Page |1
MSN 622 FINAL EXAM 2025, NURSING LEADERSHIP EXAM,
ADVANCED PRACTICE NURSE FINAL, MSN 622 QUESTIONS
AND ANSWERS, GRADED A+ NURSING EXAM, MSN STUDY
GUIDE PDF2025/2026 NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND VERIFIED ANSWERS
|ALREADY GRADED A+|
A young woman is seen in the clinic after being diagnosed with
subclinical hypothyroidism. The provider orders additional blood
work, which reveals the presence of serum anti-thyroid
peroxidase antibodies. Which of the following is most likely to
develop? - ANSWER-Hashimoto thyroiditis
A 44-year-old female presents to your clinic with fatigue and
weakness. She states that over the past 2 years she has been
feeling increasingly tired and having difficulty with her everyday
tasks. She also has gained 15 pounds (7 kg) despite trying to lose
weight. Her past medical history is significant for Sjogren
syndrome, which was diagnosed 20 years ago and has been
treated medically. On physical exam, she has dry skin, notable
hair loss, and nonpitting lower extremity edema. Her neck exam
reveals a rubbery, non-tender goiter. Her thyroid-stimulating
, Page |2
hormone levels are increased. What is the most likely diagnosis?
- ANSWER-Hashimoto thyroiditis
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with diabetes
mellitus. Which is the most appropriate nursing diagnosis? -
ANSWER-Knowledge deficit
A 75-year-old man with a 15-year history of type 2 diabetes
mellitus presents to the clinic for follow-up. He complains of
numbness and tingling in both feet. Which of the following is the
best initial step in the evaluation of this patient? - ANSWER-
Check the pressure sensation using the monofilament test
A 65-year-old male presents to the clinic with complaints of
increased frequency of urination and thirst. He says he wakes up
multiple times at night to urinate, which makes it difficult to wake
up on time the next morning. It has been going on for the past
three months, and he is distressed. He is a businessman by
profession and drinks alcohol socially. He has a history of
hypertension being treated with a calcium channel blocker. His
physical exam is unremarkable. His blood work reveals a
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hemoglobin (Hb) A1c of 7.4, BUN 30 mg/dL, serum creatinine 1.1
mg/dL and LDL 200 mg/dL. He is educated about his illness, and
some medications are started. In the absence of active kidney
disease, how often should serum creatinine levels be monitored in
this patient? - ANSWER-Every year, regardless of the presence of
urine albumin excretion.
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with diabetes
mellitus. Which of the following is the most appropriate nursing
diagnosis? - ANSWER-Knowledge deficit
A patient has just developed type 2 diabetes mellitus. He is obese
and also has hypertension. He sincerely wants to control his
diabetes mellitus to avoid complications. The primary care
provider recommends that he carefully count his carbohydrate
intake. Which of the following is a major benefit of such a dietary
approach to diabetes mellitus? - ANSWER-Allows for better
glycemic control
A 40-year-old obese man with a body mass index of 35 kg/m2
presents to the clinic for follow-up with his primary care provider.
, Page |4
The patient is in good health, maintains a healthy diet consisting
of vegetables and fruits. He does physical exercise 3-4 times a
week. On the patient's last lipid panel, his low-density lipoprotein
(LDL) was 80 mg/dl. What is the next step in therapy? -
ANSWER-Calculate 10-year atherosclerotic cardiovascular
disease risk
A 45-year-old woman presents to the office with complaints of
easy fatiguability, lethargy, and constipation for the past 6 months.
The patient states, ''she feels tired all the time and was fired from
her job for being too clumsy.'' The patient also reports a 6 kg
weight gain. On examination, the patient has dry skin, brittle nails,
and swelling of the pretibial area of both lower limbs. A midline
neck swelling is also noted. Laboratory analysis reveals a raised
TSH level and a decrease in T3 and T4 levels. A biopsy of the
swelling is performed, and the histopathology is shown in the
figure. Which of the following additional lab findings is most likely
to be present in this patient? - ANSWER-Anti-thyroid peroxidase
antibodies
MSN 622 FINAL EXAM 2025, NURSING LEADERSHIP EXAM,
ADVANCED PRACTICE NURSE FINAL, MSN 622 QUESTIONS
AND ANSWERS, GRADED A+ NURSING EXAM, MSN STUDY
GUIDE PDF2025/2026 NEWEST ACTUAL EXAM WITH
COMPLETE QUESTIONS AND VERIFIED ANSWERS
|ALREADY GRADED A+|
A young woman is seen in the clinic after being diagnosed with
subclinical hypothyroidism. The provider orders additional blood
work, which reveals the presence of serum anti-thyroid
peroxidase antibodies. Which of the following is most likely to
develop? - ANSWER-Hashimoto thyroiditis
A 44-year-old female presents to your clinic with fatigue and
weakness. She states that over the past 2 years she has been
feeling increasingly tired and having difficulty with her everyday
tasks. She also has gained 15 pounds (7 kg) despite trying to lose
weight. Her past medical history is significant for Sjogren
syndrome, which was diagnosed 20 years ago and has been
treated medically. On physical exam, she has dry skin, notable
hair loss, and nonpitting lower extremity edema. Her neck exam
reveals a rubbery, non-tender goiter. Her thyroid-stimulating
, Page |2
hormone levels are increased. What is the most likely diagnosis?
- ANSWER-Hashimoto thyroiditis
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with diabetes
mellitus. Which is the most appropriate nursing diagnosis? -
ANSWER-Knowledge deficit
A 75-year-old man with a 15-year history of type 2 diabetes
mellitus presents to the clinic for follow-up. He complains of
numbness and tingling in both feet. Which of the following is the
best initial step in the evaluation of this patient? - ANSWER-
Check the pressure sensation using the monofilament test
A 65-year-old male presents to the clinic with complaints of
increased frequency of urination and thirst. He says he wakes up
multiple times at night to urinate, which makes it difficult to wake
up on time the next morning. It has been going on for the past
three months, and he is distressed. He is a businessman by
profession and drinks alcohol socially. He has a history of
hypertension being treated with a calcium channel blocker. His
physical exam is unremarkable. His blood work reveals a
, Page |3
hemoglobin (Hb) A1c of 7.4, BUN 30 mg/dL, serum creatinine 1.1
mg/dL and LDL 200 mg/dL. He is educated about his illness, and
some medications are started. In the absence of active kidney
disease, how often should serum creatinine levels be monitored in
this patient? - ANSWER-Every year, regardless of the presence of
urine albumin excretion.
A patient presents with the complaint of polyphagia and
polydipsia. After the relevant tests, he is diagnosed with diabetes
mellitus. Which of the following is the most appropriate nursing
diagnosis? - ANSWER-Knowledge deficit
A patient has just developed type 2 diabetes mellitus. He is obese
and also has hypertension. He sincerely wants to control his
diabetes mellitus to avoid complications. The primary care
provider recommends that he carefully count his carbohydrate
intake. Which of the following is a major benefit of such a dietary
approach to diabetes mellitus? - ANSWER-Allows for better
glycemic control
A 40-year-old obese man with a body mass index of 35 kg/m2
presents to the clinic for follow-up with his primary care provider.
, Page |4
The patient is in good health, maintains a healthy diet consisting
of vegetables and fruits. He does physical exercise 3-4 times a
week. On the patient's last lipid panel, his low-density lipoprotein
(LDL) was 80 mg/dl. What is the next step in therapy? -
ANSWER-Calculate 10-year atherosclerotic cardiovascular
disease risk
A 45-year-old woman presents to the office with complaints of
easy fatiguability, lethargy, and constipation for the past 6 months.
The patient states, ''she feels tired all the time and was fired from
her job for being too clumsy.'' The patient also reports a 6 kg
weight gain. On examination, the patient has dry skin, brittle nails,
and swelling of the pretibial area of both lower limbs. A midline
neck swelling is also noted. Laboratory analysis reveals a raised
TSH level and a decrease in T3 and T4 levels. A biopsy of the
swelling is performed, and the histopathology is shown in the
figure. Which of the following additional lab findings is most likely
to be present in this patient? - ANSWER-Anti-thyroid peroxidase
antibodies
