ADVANCED PATHOPHYSIOLOGY EXAM 4 NEWEST 2024 ACTUAL EXAM
300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
What common neurologic disturbances should the nurse assess for in a patient with a pituitary
adenoma?
a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities
b. Visual disturbances
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is
reviewing the lab tests, which results would the nurse expect to find?
a. High levels of circulating thyroid-stimulating antibodies
b. Ectopic secretion of thyroid-stimulating hormone (TSH)
c. Low circulating levels of thyroid hormones
d. Increased circulation of iodine
a. High levels of circulating thyroid-stimulating antibodies
While checking the lab results for a patient with Graves disease, the nurse would check the T3 level to be
abnormally:
a. Low
b. High
c. Variable
d. Absent
b. High
We have an expert-written solution to this problem!
,A 35-year-old female with Graves disease is admitted to a medical-surgical unit. Which of the following
symptoms would the nurse expect to find before treatment?
a. Weight gain, cold intolerance
b. Slow heart rate, rash
c. Skin hot and moist, rapid heart rate
d. Constipation, confusion
c. Skin hot and moist, rapid heart rate
Visual disturbances are a common occurrence in patients with untreated Graves disease. The
endocrinologist explains to the patient that the main cause of these complications is:
a. Decreased blood flow to the eye
b. Orbital edema and protrusion of the eyeball
c. TSH neurotoxicity to retinal cells
d. Local lactic acidosis
b. Orbital edema and protrusion of the eyeball
A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck
would most likely reveal:
a. A normal-sized thyroid
b. A small discrete thyroid nodule
c. Multiple discrete thyroid nodules
d. Diffuse thyroid enlargement
d. Diffuse thyroid enlargement
A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is
experiencing?
a. Primary hypothyroidism
b. Secondary hypothyroidism
,c. Autoimmune hypothyroidism
d. Atypical hypothyroidism
b. Secondary hypothyroidism
While planning care for a patient with hypothyroidism, which principle should the nurse remember? The
basal metabolic rate is unusually _____ with hypothyroidism.
a. High
b. Low
c. Steady
d. Variable
b. Low
A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left
untreated what will happen. What is the nurses best response? If left untreated, the child would have:
a. Mental retardation and stunted growth
b. Increased risk of childhood thyroid cancer
c. Hyperactivity and attention deficit disorder
d. Liver, kidney, and pancreas failure
a. Mental retardation and stunted growth
A 30-year-old male was diagnosed with thyroid carcinoma. The lab tests the nurse would most likely find
are _____ T3 and T4 levels.
a. High
b. Low
c. Normal
d. Variable
c. Normal
What problem should the nurse assess for in a patient with chronic hyperparathyroidism?
, a. Seizure disorders
b. Vitamin D malabsorption
c. Hyponatremia
d. Osteoporosis and pathologic fractures
d. Osteoporosis and pathologic fractures
A 45-year-old female with Graves disease underwent surgical removal of her thyroid gland. During the
postoperative period, her serum calcium was low. The most probable reason for her low serum calcium
is:
a. Hyperparathyroidism secondary to Graves disease
b. Myxedema secondary to surgery
c. Hypoparathyroidism caused by surgical injury to the parathyroid glands
d. Hypothyroidism resulting from lack of thyroid replacement
c. Hypoparathyroidism caused by surgical injury to the parathyroid glands
A 30-year-old female with Graves disease is admitted to a hospital unit for the surgical removal of her
thyroid gland. During the postoperative period, the nurse notes that the patients serum calcium is low.
