Review Questions for Nurs623 Exam 2 And
Answers Updated
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:
Add a dosage of long-acting insulin at bedtime to the regimen.
Alice, age 48, has a benign thyroid nodule. The most common treatment
involves:
Watchful waiting with an annual follow-up
Which of the following is a sign of hypothyroidism?
Brittle Hair
ACE inhibitors are given to clients with diabetes who have
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?
Metformin (Glucophage).
An elderly client with hyperthyroidism may present with atypical symptoms.
Which of the following manifestations are commonly seen in the elderly with
hyperthyroidism?
Atrial fibrillation, depression, and 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?
Excessive levels of circulating 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?
Increase the 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?
"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?
Parathyroidectomy
The most common worldwide cause of hypothyroidism is:
Iodine deficiency.
, Margie has hypoparathyroidism. Which of the following would you assess
during your examination?
Chvostek's sign
Jane has insulin-dependent diabetes mellitus and has been experiencing
hyperglycemia before dinner. A possible solution to this problem is to:
Add physical activity between lunch and dinner.
After a subtotal thyroidectomy, it is crucial to assess:
Speaking ability.
Mandy has type 2 diabetes. She says she heard that if she becomes pregnant,
she must go on insulin therapy. How do you respond?
"Insulin is commonly used during pregnancy. Some oral agents are now being used."
Minnie is pregnant. She has hypothyroidism and has been on the same
levothyroxine medication for years. What might you expect to do with her
levothyroxine medication?
Increase the dosage.
Which of the following medications can produce gynecomastia?
Cimetidine (Tagamet)
Sandy is being treated for chronic hypocalcemia. When her serum calcium
level returns to normal, you assess her urinary calcium level and note that it is
greater than 250 mg in a 24-hour sample. This indicates that:
Her vitamin D dosage should be decreased.
Which of the following serum laboratory findings are present in the client with
Cushing's syndrome?
Increased cortisol, increased sodium, and decreased potassium levels
Sidney has been taking a sulfonylurea for 5 years to treat his type 2 diabetes.
He asks how long he needs to take the medication before he tries another
medication. You tell him:
"Sulfonylureas are usually effective for 7 to 10 years in most clients."
Sara has diabetes and is now experiencing anhidrosis on the hands and feet,
increased sweating on the face and trunk, dysphagia, anorexia, and heartburn.
Which complication of diabetes do you suspect?
Visceral neuropathies
Joy has gout. In teaching her about her disease, which food do you tell her is
allowed in her diet?
Broccoli
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:
Add a nighttime dosage of long-acting insulin to the regimen.
Why is parathyroid hormone secretion increased during pregnancy?
To meet the increased requirements for calcium and vitamin D for fetal skeletal
growth
When teaching Marcy how to use her new insulin pump, you tell her that she
needs to monitor her blood glucose level:
Answers Updated
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:
Add a dosage of long-acting insulin at bedtime to the regimen.
Alice, age 48, has a benign thyroid nodule. The most common treatment
involves:
Watchful waiting with an annual follow-up
Which of the following is a sign of hypothyroidism?
Brittle Hair
ACE inhibitors are given to clients with diabetes who have
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?
Metformin (Glucophage).
An elderly client with hyperthyroidism may present with atypical symptoms.
Which of the following manifestations are commonly seen in the elderly with
hyperthyroidism?
Atrial fibrillation, depression, and 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?
Excessive levels of circulating 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?
Increase the 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?
"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?
Parathyroidectomy
The most common worldwide cause of hypothyroidism is:
Iodine deficiency.
, Margie has hypoparathyroidism. Which of the following would you assess
during your examination?
Chvostek's sign
Jane has insulin-dependent diabetes mellitus and has been experiencing
hyperglycemia before dinner. A possible solution to this problem is to:
Add physical activity between lunch and dinner.
After a subtotal thyroidectomy, it is crucial to assess:
Speaking ability.
Mandy has type 2 diabetes. She says she heard that if she becomes pregnant,
she must go on insulin therapy. How do you respond?
"Insulin is commonly used during pregnancy. Some oral agents are now being used."
Minnie is pregnant. She has hypothyroidism and has been on the same
levothyroxine medication for years. What might you expect to do with her
levothyroxine medication?
Increase the dosage.
Which of the following medications can produce gynecomastia?
Cimetidine (Tagamet)
Sandy is being treated for chronic hypocalcemia. When her serum calcium
level returns to normal, you assess her urinary calcium level and note that it is
greater than 250 mg in a 24-hour sample. This indicates that:
Her vitamin D dosage should be decreased.
Which of the following serum laboratory findings are present in the client with
Cushing's syndrome?
Increased cortisol, increased sodium, and decreased potassium levels
Sidney has been taking a sulfonylurea for 5 years to treat his type 2 diabetes.
He asks how long he needs to take the medication before he tries another
medication. You tell him:
"Sulfonylureas are usually effective for 7 to 10 years in most clients."
Sara has diabetes and is now experiencing anhidrosis on the hands and feet,
increased sweating on the face and trunk, dysphagia, anorexia, and heartburn.
Which complication of diabetes do you suspect?
Visceral neuropathies
Joy has gout. In teaching her about her disease, which food do you tell her is
allowed in her diet?
Broccoli
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:
Add a nighttime dosage of long-acting insulin to the regimen.
Why is parathyroid hormone secretion increased during pregnancy?
To meet the increased requirements for calcium and vitamin D for fetal skeletal
growth
When teaching Marcy how to use her new insulin pump, you tell her that she
needs to monitor her blood glucose level:
