NR 511 Differential Diagnosis
And Primary Care Practicum
NR 511 Week 8 Final Exam
You suspect that Sharon has hypoparathyroidism because, in addition to her other signs and
symptoms, she has:
Elevated serum phosphate levels.
Which of the following statements about hypothyroidism is not true?
The rate of hypothyroidism decreases with age.
Jenny, age 46, has hypertension that has been controlled with hydrochlorothiazide 50 mg every
day for the past 3 years. She is 5 ft 8 in tall and weighs 220 lb. Her fasting blood sugar (FBS) is
300 mg/dL, serum cholesterol level is 250 mg/dL, serum potassium level is 3.4 mEq, and she has
4+ glucosuria. Your next course of action would be to:
Repeat her FBS and do a glycated hemoglobin (HbA1c).
Ben, a client with type 1 diabetes, is hospitalized with an admitting diagnosis of diabetic
ketoacidosis (DKA). Which of the following signs and symptoms would be consistent with this
condition?
Ketonuria and polyuria.
Mary, age 72, has been taking insulin for several years. She just called you because she realized
that yesterday she put her short-acting insulin in the long-acting insulin box and vice versa. She
just took 22 units of regular insulin when she was supposed to take only 5 units. She says that
, she tried to do a fingerstick to test her glucose level but was unable to obtain any blood. She
states that she feels fine. What do you tell her to do first?
"Drink four ounces of fruit juice."
A 35-year-old male presents to your office complaining of fatigue, weight loss, nausea, and
abdominal pain. On physical exam, you notice he has orthostatic hypotension and
hyperpigmented skin. You do a morning cortisol level, which is low. The plasma
adrenocorticotropic hormone (ACTH) is elevated. How would you treat this patient?
Hydrocortisone.
Tamika, who has diabetes, states that she heard fiber is especially good to include in her diet.
How do you respond?
"Fiber, especially soluble fiber, helps improve carbohydrate metabolism, so it is more important
in the diet of persons with diabetes."
Betty, age 40, has had type 1 diabetes for 20 years and takes a combination of neutral protamine
Hagedorn (NPH) and regular insulin every day. She comes to the office because she has
developed a severe upper respiratory infection with chills, fever, and production of yellow
sputum. Because of her acute infection, you know that Betty is likely to require:
An increase in her daily insulin dosage.
Jay has had diabetes for 10 years. He recently had a physical and was told he has some evidence
of nephropathy. What is the first manifestation of this condition?
Microalbuminuria.
A low thyroid-stimulating hormone (TSH) can lead to:
Osteoporosis.
And Primary Care Practicum
NR 511 Week 8 Final Exam
You suspect that Sharon has hypoparathyroidism because, in addition to her other signs and
symptoms, she has:
Elevated serum phosphate levels.
Which of the following statements about hypothyroidism is not true?
The rate of hypothyroidism decreases with age.
Jenny, age 46, has hypertension that has been controlled with hydrochlorothiazide 50 mg every
day for the past 3 years. She is 5 ft 8 in tall and weighs 220 lb. Her fasting blood sugar (FBS) is
300 mg/dL, serum cholesterol level is 250 mg/dL, serum potassium level is 3.4 mEq, and she has
4+ glucosuria. Your next course of action would be to:
Repeat her FBS and do a glycated hemoglobin (HbA1c).
Ben, a client with type 1 diabetes, is hospitalized with an admitting diagnosis of diabetic
ketoacidosis (DKA). Which of the following signs and symptoms would be consistent with this
condition?
Ketonuria and polyuria.
Mary, age 72, has been taking insulin for several years. She just called you because she realized
that yesterday she put her short-acting insulin in the long-acting insulin box and vice versa. She
just took 22 units of regular insulin when she was supposed to take only 5 units. She says that
, she tried to do a fingerstick to test her glucose level but was unable to obtain any blood. She
states that she feels fine. What do you tell her to do first?
"Drink four ounces of fruit juice."
A 35-year-old male presents to your office complaining of fatigue, weight loss, nausea, and
abdominal pain. On physical exam, you notice he has orthostatic hypotension and
hyperpigmented skin. You do a morning cortisol level, which is low. The plasma
adrenocorticotropic hormone (ACTH) is elevated. How would you treat this patient?
Hydrocortisone.
Tamika, who has diabetes, states that she heard fiber is especially good to include in her diet.
How do you respond?
"Fiber, especially soluble fiber, helps improve carbohydrate metabolism, so it is more important
in the diet of persons with diabetes."
Betty, age 40, has had type 1 diabetes for 20 years and takes a combination of neutral protamine
Hagedorn (NPH) and regular insulin every day. She comes to the office because she has
developed a severe upper respiratory infection with chills, fever, and production of yellow
sputum. Because of her acute infection, you know that Betty is likely to require:
An increase in her daily insulin dosage.
Jay has had diabetes for 10 years. He recently had a physical and was told he has some evidence
of nephropathy. What is the first manifestation of this condition?
Microalbuminuria.
A low thyroid-stimulating hormone (TSH) can lead to:
Osteoporosis.
