NSG 623/624 Exam 2 with precise || || || || || ||
solutions
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?
|| || || || || || || || || || || ||
A. "Let's adjust your oral antidiabetic agents instead."
|| || || || || || ||
B. "That's a myth. People usually change their eating habits when taking this,
|| || || || || || || || || || || || ||
and that's what causes the weight loss."
|| || || || || ||
C. "With type 2 diabetes, you never want to be on injectable insulin."
|| || || || || || || || || || || ||
D. "Let's try it. You're glycohemoglobin will be lowered and you may lose
|| || || || || || || || || || || || ||
weight." - Correct answer ✔D. "Let's try it. You're glycohemoglobin will be
|| || || || || || || || || || || ||
lowered and you may lose weight." || || || || ||
When teaching Marcy how to use her new insulin pump, you tell her that she
|| || || || || || || || || || || || || || ||
needs to monitor her blood glucose level:
|| || || || || ||
A. At least once a day.
|| || || || ||
B. Only occasionally because glycemic levels are maintained very steadily.
|| || || || || || || || ||
C. At least four times a day.
|| || || || || ||
D. On an as-needed basis when she feels she needs to give herself an extra dose
|| || || || || || || || || || || || || || || ||
of insulin. - Correct answer ✔C. At least four times a day.
|| || || || || || || || || || ||
,Minnie is pregnant. She has hypothyroidism and has been on the same
|| || || || || || || || || || || ||
levothyroxine medication for years. What might you expect to do with her
|| || || || || || || || || || || ||
levothyroxine medication? ||
A. Increase the dosage.
|| || ||
B. Maintain her established dosage.
|| || || ||
C. Decrease her dosage.
|| || ||
D. Increase the dosage during the first trimester, then decrease it during the
|| || || || || || || || || || || || ||
second and third trimesters. - Correct answer ✔A. Increase the dosage.
|| || || || || || || || || ||
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:
|| || || || || ||
A. Increase the dosage of the oral antidiabetic agents.
|| || || || || || || ||
B. Add a nighttime dosage of long-acting insulin to the regimen.
|| || || || || || || || || ||
C. Discontinue the oral antidiabetic agents and start insulin therapy.
|| || || || || || || || ||
D. Suggest treatment using an insulin pump. - Correct answer ✔B. Add a
|| || || || || || || || || || || || ||
nighttime dosage of long-acting insulin to the regimen.
|| || || || || || ||
After a subtotal thyroidectomy, it is crucial to assess:
|| || || || || || || ||
A. Heart tones.
|| ||
B. For peripheral edema.
|| || ||
,C. Speaking ability.
|| ||
D. Skin turgor. - Correct answer ✔C. Speaking ability.
|| || || || || || || ||
Jane has insulin-dependent diabetes mellitus and has been experiencing
|| || || || || || || || ||
hyperglycemia before dinner. A possible solution to this problem is to: || || || || || || || || || ||
A. Adjust her morning dose of rapid-acting insulin.
|| || || || || || ||
B. Increase her midafternoon snack.
|| || || ||
C. Add physical activity between lunch and dinner.
|| || || || || || ||
D. Reduce the amount of carbohydrates at dinner. - Correct answer ✔C. Add
|| || || || || || || || || || || || ||
physical activity between lunch and dinner.
|| || || || ||
Why is parathyroid hormone secretion increased during pregnancy?
|| || || || || || ||
A. To meet the increased stress demands on the mother
|| || || || || || || || ||
B. To meet the increased requirements for calcium and vitamin D for fetal
|| || || || || || || || || || || || ||
skeletal growth ||
C. To help prevent neural tube defects in the fetus
|| || || || || || || || ||
D. To help promote neurological growth of the developing brain in the fetus -
|| || || || || || || || || || || || || ||
Correct answer ✔B. To meet the increased requirements for calcium and
|| || || || || || || || || || ||
vitamin D for fetal skeletal growth
|| || || || ||
Which is the only treatment option that is curative for primary
|| || || || || || || || || || ||
hyperparathyroidism?
, A. Type II calcimimetic cinacalcet
|| || || ||
B. Hormone therapy
|| ||
C. Parathyroidectomy
||
D. Bisphosphonates - Correct answer ✔C. Parathyroidectomy
|| || || || || ||
The most common worldwide cause of hypothyroidism is:
|| || || || || || ||
A. An autoimmune process.
|| || ||
B. Hashimoto's thyroiditis.
|| ||
C. Iodine deficiency.
|| ||
D. Iatrogenic hypothyroidism - Correct answer ✔C. Iodine deficiency.
|| || || || || || || ||
An elderly client with hyperthyroidism may present with atypical symptoms.
|| || || || || || || || || ||
Which of the following manifestations are commonly seen in the elderly with
|| || || || || || || || || || || ||
hyperthyroidism?
