1|Page
MSN 622 final exam 2026/2027, nursing leadership exam,
advanced practice nurse final, MSN 622 questions and
answers, graded A+ nursing exam, MSN study guide PDF||just
out!!!
A middle-aged patient with type 2 diabetes mellitus has been
diagnosed with heart failure. He is worried about developing
further complications from untreated diabetes. What does the
American Heart Association recommend should be the target
A1c goal when treating such patients? - ANSWER-7%
A 65-year-old male presents to the clinic with complaints of
increased frequency of urination and thirst. He says he wakes
up multiple times at night to urinate which makes it difficult to
wake up on time the next morning. It has been going on for the
past three months and he is really distressed. He is a
businessman by profession and drinks alcohol socially. He has a
history of hypertension being treated with a calcium channel
blocker. His physical exam is unremarkable. His blood work
reveals HbA1c of 7.4, BUN 30 mg/dL, Cr 1.1 mg/dL and LDL 200
mg/dl. He is educated about his illness and some medications
are started. In the absence of active kidney disease, how often
should serum creatinine levels be monitored in this patient? -
ANSWER-Every year, regardless of the presence of urine
albumin excretion
,2|Page
A patient has type 2 diabetes that is poorly controlled. He is
obese and also has hypertension. He sincerely wants to control
his diabetes to avoid complications. The provider recommends
he start insulin and carefully count the carbohydrate intake.
Which of the following is a major benefit of such a dietary
approach to diabetes? - ANSWER-Requires less insulin
compared to fixed meal dosing
A young woman is seen in the clinic after being diagnosed with
subclinical hypothyroidism. The provider orders additional
blood work, which reveals the presence of serum anti-thyroid
peroxidase antibodies. Which of the following is most likely to
develop? - ANSWER-Hashimoto thyroiditis
A 44-year-old female presents to your clinic with fatigue and
weakness. She states that over the past 2 years she has been
feeling increasingly tired and having difficulty with her everyday
tasks. She also has gained 15 pounds (7 kg) despite trying to
lose weight. Her past medical history is significant for Sjogren
syndrome, which was diagnosed 20 years ago and has been
treated medically. On physical exam, she has dry skin, notable
hair loss, and nonpitting lower extremity edema. Her neck exam
reveals a rubbery, non-tender goiter. Her thyroid-stimulating
,3|Page
hormone levels are increased. What is the most likely
diagnosis? - ANSWER-Hashimoto thyroiditis
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with
diabetes mellitus. Which is the most appropriate nursing
diagnosis? - ANSWER-Knowledge deficit
A 75-year-old man with a 15-year history of type 2 diabetes
mellitus presents to the clinic for follow-up. He complains of
numbness and tingling in both feet. Which of the following is
the best initial step in the evaluation of this patient? - ANSWER-
Check the pressure sensation using the monofilament test
A 65-year-old male presents to the clinic with complaints of
increased frequency of urination and thirst. He says he wakes
up multiple times at night to urinate, which makes it difficult to
wake up on time the next morning. It has been going on for the
past three months, and he is distressed. He is a businessman by
profession and drinks alcohol socially. He has a history of
hypertension being treated with a calcium channel blocker. His
physical exam is unremarkable. His blood work reveals a
hemoglobin (Hb) A1c of 7.4, BUN 30 mg/dL, serum creatinine
1.1 mg/dL and LDL 200 mg/dL. He is educated about his illness,
and some medications are started. In the absence of active
, 4|Page
kidney disease, how often should serum creatinine levels be
monitored in this patient? - ANSWER-Every year, regardless of
the presence of urine albumin excretion.
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with
diabetes mellitus. Which of the following is the most
appropriate nursing diagnosis? - ANSWER-Knowledge deficit
A patient has just developed type 2 diabetes mellitus. He is
obese and also has hypertension. He sincerely wants to control
his diabetes mellitus to avoid complications. The primary care
provider recommends that he carefully count his carbohydrate
intake. Which of the following is a major benefit of such a
dietary approach to diabetes mellitus? - ANSWER-Allows for
better glycemic control
A 40-year-old obese man with a body mass index of 35 kg/m2
presents to the clinic for follow-up with his primary care
provider. The patient is in good health, maintains a healthy diet
consisting of vegetables and fruits. He does physical exercise 3-
4 times a week. On the patient's last lipid panel, his low-density
lipoprotein (LDL) was 80 mg/dl. What is the next step in
therapy? - ANSWER-Calculate 10-year atherosclerotic
cardiovascular disease risk
MSN 622 final exam 2026/2027, nursing leadership exam,
advanced practice nurse final, MSN 622 questions and
answers, graded A+ nursing exam, MSN study guide PDF||just
out!!!
