N320 - Exam 3 with complete solutions
A patient with diabetes doesn't understand how an injection of insulin can take
the place of insulin secreted from the pancreas. Which of the following should the
nurse say in response to this patient?
1. "It doesn't; insulin is for another purpose"
2. "Insulin helps the pancreas work well"
3. "It works by a negative feedback mechanism"
4. "Insulin is a hormone and works through the bloodstream" - 4
A patient is diagnosed with the inability to produce glucagon. The nurse realizes
this patient is experiencing a disorder in which of the following pancreatic cells?
1. Alpha
2. Delta
3. Beta
4. F - 1
During an assessment, a patient says "I eat but am losing weight! And I'm so
thirsty and seem to always have to pass water." Which of the following should the
nurse say in response to this patient?
1. "Does frequent urination keep you up at night?"
2. "Does anyone in your family have diabetes?"
3. "Do you use tobacco?"
4. "Everyone thinks that they weigh less than they really do." - 2
Screening at 24 weeks of gestation reveals that a pregnant woman has
gestational diabetes mellitus (GDM). In planning her care the nurse and the
woman mutually agree that an expected outcome is to prevent injury to the fetus
as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
, 1. Macrosomia
2. Congenital anomalies of the central nervous system
3. Preterm birth
4. Low birth weight - 1
The nurse is performing a physical examination of the patient's thyroid gland.
Precautions are taken in performing the correct technique because palpation can
result in which occurrence?
1. damage to the esophagus causing gastric reflex
2. a severe hypotensive episode
3. permanent occlusion of the coratid arteries
4. Exacerbation of symptoms by releasing additional thyroid hormones - 4
Hyperthyroidism - insomnia
diaphoresis
tremors
manic behavior
increased heart rate, palpitations
irritability
weight loss and increased appetite
fine, soft, silky body hair
photophobia
corneal ulcers
increased stools
hypothyroidism - facial puffiness
weight gain
constipation
decreased libido
dry, coarse, brittle hair
fatigue, increased sleeping
Which laboratory result is consistent with a diagnosis of hyperthyroidism?
1. decreased serum triiodothyronine (T3) and thyroxine (T4) levels.
2. Elevated serum thyrotropin-releasing hormone (TRH) level.
3. decreased radioactive iodine uptake
4. Increased serum T3 and T4 levels - 4
What is the most common cause of hyperthyroidism?
A patient with diabetes doesn't understand how an injection of insulin can take
the place of insulin secreted from the pancreas. Which of the following should the
nurse say in response to this patient?
1. "It doesn't; insulin is for another purpose"
2. "Insulin helps the pancreas work well"
3. "It works by a negative feedback mechanism"
4. "Insulin is a hormone and works through the bloodstream" - 4
A patient is diagnosed with the inability to produce glucagon. The nurse realizes
this patient is experiencing a disorder in which of the following pancreatic cells?
1. Alpha
2. Delta
3. Beta
4. F - 1
During an assessment, a patient says "I eat but am losing weight! And I'm so
thirsty and seem to always have to pass water." Which of the following should the
nurse say in response to this patient?
1. "Does frequent urination keep you up at night?"
2. "Does anyone in your family have diabetes?"
3. "Do you use tobacco?"
4. "Everyone thinks that they weigh less than they really do." - 2
Screening at 24 weeks of gestation reveals that a pregnant woman has
gestational diabetes mellitus (GDM). In planning her care the nurse and the
woman mutually agree that an expected outcome is to prevent injury to the fetus
as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
, 1. Macrosomia
2. Congenital anomalies of the central nervous system
3. Preterm birth
4. Low birth weight - 1
The nurse is performing a physical examination of the patient's thyroid gland.
Precautions are taken in performing the correct technique because palpation can
result in which occurrence?
1. damage to the esophagus causing gastric reflex
2. a severe hypotensive episode
3. permanent occlusion of the coratid arteries
4. Exacerbation of symptoms by releasing additional thyroid hormones - 4
Hyperthyroidism - insomnia
diaphoresis
tremors
manic behavior
increased heart rate, palpitations
irritability
weight loss and increased appetite
fine, soft, silky body hair
photophobia
corneal ulcers
increased stools
hypothyroidism - facial puffiness
weight gain
constipation
decreased libido
dry, coarse, brittle hair
fatigue, increased sleeping
Which laboratory result is consistent with a diagnosis of hyperthyroidism?
1. decreased serum triiodothyronine (T3) and thyroxine (T4) levels.
2. Elevated serum thyrotropin-releasing hormone (TRH) level.
3. decreased radioactive iodine uptake
4. Increased serum T3 and T4 levels - 4
What is the most common cause of hyperthyroidism?