A. Adrenergic findings such as tachycardia
|| || || || ||
B. Weight gain, depression, heat intolerance
|| || || || ||
C. Atrial fibrillation, depression, and weight loss
|| || || || || ||
D. Heat intolerance, hyperreflexia, and anorexia - Correct answer ✔C. Atrial
|| || || || || || || || || || ||
fibrillation, depression, and weight loss || || || ||
solutions
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?
|| || || || || || || || || || || ||
A. "Let's adjust your oral antidiabetic agents instead."
|| || || || || || ||
B. "That's a myth. People usually change their eating habits when taking this,
|| || || || || || || || || || || || ||
and that's what causes the weight loss."
|| || || || || ||
C. "With type 2 diabetes, you never want to be on injectable insulin."
|| || || || || || || || || || || ||
D. "Let's try it. You're glycohemoglobin will be lowered and you may lose
|| || || || || || || || || || || || ||
weight." - Correct answer ✔D. "Let's try it. You're glycohemoglobin will be
|| || || || || || || || || || || ||
lowered and you may lose weight." || || || || ||
When teaching Marcy how to use her new insulin pump, you tell her that she
|| || || || || || || || || || || || || || ||
needs to monitor her blood glucose level:
|| || || || || ||
A. At least once a day.
|| || || || ||
B. Only occasionally because glycemic levels are maintained very steadily.
|| || || || || || || || ||
C. At least four times a day.
|| || || || || ||
D. On an as-needed basis when she feels she needs to give herself an extra dose
|| || || || || || || || || || || || || || || ||
of insulin. - Correct answer ✔C. At least four times a day.
|| || || || || || || || || || ||
,Minnie is pregnant. She has hypothyroidism and has been on the same
|| || || || || || || || || || || ||
levothyroxine medication for years. What might you expect to do with her
|| || || || || || || || || || || ||
levothyroxine medication? ||
A. Increase the dosage.
|| || ||
B. Maintain her established dosage.
|| || || ||
C. Decrease her dosage.
|| || ||
D. Increase the dosage during the first trimester, then decrease it during the
|| || || || || || || || || || || || ||
second and third trimesters. - Correct answer ✔A. Increase the dosage.
|| || || || || || || || || ||
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:
|| || || || || ||
A. Increase the dosage of the oral antidiabetic agents.
|| || || || || || || ||
B. Add a nighttime dosage of long-acting insulin to the regimen.
|| || || || || || || || || ||
C. Discontinue the oral antidiabetic agents and start insulin therapy.
|| || || || || || || || ||
D. Suggest treatment using an insulin pump. - Correct answer ✔B. Add a
|| || || || || || || || || || || || ||
nighttime dosage of long-acting insulin to the regimen.
|| || || || || || ||
After a subtotal thyroidectomy, it is crucial to assess:
|| || || || || || || ||
A. Heart tones.
|| ||
B. For peripheral edema.
|| || ||
,C. Speaking ability.
|| ||
D. Skin turgor. - Correct answer ✔C. Speaking ability.
|| || || || || || || ||
Jane has insulin-dependent diabetes mellitus and has been experiencing
|| || || || || || || || ||
hyperglycemia before dinner. A possible solution to this problem is to: || || || || || || || || || ||
A. Adjust her morning dose of rapid-acting insulin.
|| || || || || || ||
B. Increase her midafternoon snack.
|| || || ||
C. Add physical activity between lunch and dinner.
|| || || || || || ||
D. Reduce the amount of carbohydrates at dinner. - Correct answer ✔C. Add
|| || || || || || || || || || || || ||
physical activity between lunch and dinner.
|| || || || ||
Why is parathyroid hormone secretion increased during pregnancy?
|| || || || || || ||
A. To meet the increased stress demands on the mother
|| || || || || || || || ||
B. To meet the increased requirements for calcium and vitamin D for fetal
|| || || || || || || || || || || || ||
skeletal growth ||
C. To help prevent neural tube defects in the fetus
|| || || || || || || || ||
D. To help promote neurological growth of the developing brain in the fetus -
|| || || || || || || || || || || || || ||
Correct answer ✔B. To meet the increased requirements for calcium and
|| || || || || || || || || || ||
vitamin D for fetal skeletal growth
|| || || || ||
Which is the only treatment option that is curative for primary
|| || || || || || || || || || ||
hyperparathyroidism?
, A. Type II calcimimetic cinacalcet
|| || || ||
B. Hormone therapy
|| ||
C. Parathyroidectomy
||
D. Bisphosphonates - Correct answer ✔C. Parathyroidectomy
|| || || || || ||
The most common worldwide cause of hypothyroidism is:
|| || || || || || ||
A. An autoimmune process.
|| || ||
B. Hashimoto's thyroiditis.
|| ||
C. Iodine deficiency.
|| ||
D. Iatrogenic hypothyroidism - Correct answer ✔C. Iodine deficiency.
|| || || || || || || ||
An elderly client with hyperthyroidism may present with atypical symptoms.
|| || || || || || || || || ||
Which of the following manifestations are commonly seen in the elderly with
|| || || || || || || || || || || ||
hyperthyroidism?
A. Adrenergic findings such as tachycardia
|| || || || ||
B. Weight gain, depression, heat intolerance
|| || || || ||
C. Atrial fibrillation, depression, and weight loss
|| || || || || ||
D. Heat intolerance, hyperreflexia, and anorexia - Correct answer ✔C. Atrial
|| || || || || || || || || || ||
fibrillation, depression, and weight loss || || || ||
