response by the nurse is which of
the following?a) don't worry about that. Most diabetics feel that wayb) can you describe what you
mean by feeling sick?c) let me know if that happens todayd) most people feel tired late in the
afternoon.
,Answer:
18) B- An excess of insulin relative to the amount of blood glucose induces hypoglycemia.
Depending on the length of action of the insulin administered, the risk of hypoglycemia may be
greatest in the late afternoon. The nurse needs to collect more data to determine if the client is
actually experiencing hypoglycemia. Asking the client to describe the sick feeling provides the
nurse with more data. Options A, C, and D are nontherapeutic communication statements.
Question:
What are the postoperative priorities after thyroid surgery?
Answer:
Monitor airway patency, hemorrhage, hypocalcemia, and laryngeal nerve damage.
Question:
The nurse is aware that the best time of day for the total large corticosteroid dose is between:7:00
AM and 8:00 AM8:00 PM and 9:00 PM4:00 AM and 5:00 AM4:00 PM and 6:00 PM.
Answer:
7:00 AM and 8:00 AM
Question:
Asked review of systems for genitourinary.
Answer:
Denies genitourinary issues
Question:
Family History.
Answer:
Determine age and health, or age and cause of death, of parents, sibling, and grandparents, noting
the presence of specific illnesses in family (e.g. hypertension, addiction, type II diabetes).
, Question:
A nurse is caring for a client with a kidney disorder. What hormone released by the kidneys initiates
the production of angiotensin and aldosterone to increase blood pressure and blood
volume?reninerythropoietincholecystokiningastrin.
Answer:
renin
Question:
Asked review of systems for musculoskeletal.
Answer:
Denies musculoskeletal issues
Question:
The nurse is administering a medication to a client with hyperthyroidism to block the production of
thyroid hormone. The client is not a candidate for surgical intervention at this time. What
medication should the nurse administer to the
client?LevothyroxineSpironolactonePropylthiouracilPropranolol.
Answer:
Propylthiouracil
Question:
What is the primary pathophysiology of Cushing's Disease?
Answer:
Excessive circulating glucocorticoid steroid (cortisol)
Question:
What stress-related issues are associated with adrenal insufficiency?
