NURS 5433 Midterm Exam Preparation Actual Exam Newest
2025/2026 Complete 220 Questions And Correct Detailed
Answers (Verified Answers) |Brand New Version.
A 45 year old has a high TSH and Normal T4, what is the net
step?
A. Refer to endocrinology
B. Start Levothyroxine
C. Repeat TSH in 6 months
D. Order thyroid ultrasound - 100 correct answer as-C.
Repeat TSH in 6 months
Step 2 Lab interpretation
Inc TSH + LOW Free T4
What do we test next? - 100 correct answer as-TPO (thyroid
peroxidase antibodies)
The presence of TPO (thyroid peroxidase antibodies) indicated
what endocrine condition?
A. Hypothyroidism
B: Hyperthyroidism
C. Subclinical hypothyroidism
D. Hashimoto Thyroiditis
E. Idiopathic hypothyroidism - 100 correct answer as-D.
Hashimoto Thyroiditis
What is the most serious complication of untreated congenital
hypothyroidism?
,A. Obesity
B. Goiter
C. Intellectual disability
D. Anemia - 100 correct answer as-C. Intellectual disability
Levothyroxine dose needs to be increase by 50% starting at
weeks ___ to ___ . - 100 correct answer as-4-8 weeks
How long should a child be treated for congenital hypothyroidism
before attempting a trial off therapy?
A. 1 year
B. 3 years
C. 6 months
D. Indefinitely - 100 correct answer as-B. 3 years
After congenital hypothyroidism treatment for 3 years how long
should the patient stop treatment? - 100 correct answer as-4
weeks
Which of the following medications are safe to use for
hyperthyroidism in pregnancy?
A. Atenolol
B. Methimazole
C. Propranolol
D. Propylthiouracil - 100 correct answer as-D.
Propylthiouracil
Shorter half life, risk of liver failure, blocks peripheral T4 to T3
conversion. Preferred medication for 1st trimester of pregnancy
,What is the first line test for diagnosing hyperthyroidism? - 100
correct answer as-TSH
What Lab pattern suggests Hyperthyroidism?
A. High TSH, High T4
B. Low TSH, High T4
C. Normal TSH, Low T4
D. High TSH, Normal T4 - 100 correct answer as-B. Low
TSH, High T4
Which of the following medications is used to treat symptoms
while awaiting endocrinology consult for hyperthyroidism?
A. Atenolol
B. Methimazole
C. Propranolol
D. Propylthiouracil - 100 correct answer as-C. Propranolol
Which findings suggests Graves' disease?
A. Thyroid nodule
B. Positive thyroid stimulating immunoglobulin
C. Low radioactive iodine
D. Low TSH, low T4 - 100 correct answer as-B. Positive
thyroid stimulating immunoglobulin
Which of the following is a contradiction for Radioactive Iodine
Therapy?
A. Pregnancy
B. Type two diabetes
C. Hypertension
D. Graves' disease
, E. Thyroid cancer
F. Goiter - 100 correct answer as-A. Pregnancy
Lugol's Solution is a short term pre-op thyroidectomy for thyroid
suppression in pregnant patients, True or False? - 100 correct
answer as-True
Mike is a 50 year old immigrant from Canada. He comes in for
fatigue, weight miss and muscle pain, he has hypotension, diffuse
skin and hyperpigmentation in the oral mucosa, palmar creases
and knuckles. Which is the filling conditions could this be?
A. Hyperthyroidism
B. Hypothyroidism
C. Vitiligo
D. Cushing's disease
E. Addison's disease - 100 correct answer as-E. Addison's
disease
What hormone is deficient is Addison's disease? - 100 correct
answer as-Cortisol
What test confirms adrenal insufficiency? SATA
A. Serum potassium
B. Morning serum cortisol
C. ACTH stimulation test
D. 24 hour urine sodium
E. FSH and LSH levels - 100 correct answer as-B and C
Which of the following are electrolyte abnormalities seen in
Addision's? SATA
2025/2026 Complete 220 Questions And Correct Detailed
Answers (Verified Answers) |Brand New Version.
