EXAM WITH CORRECT SOLUTIONS.

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NURS 221 EXAM 3

EXAM WITH CORRECT SOLUTIONS.

The nurse is providing patient education about glucocorticoid therapy to a patient preparing to be discharged home. Which statement made by the patient best demonstrates understanding of glucocorticoid therapy?

• "I will take the entire dose early with breakfast."
• "I will divide the dose in half and take half in the morning and

half in the afternoon."

• "I may take two-thirds of the dose in the morning and one-

third in the evening."

• "I will take a dose with each meal." - correct answer- c

The primary problem in Type 2 diabetes involves:

• destruction of pancreatic alpha cells
• insulin resistance by cells of the target organs
• excessive glucagon in the liver
• hypoglycemia - correct answer- b

A patient who has been newly diagnosed with adrenal hormone deficiency will begin taking hydrocortisone. The nurse provides teaching for this patient. Which statement by the patient indicates understanding of the teaching? 1 / 4

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• "I will need to take this medication until my symptoms

completely clear, and then I may stop."

• "When I am sick, I should take three times the normal dose

for 3 days in a row."

• "I may take all of my daily dose in the morning or divide it in

half and take it twice daily."

• "Side effects are common with hydrocortisone, even with

therapeutic doses." - correct answer- b

Type 2 diabetes can be managed by lifestyle modification, particularly diet. Limiting which nutrient group is most effective in improving Type 2 diabetes

• minerals
• fats
• carbohydrates
• protein - correct answer- c

The primary cause of Type 1 diabetes is:

• failure of insulin sensitivity in peripheral cells
• destruction of pancreatic beta cells
• absence of glucagon in the liver
• destruction of alpha cells in the pancreas - correct answer- b

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Which of the following symptoms would alert you to the possibility your patient is suffering from Benign Prostatic Hypertrophy (BPH)?

• inability to completely empty bladder
• blood in urine
• sexual dysfunction
• pain on urination - correct answer- a

Which of the following conditions can contribute to the development of sexual dysfunction?

• smoking
• hypertension
• diabetes
• depression
• all of the above - correct answer- e

Your patient is taking sildenafil. You would instruct him to seek immediate medical attention if he develops

• dark or bloody stools
• virilization
• priapism
• gynecomastia - correct answer- c

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Which of the following laboratory tests should be monitored for a patient taking Anabolic Steroids?

• potassium
• hemoglobin
• liver function studies
• kidney function studies - correct answer- c

Which of the following side effects is most commonly associated with daily testosterone therapy?

• edema
• incontinence
• dry mouth
• confusion - correct answer- a

Which pancreatic cells secrete glucagon?

• alpha
• beta
• gamma
• delta - correct answer- a

Which pancreatic cells secrete insulin?

• alpha
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