Nurs 511 Week 6 Brainstorming Questions Answered
Correctly Graded A+
A 35-year-old female presents to your primary care office for review of her laboratory results.
Her physical exam shows a blood pressure (BP) of 140/90, pulse (P) of 105, oxygen saturation of
97%, and temperature of 98.6°F. She has complaints of palpitations, weight loss, hair loss, and
anxiety. Her labs are all normal except for a low thyroid-stimulating hormone (TSH) and an
elevated thyroxine (T4). What would your next course of treatment be? - CORRECT ANSWER
✔️✔️ -Start metoprolol and propylthiouracil (PTU).
A 35-year-old male presents to your office complaining of fatigue, weight loss, nausea, and
abdominal pain. On physical exam, you notice he has orthostatic hypotension and
hyperpigmented skin. You do a morning cortisol level, which is low. The plasma
adrenocorticotropic hormone (ACTH) is elevated. How would you treat this patient? -
CORRECT ANSWER ✔️✔️ -Hydrocortisone.
A 55-year-old Asian male presents with a history of severe left great toe pain. He states he
cannot even touch the toe with a sheet without it causing pain. He denies trauma but states he
cannot ambulate without pain. He admits to drinking alcohol but not to excess. On physical
exam, he has normal vital signs, and you note erythema of the great toe at the interphalangeal
(IP) joint. Which of the following is the gold standard for diagnosis of this problem? -
CORRECT ANSWER ✔️✔️ -Joint aspiration with crystal analysis.
, A client with diabetes on a sulfonylurea and metformin with a glycated hemoglobin (HbA1c) of
6.5% is complaining of episodes of low blood sugar. Which of the following changes would be
the most appropriate? - CORRECT ANSWER ✔️✔️ -Decreasing the dosage of the sulfonylurea.
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.
A client with newly diagnosed diabetes who has a glycated hemoglobin (HbA1c) of 7.5 is started
on therapeutic lifestyle changes (TLCs) and medical nutrition therapy (MNT). Which oral
antidiabetic agent is recommended as monotherapy? - CORRECT ANSWER ✔️✔️ -Metformin
(Glucophage).
A low thyroid-stimulating hormone (TSH) can lead to: - CORRECT ANSWER ✔️✔️ -
Osteoporosis.
A patient presents to your primary care office complaining of polydipsia, polyuria, and
polyphagia. Which of the following diagnoses would not be in your differential diagnosis? -
CORRECT ANSWER ✔️✔️ -Hyperthyroidism.
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
Correctly Graded A+
A 35-year-old female presents to your primary care office for review of her laboratory results.
Her physical exam shows a blood pressure (BP) of 140/90, pulse (P) of 105, oxygen saturation of
97%, and temperature of 98.6°F. She has complaints of palpitations, weight loss, hair loss, and
anxiety. Her labs are all normal except for a low thyroid-stimulating hormone (TSH) and an
elevated thyroxine (T4). What would your next course of treatment be? - CORRECT ANSWER
✔️✔️ -Start metoprolol and propylthiouracil (PTU).
A 35-year-old male presents to your office complaining of fatigue, weight loss, nausea, and
abdominal pain. On physical exam, you notice he has orthostatic hypotension and
hyperpigmented skin. You do a morning cortisol level, which is low. The plasma
adrenocorticotropic hormone (ACTH) is elevated. How would you treat this patient? -
CORRECT ANSWER ✔️✔️ -Hydrocortisone.
A 55-year-old Asian male presents with a history of severe left great toe pain. He states he
cannot even touch the toe with a sheet without it causing pain. He denies trauma but states he
cannot ambulate without pain. He admits to drinking alcohol but not to excess. On physical
exam, he has normal vital signs, and you note erythema of the great toe at the interphalangeal
(IP) joint. Which of the following is the gold standard for diagnosis of this problem? -
CORRECT ANSWER ✔️✔️ -Joint aspiration with crystal analysis.
, A client with diabetes on a sulfonylurea and metformin with a glycated hemoglobin (HbA1c) of
6.5% is complaining of episodes of low blood sugar. Which of the following changes would be
the most appropriate? - CORRECT ANSWER ✔️✔️ -Decreasing the dosage of the sulfonylurea.
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.
A client with newly diagnosed diabetes who has a glycated hemoglobin (HbA1c) of 7.5 is started
on therapeutic lifestyle changes (TLCs) and medical nutrition therapy (MNT). Which oral
antidiabetic agent is recommended as monotherapy? - CORRECT ANSWER ✔️✔️ -Metformin
(Glucophage).
A low thyroid-stimulating hormone (TSH) can lead to: - CORRECT ANSWER ✔️✔️ -
Osteoporosis.
A patient presents to your primary care office complaining of polydipsia, polyuria, and
polyphagia. Which of the following diagnoses would not be in your differential diagnosis? -
CORRECT ANSWER ✔️✔️ -Hyperthyroidism.
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
