NURS 1141 Exam 1- Questions With Detailed
Solutions
After assessing a patient, the healthcare provider concludes that
prompt action is needed to control the patient's hypothyroid state.
Which medication does the nurse anticipate will be prescribed?
Correct Ans - Liothyronine (Triostat)
Which medication used to treat thyroid diseases may cause lymph
node enlargement? Correct Ans - Methimazole (Tapazole
Which conditions may lead to hyperactivity of the thyroid gland?
Select all that apply Correct Ans - Thyroiditis, Graves' disease,
thyroid carcinoma
Which medications does the nurse identify as antithyroid agents?
Select all that apply Correct Ans - Propylthiouracil,
Methimazole (Tapazole), Radioactive iodine (iodine-131)
Which hormone is secreted by the anterior pituitary gland?
Correct Ans - Thyroid stimulating Hormone (TSH)
A patient is receiving iodine-131 ( 131I) therapy. After
administration of the drug, how much time must pass before the
benefits of therapy will be fully assessed? Correct Ans - 3 to 6
months
Which medication is available as an injection? Correct Ans -
Liothyronine (Cytomel)
Which term was historically used to refer to the condition where a
child is born without a thyroid gland? Correct Ans - Cretinism
,Which medication for treatment of hypothyroidism is a synthetic
mixture of levothyroxine (Synthroid) and liothyronine (Cytomel)?
Correct Ans - Liotrix (Thyrolar)
Which symptoms should the nurse assess for in a patient suspected
of having hypothyroidism? Correct Ans - Weight gain,
Constipation, cold intolerance
Which body functions are regulated by the thyroid hormones?
Correct Ans - Reproduction, Lip metabolism, Growth and
maturation
Which drugs block the synthesis of triiodothyronine (T 3) and
thyroxine (T 4) in the thyroid gland? Correct Ans -
Propylthiouracil, Methimazole (Tapazole)
Which hormone is secreted by the hypothalamus? Correct Ans -
Thyrotropin-releasing hormone (TRH)
Which condition is caused by inadequate production of thyroid
hormones? Correct Ans - Hypothyroidism
The healthcare provider prescribes a synthetic form of the natural
thyroid hormone triiodothyronine (T 3) to a patient. Which
medication does the nurse find in the patient's prescription?
Correct Ans - Liothyronine (Cytomel)
Which medication is derived from pig, beef, and sheep thyroid
glands? Correct Ans - Thyroid USP (Armour Thyroid)
Which medication used to treat thyroid diseases may cause
hepatotoxicity? Correct Ans - Methimazole (Tapazole)
,Lispro (Humalog) Correct Ans - Rapid acting insulin
Regular (Humulin R, Novolin R) Correct Ans - Short acting
insulin
Insulin isophane suspension (NPH) Correct Ans - Intermediate
acting insulin
Glargine/ Detemir Correct Ans - Long acting insulin
Rapid acting insulin onset, peak, duration Correct Ans - O: 10-
15 minutes, P: 1-2 hours, D: 3-5 hours
Short acting insulin onset, peak, duration Correct Ans - O:30
minutes, P: 2.5-5 hours, D: 5-10 hours
Intermediate acting insulin onset, peak, duration Correct Ans -
O: 1-2 hours, P: 4-12 hours, D: 16-28 hours
Long acting insulin onset, peak, duration Correct Ans - O: 1
hour, P: no peak, D: 24 hours
Which insulin can be given IV? Correct Ans - Regular
Which insulin is clear? Correct Ans - All except NPH
Which insulin is cloudy? Correct Ans - NPH
Which insulins cannot be mixed? Correct Ans - Long acting
Do you draw up clear or cloudy insulin first? Correct Ans -
Clear
, What is a fixed-combination insulin? Correct Ans - Insulin that
is already mixed for us. A rapid and intermediate already combined.
What is sliding scale insulin? Correct Ans - Used with admitted
patients under stress (infection, pregnancy, surgery). Dose depends
on what their glucose level is at the time of administration.
Insulin Correct Ans - Hormone produced in the beta cells of
the pancreas which helps to regulate metabolism.
Rate of insulin secreted by pancreas in healthy person Correct Ans
- 0.5-1 unit per hour; average of 30-50 units per day
Onset Correct Ans - time required for medication to have an
initial action
Peak Correct Ans - Maximum effect occurs (most likely to
exhibit symptoms of hypoglycemia)
Duration Correct Ans - How long the reagent remains active in
the body
Storage of insulin Correct Ans - Should be stored in fridge until
opened. Once open can remain at room temperature for up to 30
days.
How to mix insulin Correct Ans - Roll in hands
Adverse effects of insulin Correct Ans - hyperglycemia (not
enough insulin given), hypoglycemia (too much insulin given),
allergic reaction, atrophy of the tissue (important to rotate injection
site)
Solutions
After assessing a patient, the healthcare provider concludes that
prompt action is needed to control the patient's hypothyroid state.
