Page 1 of 104
“DUNPHY QUESTIONS EXAM 2026 ”LATEST
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pulm packet 2, Exam 2 Dunphy Respiratory 1, NSG6001 week 2 quiz, 623 Adult -
Endocrine/Metabolic - AG and FNP Certification Exam 4th ed. Winland-Brown and
Dunphy, Endocrine - Chronic, 623 Adult - Endocrine/Metabolic - AG and FNP
Certification Exam 4t...
Harriet, age 62 has type 1 diabetes that is well controlled by insulin. Recently,
she has been having marital difficulties that have left her emotionally upset. As
a result of this stress it is possible that she will:
a. have an insulin reaction
b. have an increased blood sugar level
c. need less daily insulin
d. need more carbohydrates
b. have an increased blood sugar level
Sandy has insulin-dependent diabetes mellitus. To forestall hypoglycemia,
how much carbohydrate must she eat if she misses a regular meal?
a. 5-15g
b. 15-30g
c. 30-35g
d. more than 35 g
b. 15-30g
, Page 2 of 104
presence of Trousseau's sign is often preceded by:
a. a spasm of the facial muscle
b. muscle cramps in the legs and feet
c. abdominal pain
d. headache
b. muscle cramps in the legs and feet
diabetes and coronary artery disease (CAD) have a close interrelationship.
Which of the following statements about the relationship between diabetes
and CAD is true?
a. hyperinsulinemia decreases sympathetic tone and cardiac contractility by
increasing plasma catecholamines, epinephrine, and norepinephrine
b. an increase of glucose cause the distal nephrons of the kidneys to absorb
less sodium, resulting in more fluid, expanding the intravascular volume and
increasing the blood pressure
c. hyperinsulinemia causes a large number of vascular smooth muscle cells to
be formed and deposited on the walls of vessels, eventually decreasing space
for blood flow
d. an increase in glucose stimulates more secretion of epinephrine, thus
raising the blood pressure
c. hyperinsulinemia causes a large number of vascular smooth muscle cells to be
formed and deposited on the walls of vessels, eventually decreasing space for blood
flow
Julie has the visiting nurse prefill her insulin syringes because of her visual
and dexterity difficulties. On Julie's routine visit for her blood work, she asks
you about storing these prefilled syringes. How do you respond?
a. keep them at room temperature with the needle angled down, just like you
do with a bottle of wine
b. they can be kept in the refrigerator for 1 week when the visiting nurse
should fill new ones
c. they can be stored in a vertical position in the refrigerator for 30 days with
the needle pointing upward
d. they should be placed in the refrigerator without the needles on-those
should be added just prior to administration
, Page 3 of 104
c. they can be stored in a vertical position in the refrigerator for 30 days with the
needle pointing upward
Mandy is scheduled to have an oral glucose tolerance test. For 3 days before
the test, she is instructed to discontinue many of her medications. Which one
is it safe to continue taking?
a. vitamin C
b. aspirin
c. calcium
d. her oral contraceptives
c. calcium
Melody age 24, is preparing for radioactive iodine therapy for her Graves'
disease. Which test must she undergo first?
a. beta human chorionic gonadotropin
b. basal metabolism rate
c. lithium level
d. serum calcium
a. beta human chorionic gonadotropin
Mamie 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 dose
c. decrease her dosage
d. increase the dose during the first trimester, then decrease it during the
second and third trimesters
a. increase the dosage
which hormone is secreted by the adrenal cortex?
a. thyroid stimulating hormone
b. growth hormone
c. follicle-stimulating hormone
d. aldosterone
d. aldosterone
you suspect Shelly has hypoparathyroidism because, in addition to her other
s/s, she has:
, Page 4 of 104
a. an elevated serum phosphate levels
b. elevated serum calcium levels
c. decreased neuromuscular irritability
d. increased bone resorption, as implied by her bone density test
a. an elevated serum phosphate levels
The Diabetes Control and Complications Trial recommends intensive
management of diabetes for:
a. children younger than age 13
b. older adults
c. persons who already have a dx of beginning nephropathy, neuropathy, or
retinopathy
d. individuals with a hx of frequent severe hypoglycemia
c. persons who already have a dx of beginning nephropathy, neuropathy, or
retinopathy
Jack, age 72 has gout and is obese. When teaching him about diet, which of
the following do you tell him?
a. beer and wine are ok because they have no effect on uric acid
b. keeping your wt stable, even if you are a little overweight is better than
fluctuating
c. you must go on a very low caloric-restricted diet to effect immediate change
d. fluid intake should exceed 3,000 mL daily to prevent formation of uric kidney
stones
d. fluid intake should exceed 3,000 mL daily to prevent formation of uric kidney
stones
a newly dx clt with diabetes who has an HbA1c of7.5 is started on therapeutic
lifestyle changes and medical nutritional therapy. Which oral antidiabetic
agent is recommended as monotherapy?
a. glipizide
b. sitagliptin (Januvia)
c. exenatide (Byetta)
d. metformin (glucophage)
d. metformin (glucophage)
Jan, age 46 has hypertension that has been controlled with HCTZ 50mg every
day for the past 3 years. She is 5'8" and weighs 220lbs. Her FBS level is
“DUNPHY QUESTIONS EXAM 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
pulm packet 2, Exam 2 Dunphy Respiratory 1, NSG6001 week 2 quiz, 623 Adult -
Endocrine/Metabolic - AG and FNP Certification Exam 4th ed. Winland-Brown and
Dunphy, Endocrine - Chronic, 623 Adult - Endocrine/Metabolic - AG and FNP
Certification Exam 4t...
