MARYVILLE NURS 623 FINAL EXAM SCRIPT
2026 FULL QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ Alice, age 48, has a benign thyroid nodule. The most common
treatment involves: Answer: Watchful waiting with an annual follow-up
◉ ACE inhibitors are given to clients with diabetes who have Answer:
persistent proteinuria
◉ 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? Answer: metformin
◉ An elderly client with hyperthyroidism may present with atypical
symptoms. Which of the following manifestations are commonly seen in
the elderly with hyperthyroidism? Answer: a-fib, depression, weight loss
◉ Diane has had Cushing's disease for 20 years and has been taking
hydrocortisone since her diagnosis. Today, she appears with a thick
,trunk and thin extremities. She has a "moon face," a "buffalo hump,"
thin skin with visible capillaries, and a number of bruises that appear to
be slow in healing. To what do you attribute these symptoms? Answer:
excessive levels of cortisol
◉ 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? Answer:
increase A.M. insulin
◉ 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? Answer: "Let's try it. You're glycohemoglobin will be lowered
and you may lose weight."
◉ Which is the only treatment option that is curative for primary
hyperparathyroidism? Answer: parathyroidectomy
◉ The most common worldwide cause of hypothyroidism is: Answer:
iodine deficiency
, ◉ What should be assessed for during exam on pt with
HYPOparathyroidism? Answer: chvostek's sign
◉ 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 Answer:
ADD LONG-ACTING INSULIN
◉ Joy has gout. In teaching her about her disease, which food do you
tell her is allowed in her diet? Answer: Broccoli
◉ What controls the amount of calcium in the blood? Answer:
Parathyroid
◉ Thyroid hormones regulate Answer: metabolism
◉ Which tests should you order to confirm a diagnosis of
hypothyroidism? Answer: t3 & Free T4 (preferred over T4)
◉ What are the hallmark signs of Grave's disease? Answer: enlarged
thyroid and increased T3
2026 FULL QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ Alice, age 48, has a benign thyroid nodule. The most common
treatment involves: Answer: Watchful waiting with an annual follow-up
◉ ACE inhibitors are given to clients with diabetes who have Answer:
persistent proteinuria
◉ 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? Answer: metformin
◉ An elderly client with hyperthyroidism may present with atypical
symptoms. Which of the following manifestations are commonly seen in
the elderly with hyperthyroidism? Answer: a-fib, depression, weight loss
◉ Diane has had Cushing's disease for 20 years and has been taking
hydrocortisone since her diagnosis. Today, she appears with a thick
,trunk and thin extremities. She has a "moon face," a "buffalo hump,"
thin skin with visible capillaries, and a number of bruises that appear to
be slow in healing. To what do you attribute these symptoms? Answer:
excessive levels of cortisol
◉ 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? Answer:
increase A.M. insulin
◉ 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? Answer: "Let's try it. You're glycohemoglobin will be lowered
and you may lose weight."
◉ Which is the only treatment option that is curative for primary
hyperparathyroidism? Answer: parathyroidectomy
◉ The most common worldwide cause of hypothyroidism is: Answer:
iodine deficiency
, ◉ What should be assessed for during exam on pt with
HYPOparathyroidism? Answer: chvostek's sign
◉ 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 Answer:
ADD LONG-ACTING INSULIN
◉ Joy has gout. In teaching her about her disease, which food do you
tell her is allowed in her diet? Answer: Broccoli
◉ What controls the amount of calcium in the blood? Answer:
Parathyroid
◉ Thyroid hormones regulate Answer: metabolism
◉ Which tests should you order to confirm a diagnosis of
hypothyroidism? Answer: t3 & Free T4 (preferred over T4)
◉ What are the hallmark signs of Grave's disease? Answer: enlarged
thyroid and increased T3
