NUR2392 Multidimensional Care II Exam 3
Verified & Updated Questions and Answers -
Rasmussen University
1. A client with Cushing’s syndrome is being monitored by the nurse. Which
clinical manifestation should the nurse expect to find?
A. Postural hypotension
B. Truncal obesity and a buffalo hump
C. Hyperpigmentation of the skin
D. Weight loss and dehydration
Answer: B
Explanation: Cushing’s syndrome results from excessive cortisol, leading to fat
redistribution such as truncal obesity, moon face, and a buffalo hump.
2. Which laboratory result is most consistent with a diagnosis of Addison’s
disease?
A. Hyponatremia and hyperkalemia
B. Hyperglycemia
C. Hypokalemia and hypernatremia
D. Decreased BUN levels
Answer: A
Explanation: Addison’s disease involves adrenal insufficiency, leading to low aldosterone
levels, which causes the kidneys to excrete sodium (hyponatremia) and retain potassium
(hyperkalemia).
,3. A patient is admitted with Diabetes Insipidus (DI). The nurse should prioritize
monitoring which of the following?
A. Serum glucose levels
B. Urine specific gravity and fluid intake/output
C. Abdominal girth
D. Hemoglobin A1c
Answer: B
Explanation: DI is characterized by a deficiency of ADH, leading to massive output of dilute
urine. Urine specific gravity will be very low (e.g., <1.005).
4. Which medication is typically prescribed for a patient with SIADH to promote
water excretion without sodium loss?
A. Desmopressin (DDAVP)
B. Furosemide (Lasix)
C. Tolvaptan (Samsca)
D. Levothyroxine
Answer: C
Explanation: Tolvaptan is a vasopressin antagonist used in SIADH to treat hyponatremia
by promoting the excretion of free water.
5. The nurse is assessing a patient with Graves’ disease. Which finding requires
immediate intervention?
A. Exophthalmos
B. Temperature increase of 1 degree Fahrenheit
C. Fine tremors of the hands
D. Goiter
Answer: B
Explanation: In hyperthyroidism, even a small increase in temperature can signal the
onset of thyroid storm, a life-threatening emergency.
, 6. A patient with hypothyroidism is receiving Levothyroxine. Which symptom
indicates the dose may be too high?
A. Bradycardia
B. Insomnia and palpitations
C. Constipation
D. Excessive sleepiness
Answer: B
Explanation: Levothyroxine toxicity mimics hyperthyroidism, characterized by
tachycardia, palpitations, insomnia, and nervousness.
7. Which nursing intervention is most important post-thyroidectomy to prevent
complications?
A. Encourage the patient to cough and deep breathe every hour
B. Maintain the patient in a supine position
C. Keep a tracheostomy kit at the bedside
D. Restrict fluid intake for 24 hours
Answer: C
Explanation: Respiratory distress can occur post-thyroidectomy due to swelling or
laryngeal nerve damage; a tracheostomy kit is essential for safety.
8. A patient with hyperparathyroidism is at high risk for which of the following?
A. Hypocalcemia
B. Muscle tetany
C. Positive Trousseau’s sign
D. Pathological fractures
Answer: D
Explanation: Hyperparathyroidism causes excessive PTH secretion, which pulls calcium
from the bones into the blood, leading to bone demineralization and fractures.
Verified & Updated Questions and Answers -
Rasmussen University
1. A client with Cushing’s syndrome is being monitored by the nurse. Which
clinical manifestation should the nurse expect to find?
A. Postural hypotension
B. Truncal obesity and a buffalo hump
C. Hyperpigmentation of the skin
D. Weight loss and dehydration
Answer: B
Explanation: Cushing’s syndrome results from excessive cortisol, leading to fat
redistribution such as truncal obesity, moon face, and a buffalo hump.
2. Which laboratory result is most consistent with a diagnosis of Addison’s
disease?
A. Hyponatremia and hyperkalemia
B. Hyperglycemia
C. Hypokalemia and hypernatremia
D. Decreased BUN levels
Answer: A
Explanation: Addison’s disease involves adrenal insufficiency, leading to low aldosterone
levels, which causes the kidneys to excrete sodium (hyponatremia) and retain potassium
(hyperkalemia).
,3. A patient is admitted with Diabetes Insipidus (DI). The nurse should prioritize
monitoring which of the following?
A. Serum glucose levels
B. Urine specific gravity and fluid intake/output
C. Abdominal girth
D. Hemoglobin A1c
Answer: B
Explanation: DI is characterized by a deficiency of ADH, leading to massive output of dilute
urine. Urine specific gravity will be very low (e.g., <1.005).
4. Which medication is typically prescribed for a patient with SIADH to promote
water excretion without sodium loss?
A. Desmopressin (DDAVP)
B. Furosemide (Lasix)
C. Tolvaptan (Samsca)
D. Levothyroxine
Answer: C
Explanation: Tolvaptan is a vasopressin antagonist used in SIADH to treat hyponatremia
by promoting the excretion of free water.
5. The nurse is assessing a patient with Graves’ disease. Which finding requires
immediate intervention?
A. Exophthalmos
B. Temperature increase of 1 degree Fahrenheit
C. Fine tremors of the hands
D. Goiter
Answer: B
Explanation: In hyperthyroidism, even a small increase in temperature can signal the
onset of thyroid storm, a life-threatening emergency.
, 6. A patient with hypothyroidism is receiving Levothyroxine. Which symptom
indicates the dose may be too high?
A. Bradycardia
B. Insomnia and palpitations
C. Constipation
D. Excessive sleepiness
Answer: B
Explanation: Levothyroxine toxicity mimics hyperthyroidism, characterized by
tachycardia, palpitations, insomnia, and nervousness.
7. Which nursing intervention is most important post-thyroidectomy to prevent
complications?
A. Encourage the patient to cough and deep breathe every hour
B. Maintain the patient in a supine position
C. Keep a tracheostomy kit at the bedside
D. Restrict fluid intake for 24 hours
Answer: C
Explanation: Respiratory distress can occur post-thyroidectomy due to swelling or
laryngeal nerve damage; a tracheostomy kit is essential for safety.
8. A patient with hyperparathyroidism is at high risk for which of the following?
A. Hypocalcemia
B. Muscle tetany
C. Positive Trousseau’s sign
D. Pathological fractures
Answer: D
Explanation: Hyperparathyroidism causes excessive PTH secretion, which pulls calcium
from the bones into the blood, leading to bone demineralization and fractures.
