Nursing 2 Exam 4 Questions With Complete Solutions
________ are found within the spongy bone and are responsible
for building up the bone matrix. While ________, which are also
found in the spongy bone, breakdown the bone matrix.
A. Osteocytes, osteoclasts
B. Osteoclasts, osteoblasts
C. Osteocytes, osteoblasts
D. Osteoblasts, osteoclasts Correct Answer D
___________ is an autoimmune disorder where the body attacks
the thyroid gland that causes it to stop releasing T3 and T4. The
patient is likely to have the typical signs/symptoms of
hypothyroidism, however, they may present with what other
sign as well?
A. Myxedema coma; joint pain
B. Thyroid storm; memory loss
C. Hashimoto's Thyroiditis; goiter
D. Toxic nodular goiter (TNG); goiter Correct Answer C
1. Which of the following statements are CORRECT about
Grave's Disease?*
A. Grave's Disease is caused by independently functioning
nodular goiters producing excessive amounts of T3 and T4.
B. Grave's Disease is a complication of untreated
hypothyroidism.
C. Grave's Disease is caused by an autoimmune condition where
the body produces an antibody called TSI (which acts like TSH
on the body).
,D. Grave's Disease patients do not present with protruding eyes
or a goiter, as in Toxic Nodular Goiter (TNG). Correct Answer
C
2. As the nurse educating the patient about Grave's Disease,
which of the following statements by the patient ensures the
patient understood the education about their condition?
A. "I could experience myxedema coma, which is life-
threatening, if I abruptly stop taking my antithyroid medication."
B. "Grave's disease is due to an excessive amount of thyroid
hormone in the body."
C. "I will be sure to eat a lot of kelp because it helps with
decreasing thyroid hormone levels."
D. "If I have pain I will only take aspirin." Correct Answer B
3. A patient is post-opt from a thyroidectomy for treatment of
Grave's Disease. When you walk into the patient's room to
perform an assessment, which of the following findings causes
the MOST concern and needs nursing intervention?
A. The patient complains of a pain rating of 4 on 1-10 at the
surgical site.
B. The patient is positioned in supine position.
C. The patient's Foley catheter is draining 50 cc of urine per
hour.
D. The patient is splinting the neck while coughing and deep
breathing. Correct Answer B
4. A patient is receiving radioactive iodine as treatment for
Grave's Disease. Which of the following are common side
effects of the treatment? Select all that apply:
A. Nausea
,B. Taste changes
C. Excessive saliva
D. Swollen salivary glands Correct Answer A B D
A 5 year old has a fracture of the right upper arm. The x-ray
showed that one side of the bone is bent while the other is
broken. This known as a __________ fracture?*
A. Spiral
B. Greenstick
C. Oblique
D. Transverse Correct Answer A
A 85 year old patient has an accidental fall while going to the
bathroom without assistance. It appears the patient has sustained
a bone fracture to the left leg. The leg's shape is deformed and
the patient is unable to move it. The patient is alert and oriented
but in pain. What will you do FIRST after confirming the patient
is safe and stable?*
A. Apply an ice pack covered with a towel to the site.
B. Immobilize the fracture with a splint.
C. Administer pain medication.
D. Elevate the extremity above heart level. Correct Answer B
A bedtime snack is provided for Albert. This is based on the
knowledge that intermediate-acting insulins are effective for an
approximate duration of:
A
6-8 hours
B
10-14 hours
C
, 16-20 hours
D
24-28 hours Correct Answer C
A client is in DKA, secondary to infection. As the condition
progresses, which of the following symptoms might the nurse
see?
Kussmaul's respirations and a fruity odor on the breath
Shallow respirations and severe abdominal pain
Decreased respirations and increased urine output
Cheyne-stokes respirations and foul-smelling urine Correct
Answer A
A client is taking NPH insulin daily every morning. The nurse
instructs the client that the most likely time for a hypoglycemic
reaction to occur is:
A
2-4 hours after administration
B
6-14 hours after administration
C
16-18 hours after administration
D
18-24 hours after administration Correct Answer B
A client recently diagnoses with hypothyroidism demonstrates
understating of prescribed levothyroxine med when she makes
which statement?
