NR 325 EXAM 2 UPDATED ACTUAL
QUESTIONS AND VERIFIED ANSWERS
●● The nurse is caring for a client with extreme tachycardia, diarrhea,
weight loss, hypertension, and intolerance to heat. Which hormone is
most likely affecting the client's metabolic rate?
Answer: Triiodothyronine (T3)
●● The nurse is caring for a client who is prescribed an MRI with
contrast to evaluate the pituitary gland. Which lab value must the nurse
review before testing can occur?
Answer: Creatinine level
●● Jodie's history reveals that she had a total thyroidectomy 3 months
ago and is taking levothyroxine. Which serum electrolyte should be
monitored closely following total thyroidectomy?
Answer: Calcium
●● Which prescriptions should the nurse anticipate in Jodie's treatment
plan following total thyroidectomy?
Answer: Closely monitoring the thyroid-stimulating hormone level
Initiating fall prevention strategies
Increasing levothyroxine dosage
,●● Which laboratory results does the nurse anticipate when caring for a
client with diabetes insipidus?
Answer: Hypernatremia
Increased blood osmolality
●● A water deprivation test is often used to diagnose diabetes insipidus.
Which assessment finding would indicate a complication related to
testing?
Answer: Tachycardia
●● Which laboratory results support a diagnosis of primary
hyperthyroidism?
Answer: Low thyroid-stimulating hormone, high thyroxine (T4) levels
●● Which are risk factors for developing hyperthyroidism?
Answer: Toxic nodular goiter
Female gender
Excessive iodine intake
Thyroid Cancer
Pituitary tumors
Throiditis
, ●● Which are clinical manifestations expected in hyperthyroidism?
Answer: Diarrhea
Palpitations
Tremors
Rapid speech
Bulging eyes(Exophthalmos)
Heat intolerance
High metabolism
weight loss, increased appetite
Goiter
●● hyperthyroidism is at risk for developing
Answer: respiratory alkalosis due to hyperventilation
●● The healthcare provider prescribes methimazole, and the nurse
prepares discharge teaching. Which statements made by the client
indicate an understanding of teaching?
Answer: "I should use caution around sharp objects and use an electric
razor to shave my legs."
"If I have a sore throat or fever, I will contact my healthcare provider
right away."
"I should start to feel better in about a week or two."
QUESTIONS AND VERIFIED ANSWERS
●● The nurse is caring for a client with extreme tachycardia, diarrhea,
weight loss, hypertension, and intolerance to heat. Which hormone is
most likely affecting the client's metabolic rate?
Answer: Triiodothyronine (T3)
●● The nurse is caring for a client who is prescribed an MRI with
contrast to evaluate the pituitary gland. Which lab value must the nurse
review before testing can occur?
Answer: Creatinine level
●● Jodie's history reveals that she had a total thyroidectomy 3 months
ago and is taking levothyroxine. Which serum electrolyte should be
monitored closely following total thyroidectomy?
Answer: Calcium
●● Which prescriptions should the nurse anticipate in Jodie's treatment
plan following total thyroidectomy?
Answer: Closely monitoring the thyroid-stimulating hormone level
Initiating fall prevention strategies
Increasing levothyroxine dosage
,●● Which laboratory results does the nurse anticipate when caring for a
client with diabetes insipidus?
Answer: Hypernatremia
Increased blood osmolality
●● A water deprivation test is often used to diagnose diabetes insipidus.
Which assessment finding would indicate a complication related to
testing?
Answer: Tachycardia
●● Which laboratory results support a diagnosis of primary
hyperthyroidism?
Answer: Low thyroid-stimulating hormone, high thyroxine (T4) levels
●● Which are risk factors for developing hyperthyroidism?
Answer: Toxic nodular goiter
Female gender
Excessive iodine intake
Thyroid Cancer
Pituitary tumors
Throiditis
, ●● Which are clinical manifestations expected in hyperthyroidism?
Answer: Diarrhea
Palpitations
Tremors
Rapid speech
Bulging eyes(Exophthalmos)
Heat intolerance
High metabolism
weight loss, increased appetite
Goiter
●● hyperthyroidism is at risk for developing
Answer: respiratory alkalosis due to hyperventilation
●● The healthcare provider prescribes methimazole, and the nurse
prepares discharge teaching. Which statements made by the client
indicate an understanding of teaching?
Answer: "I should use caution around sharp objects and use an electric
razor to shave my legs."
"If I have a sore throat or fever, I will contact my healthcare provider
right away."
"I should start to feel better in about a week or two."