Harriet, age 62 has type 1 diabetes that is well controlled by insulin. Recently,
she has been having marital difficulties that have left her emotionally upset. As
a result of this stress it is possible that she will:
a. have an insulin reaction
b. have an increased blood sugar level
c. need less daily insulin
d. need more carbohydrates
b. have an increased blood sugar level
Sandy has insulin-dependent diabetes mellitus. To forestall hypoglycemia,
how much carbohydrate must she eat if she misses a regular meal?
a. 5-15g
b. 15-30g
c. 30-35g
d. more than 35 g
b. 15-30g
, Page 2 of 104
presence of Trousseau's sign is often preceded by:
a. a spasm of the facial muscle
b. muscle cramps in the legs and feet
c. abdominal pain
d. headache
b. muscle cramps in the legs and feet
diabetes and coronary artery disease (CAD) have a close interrelationship.
Which of the following statements about the relationship between diabetes
and CAD is true?
a. hyperinsulinemia decreases sympathetic tone and cardiac contractility by
increasing plasma catecholamines, epinephrine, and norepinephrine
b. an increase of glucose cause the distal nephrons of the kidneys to absorb
less sodium, resulting in more fluid, expanding the intravascular volume and
increasing the blood pressure
c. hyperinsulinemia causes a large number of vascular smooth muscle cells to
be formed and deposited on the walls of vessels, eventually decreasing space
for blood flow
d. an increase in glucose stimulates more secretion of epinephrine, thus
raising the blood pressure
c. hyperinsulinemia causes a large number of vascular smooth muscle cells to be
formed and deposited on the walls of vessels, eventually decreasing space for blood
flow
Julie has the visiting nurse prefill her insulin syringes because of her visual
and dexterity difficulties. On Julie's routine visit for her blood work, she asks
you about storing these prefilled syringes. How do you respond?
a. keep them at room temperature with the needle angled down, just like you
do with a bottle of wine
b. they can be kept in the refrigerator for 1 week when the visiting nurse
should fill new ones
c. they can be stored in a vertical position in the refrigerator for 30 days with
the needle pointing upward
d. they should be placed in the refrigerator without the needles on-those
should be added just prior to administration
, Page 3 of 104
c. they can be stored in a vertical position in the refrigerator for 30 days with the
needle pointing upward
Mandy is scheduled to have an oral glucose tolerance test. For 3 days before
the test, she is instructed to discontinue many of her medications. Which one
is it safe to continue taking?
a. vitamin C
b. aspirin
c. calcium
d. her oral contraceptives
c. calcium
Melody age 24, is preparing for radioactive iodine therapy for her Graves'
disease. Which test must she undergo first?
a. beta human chorionic gonadotropin
b. basal metabolism rate
c. lithium level
d. serum calcium
a. beta human chorionic gonadotropin
Mamie 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 dose
c. decrease her dosage
d. increase the dose during the first trimester, then decrease it during the
second and third trimesters
a. increase the dosage
which hormone is secreted by the adrenal cortex?
a. thyroid stimulating hormone
b. growth hormone
c. follicle-stimulating hormone
d. aldosterone
d. aldosterone
you suspect Shelly has hypoparathyroidism because, in addition to her other
s/s, she has:
, Page 4 of 104
a. an elevated serum phosphate levels
b. elevated serum calcium levels
c. decreased neuromuscular irritability
d. increased bone resorption, as implied by her bone density test
a. an elevated serum phosphate levels
The Diabetes Control and Complications Trial recommends intensive
management of diabetes for:
a. children younger than age 13
b. older adults
c. persons who already have a dx of beginning nephropathy, neuropathy, or
retinopathy
d. individuals with a hx of frequent severe hypoglycemia
c. persons who already have a dx of beginning nephropathy, neuropathy, or
retinopathy
Jack, age 72 has gout and is obese. When teaching him about diet, which of
the following do you tell him?
a. beer and wine are ok because they have no effect on uric acid
b. keeping your wt stable, even if you are a little overweight is better than
fluctuating
c. you must go on a very low caloric-restricted diet to effect immediate change
d. fluid intake should exceed 3,000 mL daily to prevent formation of uric kidney
stones
d. fluid intake should exceed 3,000 mL daily to prevent formation of uric kidney
stones
a newly dx clt with diabetes who has an HbA1c of7.5 is started on therapeutic
lifestyle changes and medical nutritional therapy. Which oral antidiabetic
agent is recommended as monotherapy?
a. glipizide
b. sitagliptin (Januvia)
c. exenatide (Byetta)
d. metformin (glucophage)
d. metformin (glucophage)
Jan, age 46 has hypertension that has been controlled with HCTZ 50mg every
day for the past 3 years. She is 5'8" and weighs 220lbs. Her FBS level is
