NRNP 6531 Endocrine and
metabolic disorders exam
with complete verified
solution 2025
Epidemiological studies show that Hashimoto's disease occurs most
commonly in: - answer Middle-aged to older women
Which of the following would you recommend on an annual basis for
an elderly patient with type 2 diabetes? - answer
A middle-aged patient newly diagnosed with type 2 diabetes wants
to start an exercise program. All of the following statements are
true except: - answer Strenuous exercise is contraindicated for most
patients with type 2 diabetes because of a higher risk of
hypoglycemic episodes
The best screening test for both hyperthyroidism and
hypothyroidism is: - answer Thyroid-stimulating hormone (TSH)
A 50-year-old woman of Irish descent presents with history of
lethargy, feeling weak, nausea, anorexia with diarrhea and
abdominal pain. The woman's skin appears tanned, but she denies
prolonged sun exposure. During physical exam, the nurse
practitioner notes hyperpigmentation of the nipple area, the gums,
and the lips. The electrolyte panel reveals hyperkalemia and
hyponatremia. She reports craving salty foods. Which of the
following is most likely? - answer Addison's disease
, Which of the following groups has been recommended to be
screened for thyroid disease? - answer Women aged 50 years or
older
Which of the following laboratory test results meet the diagnostic
criteria for prediabetes? - answer A1C of 5.9%
Which of the following is used to confirm a diagnosis of Hashimoto's
thyroiditis? - answer Anti-thyroid peroxidase and anti-thyroglobulin
antibodies
A 10-year-old boy has type 1 diabetes. His late afternoon blood
sugars over the past 2 weeks have ranged between 210 mg/dL and
230 mg/dL. He currently injects 10 units of regular insulin and 25
units of NPH in the morning and 15 units of regular insulin and 10
units of NPH insulin in the evening. Which of the following is the
best treatment plan for this patient? - answer Increase only the NPH
insulin in the morning
An obese Asian patient with BMI (body mass index) of 33 complains
of fatigue, and excessive thirst and hunger. You suspect type 2
diabetes mellitus. Initial testing to confirm diagnosis can include: -
answer Fasting plasma glucose level
Glycated hemoglobin level (A1C)
Oral glucose tolerance testing
All of the above
All of the following patients should be screened for diabetes
mellitus except: - answer A 30-year-old White man with
hypertension
A 55-year-old woman who has had type 2 diabetes for 20 years is
concerned about her kidneys. She has a history of three urinary
tract infections (UTIs) within the past 8 months, but is currently
asymptomatic. Which of the following is the best course to follow? -
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