Nurs 521 Pharmacology Updated Exam
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Which of the following is NOT a principal action of thyroid hormones?
a. Stimulation of energy use by increasing basal metabolism rate
b. Delivers oxygen to peripheral tissues
c. Stimulate the heart and increase heart rate and force of contraction
d. Promotion of growth and development - ANSWERS-B
Which of the following would NOT interact with levothyroxine?
a. H2 receptor blockers and proton pump inhibitors
b. Bile-acid sequetrants
c. Vitamins
d. An empty stomach - ANSWERS-D
When educating your patient about taking levothyroxine with drugs that reduce
absorption in the stomach, which of the following statements would you tell them?
,a. "You can take levothyroxine and proton pump inhibitors at the same time during
breakfast."
b. "You should wait two hours between taking levothyroxine and drugs that reduce
absorption in the stomach."
c. "You should wait at least four hours between taking levothyroxine and drugs that
reduce absorption in the stomach."
d. "Never take levothyroxine and drugs that reduce absorption in the stomach less than
24 hours apart." - ANSWERS-C
Which of the following medications may need to be reduced when taking levothyroxine
due to the increase of the chance of bleeding?
a. Warfarin
b. Omeprazole
c. Cimetidine
d. Questran - ANSWERS-A
What is the interaction between catecholamines and levothyroxine?
a. Levothyroxine has no effect on the bodies response to catecholamines.
b. Lexothyroxine decreases the bodies response to catecholamines.
c. Lexothyroxine increases the bodies response to catecholamines. - ANSWERS-C
Levothyroxine is synthetic:
a. TRH
b. TSH
c. T3
d. T4 - ANSWERS-D
Liothyronine is synthetic:
a. TRH
b. TSH
,c. T3
d. T4 - ANSWERS-C
A patient has been admitted to the emergency room with myxedema crisis, or severe
life-threatening hypothyroidism, and is non-responsive. Which of the following
medications would you anticipate the physician to order to treat this condition?
a. Levothyroxine
b. Liothyronine
c. Methimazole
d. Propylthiouracil - ANSWERS-B (Liothyronine has a rapid onset of action in
myxedema coma.)
A patient is admitted to the ER with a pulse of 180, temperature of 105.7, blood
pressure of 78/40, and is unconscious. Upon assessment, their muscles have atrophied
and the patient looks underweight. Upon reviewing their medical history, you learn that
they have hyperthyroidism and just recently had a major open heart surgery. Which of
the following conditions do you suspect has occurred because of their hyperthyroidism
and symptoms?
a. Hypoglycemia
b. Drug overdose
c. Congestive heart failure
d. Thyrotoxic crisis - ANSWERS-D
Your 68-year-old patient is being treated with levothyroxine 50 mcg/day. She states that
the room's thermostat is set too high. She is sweating and has a noticeable fine tremor
as she lifts a glass. You suspect that she is showing signs of:
a. myxedema.
b. Graves' disease.
c. cretinism.
d. thyrotoxicosis. - ANSWERS-D
, A 37-year old female patient has just been admitted to your clinic for a chief complaint
of diarrhea. Your client states, "I have trouble concentrating, I feel hot and sweaty all the
time, and I'm eating ALL the time but losing weight! Also, for some reason my eyes look
like they're bulging out of my head." Which of the following disease's do you suspect
your patient of having based on these symptoms?
a. Hashimoto's disease
b. Type II diabetes
c. Menopause
d. Grave's disease - ANSWERS-D
What lab values are expected for a patient with Grave's disease?
a. Decreased T3 and T4
b. Elevated T3 and T4
c. Elevated TSH - ANSWERS-B
Which of the following is the correct order steps for thyroid hormone regulation?
a. The TRH is released from the hypothalamus and stimulates the release of T3 and T4
from the anterior pituitary, which stimulates TSH from the thyroid to produce biologic
effects
b. TSH is released from the hypothalamus and stimulates the release of TRH from the
anterior pituitary which stimulates T3 and T4 from the thyroid to produce biologic effects
c. TRH is released from the hypothalamus and stimulates the release of TSH from the
anterior pituitary, which stimulates T3 and T4 from the thyroid to produce biologic
effects
d. T3 and T4 are released from the hypothalamus to stimulate the release of TRH from
the anterior pituitary, which stimulates TSH from the thyroid to produce biologic effects -
ANSWERS-C (TRH from hypothalamus. TSH from anterior pituitary. T3 & T4 from
thyroid inhibit TSH from anterior pituitary)
To test for a thyroid disorder, which of the following tests would MOST likely be
ordered?
a. Serum T3
b. Serum T4
2026 MOST Recent Tested,Actual Exam
Questions (2026) WITH Recent Newest
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Exam Guarantee Pass!!
