NRS 3015 Chapter 45 Prep U Test
Questions All Solved Correctly.
Which feature(s) indicates a carpopedal spasm in a client with hypoparathyroidism?
A. Hand flexing inward
B. Cardiac dysrhythmia
C. Moon face and buffalo hump
D. Bulging forehead - Answer A. Hand flexing inward
A nurse explains to a client with thyroid disease that the thyroid gland normally produces:
A. iodine and thyroid-stimulating hormone (TSH).
B. thyrotropin-releasing hormone (TRH) and TSH.
C. TSH, triiodothyronine (T3), and calcitonin.
D. T3, thyroxine (T4), and calcitonin. - Answer D. T3, thyroxine (T4), and calcitonin.
A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor.
Which client should she assign to the bed at the end of the hall, away from the nurses' station?
A. A 24-year-old client with unstable hyperthyroidism with sinus tachycardia
B. A 38-year-old client with mitral valve prolapse in sinus rhythm who is newly diagnosed with
diabetes
C. A 48-year-old client in sinus rhythm transferring from intensive care unit 3 days after coronary
artery bypass grafting (CABG)
D. An 80-year-old client with sinus tachycardia who is confused and agitated 2 days after a
prostatectomy - Answer A. A 24-year-old client with unstable hyperthyroidism with sinus
tachycardia
A client has been experiencing a decrease in serum calcium. After diagnostics, the physician
proposes the calcium level fluctuation is due to altered parathyroid function. What is the typical
number of parathyroid glands?
A. four
B. three
C. two
D. one - Answer A. four
Which of the following would the nurse expect the physician to order for a client with
hypothyroidism?
A. Levothyroxine sodium
, B. Methimazole
C. Propranolol
D. Propylthiouracil - Answer A. Levothyroxine sodium
The nurse assesses a patient who has been diagnosed with Addison's disease. Which of the
following is a diagnostic sign of this disease?
A. Potassium of 6.0 mEq/L
B. Sodium of 140 mEq/L
C. Glucose of 100 mg/dL
D.A blood pressure reading of 135/90 mm Hg - Answer A. Potassium of 6.0 mEq/L
When preparing teaching plan for a client with an endocrine disorder, the nurse includes
information about hormone regulation. Which of the following would the nurse include?
A. The gland becomes enlarged leading to a deficiency of the hormone.
B. Most disorders result from over- or underproduction of the hormone.
C. The gland slows hormone secretion when the hormone level decreases.
D. Hormone secretion occurs as a straight-line continuous process. - Answer B. Most
disorders result from over- or underproduction of the hormone.
The nurse auscultates a bruit over the thyroid glands. What does the nurse understand is the
significance of this finding?
A. The patient may have hypothyroidism.
B. The patient may have thyroiditis.
C. The patient may have hyperthyroidism.
D. The patient may have Cushing disease. - Answer C. The patient may have hyperthyroidism.
A nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What
should the nurse do?
A. Monitor laboratory values daily for elevated thyroid-stimulating hormone.
B. Observe for swelling of the neck, tracheal deviation, and severe pain.
C. Evaluate the quality of the client's voice postoperatively, noting any drastic changes.
D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes. - Answer
D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes.
The nurse is aware that the best time of day for the total large corticosteroid dose is between:
A. 7:00 AM and 8:00 AM
B. 8:00 PM and 9:00 PM
Questions All Solved Correctly.
Which feature(s) indicates a carpopedal spasm in a client with hypoparathyroidism?
A. Hand flexing inward
B. Cardiac dysrhythmia
C. Moon face and buffalo hump
D. Bulging forehead - Answer A. Hand flexing inward
A nurse explains to a client with thyroid disease that the thyroid gland normally produces:
A. iodine and thyroid-stimulating hormone (TSH).
B. thyrotropin-releasing hormone (TRH) and TSH.
C. TSH, triiodothyronine (T3), and calcitonin.
D. T3, thyroxine (T4), and calcitonin. - Answer D. T3, thyroxine (T4), and calcitonin.
A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor.
Which client should she assign to the bed at the end of the hall, away from the nurses' station?
A. A 24-year-old client with unstable hyperthyroidism with sinus tachycardia
B. A 38-year-old client with mitral valve prolapse in sinus rhythm who is newly diagnosed with
diabetes
C. A 48-year-old client in sinus rhythm transferring from intensive care unit 3 days after coronary
artery bypass grafting (CABG)
D. An 80-year-old client with sinus tachycardia who is confused and agitated 2 days after a
prostatectomy - Answer A. A 24-year-old client with unstable hyperthyroidism with sinus
tachycardia
A client has been experiencing a decrease in serum calcium. After diagnostics, the physician
proposes the calcium level fluctuation is due to altered parathyroid function. What is the typical
number of parathyroid glands?
A. four
B. three
C. two
D. one - Answer A. four
Which of the following would the nurse expect the physician to order for a client with
hypothyroidism?
A. Levothyroxine sodium
, B. Methimazole
C. Propranolol
D. Propylthiouracil - Answer A. Levothyroxine sodium
The nurse assesses a patient who has been diagnosed with Addison's disease. Which of the
following is a diagnostic sign of this disease?
A. Potassium of 6.0 mEq/L
B. Sodium of 140 mEq/L
C. Glucose of 100 mg/dL
D.A blood pressure reading of 135/90 mm Hg - Answer A. Potassium of 6.0 mEq/L
When preparing teaching plan for a client with an endocrine disorder, the nurse includes
information about hormone regulation. Which of the following would the nurse include?
A. The gland becomes enlarged leading to a deficiency of the hormone.
B. Most disorders result from over- or underproduction of the hormone.
C. The gland slows hormone secretion when the hormone level decreases.
D. Hormone secretion occurs as a straight-line continuous process. - Answer B. Most
disorders result from over- or underproduction of the hormone.
The nurse auscultates a bruit over the thyroid glands. What does the nurse understand is the
significance of this finding?
A. The patient may have hypothyroidism.
B. The patient may have thyroiditis.
C. The patient may have hyperthyroidism.
D. The patient may have Cushing disease. - Answer C. The patient may have hyperthyroidism.
A nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What
should the nurse do?
A. Monitor laboratory values daily for elevated thyroid-stimulating hormone.
B. Observe for swelling of the neck, tracheal deviation, and severe pain.
C. Evaluate the quality of the client's voice postoperatively, noting any drastic changes.
D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes. - Answer
D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes.
The nurse is aware that the best time of day for the total large corticosteroid dose is between:
A. 7:00 AM and 8:00 AM
B. 8:00 PM and 9:00 PM
