MARYVILLE NURS 623 EXAM 2
1. Which of the serum laboratory findings are present in the client with
Cushing's syndrome?: Increased cortisol, HYPERnatremia, and
HYPOkalemia
2. Alice, age 48, has a benign thyroid nodule. The most common
treatment involves:: Watchful waiting with an annual follow-up
3. ACE inhibitors are given to clients with diabetes who have:
persistent proteinuria
4. A newly diagnosed client with diabetes who has an HbA1c of 7.5 is
started on therapeutic lifestyle changes (TLC) and medical nutritional
therapy (MNT). Which oral antidiabetic agent is recommended as
monotherapy?: metformin
5. An elderly client with hyperthyroidism may present with atypical
symp- toms. Which of the following manifestations are commonly seen
in the el- derly with hyperthyroidism?: a-fib, depression, weight loss
6. Diane has had Cushing's disease for 20 years and has been taking
hydro- cortisone since her diagnosis. Today, she appears with a thick trunk
and thin extremities. She has a "moon face," a "buffalo hump," thin skin
1/7
, with visible capillaries, and a number of bruises that appear to be slow in
healing. To what do you attribute these symptoms?: excessive levels of
cortisol
7. The following is a client's self-monitoring blood glucose log. The client
receives 20 units Novolin 70/30 in the morning (a.m.) and 20 units
Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-dinner: 90, 150, 105,
144, 101, 172, 98, 201. What changes would you make?: increase A.M.
insulin
8. 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?: "Let's try it. You're glycohemoglobin will be lowered and you may
lose weight."
9. Which is the only treatment option that is curative for primary
hyper- parathyroidism?: parathyroidectomy
10.The most common worldwide cause of hypothyroidism is:: iodine
deficien- cy
11.What should be assessed for during exam on pt with
HYPOparathy- roidism?: chvostek's sign
12.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: ADD LONG-ACTING
INSULIN
2/7
1. Which of the serum laboratory findings are present in the client with
Cushing's syndrome?: Increased cortisol, HYPERnatremia, and
HYPOkalemia
2. Alice, age 48, has a benign thyroid nodule. The most common
treatment involves:: Watchful waiting with an annual follow-up
3. ACE inhibitors are given to clients with diabetes who have:
persistent proteinuria
4. A newly diagnosed client with diabetes who has an HbA1c of 7.5 is
started on therapeutic lifestyle changes (TLC) and medical nutritional
therapy (MNT). Which oral antidiabetic agent is recommended as
monotherapy?: metformin
5. An elderly client with hyperthyroidism may present with atypical
symp- toms. Which of the following manifestations are commonly seen
in the el- derly with hyperthyroidism?: a-fib, depression, weight loss
6. Diane has had Cushing's disease for 20 years and has been taking
hydro- cortisone since her diagnosis. Today, she appears with a thick trunk
and thin extremities. She has a "moon face," a "buffalo hump," thin skin
1/7
, with visible capillaries, and a number of bruises that appear to be slow in
healing. To what do you attribute these symptoms?: excessive levels of
cortisol
7. The following is a client's self-monitoring blood glucose log. The client
receives 20 units Novolin 70/30 in the morning (a.m.) and 20 units
Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-dinner: 90, 150, 105,
144, 101, 172, 98, 201. What changes would you make?: increase A.M.
insulin
8. 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?: "Let's try it. You're glycohemoglobin will be lowered and you may
lose weight."
9. Which is the only treatment option that is curative for primary
hyper- parathyroidism?: parathyroidectomy
10.The most common worldwide cause of hypothyroidism is:: iodine
deficien- cy
11.What should be assessed for during exam on pt with
HYPOparathy- roidism?: chvostek's sign
12.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: ADD LONG-ACTING
INSULIN
2/7
