Nurs 511 Week 6 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Which of the following conditions is a common pathological cause of hirsutism? - CORRECT
ANSWER - Polycystic ovary syndrome.
Joan has severe asthma and has been on high doses of oral corticosteroids for 2 years. She has
been reading some home remedy books and stops all of her medications. What condition may
she develop? - CORRECT ANSWER - Addisonian crisis.
Mary, age 72, has been taking insulin for several years. She just called you because she realized
that yesterday she put her short-acting insulin in the long-acting insulin box and vice versa. She
just took 22 units of regular insulin when she was supposed to take only 5 units. She says that
she tried to do a fingerstick to test her glucose level but was unable to obtain any blood. She
states that she feels fine. What do you tell her to do first? - CORRECT ANSWER - "Drink
four ounces of fruit juice."
The most common cause of hyperthyroidism is: - CORRECT ANSWER - Graves disease.
Marie, age 50, has type 1 diabetes and checks her blood glucose level several times every day.
Her blood glucose level ranges from 250 to 280 mg/dL in the morning and is usually about 140
at lunch, about 120 at dinner, and about 100 at bedtime. In the morning, she takes 30 units of
neutral protamine Hagedorn (NPH) insulin and 4 units of regular insulin, and before dinner she
takes 18 units of NPH insulin and 4 units of regular insulin. Although she has had her insulin
dose adjusted several times in the past month, it has had no effect on her high morning blood
glucose level. What is your next course of action? - CORRECT ANSWER - Have her
check her blood glucose level between 2 am and 4 am for the next several days.
Steve, age 42, has never been hypertensive but appears today in the office with a blood pressure
of 162/100 mm Hg. He also complains of "attacks" of headache, perspiration, and palpitations,
with frequent bouts of nausea, pain, weakness, dyspnea, and visual disturbances. He has lost 10
lb over the past 2 months and seems very anxious today. Your next action would be to: -
CORRECT ANSWER - Obtain a 24-hour urine test for catecholamines.
, A client with hyperthyroidism presents with a complaint of a "gritty" feeling in her eyes. Over
the past week, her visual acuity has diminished, and her ability to see colors has changed. She
also has a feeling of pressure behind her eyes. The next step for the nurse practitioner is to: -
CORRECT ANSWER - Refer the client for immediate evaluation by an ophthalmologist.
What is the medication of choice for an initial acute attack of gout? - CORRECT
ANSWER - A non steroidal anti-inflammatory drug (NSAID)
Morris has had type 1 diabetes for 10 years. Several recent urinalysis reports have shown
microalbuminuria. Your next step would be to: - CORRECT ANSWER - Start him on an
angiotensin-converting enzyme (ACE) inhibitor.
What is the primary pathological irregularity associated with diabetes mellitus type 1? -
CORRECT ANSWER - Nonfunctioning beta cells.
A patient presents to your primary care office with abnormal lab results. On physical exam, you
tap the patient's facial nerve around the zygomatic arch, just anterior to the earlobe. This
describes which of the following tests and is associated with which of the following lab
abnormalities? - CORRECT ANSWER - Chvostek sign, hypocalcemia
Martin, age 62, has acute nontransient abdominal pain that grows steadily worse in the epigastric
area and radiates straight through to the back. The pain has lasted for days. He is also
complaining of nausea, vomiting, sweating, weakness, and pallor. Physical examination reveals
abdominal tenderness and distention and a low-grade fever. What do you suspect? - CORRECT
ANSWER - Acute pancreatitis.
Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He has heard that exenatide (Byetta) causes weight loss and
wants to try it. What do you tell him? - CORRECT ANSWER - "Let's try it. Your
glycohemoglobin will be lowered and you may lose weight."
Which class of antihypertensive agents may be problematic for clients with diabetes? -
CORRECT ANSWER - Beta blockers.
Exam Questions and CORRECT Answers
Which of the following conditions is a common pathological cause of hirsutism? - CORRECT
ANSWER - Polycystic ovary syndrome.
Joan has severe asthma and has been on high doses of oral corticosteroids for 2 years. She has
been reading some home remedy books and stops all of her medications. What condition may
she develop? - CORRECT ANSWER - Addisonian crisis.
Mary, age 72, has been taking insulin for several years. She just called you because she realized
that yesterday she put her short-acting insulin in the long-acting insulin box and vice versa. She
just took 22 units of regular insulin when she was supposed to take only 5 units. She says that
she tried to do a fingerstick to test her glucose level but was unable to obtain any blood. She
states that she feels fine. What do you tell her to do first? - CORRECT ANSWER - "Drink
four ounces of fruit juice."
The most common cause of hyperthyroidism is: - CORRECT ANSWER - Graves disease.
Marie, age 50, has type 1 diabetes and checks her blood glucose level several times every day.
Her blood glucose level ranges from 250 to 280 mg/dL in the morning and is usually about 140
at lunch, about 120 at dinner, and about 100 at bedtime. In the morning, she takes 30 units of
neutral protamine Hagedorn (NPH) insulin and 4 units of regular insulin, and before dinner she
takes 18 units of NPH insulin and 4 units of regular insulin. Although she has had her insulin
dose adjusted several times in the past month, it has had no effect on her high morning blood
glucose level. What is your next course of action? - CORRECT ANSWER - Have her
check her blood glucose level between 2 am and 4 am for the next several days.
Steve, age 42, has never been hypertensive but appears today in the office with a blood pressure
of 162/100 mm Hg. He also complains of "attacks" of headache, perspiration, and palpitations,
with frequent bouts of nausea, pain, weakness, dyspnea, and visual disturbances. He has lost 10
lb over the past 2 months and seems very anxious today. Your next action would be to: -
CORRECT ANSWER - Obtain a 24-hour urine test for catecholamines.
, A client with hyperthyroidism presents with a complaint of a "gritty" feeling in her eyes. Over
the past week, her visual acuity has diminished, and her ability to see colors has changed. She
also has a feeling of pressure behind her eyes. The next step for the nurse practitioner is to: -
CORRECT ANSWER - Refer the client for immediate evaluation by an ophthalmologist.
What is the medication of choice for an initial acute attack of gout? - CORRECT
ANSWER - A non steroidal anti-inflammatory drug (NSAID)
Morris has had type 1 diabetes for 10 years. Several recent urinalysis reports have shown
microalbuminuria. Your next step would be to: - CORRECT ANSWER - Start him on an
angiotensin-converting enzyme (ACE) inhibitor.
What is the primary pathological irregularity associated with diabetes mellitus type 1? -
CORRECT ANSWER - Nonfunctioning beta cells.
A patient presents to your primary care office with abnormal lab results. On physical exam, you
tap the patient's facial nerve around the zygomatic arch, just anterior to the earlobe. This
describes which of the following tests and is associated with which of the following lab
abnormalities? - CORRECT ANSWER - Chvostek sign, hypocalcemia
Martin, age 62, has acute nontransient abdominal pain that grows steadily worse in the epigastric
area and radiates straight through to the back. The pain has lasted for days. He is also
complaining of nausea, vomiting, sweating, weakness, and pallor. Physical examination reveals
abdominal tenderness and distention and a low-grade fever. What do you suspect? - CORRECT
ANSWER - Acute pancreatitis.
Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He has heard that exenatide (Byetta) causes weight loss and
wants to try it. What do you tell him? - CORRECT ANSWER - "Let's try it. Your
glycohemoglobin will be lowered and you may lose weight."
Which class of antihypertensive agents may be problematic for clients with diabetes? -
CORRECT ANSWER - Beta blockers.
