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NUR 603 Final Exam Review
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months.
On physical examination, the clinician notices muscular stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon
reflexes. Which test should be ordered next?A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity - . . ANSWER ✓✓ B. Thyroid-stimulating
hormone
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which condition should
be included in the differential diagnosis?
A. Peripheral vascular disease
B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly - . . ANSWER ✓✓ B. Pheochromocytoma
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which condition should
be included in the differential diagnosis?
A. Peripheral vascular disease
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B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly - . . ANSWER ✓✓ B. Pheochromocytoma
A 40-year-old male presents to the emergency department
complaining of rapid, involuntary facial movements. You observe
the patient, who is poorly groomed, smacking his lips and making
facial grimaces. This patient is a "frequent flyer" at your
emergency department and is homeless. He takes haloperidol
and has no allergies. What is the most likely diagnosis? - . .
ANSWER ✓✓ Tardive dyskinesia: Involuntary rapid movements of
the face (lip smacking, grimacing, facial distortions), torso, and
extremities 6% irreversible
A clinician has performed a synovial fluid analysis and the
results are as follows: visual analysis: turbid and yellow,
viscosity: decreased, 52,000 white blood cells (WBCs) per mm3,
polymorphonuclear leukocytes (PMNs): 75%, protein: 5 g/dL.
Which of the following conditions could this result be attributed
to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis - . . ANSWER ✓✓ D. Septic arthritis
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A male patient with type 1 diabetes comes to the clinic
complaining of feeling nervous and clammy. He states that he
took his insulin this morning but was late for work and did not
eat breakfast. Which action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. - . . ANSWER ✓✓ B.
Have him drink 4 ounces of juice.
A nondiabetic patient has idiopathic hypoglycemia. Which dietary
instruction should the clinician share with the patient?
A. Follow a low-protein, high-carbohydrate diet
B. Allow caffeine at each meal
C. Avoid nuts and seeds
D. Eat six small meals a day - . . ANSWER ✓✓ D. Eat six small
meals a day
A patient is 11 years old and recently had her tonsils removed.
Which of the following medications is safe to give to this patient?
A. Ultram
B. Ultracet
C. Codeine
D. Tylenol - . . ANSWER ✓✓ D. Tylenol
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A patient is diagnosed with hypothyroidism. Which of the
following electrocardiogram changes should the clinician expect
as a manifestation of the disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves - . . ANSWER ✓✓ A. Sinus bradycardia
A patient presents to the clinician after experiencing four
episodes in the last month of sweating, palpitations, chest pain,
nausea, and shaking. Each episode lasted about 10 minutes. The
patient is now becoming very fearful of future events and has
been reluctant to leave the house. The clinician suspects panic
disorder but wants to rule out any possible medical causes.
Which of the following medical conditions can mimic the
symptoms of a panic attack?
A. Pheochromocytoma
B. Hyperthyroidism
C. Cardiac arrhythmias
D. All of the above - . . ANSWER ✓✓ D. All of the above
A patient presents to the emergency department with delirium,
dilated pupils bilaterally, and hypoactive bowel sounds. Skin is
flushed and dry; mucous membranes are dry. Upon admission, a
NUR 603 Final Exam Review
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months.
On physical examination, the clinician notices muscular stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon
reflexes. Which test should be ordered next?A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity - . . ANSWER ✓✓ B. Thyroid-stimulating
hormone
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which condition should
be included in the differential diagnosis?
A. Peripheral vascular disease
B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly - . . ANSWER ✓✓ B. Pheochromocytoma
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which condition should
be included in the differential diagnosis?
A. Peripheral vascular disease
,2|Page
B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly - . . ANSWER ✓✓ B. Pheochromocytoma
A 40-year-old male presents to the emergency department
complaining of rapid, involuntary facial movements. You observe
the patient, who is poorly groomed, smacking his lips and making
facial grimaces. This patient is a "frequent flyer" at your
emergency department and is homeless. He takes haloperidol
and has no allergies. What is the most likely diagnosis? - . .
ANSWER ✓✓ Tardive dyskinesia: Involuntary rapid movements of
the face (lip smacking, grimacing, facial distortions), torso, and
extremities 6% irreversible
A clinician has performed a synovial fluid analysis and the
results are as follows: visual analysis: turbid and yellow,
viscosity: decreased, 52,000 white blood cells (WBCs) per mm3,
polymorphonuclear leukocytes (PMNs): 75%, protein: 5 g/dL.
Which of the following conditions could this result be attributed
to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis - . . ANSWER ✓✓ D. Septic arthritis
,3|Page
A male patient with type 1 diabetes comes to the clinic
complaining of feeling nervous and clammy. He states that he
took his insulin this morning but was late for work and did not
eat breakfast. Which action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. - . . ANSWER ✓✓ B.
Have him drink 4 ounces of juice.
A nondiabetic patient has idiopathic hypoglycemia. Which dietary
instruction should the clinician share with the patient?
A. Follow a low-protein, high-carbohydrate diet
B. Allow caffeine at each meal
C. Avoid nuts and seeds
D. Eat six small meals a day - . . ANSWER ✓✓ D. Eat six small
meals a day
A patient is 11 years old and recently had her tonsils removed.
Which of the following medications is safe to give to this patient?
A. Ultram
B. Ultracet
C. Codeine
D. Tylenol - . . ANSWER ✓✓ D. Tylenol
, 4|Page
A patient is diagnosed with hypothyroidism. Which of the
following electrocardiogram changes should the clinician expect
as a manifestation of the disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves - . . ANSWER ✓✓ A. Sinus bradycardia
A patient presents to the clinician after experiencing four
episodes in the last month of sweating, palpitations, chest pain,
nausea, and shaking. Each episode lasted about 10 minutes. The
patient is now becoming very fearful of future events and has
been reluctant to leave the house. The clinician suspects panic
disorder but wants to rule out any possible medical causes.
Which of the following medical conditions can mimic the
symptoms of a panic attack?
A. Pheochromocytoma
B. Hyperthyroidism
C. Cardiac arrhythmias
D. All of the above - . . ANSWER ✓✓ D. All of the above
A patient presents to the emergency department with delirium,
dilated pupils bilaterally, and hypoactive bowel sounds. Skin is
flushed and dry; mucous membranes are dry. Upon admission, a