Which medication does the nurse anticipate will be prescribed?
Correct Ans - Liothyronine (Triostat)
Which medication used to treat thyroid diseases may cause lymph
node enlargement? Correct Ans - Methimazole (Tapazole
Which conditions may lead to hyperactivity of the thyroid gland?
Select all that apply Correct Ans - Thyroiditis, Graves' disease,
thyroid carcinoma
Which medications does the nurse identify as antithyroid agents?
Select all that apply Correct Ans - Propylthiouracil,
Methimazole (Tapazole), Radioactive iodine (iodine-131)
Which hormone is secreted by the anterior pituitary gland?
Correct Ans - Thyroid stimulating Hormone (TSH)
A patient is receiving iodine-131 ( 131I) therapy. After
administration of the drug, how much time must pass before the
benefits of therapy will be fully assessed? Correct Ans - 3 to 6
months
Which medication is available as an injection? Correct Ans -
Liothyronine (Cytomel)
Which term was historically used to refer to the condition where a
child is born without a thyroid gland? Correct Ans - Cretinism
,Which medication for treatment of hypothyroidism is a synthetic
mixture of levothyroxine (Synthroid) and liothyronine (Cytomel)?
Correct Ans - Liotrix (Thyrolar)
Which symptoms should the nurse assess for in a patient suspected
of having hypothyroidism? Correct Ans - Weight gain,
Constipation, cold intolerance
Which body functions are regulated by the thyroid hormones?
Correct Ans - Reproduction, Lip metabolism, Growth and
maturation
Which drugs block the synthesis of triiodothyronine (T 3) and
thyroxine (T 4) in the thyroid gland? Correct Ans -
Propylthiouracil, Methimazole (Tapazole)
Which hormone is secreted by the hypothalamus? Correct Ans -
Thyrotropin-releasing hormone (TRH)
Which condition is caused by inadequate production of thyroid
hormones? Correct Ans - Hypothyroidism
The healthcare provider prescribes a synthetic form of the natural
thyroid hormone triiodothyronine (T 3) to a patient. Which
medication does the nurse find in the patient's prescription?
Correct Ans - Liothyronine (Cytomel)
Which medication is derived from pig, beef, and sheep thyroid
glands? Correct Ans - Thyroid USP (Armour Thyroid)
Which medication used to treat thyroid diseases may cause
hepatotoxicity? Correct Ans - Methimazole (Tapazole)
,Lispro (Humalog) Correct Ans - Rapid acting insulin
Regular (Humulin R, Novolin R) Correct Ans - Short acting
insulin
Insulin isophane suspension (NPH) Correct Ans - Intermediate
acting insulin
Glargine/ Detemir Correct Ans - Long acting insulin
Rapid acting insulin onset, peak, duration Correct Ans - O: 10-
15 minutes, P: 1-2 hours, D: 3-5 hours
Short acting insulin onset, peak, duration Correct Ans - O:30
minutes, P: 2.5-5 hours, D: 5-10 hours
Intermediate acting insulin onset, peak, duration Correct Ans -
O: 1-2 hours, P: 4-12 hours, D: 16-28 hours
Long acting insulin onset, peak, duration Correct Ans - O: 1
hour, P: no peak, D: 24 hours
Which insulin can be given IV? Correct Ans - Regular
Which insulin is clear? Correct Ans - All except NPH
Which insulin is cloudy? Correct Ans - NPH
Which insulins cannot be mixed? Correct Ans - Long acting
Do you draw up clear or cloudy insulin first? Correct Ans -
Clear
, What is a fixed-combination insulin? Correct Ans - Insulin that
is already mixed for us. A rapid and intermediate already combined.
What is sliding scale insulin? Correct Ans - Used with admitted
patients under stress (infection, pregnancy, surgery). Dose depends
on what their glucose level is at the time of administration.
Insulin Correct Ans - Hormone produced in the beta cells of
the pancreas which helps to regulate metabolism.
Rate of insulin secreted by pancreas in healthy person Correct Ans
- 0.5-1 unit per hour; average of 30-50 units per day
Onset Correct Ans - time required for medication to have an
initial action
Peak Correct Ans - Maximum effect occurs (most likely to
exhibit symptoms of hypoglycemia)
Duration Correct Ans - How long the reagent remains active in
the body
Storage of insulin Correct Ans - Should be stored in fridge until
opened. Once open can remain at room temperature for up to 30
days.
How to mix insulin Correct Ans - Roll in hands
Adverse effects of insulin Correct Ans - hyperglycemia (not
enough insulin given), hypoglycemia (too much insulin given),
allergic reaction, atrophy of the tissue (important to rotate injection
site)