1. I should be able to become pregnant in a couple months
2. This medication will help me lose all this excess weight
________ are found within the spongy bone and are responsible
for building up the bone matrix. While ________, which are also
found in the spongy bone, breakdown the bone matrix.
A. Osteocytes, osteoclasts
B. Osteoclasts, osteoblasts
C. Osteocytes, osteoblasts
D. Osteoblasts, osteoclasts Correct Answer D
___________ is an autoimmune disorder where the body attacks
the thyroid gland that causes it to stop releasing T3 and T4. The
patient is likely to have the typical signs/symptoms of
hypothyroidism, however, they may present with what other
sign as well?
A. Myxedema coma; joint pain
B. Thyroid storm; memory loss
C. Hashimoto's Thyroiditis; goiter
D. Toxic nodular goiter (TNG); goiter Correct Answer C
1. Which of the following statements are CORRECT about
Grave's Disease?*
A. Grave's Disease is caused by independently functioning
nodular goiters producing excessive amounts of T3 and T4.
B. Grave's Disease is a complication of untreated
hypothyroidism.
C. Grave's Disease is caused by an autoimmune condition where
the body produces an antibody called TSI (which acts like TSH
on the body).
,D. Grave's Disease patients do not present with protruding eyes
or a goiter, as in Toxic Nodular Goiter (TNG). Correct Answer
C
2. As the nurse educating the patient about Grave's Disease,
which of the following statements by the patient ensures the
patient understood the education about their condition?
A. "I could experience myxedema coma, which is life-
threatening, if I abruptly stop taking my antithyroid medication."
B. "Grave's disease is due to an excessive amount of thyroid
hormone in the body."
C. "I will be sure to eat a lot of kelp because it helps with
decreasing thyroid hormone levels."
D. "If I have pain I will only take aspirin." Correct Answer B
3. A patient is post-opt from a thyroidectomy for treatment of
Grave's Disease. When you walk into the patient's room to
perform an assessment, which of the following findings causes
the MOST concern and needs nursing intervention?
A. The patient complains of a pain rating of 4 on 1-10 at the
surgical site.
B. The patient is positioned in supine position.
C. The patient's Foley catheter is draining 50 cc of urine per
hour.
D. The patient is splinting the neck while coughing and deep
breathing. Correct Answer B
4. A patient is receiving radioactive iodine as treatment for
Grave's Disease. Which of the following are common side
effects of the treatment? Select all that apply:
A. Nausea
,B. Taste changes
C. Excessive saliva
D. Swollen salivary glands Correct Answer A B D
A 5 year old has a fracture of the right upper arm. The x-ray
showed that one side of the bone is bent while the other is
broken. This known as a __________ fracture?*
A. Spiral
B. Greenstick
C. Oblique
D. Transverse Correct Answer A
A 85 year old patient has an accidental fall while going to the
bathroom without assistance. It appears the patient has sustained
a bone fracture to the left leg. The leg's shape is deformed and
the patient is unable to move it. The patient is alert and oriented
but in pain. What will you do FIRST after confirming the patient
is safe and stable?*
A. Apply an ice pack covered with a towel to the site.
B. Immobilize the fracture with a splint.
C. Administer pain medication.
D. Elevate the extremity above heart level. Correct Answer B
A bedtime snack is provided for Albert. This is based on the
knowledge that intermediate-acting insulins are effective for an
approximate duration of:
A
6-8 hours
B
10-14 hours
C
, 16-20 hours
D
24-28 hours Correct Answer C
A client is in DKA, secondary to infection. As the condition
progresses, which of the following symptoms might the nurse
see?
Kussmaul's respirations and a fruity odor on the breath
Shallow respirations and severe abdominal pain
Decreased respirations and increased urine output
Cheyne-stokes respirations and foul-smelling urine Correct
Answer A
A client is taking NPH insulin daily every morning. The nurse
instructs the client that the most likely time for a hypoglycemic
reaction to occur is:
A
2-4 hours after administration
B
6-14 hours after administration
C
16-18 hours after administration
D
18-24 hours after administration Correct Answer B
A client recently diagnoses with hypothyroidism demonstrates
understating of prescribed levothyroxine med when she makes
which statement?
1. I should be able to become pregnant in a couple months
2. This medication will help me lose all this excess weight