Which of the following is NOT a principal action of thyroid hormones?
a. Stimulation of energy use by increasing basal metabolism rate
b. Delivers oxygen to peripheral tissues
c. Stimulate the heart and increase heart rate and force of contraction
d. Promotion of growth and development - ANSWERS-B
Which of the following would NOT interact with levothyroxine?
a. H2 receptor blockers and proton pump inhibitors
b. Bile-acid sequetrants
c. Vitamins
d. An empty stomach - ANSWERS-D
When educating your patient about taking levothyroxine with drugs that reduce
absorption in the stomach, which of the following statements would you tell them?
,a. "You can take levothyroxine and proton pump inhibitors at the same time during
breakfast."
b. "You should wait two hours between taking levothyroxine and drugs that reduce
absorption in the stomach."
c. "You should wait at least four hours between taking levothyroxine and drugs that
reduce absorption in the stomach."
d. "Never take levothyroxine and drugs that reduce absorption in the stomach less than
24 hours apart." - ANSWERS-C
Which of the following medications may need to be reduced when taking levothyroxine
due to the increase of the chance of bleeding?
a. Warfarin
b. Omeprazole
c. Cimetidine
d. Questran - ANSWERS-A
What is the interaction between catecholamines and levothyroxine?
a. Levothyroxine has no effect on the bodies response to catecholamines.
b. Lexothyroxine decreases the bodies response to catecholamines.
c. Lexothyroxine increases the bodies response to catecholamines. - ANSWERS-C
Levothyroxine is synthetic:
a. TRH
b. TSH
c. T3
d. T4 - ANSWERS-D
Liothyronine is synthetic:
a. TRH
b. TSH
,c. T3
d. T4 - ANSWERS-C
A patient has been admitted to the emergency room with myxedema crisis, or severe
life-threatening hypothyroidism, and is non-responsive. Which of the following
medications would you anticipate the physician to order to treat this condition?
a. Levothyroxine
b. Liothyronine
c. Methimazole
d. Propylthiouracil - ANSWERS-B (Liothyronine has a rapid onset of action in
myxedema coma.)
A patient is admitted to the ER with a pulse of 180, temperature of 105.7, blood
pressure of 78/40, and is unconscious. Upon assessment, their muscles have atrophied
and the patient looks underweight. Upon reviewing their medical history, you learn that
they have hyperthyroidism and just recently had a major open heart surgery. Which of
the following conditions do you suspect has occurred because of their hyperthyroidism
and symptoms?
a. Hypoglycemia
b. Drug overdose
c. Congestive heart failure
d. Thyrotoxic crisis - ANSWERS-D
Your 68-year-old patient is being treated with levothyroxine 50 mcg/day. She states that
the room's thermostat is set too high. She is sweating and has a noticeable fine tremor
as she lifts a glass. You suspect that she is showing signs of:
a. myxedema.
b. Graves' disease.
c. cretinism.
d. thyrotoxicosis. - ANSWERS-D
, A 37-year old female patient has just been admitted to your clinic for a chief complaint
of diarrhea. Your client states, "I have trouble concentrating, I feel hot and sweaty all the
time, and I'm eating ALL the time but losing weight! Also, for some reason my eyes look
like they're bulging out of my head." Which of the following disease's do you suspect
your patient of having based on these symptoms?
a. Hashimoto's disease
b. Type II diabetes
c. Menopause
d. Grave's disease - ANSWERS-D
What lab values are expected for a patient with Grave's disease?
a. Decreased T3 and T4
b. Elevated T3 and T4
c. Elevated TSH - ANSWERS-B
Which of the following is the correct order steps for thyroid hormone regulation?
a. The TRH is released from the hypothalamus and stimulates the release of T3 and T4
from the anterior pituitary, which stimulates TSH from the thyroid to produce biologic
effects
b. TSH is released from the hypothalamus and stimulates the release of TRH from the
anterior pituitary which stimulates T3 and T4 from the thyroid to produce biologic effects
c. TRH is released from the hypothalamus and stimulates the release of TSH from the
anterior pituitary, which stimulates T3 and T4 from the thyroid to produce biologic
effects
d. T3 and T4 are released from the hypothalamus to stimulate the release of TRH from
the anterior pituitary, which stimulates TSH from the thyroid to produce biologic effects -
ANSWERS-C (TRH from hypothalamus. TSH from anterior pituitary. T3 & T4 from
thyroid inhibit TSH from anterior pituitary)
To test for a thyroid disorder, which of the following tests would MOST likely be
ordered?
a. Serum T3
b. Serum T4
