MARYVILLE NURS 623 EXAM 3 LATEST SOLUTION
GRADED A+ 2024/2025
QUESTION: Which of the serum laboratory findings are present in the client with Cushing's
syndrome? ✓✓Correct Answer: Increased cortisol, HYPERnatremia, and HYPOkalemia
QUESTION: Alice, age 48, has a benign thyroid nodule. The most common treatment
involves: ✓✓Correct Answer: Watchful waiting with an annual follow-up
QUESTION: ACE inhibitors are given to clients with diabetes who have ✓✓Correct Answer:
persistent proteinuria
QUESTION: 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? ✓✓Correct Answer: metformin
QUESTION: An elderly client with hyperthyroidism may present with atypical symptoms.
Which of the following manifestations are commonly seen in the elderly with
hyperthyroidism? ✓✓Correct Answer: a-fib, depression, weight loss
QUESTION: 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? ✓✓Correct Answer: excessive levels of cortisol
QUESTION: 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? ✓✓Correct Answer: increase A.M. insulin
Page 1 of 26
, QUESTION: 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? ✓✓Correct Answer: "Let's try it. You're
glycohemoglobin will be lowered and you may lose weight."
QUESTION: Which is the only treatment option that is curative for primary
hyperparathyroidism? ✓✓Correct Answer: parathyroidectomy
QUESTION: The most common worldwide cause of hypothyroidism is: ✓✓Correct Answer:
iodine deficiency
QUESTION: What should be assessed for during exam on pt with HYPOparathyroidism?
✓✓Correct Answer: chvostek's sign
QUESTION: 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 ✓✓Correct Answer: ADD LONG-ACTING INSULIN
QUESTION: Joy has gout. In teaching her about her disease, which food do you tell her is
allowed in her diet? ✓✓Correct Answer: Broccoli
QUESTION: What controls the amount of calcium in the blood? ✓✓Correct Answer:
Parathyroid
QUESTION: Thyroid hormones regulate ✓✓Correct Answer: metabolism
QUESTION: Which tests should you order to confirm a diagnosis of hypothyroidism?
✓✓Correct Answer: t3 & Free T4 (preferred over T4)
QUESTION: What are the hallmark signs of Grave's disease? ✓✓Correct Answer: enlarged
thyroid and increased T3
Page 2 of 26
, QUESTION: What is the gold standard screening for thyroid TUMOR/NODULE? ✓✓Correct
Answer: ULTRASOUND
QUESTION: What is the diagnostic screening for thyroid cancer? ✓✓Correct Answer: FINE
NEEDLE BIOPSY
QUESTION: What is the preferred treatment of Grave's disease in pregnancy ✓✓Correct
Answer: Propylthiouracil (PTU):
QUESTION: Before starting anti-thyroid meds what should be checked? ✓✓Correct Answer:
LIVER FUNCTIONS
QUESTION: what is the goal of thyroid treatment ✓✓Correct Answer: euthyroid state
QUESTION: What are signs and symptoms of hypothyroidism overtreatment? ✓✓Correct
Answer: hyperglycemia; cardiac arrhythmias (Afib); adrenal insufficiency; increased
myxedema.
QUESTION: Hyperthyroidism causes an excessive secretion of which thyroid hormones?
✓✓Correct Answer: T3 & T4
QUESTION: What are S/S of hyperthyroidism? ✓✓Correct Answer: "Hot/buldging/fast" heat
intolerance, eye buldge, tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
QUESTION: What are S/S of HYPOthyroidism? ✓✓Correct Answer: "cold, slow, tired" cold
intolerance, slow speech, fatigue, lethargy, weight gain, constipation, brittle nail/hair
QUESTION: What is the most common cause of hyperthyroidism? ✓✓Correct Answer:
Graves disease
Page 3 of 26
GRADED A+ 2024/2025
QUESTION: Which of the serum laboratory findings are present in the client with Cushing's
syndrome? ✓✓Correct Answer: Increased cortisol, HYPERnatremia, and HYPOkalemia
QUESTION: Alice, age 48, has a benign thyroid nodule. The most common treatment
involves: ✓✓Correct Answer: Watchful waiting with an annual follow-up
QUESTION: ACE inhibitors are given to clients with diabetes who have ✓✓Correct Answer:
persistent proteinuria
QUESTION: 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? ✓✓Correct Answer: metformin
QUESTION: An elderly client with hyperthyroidism may present with atypical symptoms.
Which of the following manifestations are commonly seen in the elderly with
hyperthyroidism? ✓✓Correct Answer: a-fib, depression, weight loss
QUESTION: 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? ✓✓Correct Answer: excessive levels of cortisol
QUESTION: 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? ✓✓Correct Answer: increase A.M. insulin
Page 1 of 26
, QUESTION: 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? ✓✓Correct Answer: "Let's try it. You're
glycohemoglobin will be lowered and you may lose weight."
QUESTION: Which is the only treatment option that is curative for primary
hyperparathyroidism? ✓✓Correct Answer: parathyroidectomy
QUESTION: The most common worldwide cause of hypothyroidism is: ✓✓Correct Answer:
iodine deficiency
QUESTION: What should be assessed for during exam on pt with HYPOparathyroidism?
✓✓Correct Answer: chvostek's sign
QUESTION: 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 ✓✓Correct Answer: ADD LONG-ACTING INSULIN
QUESTION: Joy has gout. In teaching her about her disease, which food do you tell her is
allowed in her diet? ✓✓Correct Answer: Broccoli
QUESTION: What controls the amount of calcium in the blood? ✓✓Correct Answer:
Parathyroid
QUESTION: Thyroid hormones regulate ✓✓Correct Answer: metabolism
QUESTION: Which tests should you order to confirm a diagnosis of hypothyroidism?
✓✓Correct Answer: t3 & Free T4 (preferred over T4)
QUESTION: What are the hallmark signs of Grave's disease? ✓✓Correct Answer: enlarged
thyroid and increased T3
Page 2 of 26
, QUESTION: What is the gold standard screening for thyroid TUMOR/NODULE? ✓✓Correct
Answer: ULTRASOUND
QUESTION: What is the diagnostic screening for thyroid cancer? ✓✓Correct Answer: FINE
NEEDLE BIOPSY
QUESTION: What is the preferred treatment of Grave's disease in pregnancy ✓✓Correct
Answer: Propylthiouracil (PTU):
QUESTION: Before starting anti-thyroid meds what should be checked? ✓✓Correct Answer:
LIVER FUNCTIONS
QUESTION: what is the goal of thyroid treatment ✓✓Correct Answer: euthyroid state
QUESTION: What are signs and symptoms of hypothyroidism overtreatment? ✓✓Correct
Answer: hyperglycemia; cardiac arrhythmias (Afib); adrenal insufficiency; increased
myxedema.
QUESTION: Hyperthyroidism causes an excessive secretion of which thyroid hormones?
✓✓Correct Answer: T3 & T4
QUESTION: What are S/S of hyperthyroidism? ✓✓Correct Answer: "Hot/buldging/fast" heat
intolerance, eye buldge, tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
QUESTION: What are S/S of HYPOthyroidism? ✓✓Correct Answer: "cold, slow, tired" cold
intolerance, slow speech, fatigue, lethargy, weight gain, constipation, brittle nail/hair
QUESTION: What is the most common cause of hyperthyroidism? ✓✓Correct Answer:
Graves disease
Page 3 of 26
