1|Page
NRNP 6568 Advanced Practice Care Week 7
Knowledge Check | Verified Q&A with Rationales |
APRN Exam Prep | Grade A Guaranteed
Exam Structure:
Subject: NRNP 6568 Week 7 Knowledge Check
Source: NRNP 6568 (Verified Q&A)
Format: Exam-Style Questions with Bolded Questions and Italicized Vertical
Rationales
1. Alopecia of outer one third of eyebrow and myxedema are
symptoms of:
A. Hyperthyroidism
B. Thyroid CA
C. Hypothyroidism
D. Thyrotoxicosis
Correct Answer: C. Hypothyroidism
Rationale:
1. Alopecia (hair loss) of the outer one-third of the eyebrow is a classic sign
of hypothyroidism.
2. Myxedema refers to non-pitting edema caused by accumulation of
glycosaminoglycans in hypothyroidism.
3. Both symptoms result from decreased thyroid hormone levels slowing
metabolic processes.
4. Hyperthyroidism and thyrotoxicosis cause opposite findings such as hair
thinning (not localized) and no myxedema.
2. Insulin doses typically remain the same when a woman with Type 1
Diabetes Mellitus becomes pregnant. True or False?
Correct Answer: False
, 2|Page
Rationale:
1. Pregnancy induces insulin resistance due to placental hormones (e.g.,
human placental lactogen).
2. Insulin requirements typically increase significantly during the second and
third trimesters.
3. Doses often need frequent adjustment to maintain glycemic control.
4. Keeping doses the same would lead to hyperglycemia and adverse
pregnancy outcomes.
3. What are the primary purposes of periodic examination of patients
with known Diabetes Mellitus?
A. Reverse end organ damage, prevent renal dysfunction, escalate drug
therapy
B. Wean off diabetic medications to prevent tolerance, reverse end organ
damage, evaluate blood glucose control
C. Reverse end organ damage, escalate drug therapy, meet quality reporting
requirements
D. Evaluate blood glucose control; to assess for end-organ damage; to
assess for associated diseases
Correct Answer: D. Evaluate blood glucose control; to assess for end-
organ damage; to assess for associated diseases
Rationale:
1. Evaluating blood glucose control guides therapy adjustments to prevent
complications.
2. Assessing for end-organ damage (eyes, kidneys, nerves, heart) allows
early intervention.
3. Assessing for associated diseases (hypertension, dyslipidemia) reduces
cardiovascular risk.
4. End-organ damage cannot be fully reversed, making prevention through
monitoring essential.
4. Several organizations have come together to define the diagnostic
criteria for metabolic syndrome. One of these criteria is: Reduced HDL
cholesterol: below 50 mg/dL in males and below 60 in females, or
specific treatment for this lipid abnormality.
A. True
B. False
NRNP 6568 Advanced Practice Care Week 7
Knowledge Check | Verified Q&A with Rationales |
APRN Exam Prep | Grade A Guaranteed
Exam Structure:
Subject: NRNP 6568 Week 7 Knowledge Check
Source: NRNP 6568 (Verified Q&A)
Format: Exam-Style Questions with Bolded Questions and Italicized Vertical
Rationales
1. Alopecia of outer one third of eyebrow and myxedema are
symptoms of:
A. Hyperthyroidism
B. Thyroid CA
C. Hypothyroidism
D. Thyrotoxicosis
Correct Answer: C. Hypothyroidism
Rationale:
1. Alopecia (hair loss) of the outer one-third of the eyebrow is a classic sign
of hypothyroidism.
2. Myxedema refers to non-pitting edema caused by accumulation of
glycosaminoglycans in hypothyroidism.
3. Both symptoms result from decreased thyroid hormone levels slowing
metabolic processes.
4. Hyperthyroidism and thyrotoxicosis cause opposite findings such as hair
thinning (not localized) and no myxedema.
2. Insulin doses typically remain the same when a woman with Type 1
Diabetes Mellitus becomes pregnant. True or False?
Correct Answer: False
, 2|Page
Rationale:
1. Pregnancy induces insulin resistance due to placental hormones (e.g.,
human placental lactogen).
2. Insulin requirements typically increase significantly during the second and
third trimesters.
3. Doses often need frequent adjustment to maintain glycemic control.
4. Keeping doses the same would lead to hyperglycemia and adverse
pregnancy outcomes.
3. What are the primary purposes of periodic examination of patients
with known Diabetes Mellitus?
A. Reverse end organ damage, prevent renal dysfunction, escalate drug
therapy
B. Wean off diabetic medications to prevent tolerance, reverse end organ
damage, evaluate blood glucose control
C. Reverse end organ damage, escalate drug therapy, meet quality reporting
requirements
D. Evaluate blood glucose control; to assess for end-organ damage; to
assess for associated diseases
Correct Answer: D. Evaluate blood glucose control; to assess for end-
organ damage; to assess for associated diseases
Rationale:
1. Evaluating blood glucose control guides therapy adjustments to prevent
complications.
2. Assessing for end-organ damage (eyes, kidneys, nerves, heart) allows
early intervention.
3. Assessing for associated diseases (hypertension, dyslipidemia) reduces
cardiovascular risk.
4. End-organ damage cannot be fully reversed, making prevention through
monitoring essential.
4. Several organizations have come together to define the diagnostic
criteria for metabolic syndrome. One of these criteria is: Reduced HDL
cholesterol: below 50 mg/dL in males and below 60 in females, or
specific treatment for this lipid abnormality.
A. True
B. False
