NUR 654 FINAL EXAM STUDY SET | 188 QUESTIONS
AND ANSWERS | 2025/2026 UPDATE | WITH
COMPLETE SOLUTION!!
A patient has rapid weight gain, amenorrhea without pregnancy, and mild
hypertension. Once confirmatory tests are performed, what is a possible
treatment for this patient? Answer - Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory tests will the provider order vs NOT order Answer - ORDER:
Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial
visit and updated at preventive visits Answer - T
T or F: A patient on chemo has a high temperature and absolute neutropenic
count >500,000 needs immediate ER workup Answer - T
Radiation therapy can be used for all of the following in cancer treatment
EXCEPT Answer - Treatment of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care
Answer - T
,What is an effective pharmacologic medication to treat non-cancer chronic
pain? Answer - Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs,
liver, bone, and brain Answer - T
What is an FDA approved treatment for osteoporosis? Answer -
Biphosphonate therapy
T or F: Bone density improvement is the primary goal of biphosphonate
treatment? Answer - F (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following
EXCEPT Answer - Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of
bone and specific deformities (long bone bowing) Answer - T
Symptoms of Cushing's Syndrome include Answer - Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's
Syndrome if indicated Answer - T
Addison's Disease may cause which of the following lab abnormalities? Answer
- Elevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology
for an evaluation Answer - T
, A positive Trousseau's sign occurs with which serum abnormality? Answer -
HYPOcalcemia
Which of the following can cause hypocalcemia? Answer - Vit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium Answer - T
Which can cause hyperkalemia in a patient with normal renal function? Answer
- Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close
monitoring of calcium, creatinine, and bone density Answer - T
Criteria for parathyroidectomy in a case of primary hyperparathyroidism
includes all EXCEPT Answer - under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion
of PTH along with hypercalcemia Answer - F
T or F: Patients with a history of migraines with aura is an absolute
contraindication for combined oral contraceptives Answer - T
When an OCP is forgotten for 2 days or fewer... Answer - 2 pills for 2 days,
resume pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and
negative HcG needs no further evaluation for underlying cause Answer - F
AND ANSWERS | 2025/2026 UPDATE | WITH
COMPLETE SOLUTION!!
A patient has rapid weight gain, amenorrhea without pregnancy, and mild
hypertension. Once confirmatory tests are performed, what is a possible
treatment for this patient? Answer - Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory tests will the provider order vs NOT order Answer - ORDER:
Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial
visit and updated at preventive visits Answer - T
T or F: A patient on chemo has a high temperature and absolute neutropenic
count >500,000 needs immediate ER workup Answer - T
Radiation therapy can be used for all of the following in cancer treatment
EXCEPT Answer - Treatment of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care
Answer - T
,What is an effective pharmacologic medication to treat non-cancer chronic
pain? Answer - Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs,
liver, bone, and brain Answer - T
What is an FDA approved treatment for osteoporosis? Answer -
Biphosphonate therapy
T or F: Bone density improvement is the primary goal of biphosphonate
treatment? Answer - F (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following
EXCEPT Answer - Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of
bone and specific deformities (long bone bowing) Answer - T
Symptoms of Cushing's Syndrome include Answer - Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's
Syndrome if indicated Answer - T
Addison's Disease may cause which of the following lab abnormalities? Answer
- Elevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology
for an evaluation Answer - T
, A positive Trousseau's sign occurs with which serum abnormality? Answer -
HYPOcalcemia
Which of the following can cause hypocalcemia? Answer - Vit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium Answer - T
Which can cause hyperkalemia in a patient with normal renal function? Answer
- Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close
monitoring of calcium, creatinine, and bone density Answer - T
Criteria for parathyroidectomy in a case of primary hyperparathyroidism
includes all EXCEPT Answer - under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion
of PTH along with hypercalcemia Answer - F
T or F: Patients with a history of migraines with aura is an absolute
contraindication for combined oral contraceptives Answer - T
When an OCP is forgotten for 2 days or fewer... Answer - 2 pills for 2 days,
resume pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and
negative HcG needs no further evaluation for underlying cause Answer - F
