NUR 654 FINAL EXAM STUDY SET QUESTION AND
ANSWERS (VERIFIED ANSWERS)
1. **A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. What is a
possible treatment?**
- A) Hormone therapy
- B) Lifestyle changes
- C) Pituitary tumor resection
- D) Medication adjustments
**Answer: C) Pituitary tumor resection.**
2. **A patient has unexplained weight loss and increased skin pigmentation. Which tests will the
provider order?**
- A) Serum cortisol
- B) Serum electrolytes
- C) TB skin testing
- D) Serum ACTH
**Answer: B) Serum electrolytes, C) TB skin testing, D) Serum ACTH.**
- **NOT Order:** A) Serum cortisol.
3. **True or False: Patient wishes related to palliative care should be discussed at the initial visit and
updated at follow-up visits.**
**Answer: True.**
4. **True or False: A patient on chemotherapy with a high temperature and absolute neutrophil count
>500,000 needs immediate ER workup.**
,ESTUDY
**Answer: True.**
5. **Radiation therapy can be used for all of the following in cancer treatment EXCEPT:**
- A) Pain relief
- B) Tumor shrinkage
- C) Treatment of side effects of chemotherapy
- D) Cure for cancer
**Answer: C) Treatment of side effects of chemotherapy.**
6. **True or False: SIADH is an oncological emergency requiring urgent oncologic care.**
**Answer: True.**
7. **What is an effective medication to treat non-cancer chronic pain?**
- A) Acetaminophen
- B) Ibuprofen
- C) Morphine
- D) Aspirin
**Answer: B) Ibuprofen.**
8. **True or False: The most common sites for breast cancer metastasis include lymph nodes, lungs,
liver, bone, and brain.**
**Answer: True.**
9. **What is an FDA-approved treatment for osteoporosis?**
- A) Calcium supplements
- B) Bisphosphonate therapy
,ESTUDY
- C) Hormone replacement therapy
- D) Vitamin D
**Answer: B) Bisphosphonate therapy.**
10. **True or False: The primary goal of bisphosphonate treatment is to improve bone density.**
**Answer: False (the goal is to slow the progression of disease).**
11. **An elevated serum alkaline phosphatase may include all of the following EXCEPT:**
- A) Liver disease
- B) Bone disorders
- C) Hypothyroidism
- D) Paget's disease
**Answer: C) Hypothyroidism.**
12. **True or False: X-ray findings associated with Paget's disease can show bone enlargement and
specific deformities.**
**Answer: True.**
13. **Symptoms of Cushing's Syndrome include:**
- A) Weight loss
- B) Amenorrhea
- C) High blood pressure
- D) Increased appetite
**Answer: B) Amenorrhea.**
, ESTUDY
14. **True or False: Pituitary tumor resection may be first-line treatment for Cushing's Syndrome if
indicated.**
**Answer: True.**
15. **Addison's Disease may cause which of the following lab abnormalities?**
- A) Elevated ACTH
- B) Hypokalemia
- C) Hypernatremia
- D) Elevated cortisol
**Answer: A) Elevated ACTH.**
16. **True or False: A patient with suspected hirsutism should be referred to endocrinology for
evaluation.**
**Answer: True.**
17. **A positive Trousseau's sign occurs with which serum abnormality?**
- A) Hypercalcemia
- B) Hypocalcemia
- C) Hyperkalemia
- D) Hypomagnesemia
**Answer: B) Hypocalcemia.**
18. **Which of the following can cause hypocalcemia?**
- A) Hyperparathyroidism
- B) Vitamin D deficiency
- C) Thyroid disorders
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