NR 439 WEEK 1 INTRODUCTION TO EVIDENCE-
BASED PRACTICE QUESTIONS AND RATIONALE
GUIDE 2026
◉ Clinical Symptoms of Hyperthyroidism. Answer: Include goiter,
tremors, anxiety, palpitations, and diarrhea.
◉ TSH. Answer: Thyroid-stimulating hormone, regulates thyroid
hormone production.
◉ T3/T4. Answer: Thyroid hormones, regulate metabolism and
energy.
◉ Type 2 Diabetes Mellitus. Answer: Chronic condition affecting
glucose metabolism.
◉ Carbohydrate Counting. Answer: Dietary approach for managing
blood glucose levels.
◉ Fasting Blood Glucose. Answer: Blood sugar level after fasting,
normal < 99 mg/dL.
,◉ A1c. Answer: Average blood glucose over 2-3 months, normal <
7%.
◉ American Diabetes Association. Answer: Organization providing
guidelines for diabetes management.
◉ Pituitary Adenoma. Answer: Benign tumor of the pituitary gland.
◉ Galactorrhea. Answer: Inappropriate lactation not associated with
childbirth.
◉ Amenorrhea. Answer: Absence of menstruation.
◉ Dopamine Agonists. Answer: Medications used to treat pituitary
adenomas initially.
◉ Levothyroxine. Answer: Synthetic thyroid hormone used for
hypothyroidism treatment.
◉ Hashimoto's Thyroiditis. Answer: Autoimmune disorder causing
hypothyroidism.
◉ Elevated TSH. Answer: Indicates insufficient thyroid hormone
production.
,◉ Hypocalcemia Symptoms. Answer: Include tetany, paresthesia,
and abdominal pain.
◉ Visual Field Deficits. Answer: Potential symptom of pituitary
adenoma, not hypocalcemia.
◉ Fatigue. Answer: Common symptom of hypothyroidism.
◉ Cold Intolerance. Answer: Inability to tolerate cold temperatures,
linked to hypothyroidism.
◉ High TSH, Low Free T4. Answer: Indicates hypothyroidism
requiring treatment.
◉ Radioactive Iodine. Answer: Used for hyperthyroidism treatment,
not hypothyroidism.
◉ Beta-blockers. Answer: Medications used for symptom
management in hyperthyroidism.
◉ Elder Abuse Reporting. Answer: Mandatory reporting of
suspected abuse to authorities.
, ◉ Risk Management. Answer: Process of identifying and mitigating
risks in healthcare.
◉ Palliative Care Effectiveness. Answer: Evaluate by remission,
directives, DNR, symptom relief.
◉ Palliative Care Consults. Answer: For patients with 14 days or less
to live.
◉ Quality of Life Focus. Answer: Palliative care prioritizes quality
over curative treatment.
◉ COPD Management. Answer: Guided by symptomatology, not
solely spirometry.
◉ Spirometry Use. Answer: Diagnoses COPD but does not dictate
therapy.
◉ Arterial Blood Gases. Answer: Assesses severity during COPD
exacerbations.
◉ Radiologic Imaging. Answer: Shows stable chronic findings in
COPD.
BASED PRACTICE QUESTIONS AND RATIONALE
GUIDE 2026
◉ Clinical Symptoms of Hyperthyroidism. Answer: Include goiter,
tremors, anxiety, palpitations, and diarrhea.
◉ TSH. Answer: Thyroid-stimulating hormone, regulates thyroid
hormone production.
◉ T3/T4. Answer: Thyroid hormones, regulate metabolism and
energy.
◉ Type 2 Diabetes Mellitus. Answer: Chronic condition affecting
glucose metabolism.
◉ Carbohydrate Counting. Answer: Dietary approach for managing
blood glucose levels.
◉ Fasting Blood Glucose. Answer: Blood sugar level after fasting,
normal < 99 mg/dL.
,◉ A1c. Answer: Average blood glucose over 2-3 months, normal <
7%.
◉ American Diabetes Association. Answer: Organization providing
guidelines for diabetes management.
◉ Pituitary Adenoma. Answer: Benign tumor of the pituitary gland.
◉ Galactorrhea. Answer: Inappropriate lactation not associated with
childbirth.
◉ Amenorrhea. Answer: Absence of menstruation.
◉ Dopamine Agonists. Answer: Medications used to treat pituitary
adenomas initially.
◉ Levothyroxine. Answer: Synthetic thyroid hormone used for
hypothyroidism treatment.
◉ Hashimoto's Thyroiditis. Answer: Autoimmune disorder causing
hypothyroidism.
◉ Elevated TSH. Answer: Indicates insufficient thyroid hormone
production.
,◉ Hypocalcemia Symptoms. Answer: Include tetany, paresthesia,
and abdominal pain.
◉ Visual Field Deficits. Answer: Potential symptom of pituitary
adenoma, not hypocalcemia.
◉ Fatigue. Answer: Common symptom of hypothyroidism.
◉ Cold Intolerance. Answer: Inability to tolerate cold temperatures,
linked to hypothyroidism.
◉ High TSH, Low Free T4. Answer: Indicates hypothyroidism
requiring treatment.
◉ Radioactive Iodine. Answer: Used for hyperthyroidism treatment,
not hypothyroidism.
◉ Beta-blockers. Answer: Medications used for symptom
management in hyperthyroidism.
◉ Elder Abuse Reporting. Answer: Mandatory reporting of
suspected abuse to authorities.
, ◉ Risk Management. Answer: Process of identifying and mitigating
risks in healthcare.
◉ Palliative Care Effectiveness. Answer: Evaluate by remission,
directives, DNR, symptom relief.
◉ Palliative Care Consults. Answer: For patients with 14 days or less
to live.
◉ Quality of Life Focus. Answer: Palliative care prioritizes quality
over curative treatment.
◉ COPD Management. Answer: Guided by symptomatology, not
solely spirometry.
◉ Spirometry Use. Answer: Diagnoses COPD but does not dictate
therapy.
◉ Arterial Blood Gases. Answer: Assesses severity during COPD
exacerbations.
◉ Radiologic Imaging. Answer: Shows stable chronic findings in
COPD.
