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Exam (elaborations)

Med-Surg Final Practice Questions – Endocrine, Diabetes, and Musculoskeletal Focus (U.S. Nursing Program)

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This document provides a focused set of NCLEX-style multiple-choice questions and rationales tailored for final exam review in Medical-Surgical Nursing. Key topics include endocrine disorders (thyroid, adrenal, pituitary), diabetes management (DKA, insulin types, metformin), fluid and electrolyte balance, corticosteroid effects, and musculoskeletal emergencies such as fractures, amputations, and fat embolism syndrome. It serves as a concise but high-yield resource for U.S. nursing students preparing for Med-Surg exams.

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Uploaded on
May 1, 2025
Number of pages
9
Written in
2024/2025
Type
Exam (elaborations)
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Med-Surg Final Practice Questions


Which of the following are expected side effects of corticosteroid therapy?

A) Hyperglycemia
B) Osteoporosis
C) Weight loss
D) Increased risk of infection - ANS C) Weight loss

Weight gain is usually associated with corticosteroid therapy.

Your patient is being treated for hyperthyroidism. Which of the following are NOT
indicated during your assessment?

A) Auscultation of the thyroid
B) Palpation of the thyroid
C) Heart Rate
D) Asking about any recent GI issues (vomiting, diarrhea) - ANS B) Palpation of the
thyroid

It is contraindicated to palpate an enlarged thyroid, due to risk of causing thyroid storm.

When the body senses an overproduction of a certain hormone, it signals to to stop
further production. What is this process called?

A) Positive feedback
B) Negative feedback
C) Homeostasis
D) Biostimulation - ANS B) Negative feedback

In type 1 diabetes mellitus, which cells are destroyed by body's own T cells?

A) Beta cells
B) Delta Cells
C) Pancreatic epithelial cells
D) Alpha cells - ANS A) Beta cells

, Which of the following is NOT a common sign of type 1 diabetes mellitus?

A) Increased hunger
B) Weight gain
C) Excessive thirst
D) Frequent urination - ANS B) Weight gain

Which of the following is the most significant risk factor for developing type 2 diabetes
mellitus?

A)Family history
B) Old age
C) Overweight/Obesity
D) Ethnicity - ANS C) Overweight/Obesity

Which of the following hemoglobin A1c values indicate adequate glucose control in the
recent months?

A) 8.2%
B) 10.1%
C) 7.1%
D) 5.8% - ANS D) 6.4%

A fasting plasma glucose level of 115 mg/dL is indicative of what?

A) Type 1 DM
B) Type 2 DM
C) Pre-diabetic
D) Normal - ANS C) Prediabetic

(101-125mg/dL= prediabetes)

Your patient received their last insulin injection in their right upper quadrant of their
abdomen. Where should you inject their current insulin dose?

A) Left Arm
B) Right Arm
C) Right upper quadrant
D) Left upper quadrant - ANS D) Left upper quadrant

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