A middle-aged patient with type 2 diabetes mellitus has been
diagnosed with heart failure. He is worried about developing
further complications from untreated diabetes. What does the
American Heart Association recommend should be the target
A1c goal when treating such patients? - ANSWER-7%
A 65-year-old male presents to the clinic with complaints of
increased frequency of urination and thirst. He says he wakes
up multiple times at night to urinate which makes it difficult to
wake up on time the next morning. It has been going on for the
past three months and he is really distressed. He is a
businessman by profession and drinks alcohol socially. He has a
history of hypertension being treated with a calcium channel
blocker. His physical exam is unremarkable. His blood work
reveals HbA1c of 7.4, BUN 30 mg/dL, Cr 1.1 mg/dL and LDL 200
mg/dl. He is educated about his illness and some medications
are started. In the absence of active kidney disease, how often
should serum creatinine levels be monitored in this patient? -
ANSWER-Every year, regardless of the presence of urine
albumin excretion
,2|Page
A patient has type 2 diabetes that is poorly controlled. He is
obese and also has hypertension. He sincerely wants to control
his diabetes to avoid complications. The provider recommends
he start insulin and carefully count the carbohydrate intake.
Which of the following is a major benefit of such a dietary
approach to diabetes? - ANSWER-Requires less insulin
compared to fixed meal dosing
A young woman is seen in the clinic after being diagnosed with
subclinical hypothyroidism. The provider orders additional
blood work, which reveals the presence of serum anti-thyroid
peroxidase antibodies. Which of the following is most likely to
develop? - ANSWER-Hashimoto thyroiditis
A 44-year-old female presents to your clinic with fatigue and
weakness. She states that over the past 2 years she has been
feeling increasingly tired and having difficulty with her everyday
tasks. She also has gained 15 pounds (7 kg) despite trying to
lose weight. Her past medical history is significant for Sjogren
syndrome, which was diagnosed 20 years ago and has been
treated medically. On physical exam, she has dry skin, notable
hair loss, and nonpitting lower extremity edema. Her neck exam
reveals a rubbery, non-tender goiter. Her thyroid-stimulating
,3|Page
hormone levels are increased. What is the most likely
diagnosis? - ANSWER-Hashimoto thyroiditis
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with
diabetes mellitus. Which is the most appropriate nursing
diagnosis? - ANSWER-Knowledge deficit
A 75-year-old man with a 15-year history of type 2 diabetes
mellitus presents to the clinic for follow-up. He complains of
numbness and tingling in both feet. Which of the following is
the best initial step in the evaluation of this patient? - ANSWER-
Check the pressure sensation using the monofilament test
A 65-year-old male presents to the clinic with complaints of
increased frequency of urination and thirst. He says he wakes
up multiple times at night to urinate, which makes it difficult to
wake up on time the next morning. It has been going on for the
past three months, and he is distressed. He is a businessman by
profession and drinks alcohol socially. He has a history of
hypertension being treated with a calcium channel blocker. His
physical exam is unremarkable. His blood work reveals a
hemoglobin (Hb) A1c of 7.4, BUN 30 mg/dL, serum creatinine
1.1 mg/dL and LDL 200 mg/dL. He is educated about his illness,
and some medications are started. In the absence of active
, 4|Page
kidney disease, how often should serum creatinine levels be
monitored in this patient? - ANSWER-Every year, regardless of
the presence of urine albumin excretion.
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with
diabetes mellitus. Which of the following is the most
appropriate nursing diagnosis? - ANSWER-Knowledge deficit
A patient has just developed type 2 diabetes mellitus. He is
obese and also has hypertension. He sincerely wants to control
his diabetes mellitus to avoid complications. The primary care
provider recommends that he carefully count his carbohydrate
intake. Which of the following is a major benefit of such a
dietary approach to diabetes mellitus? - ANSWER-Allows for
better glycemic control
A 40-year-old obese man with a body mass index of 35 kg/m2
presents to the clinic for follow-up with his primary care
provider. The patient is in good health, maintains a healthy diet
consisting of vegetables and fruits. He does physical exercise 3-
4 times a week. On the patient's last lipid panel, his low-density
lipoprotein (LDL) was 80 mg/dl. What is the next step in
therapy? - ANSWER-Calculate 10-year atherosclerotic
cardiovascular disease risk
