MARYVILLE NURS 623 EXAM 2 Questions And
Answers
Which of the serum laboratory findings are present in the client with Cushing's syndrome? Correct
Answers: Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: Correct Answers:
Watchful waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have Correct Answers: 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? Correct Answers: metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following
manifestations are commonly seen in the elderly with hyperthyroidism? Correct Answers: 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? Correct Answers: 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? Correct Answers: 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? Correct Answers: "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? Correct Answers:
parathyroidectomy
The most common worldwide cause of hypothyroidism is: Correct Answers: iodine deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? Correct Answers:
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 Correct
Answers: ADD LONG-ACTING INSULIN
, Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet?
Correct Answers: Broccoli
What controls the amount of calcium in the blood? Correct Answers: Parathyroid
Thyroid hormones regulate Correct Answers: metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? Correct Answers: t3 & Free
T4 (preferred over T4)
What are the hallmark signs of Grave's disease? Correct Answers: enlarged thyroid and increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? Correct Answers: ULTRASOUND
What is the diagnostic screening for thyroid cancer? Correct Answers: FINE NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy Correct Answers: Propylthiouracil
(PTU):
Before starting anti-thyroid meds what should be checked? Correct Answers: LIVER FUNCTIONS
what is the goal of thyroid treatment Correct Answers: euthyroid state
What are signs and symptoms of hypothyroidism overtreatment? Correct Answers: hyperglycemia;
cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
Hyperthyroidism causes an excessive secretion of which thyroid hormones? Correct Answers: T3 &
T4
What are S/S of hyperthyroidism? Correct Answers: "Hot/buldging/fast" heat intolerance, eye buldge,
tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
What are S/S of HYPOthyroidism? Correct Answers: "cold, slow, tired" cold intolerance, slow speech,
fatigue, lethargy, weight gain, constipation, brittle nail/hair
What is the most common cause of hyperthyroidism? Correct Answers: Graves disease
Name the two thyroid hormones produced by the thyroid gland? Correct Answers: T3 & T4
Name the hormone produced by the pituitary gland, state the purpose of the hormone Correct
Answers: TSH; regulate the production of hormones by the thyroid gland
IN GRAVES DISEASE THE THE TSH IS _________ AND THE T3/T4 ARE __________ Correct
Answers: LOW; HIGH
IN HASHIMOTO'S DISEASE THE THE TSH IS _________ AND THE T3/T4 ARE __________
Correct Answers: HIGH; LOW
WHAT allows the resolution of hyperthyroidism, although patients then become hypothyroid and
require thyroid replacement therapy for life Correct Answers: ABLATIVE DOSE IODINE
Answers
Which of the serum laboratory findings are present in the client with Cushing's syndrome? Correct
Answers: Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: Correct Answers:
Watchful waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have Correct Answers: 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? Correct Answers: metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following
manifestations are commonly seen in the elderly with hyperthyroidism? Correct Answers: 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? Correct Answers: 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? Correct Answers: 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? Correct Answers: "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? Correct Answers:
parathyroidectomy
The most common worldwide cause of hypothyroidism is: Correct Answers: iodine deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? Correct Answers:
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 Correct
Answers: ADD LONG-ACTING INSULIN
, Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet?
Correct Answers: Broccoli
What controls the amount of calcium in the blood? Correct Answers: Parathyroid
Thyroid hormones regulate Correct Answers: metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? Correct Answers: t3 & Free
T4 (preferred over T4)
What are the hallmark signs of Grave's disease? Correct Answers: enlarged thyroid and increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? Correct Answers: ULTRASOUND
What is the diagnostic screening for thyroid cancer? Correct Answers: FINE NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy Correct Answers: Propylthiouracil
(PTU):
Before starting anti-thyroid meds what should be checked? Correct Answers: LIVER FUNCTIONS
what is the goal of thyroid treatment Correct Answers: euthyroid state
What are signs and symptoms of hypothyroidism overtreatment? Correct Answers: hyperglycemia;
cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
Hyperthyroidism causes an excessive secretion of which thyroid hormones? Correct Answers: T3 &
T4
What are S/S of hyperthyroidism? Correct Answers: "Hot/buldging/fast" heat intolerance, eye buldge,
tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
What are S/S of HYPOthyroidism? Correct Answers: "cold, slow, tired" cold intolerance, slow speech,
fatigue, lethargy, weight gain, constipation, brittle nail/hair
What is the most common cause of hyperthyroidism? Correct Answers: Graves disease
Name the two thyroid hormones produced by the thyroid gland? Correct Answers: T3 & T4
Name the hormone produced by the pituitary gland, state the purpose of the hormone Correct
Answers: TSH; regulate the production of hormones by the thyroid gland
IN GRAVES DISEASE THE THE TSH IS _________ AND THE T3/T4 ARE __________ Correct
Answers: LOW; HIGH
IN HASHIMOTO'S DISEASE THE THE TSH IS _________ AND THE T3/T4 ARE __________
Correct Answers: HIGH; LOW
WHAT allows the resolution of hyperthyroidism, although patients then become hypothyroid and
require thyroid replacement therapy for life Correct Answers: ABLATIVE DOSE IODINE
