ANCC TEST REVIEW questions with correct answers

A patient with type1 diabetes mellitus who is NPH and regular insulin split dosing present with complains of early morning rise finger-stick blood glucose. A review of an at-home glucose test reveals increased morning levels. After an increase in the evening insulin dose, the problem worsens. This is most likely an example of: a) Insulin Resistance b) Insulin Allergy c) The Somogyi Effect d) Hyperglycemia-induced hypoglycemia. - Answer a) The Somogyi Effect A 25-years-old present with a chief complaint of decreased mobility and pain of the right shoulder exacerbated by movements. The patient reports that he participated in extensive house painting 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. What is the next step to be taken in order to make a Diagnosis? a) Palpate the structure around the shoulder b) Obtain an MIR to evaluate the shoulder c) Order and X-Ray of the shoulder d) Request an EMG Apply SOAPE - Answer a) Palpate the structure around the shoulder Apply SOAPE A 65 years-old male presents to his clinic complaining of increasing fatigue, dyspnea on exertion ,and ankle edema during the day. He has a history of mild hypertension, for which he saw his physician years ago. The physician advised the patient to decrease his salt intake .On physician examination the