A 45 year old has a high TSH and Normal T4, what is the net
step?
A. Refer to endocrinology
B. Start Levothyroxine
C. Repeat TSH in 6 months
D. Order thyroid ultrasound - 100 correct answer as-C.
Repeat TSH in 6 months
Step 2 Lab interpretation
Inc TSH + LOW Free T4
What do we test next? - 100 correct answer as-TPO (thyroid
peroxidase antibodies)
The presence of TPO (thyroid peroxidase antibodies) indicated
what endocrine condition?
A. Hypothyroidism
B: Hyperthyroidism
C. Subclinical hypothyroidism
D. Hashimoto Thyroiditis
E. Idiopathic hypothyroidism - 100 correct answer as-D.
Hashimoto Thyroiditis
What is the most serious complication of untreated congenital
hypothyroidism?
,A. Obesity
B. Goiter
C. Intellectual disability
D. Anemia - 100 correct answer as-C. Intellectual disability
Levothyroxine dose needs to be increase by 50% starting at
weeks ___ to ___ . - 100 correct answer as-4-8 weeks
How long should a child be treated for congenital hypothyroidism
before attempting a trial off therapy?
A. 1 year
B. 3 years
C. 6 months
D. Indefinitely - 100 correct answer as-B. 3 years
After congenital hypothyroidism treatment for 3 years how long
should the patient stop treatment? - 100 correct answer as-4
weeks
Which of the following medications are safe to use for
hyperthyroidism in pregnancy?
A. Atenolol
B. Methimazole
C. Propranolol
D. Propylthiouracil - 100 correct answer as-D.
Propylthiouracil
Shorter half life, risk of liver failure, blocks peripheral T4 to T3
conversion. Preferred medication for 1st trimester of pregnancy
,What is the first line test for diagnosing hyperthyroidism? - 100
correct answer as-TSH
What Lab pattern suggests Hyperthyroidism?
A. High TSH, High T4
B. Low TSH, High T4
C. Normal TSH, Low T4
D. High TSH, Normal T4 - 100 correct answer as-B. Low
TSH, High T4
Which of the following medications is used to treat symptoms
while awaiting endocrinology consult for hyperthyroidism?
A. Atenolol
B. Methimazole
C. Propranolol
D. Propylthiouracil - 100 correct answer as-C. Propranolol
Which findings suggests Graves' disease?
A. Thyroid nodule
B. Positive thyroid stimulating immunoglobulin
C. Low radioactive iodine
D. Low TSH, low T4 - 100 correct answer as-B. Positive
thyroid stimulating immunoglobulin
Which of the following is a contradiction for Radioactive Iodine
Therapy?
A. Pregnancy
B. Type two diabetes
C. Hypertension
D. Graves' disease
, E. Thyroid cancer
F. Goiter - 100 correct answer as-A. Pregnancy
Lugol's Solution is a short term pre-op thyroidectomy for thyroid
suppression in pregnant patients, True or False? - 100 correct
answer as-True
Mike is a 50 year old immigrant from Canada. He comes in for
fatigue, weight miss and muscle pain, he has hypotension, diffuse
skin and hyperpigmentation in the oral mucosa, palmar creases
and knuckles. Which is the filling conditions could this be?
A. Hyperthyroidism
B. Hypothyroidism
C. Vitiligo
D. Cushing's disease
E. Addison's disease - 100 correct answer as-E. Addison's
disease
What hormone is deficient is Addison's disease? - 100 correct
answer as-Cortisol
What test confirms adrenal insufficiency? SATA
A. Serum potassium
B. Morning serum cortisol
C. ACTH stimulation test
D. 24 hour urine sodium
E. FSH and LSH levels - 100 correct answer as-B and C
Which of the following are electrolyte abnormalities seen in
Addision's? SATA
