NCLEX Q&A LATEST EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/
The nurse explains to a client with thyroid disease that the thyroid gland normally produces:
1. iodine and thyroid-stimulating hormone (TSH).
2. thyrotropin-releasing hormone (TRH) and TSH.
3. TSH, T3, and calcitonin.
4. T3, T4, and calcitonin.
Ans: 4. T3, T4, and calcitonin.
The thyroid gland normally produces thyroid hormone (T3 and T4) and calcitonin. TSH is
produced by the pituitary gland to regulate the thyroid gland. TRH is produced by the
hypothalamus gland to regulate the pituitary gland.
Quiz A client is seen in the clinic with a possible parathormone deficiency. Diagnosis of this
condition includes the analysis of serum electrolytes. Which electrolytes would the nurse
expect to be abnormal?
,1. Sodium
2. Potassium
3. Calcium
4. Chloride
5. Glucose
6. Phosphorous
Ans: 3. Calcium
6. Phosphorous
A client with a parathormone deficiency has abnormal calcium and phosphorous values
because parathormone regulates these two electrolytes. Potassium, chloride, sodium, and
glucose aren't affected by a parathormone deficiency.
Quiz A client is being returned to the room after a subtotal thyroidectomy. Which piece of
equipment is most important for the nurse to keep at the client's bedside?
1. Indwelling urinary catheter kit
2. Tracheostomy set
,3. Cardiac monitor
4. Humidifier
Ans: 2. Tracheostomy set
After a subtotal thyroidectomy, swelling of the surgical site (the tracheal area) may obstruct the
airway. Therefore, the nurse should keep a tracheostomy set at the client's bedside in case of a
respiratory emergency. Although an indwelling urinary catheter and a cardiac monitor may be
used for a client after a thyroidectomy, the tracheostomy set is more important. A humidifier
isn't indicated for this client.
Quiz When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that
secretes excessive catecholamine, the nurse is most likely to detect:
1. a blood pressure of 130/70 mm Hg.
2. a blood glucose level of 130 mg/dl.
3. bradycardia.
4. a blood pressure of 176/88 mm Hg.
Ans: 4. a blood pressure of 176/88 mm Hg.
Pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine,
causes hypertension, tachycardia, hyperglycemia, hypermetabolism, and weight loss. It isn't
associated with the other options.
, Quiz Which nursing diagnosis takes highest priority for a client with hyperthyroidism?
1. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone
excess
2. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
3. Disturbed body image related to weight gain and edema
4. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
Ans: 4. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
In the client with hyperthyroidism, excessive thyroid hormone production leads to
hypermetabolism and increased nutrient metabolism. These conditions may result in a negative
nitrogen balance, increased protein synthesis and breakdown, decreased glucose tolerance,
and fat mobilization and depletion. This puts the client at risk for marked nutrient and calorie
deficiency, making Imbalanced nutrition: Less than body requirements the most important
nursing diagnosis. Options 2 and 3 may be appropriate for a client with hypothyroidism, which
slows the metabolic rate.
Quiz A client with Addison's disease comes to the clinic for a follow-up visit. When assessing
this client, the nurse should stay alert for signs and symptoms of:
1. calcium and phosphorus abnormalities.
2. chloride and magnesium abnormalities.
ANSWERS GRADED A+/
The nurse explains to a client with thyroid disease that the thyroid gland normally produces:
1. iodine and thyroid-stimulating hormone (TSH).
2. thyrotropin-releasing hormone (TRH) and TSH.
3. TSH, T3, and calcitonin.
4. T3, T4, and calcitonin.
Ans: 4. T3, T4, and calcitonin.
The thyroid gland normally produces thyroid hormone (T3 and T4) and calcitonin. TSH is
produced by the pituitary gland to regulate the thyroid gland. TRH is produced by the
hypothalamus gland to regulate the pituitary gland.
Quiz A client is seen in the clinic with a possible parathormone deficiency. Diagnosis of this
condition includes the analysis of serum electrolytes. Which electrolytes would the nurse
expect to be abnormal?
,1. Sodium
2. Potassium
3. Calcium
4. Chloride
5. Glucose
6. Phosphorous
Ans: 3. Calcium
6. Phosphorous
A client with a parathormone deficiency has abnormal calcium and phosphorous values
because parathormone regulates these two electrolytes. Potassium, chloride, sodium, and
glucose aren't affected by a parathormone deficiency.
Quiz A client is being returned to the room after a subtotal thyroidectomy. Which piece of
equipment is most important for the nurse to keep at the client's bedside?
1. Indwelling urinary catheter kit
2. Tracheostomy set
,3. Cardiac monitor
4. Humidifier
Ans: 2. Tracheostomy set
After a subtotal thyroidectomy, swelling of the surgical site (the tracheal area) may obstruct the
airway. Therefore, the nurse should keep a tracheostomy set at the client's bedside in case of a
respiratory emergency. Although an indwelling urinary catheter and a cardiac monitor may be
used for a client after a thyroidectomy, the tracheostomy set is more important. A humidifier
isn't indicated for this client.
Quiz When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that
secretes excessive catecholamine, the nurse is most likely to detect:
1. a blood pressure of 130/70 mm Hg.
2. a blood glucose level of 130 mg/dl.
3. bradycardia.
4. a blood pressure of 176/88 mm Hg.
Ans: 4. a blood pressure of 176/88 mm Hg.
Pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine,
causes hypertension, tachycardia, hyperglycemia, hypermetabolism, and weight loss. It isn't
associated with the other options.
, Quiz Which nursing diagnosis takes highest priority for a client with hyperthyroidism?
1. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone
excess
2. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
3. Disturbed body image related to weight gain and edema
4. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
Ans: 4. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
In the client with hyperthyroidism, excessive thyroid hormone production leads to
hypermetabolism and increased nutrient metabolism. These conditions may result in a negative
nitrogen balance, increased protein synthesis and breakdown, decreased glucose tolerance,
and fat mobilization and depletion. This puts the client at risk for marked nutrient and calorie
deficiency, making Imbalanced nutrition: Less than body requirements the most important
nursing diagnosis. Options 2 and 3 may be appropriate for a client with hypothyroidism, which
slows the metabolic rate.
Quiz A client with Addison's disease comes to the clinic for a follow-up visit. When assessing
this client, the nurse should stay alert for signs and symptoms of:
1. calcium and phosphorus abnormalities.
2. chloride and magnesium abnormalities.
