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NRNP 6531 Endocrine exit final exam rated A answers 100% pass
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NRNP 6531 Endocrine exit final examrated A answers 100% pass
Which of the following findings is associated with thyroid hypofunction? - answer-Myxedema
A 30-year-old woman with type 2 diabetes uses regular and NPH (neutral protein Hagedorn) insulin in
the morning and in the evening. She denies changes in her diet or any illness, but recently started
attending aerobic classes in the afternoon. Her fasting blood glucose level before breakfast is now
elevated. Which of the following is best described? - answer-Somogyi phenomenon
A 65-year-old man presents to the clinic complaining of random recurrent episodes of dizziness with
nausea. The patient describes it as the sensation of the room moving or of the room spinning. It is
worsened by sudden head movement. During the episodes, he becomes very nauseated. He also has
tinnitus with hearing loss in his right ear. The patient has type 2 diabetes and is on a prescription of
metformin 500 mg PO BID and an angiotensin-converting enzyme (ACE) inhibitor. The blood glucose
level during his visit is 80 mg/dL. Which of the following conditions is most likely? - answer-Meniere's
disease
The Somogyi effect is characterized by which of the following? - answer-It is characterized by high
fasting blood glucose in the morning that is caused by the secretion of glucagon
A 35-year-old woman is complaining of gradual weight gain, lack of energy, and amenorrhea. The urine
pregnancy test is negative. A complete blood count (CBC) shows hemoglobin of 13.5 g/dL and mean
corpuscular volume (MCV) of 84 fL. The nurse practitioner suspects that the patient may have
hypothyroidism. The thyroid-stimulating hormone (TSH) level is 10 mU/L. Which of the following is the
next step in the evaluation? - answer-Check the thyroid profile
The nurse practitioner who suspects that one of her hypertensive patients has Cushing's syndrome
would expect to find which of the following laboratory results? - answer-Elevated serum cortisol levels
The American Diabetes Association (ADA) now prefers a spot urine for the microalbumin-to-creatinine
ratio (ACR) test instead of a urine albumin test. Use the first morning void sample. The ACR has high
predictive value for albuminuria and early kidney disease in patients with prediabetes, diabetes, and
hypertension (McCulloch & Bakris, 2016). Because the patient has type 2 diabetes, both an annual
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