The nurse should observe the patient for which of the following signs/symptoms?
a. Muscle weakness and constipation
b. Laryngeal spasms and hyperreflexia
c. Abdominal pain and fever
d. Anorexia, nausea, and vomiting
b. Laryngeal spasms and hyperreflexia
When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse
reply? It is most commonly caused by:
a. Pituitary hyposecretion
b. Parathyroid adenoma
c. Parathyroid gland injury
300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
What common neurologic disturbances should the nurse assess for in a patient with a pituitary
adenoma?
a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities
b. Visual disturbances
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is
reviewing the lab tests, which results would the nurse expect to find?
a. High levels of circulating thyroid-stimulating antibodies
b. Ectopic secretion of thyroid-stimulating hormone (TSH)
c. Low circulating levels of thyroid hormones
d. Increased circulation of iodine
a. High levels of circulating thyroid-stimulating antibodies
While checking the lab results for a patient with Graves disease, the nurse would check the T3 level to be
abnormally:
a. Low
b. High
c. Variable
d. Absent
b. High
We have an expert-written solution to this problem!
,A 35-year-old female with Graves disease is admitted to a medical-surgical unit. Which of the following
symptoms would the nurse expect to find before treatment?
a. Weight gain, cold intolerance
b. Slow heart rate, rash
c. Skin hot and moist, rapid heart rate
d. Constipation, confusion
c. Skin hot and moist, rapid heart rate
Visual disturbances are a common occurrence in patients with untreated Graves disease. The
endocrinologist explains to the patient that the main cause of these complications is:
a. Decreased blood flow to the eye
b. Orbital edema and protrusion of the eyeball
c. TSH neurotoxicity to retinal cells
d. Local lactic acidosis
b. Orbital edema and protrusion of the eyeball
A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck
would most likely reveal:
a. A normal-sized thyroid
b. A small discrete thyroid nodule
c. Multiple discrete thyroid nodules
d. Diffuse thyroid enlargement
d. Diffuse thyroid enlargement
A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is
experiencing?
a. Primary hypothyroidism
b. Secondary hypothyroidism
,c. Autoimmune hypothyroidism
d. Atypical hypothyroidism
b. Secondary hypothyroidism
While planning care for a patient with hypothyroidism, which principle should the nurse remember? The
basal metabolic rate is unusually _____ with hypothyroidism.
a. High
b. Low
c. Steady
d. Variable
b. Low
A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left
untreated what will happen. What is the nurses best response? If left untreated, the child would have:
a. Mental retardation and stunted growth
b. Increased risk of childhood thyroid cancer
c. Hyperactivity and attention deficit disorder
d. Liver, kidney, and pancreas failure
a. Mental retardation and stunted growth
A 30-year-old male was diagnosed with thyroid carcinoma. The lab tests the nurse would most likely find
are _____ T3 and T4 levels.
a. High
b. Low
c. Normal
d. Variable
c. Normal
What problem should the nurse assess for in a patient with chronic hyperparathyroidism?
, a. Seizure disorders
b. Vitamin D malabsorption
c. Hyponatremia
d. Osteoporosis and pathologic fractures
d. Osteoporosis and pathologic fractures
A 45-year-old female with Graves disease underwent surgical removal of her thyroid gland. During the
postoperative period, her serum calcium was low. The most probable reason for her low serum calcium
is:
a. Hyperparathyroidism secondary to Graves disease
b. Myxedema secondary to surgery
c. Hypoparathyroidism caused by surgical injury to the parathyroid glands
d. Hypothyroidism resulting from lack of thyroid replacement
c. Hypoparathyroidism caused by surgical injury to the parathyroid glands
A 30-year-old female with Graves disease is admitted to a hospital unit for the surgical removal of her
thyroid gland. During the postoperative period, the nurse notes that the patients serum calcium is low.
The nurse should observe the patient for which of the following signs/symptoms?
a. Muscle weakness and constipation
b. Laryngeal spasms and hyperreflexia
c. Abdominal pain and fever
d. Anorexia, nausea, and vomiting
b. Laryngeal spasms and hyperreflexia
When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse
reply? It is most commonly caused by:
a. Pituitary hyposecretion
b. Parathyroid adenoma
c. Parathyroid gland injury
