guide 2026 Exam Questions
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A patient with Graves' disease is admitted to the emergency department
with thyroid storm. Which of these prescribed medications should the
nurse administer first? - ANSWER ✔✔propranolol (Inderal)
bg-adrenergic blockers work rapidly to decrease the cardiovascular
manifestations of thyroid storm. The other medications take days to
weeks to have an impact on thyroid function
,A patient with hyperthyroidism is treated with radioactive iodine (RAI) at
a clinic. Before the patient is discharged, the nurse instructs the patient -
ANSWER ✔✔symptoms of hypothyroidism may occur as the RAI
therapy takes effect.
There is a high incidence of postradiation hypothyroidism after RAI, and
the patient should be monitored for symptoms of hypothyroidism. RAI
has a delayed response, with the maximum effect not seen for 2 to 3
months, and the patient will continue to take antithyroid medications
during this time. The therapeutic dose of radioactive iodine is low
enough that no radiation safety precautions are needed.
What should a patient avoid after having radioiodine treatment? (select
all that apply) - ANSWER ✔✔children, travel, sharing a toilet, kissing
Should try to stay at least 3 feet away from people. Therefore, not a
good idea to travel for long trips in car or airplane with others. Helpful to
drink a lot of fluids to help flush the RAI out of the system.
A patient who returned from a thyroidectomy notices a trach tray in the
room. She asks the nurse if she will need a trach. What is the best
,response by the nurse? - ANSWER ✔✔"If you have swelling in your
neck that makes it difficult to breathe, you may need a trach."
What S&S would cause the nurse to think the levothyroxine dose is too
high? - ANSWER ✔✔Pulse rate 110
Complaints of chest pain
Patient is agitated
Which intervention would be helpful for a person experiencing
hyperparathyroidism? - ANSWER ✔✔Drink at least 3L of fluid each
day
Which medication would be helpful for a person with a decreased T3 and
T4? - ANSWER ✔✔Levothyroxine
Which S&S could indicate bleeding after a thyroidectomy? -
ANSWER ✔✔Frequent swallowing
Wetness behind patient neck
tachycardia
Which sign is characteristic of a person experiencing thyroid storm? -
ANSWER ✔✔Dehydration
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, The nurse tells you in report that a 1-day post-op thyroidectomy patient
received IV calcium gluconate. What assessment will take priority based
on this information? - ANSWER ✔✔Respiratory
s/s of hyperthyroidism - ANSWER ✔✔increased appetite
eyelid retraction
weight loss
diarrhea
protrusion of eyelids
intolerance to heat
irritability and agitation
s/s of hypothyroidism - ANSWER ✔✔constipation
dry coarse hair and skin
forgetfullness
pallid puffy face
SOB with exhale
intolerance to cold