NUR 603 Final Exam Review Questions With
Complete Solutions
•Alkaline urine- what is it and how to treat Correct
Answers
•MAOIs and drug interactions Correct Answers
MAOI AND SSRIs cause Seratonin Syndrome
•What to give to children? Mild, moderate to
severe
•Adults? Correct Answers
A 25-year-old patient presents to the clinic with
fatigue, cold intolerance, weight gain, and
constipation for the past 3 months. On physical
examination, the clinician notices muscular
stiffness; coarse, dry hair; and a delay in relaxation
in deep tendon reflexes. Which test should be
ordered next?A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity Correct Answers B.
Thyroid-stimulating hormone
A 35-year-old woman presents with symptoms of
hypoglycemia. There is no history of diabetes
mellitus. Which condition should be included in the
differential diagnosis?
A. Peripheral vascular disease
,B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly Correct Answers B.
Pheochromocytoma
A 35-year-old woman presents with symptoms of
hypoglycemia. There is no history of diabetes
mellitus. Which condition should be included in the
differential diagnosis?
A. Peripheral vascular disease
B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly Correct Answers B.
Pheochromocytoma
A 40-year-old male presents to the emergency
department complaining of rapid, involuntary facial
movements. You observe the patient, who is poorly
groomed, smacking his lips and making facial
grimaces. This patient is a "frequent flyer" at your
emergency department and is homeless. He takes
haloperidol and has no allergies. What is the most
likely diagnosis? Correct Answers Tardive
dyskinesia: Involuntary rapid movements of the
face (lip smacking, grimacing, facial distortions),
torso, and extremities 6% irreversible
A clinician has performed a synovial fluid analysis
and the results are as follows: visual analysis:
turbid and yellow, viscosity: decreased, 52,000
,white blood cells (WBCs) per mm3,
polymorphonuclear leukocytes (PMNs): 75%,
protein: 5 g/dL. Which of the following conditions
could this result be attributed to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis Correct Answers D. Septic
arthritis
A male patient with type 1 diabetes comes to the
clinic complaining of feeling nervous and clammy.
He states that he took his insulin this morning but
was late for work and did not eat breakfast. Which
action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. Correct
Answers B. Have him drink 4 ounces of juice.
A nondiabetic patient has idiopathic hypoglycemia.
Which dietary instruction should the clinician share
with the patient?
A. Follow a low-protein, high-carbohydrate diet
B. Allow caffeine at each meal
C. Avoid nuts and seeds
D. Eat six small meals a day Correct Answers D.
Eat six small meals a day
, A patient is 11 years old and recently had her
tonsils removed. Which of the following
medications is safe to give to this patient?
A. Ultram
B. Ultracet
C. Codeine
D. Tylenol Correct Answers D. Tylenol
A patient is diagnosed with hypothyroidism. Which
of the following electrocardiogram changes should
the clinician expect as a manifestation of the
disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves Correct Answers A. Sinus bradycardia
A patient presents to the clinician after
experiencing four episodes in the last month of
sweating, palpitations, chest pain, nausea, and
shaking. Each episode lasted about 10 minutes.
The patient is now becoming very fearful of future
events and has been reluctant to leave the house.
The clinician suspects panic disorder but wants to
rule out any possible medical causes. Which of the
following medical conditions can mimic the
symptoms of a panic attack?
A. Pheochromocytoma
B. Hyperthyroidism
C. Cardiac arrhythmias
Complete Solutions
•Alkaline urine- what is it and how to treat Correct
Answers
•MAOIs and drug interactions Correct Answers
MAOI AND SSRIs cause Seratonin Syndrome
•What to give to children? Mild, moderate to
severe
•Adults? Correct Answers
A 25-year-old patient presents to the clinic with
fatigue, cold intolerance, weight gain, and
constipation for the past 3 months. On physical
examination, the clinician notices muscular
stiffness; coarse, dry hair; and a delay in relaxation
in deep tendon reflexes. Which test should be
ordered next?A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity Correct Answers B.
Thyroid-stimulating hormone
A 35-year-old woman presents with symptoms of
hypoglycemia. There is no history of diabetes
mellitus. Which condition should be included in the
differential diagnosis?
A. Peripheral vascular disease
,B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly Correct Answers B.
Pheochromocytoma
A 35-year-old woman presents with symptoms of
hypoglycemia. There is no history of diabetes
mellitus. Which condition should be included in the
differential diagnosis?
A. Peripheral vascular disease
B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly Correct Answers B.
Pheochromocytoma
A 40-year-old male presents to the emergency
department complaining of rapid, involuntary facial
movements. You observe the patient, who is poorly
groomed, smacking his lips and making facial
grimaces. This patient is a "frequent flyer" at your
emergency department and is homeless. He takes
haloperidol and has no allergies. What is the most
likely diagnosis? Correct Answers Tardive
dyskinesia: Involuntary rapid movements of the
face (lip smacking, grimacing, facial distortions),
torso, and extremities 6% irreversible
A clinician has performed a synovial fluid analysis
and the results are as follows: visual analysis:
turbid and yellow, viscosity: decreased, 52,000
,white blood cells (WBCs) per mm3,
polymorphonuclear leukocytes (PMNs): 75%,
protein: 5 g/dL. Which of the following conditions
could this result be attributed to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis Correct Answers D. Septic
arthritis
A male patient with type 1 diabetes comes to the
clinic complaining of feeling nervous and clammy.
He states that he took his insulin this morning but
was late for work and did not eat breakfast. Which
action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. Correct
Answers B. Have him drink 4 ounces of juice.
A nondiabetic patient has idiopathic hypoglycemia.
Which dietary instruction should the clinician share
with the patient?
A. Follow a low-protein, high-carbohydrate diet
B. Allow caffeine at each meal
C. Avoid nuts and seeds
D. Eat six small meals a day Correct Answers D.
Eat six small meals a day
, A patient is 11 years old and recently had her
tonsils removed. Which of the following
medications is safe to give to this patient?
A. Ultram
B. Ultracet
C. Codeine
D. Tylenol Correct Answers D. Tylenol
A patient is diagnosed with hypothyroidism. Which
of the following electrocardiogram changes should
the clinician expect as a manifestation of the
disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves Correct Answers A. Sinus bradycardia
A patient presents to the clinician after
experiencing four episodes in the last month of
sweating, palpitations, chest pain, nausea, and
shaking. Each episode lasted about 10 minutes.
The patient is now becoming very fearful of future
events and has been reluctant to leave the house.
The clinician suspects panic disorder but wants to
rule out any possible medical causes. Which of the
following medical conditions can mimic the
symptoms of a panic attack?
A. Pheochromocytoma
B. Hyperthyroidism
C. Cardiac arrhythmias
