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MARYVILLE NURS 623 EXAM 2 NEWEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
What periodic testing should you order if a patient has been on
the first choice oral antihyperglycemic medicine long term and
complains of neuropathy? Why? (hint: hematological) - ANSWER-
●Vitamin B12 annually (CAN CAUSE B12 DEF)
What is the goal of treatment for DM2? - ANSWER-A1C <7%;
PREVENT FURTHER ORGAN DAMAGE
What subsequent laboratory tests are needed to evaluate the
general health of patients with DM2 (consider co-morbidities)? -
ANSWER-CMP (liver, kidney, glucose), Lipids, serum creatinine,
and urine albumin
Which of the serum laboratory findings are present in the client
with Cushing's syndrome? - ANSWER-Increased cortisol,
HYPERnatremia, and HYPOkalemia
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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
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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
MARYVILLE NURS 623 EXAM 2 NEWEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
What periodic testing should you order if a patient has been on
the first choice oral antihyperglycemic medicine long term and
complains of neuropathy? Why? (hint: hematological) - ANSWER-
●Vitamin B12 annually (CAN CAUSE B12 DEF)
What is the goal of treatment for DM2? - ANSWER-A1C <7%;
PREVENT FURTHER ORGAN DAMAGE
What subsequent laboratory tests are needed to evaluate the
general health of patients with DM2 (consider co-morbidities)? -
ANSWER-CMP (liver, kidney, glucose), Lipids, serum creatinine,
and urine albumin
Which of the serum laboratory findings are present in the client
with Cushing's syndrome? - ANSWER-Increased cortisol,
HYPERnatremia, and HYPOkalemia
,2|Page
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
, 3|Page
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
