NUR 603 Final EXAM LATEST UPDATED
VERSION QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST RELEASED
A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram
changes should the clinician expect as a manifestation of the disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves - answer>>>A. Sinus bradycardia
The clinician suspects that a client seen in the office has hyperthyroidism. Which of the
following tests should the clinician order on the initial visit?
A. High sensitivity thyroid-stimulating hormone (TSH) and free T4
B. Free T4 and serum calcium
C. Free T3 and T4
D. TSH and thyroxin antibodies - answer>>>A. High sensitivity thyroid-stimulating
hormone (TSH) and free T4
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain,
and constipation for the past 3 months. On physical examination, the clinician notices
muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes.
Which test should be ordered next?A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity - answer>>>B. Thyroid-stimulating hormone
,After 6 months of Synthroid therapy, the clinician should expect which result in the
repeat thyroid-stimulating hormone studies?
A. Elevated
B. Normal
C. Low
D. Undetectable - answer>>>B. Normal
Which of the following is essential for diagnosing thyroid cancer?
A. Fine needle aspiration biopsy
B. Thyroid ultrasound
C. Computed tomography scan
D. Magnetic resonance imaging - answer>>>A. Fine needle aspiration biopsy
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessive worry or apprehension must be present more days than not
for at least:
A. 1 month
B. 3 months
C. 6 months
D. 12 months - answer>>>C. 6 months
The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of
the following neurotransmitters plays a role in anxiety?
A. Acetylcholine
B. Gamma-aminobutyric acid (GABA)
,C. Dopamine
D. Serotonin - answer>>>B. Gamma-aminobutyric acid (GABA)
Which is the most prevalent psychiatric condition in the United States?
A. Depression
B. Anxiety
C. Substance-related addictions
D. Gambling addiction - answer>>>B. Anxiety
A patient with type 1 diabetes has diabetic ketoacidosis. Which first-line treatment
should the clinician prescribe?
A. NPH insulin
B. Regular insulin
C. IV normal saline
D. Thiazolidinedione - answer>>>B. Regular insulin
A patient presents to the clinician after experiencing four episodes in the last month of
sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10
minutes. The patient is now becoming very fearful of future events and has been
reluctant to leave the house. The clinician suspects panic disorder but wants to rule out
any possible medical causes. Which of the following medical conditions can mimic the
symptoms of a panic attack?
A. Pheochromocytoma
B. Hyperthyroidism
C. Cardiac arrhythmias
D. All of the above - answer>>>D. All of the above
, Which of the following is considered first-line treatment for panic disorders?
A. Benzodiazepines
B. Selective serotonin reuptake inhibitors (SSRIs)
C. Tricyclic antidepressants
D. Cognitive behavioral therapy - answer>>>D. Cognitive behavioral therapy
A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of
diabetes mellitus. Which condition should be included in the differential diagnosis?
A. Peripheral vascular disease
B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly - answer>>>B. Pheochromocytoma
A nondiabetic patient has idiopathic hypoglycemia. Which dietary instruction should the
clinician share with the patient?
A. Follow a low-protein, high-carbohydrate diet
B. Allow caffeine at each meal
C. Avoid nuts and seeds
D. Eat six small meals a day - answer>>>D. Eat six small meals a day
Which laboratory test result is diagnostic for hypoglycemia?
A. A1c 7.0%
B. Fasting blood sugar of 75 mg/dL
C. Glucose level 43 mg/dL
D. Random glucose level 64 mg/dL - answer>>>C. Glucose level 43 mg/dL
VERSION QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST RELEASED
A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram
changes should the clinician expect as a manifestation of the disease?
A. Sinus bradycardia
B. Atrial fibrillation
C. Supraventricular tachycardia
D. U waves - answer>>>A. Sinus bradycardia
The clinician suspects that a client seen in the office has hyperthyroidism. Which of the
following tests should the clinician order on the initial visit?
A. High sensitivity thyroid-stimulating hormone (TSH) and free T4
B. Free T4 and serum calcium
C. Free T3 and T4
D. TSH and thyroxin antibodies - answer>>>A. High sensitivity thyroid-stimulating
hormone (TSH) and free T4
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain,
and constipation for the past 3 months. On physical examination, the clinician notices
muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes.
Which test should be ordered next?A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine specific gravity - answer>>>B. Thyroid-stimulating hormone
,After 6 months of Synthroid therapy, the clinician should expect which result in the
repeat thyroid-stimulating hormone studies?
A. Elevated
B. Normal
C. Low
D. Undetectable - answer>>>B. Normal
Which of the following is essential for diagnosing thyroid cancer?
A. Fine needle aspiration biopsy
B. Thyroid ultrasound
C. Computed tomography scan
D. Magnetic resonance imaging - answer>>>A. Fine needle aspiration biopsy
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessive worry or apprehension must be present more days than not
for at least:
A. 1 month
B. 3 months
C. 6 months
D. 12 months - answer>>>C. 6 months
The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of
the following neurotransmitters plays a role in anxiety?
A. Acetylcholine
B. Gamma-aminobutyric acid (GABA)
,C. Dopamine
D. Serotonin - answer>>>B. Gamma-aminobutyric acid (GABA)
Which is the most prevalent psychiatric condition in the United States?
A. Depression
B. Anxiety
C. Substance-related addictions
D. Gambling addiction - answer>>>B. Anxiety
A patient with type 1 diabetes has diabetic ketoacidosis. Which first-line treatment
should the clinician prescribe?
A. NPH insulin
B. Regular insulin
C. IV normal saline
D. Thiazolidinedione - answer>>>B. Regular insulin
A patient presents to the clinician after experiencing four episodes in the last month of
sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10
minutes. The patient is now becoming very fearful of future events and has been
reluctant to leave the house. The clinician suspects panic disorder but wants to rule out
any possible medical causes. Which of the following medical conditions can mimic the
symptoms of a panic attack?
A. Pheochromocytoma
B. Hyperthyroidism
C. Cardiac arrhythmias
D. All of the above - answer>>>D. All of the above
, Which of the following is considered first-line treatment for panic disorders?
A. Benzodiazepines
B. Selective serotonin reuptake inhibitors (SSRIs)
C. Tricyclic antidepressants
D. Cognitive behavioral therapy - answer>>>D. Cognitive behavioral therapy
A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of
diabetes mellitus. Which condition should be included in the differential diagnosis?
A. Peripheral vascular disease
B. Pheochromocytoma
C. Cushing's disease
D. Acromegaly - answer>>>B. Pheochromocytoma
A nondiabetic patient has idiopathic hypoglycemia. Which dietary instruction should the
clinician share with the patient?
A. Follow a low-protein, high-carbohydrate diet
B. Allow caffeine at each meal
C. Avoid nuts and seeds
D. Eat six small meals a day - answer>>>D. Eat six small meals a day
Which laboratory test result is diagnostic for hypoglycemia?
A. A1c 7.0%
B. Fasting blood sugar of 75 mg/dL
C. Glucose level 43 mg/dL
D. Random glucose level 64 mg/dL - answer>>>C. Glucose level 43 mg/dL
