A patient with Gout would most commonly experience which of the following?
A. Shoulder pain
B. Chest pain
C. Neck pain
D. Great toe pain

When planning home care for a client with hepatitis A, which preventive measure should be emphasized to protect the client's family?
A. Keeping the client in complete isolation
B. Using good sanitation with dishes and shared bathrooms
C. Avoiding contact with blood-soiled clothing or dressing
D. Forbidding the sharing of needles or syringes

The nurse is caring for a patient with chronic pancreatitis. Which of the following lab tests would the nurse expect to be elevated?
A. serum bilirubin
B. serum calcium
C. serum albumin
D. serum amylase

When caring for a male client with diabetes insipidus, the nurse expects to administer:
A. vasopressin
B. furosemide (Lasix).
C. regular insulin.
D. 10% dextrose.

A patient presents with primary aldosteronism. What is the nurse's primary concern?
A. Hyperkalemia
B. Tachycardia
C. Hypertension
D. Hypernatremia

Which of the following lab values would NOT be seen in a patient with Rheumatoid Arthritis?
A. Elevated ESP
B. Elevated platelets
C. Elevated CRP
D. Elevated RBCs

IV drug users are at the highest risk of developing which forms of hepatitis (Select all that apply)
A. A
B. B
C. C
D. D
E. E
F. Nonviral hepatitis

Which of the following patients would use ursodeoxycholic acid (UDCA) for the treatment of gallstones?
A. A 9 year old with no PMH
B. A 30 yr old with pigmented stones
C. A 45 year old who recently had bariatric surgery
D. An 80 year old on spirolactone

Which of the following hormones is NOT made in the anterior pituitary?
A. ADH
B. TSH
C. GH
D. FSH

Which of the following is the reason corticosteroid therapy is tapered off?
A. To prevent the patient from developing an increased tolerance
B. To prevent the patient from developing a cardiac or respiratory complication
C. To prevent the patient from entering thyroid storm
D.To allow normal adrenal function to return and to prevent steroid-induced adrenal insufficiency.

Which of the following is NOT in the acronym "CREST"?
A. Calcinosis
B. Raynaud's
C. Esophageal hardening
D. Scleral hardening
E. Telangiectasia

A 52-year-old man was referred to the clinic due to increased abdominal girth. He is diagnosed with ascites. After administering diuretic therapy, which nursing action would be most effective in ensuring safe care?
A. Measuring serum potassium for hyperkalemia
B. Assessing the client for hypervolemia
C. Measuring the client's weight weekly
D. Documenting precise intake and output

The nurse reinforces teaching for a patient after a cholecystectomy on a low-fat diet. The nurse will know that the patient understands the diet if which of the following menu items is selected?
a. Roasted chicken, rice, and gelatin desert
b. Cream of Chicken soup, milk, and gelatin dessert
c. Meatloaf, mashed potatoes with small amount of gravy, green beans
d. Turkey and cheese sandwich on whole grain bread, apple, milk

Which of the following symptoms would be expected with a diagnosis of hypothyroidism? (Select all that apply)
A. Increased appetite
B. Fatigue
C. Weight gain
D. Bruit
E. Tremors

Patients with ___ are at a risk for renal calculi and patients with ___ typically have tetany and positive Chvostek and Trousseau signs.
A. hypoparathyroidism; hyperparathyroidism
B. hyperparathyroidism; hypoparathyroidism
C. Addison Disease; Cushing Syndrome
D. Cushing Syndrome; Addison Disease

Which of the following medications is FDA approved for treatment of Systemic Lupus Erythematosus?
A. methotrexate
B. belimumab
C. colchicine
D. cyclobenzaprine

A client with advanced cirrhosis has been diagnosed with hepatic encephalopathy. The nurse expects to assess for:
A. Malaise
B. Stomatitis
C. Hand tremors
D. Weight loss

A patient diagnosed with acute pancreatitis is under the nurse's care. Which intervention should the nurse include in the care plan for the client?
A. Administration of vasopressin and insertion of a balloon tamponade
B. Preparation for a paracentesis and administration of diuretics
C. Maintenance of nothing-by-mouth status and insertion of nasogastric (NG) tube with low intermittent suction
D. Dietary plan of a low-fat diet and increased fluid intake to 2,000 ml/day

A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

A. Infusing I.V. fluids rapidly as ordered
B. Encouraging increased oral intake
C. Restricting fluids
D. Administering glucose-containing I.V. fluids as ordered

Which of the following is NOT one of the 5Hs of pheochromocytoma?
A. Hyperhydrosis
B. Hypertension
C. Hypernatremia
D. Hyperglycemia

R.L. is an 81 yr old female who reports to her PCP with increased pain and stiffness of her joints. Upon assessment, Heberden's nodes and Bouchard's nodes are noted on the patient's hands. What is this patient's diagnosis?
A. Osteoarthritis
B. Rheumatoid Arthritis
C. Scleroderma
D. Fibromyalgia

J.T. is a patient who has been admitted to the ICU with fulminant hepatic failure. Which of the following interventions will be done? (Select all that apply)
A. Use of ELAD and BAL devices
B. Plasmapheresis
C. Administration of lactulose
D. Increase fluid intake
E. Place patient on liver transplant list
F. Monitor patient's intracranial pressure

G.R. is a patient who just underwent a laparoscopic cholecystectomy 24 hours ago. Which of the following will the nurse tell the patient prior to discharge? (Select all that apply)
A. Avoid eating excessive fats
B. Report symptoms to provider such as jaundice and dark-colored urine
C. Increase fluid intake
D.Schedule appointment to have drainage tube removed in 48 hours
E. Report to a provider a change in stool color

C.E. is a 48 year old female who presents to the ED in thyroid storm. Which medication would be given to C.E.?
A. Levothyroxine
B. Furosemide
C. Propanolol
D. Propylthiouracil

Upon assessing H.P., the nurse notes a buffalo hump and a "moon face" appearance. What hormonal imbalance does H.P. have?
A. hyperproduction of ACTH
B. hyperproduction of aldosterone
C. hypoproduction of ACTH
D. hypoproduction of aldosterone