NUR-265 EXAM 2
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The nurse preceptor is observing a newly hired nurse
care for a client with suspected pheochromocytoma . Which of the
actions by the newly hired nurse requires the nurse preceptor to
intervene
A. Avoiding palpitation and percussion of the client's abd
B. Alternating arms when taking the client's blood pressure
C. Assessing the client's diet for red wine and aged cheeses
D. Limiting visitors while client is sleeping
Answer:
b. Alternating arms when taking the client's blood pressure
Question 2: The nurse is assessing a client who has grave's
disease and notes that the client's temp has increased by 1. After
notifying the PHCP the nurse should first
A. Dim the lights in the rom
B. Assess for any changes in vision
C. Administer prescribed oral antithyroid
D. Check for a positive trousseau sign
Answer:
c. Administer prescribed oral antithyroid
,Question 3: The nurse has instructed a male client with
hyperthyroidism who is schedules to receive radioactive iodine
therapy. Which of the following client statements indicates a
correct understanding of the instructions
A. I will use disposable tissues rather than a cloth handkerchief
B. I will limit time with my pregnant daughter to no more than 2 hours
daily
C. I will have my clothing dry cleaned as opposed to washing them in
my home
D. I will wash my dishes in very hot water or a dishwasher after each
use
Answer:
a. I will use disposable tissues rather than a cloth handkerchief
Question 4: The nurse is caring for a client who is 12 hours
postoperative from a total thyroid Tony and has developed stridor.
Which of the following actions should the nurse take
A. Encourage the client to take slow deep breaths
B. Set up oral suctioning equipment at bedside
C. Hyperextended the client;s neck and apply oxygen via simple
mask
D. Prepare the client for an emergency tracheotomy
Answer:
d. Prepare the client for an emergency tracheotomy
Question 5: The nurse has instructed a female client who has
hyperthyroidism about a newly prescribed medication,
methimazole. Which of the following client statements indicates a
,need for further teaching
A. I will need to monitor for any weight gain while taking this
medication
B. I should avoid crowds and people who are ill while taking this
medication
C. I might have a heat intolerance or hot flashes while taking this
medication
D. I will notify my doctor if I become pregnant while taking this
medication
Answer:
c. I might have a heat intolerance or hot flashes while taking this medication
Question 6: The nurse has become aware of the follow client
situations. It would be a priority for the nurse to follow up with the
client who
A. Has syndrome of inappropriate anti diuretic hormone secretion and
continues to have a sodium level of 119
B. Had a subtotal thyroidectomy 12 hours ago and reports tingling of
the fingers
C. Has hyperparathyroidism and received prescribed furosemide one
hour ago
D. Has hypothyroidism and is reporting that the last bowel movement
was three days ago
Answer:
b. Had a subtotal thyroidectomy 12 hours ago and reports tingling of the
fingers
, Question 7: The nurse is caring for a 35 y.o. female client who has
the following data: difficulty with memory facial edema dry skin
amenorrhea pulse: 60 increased peripheral pulses BG: 64mg/dL
sodium: 135mEq/L weight gain of 5lbs in 1 week which of the
following complications should the nurse suspect that the client is
experiencing
A. Myxedema coma
B. Thyroid storm
C. Diabetes insipidus
D. Syndrome of inappropriate anti diuretic hormone
Answer:
a. Myxedema coma
Question 8: The nurse is caring for a client recently diagnosed with
hypothyroidism and is receiving initial dose of levothyroxine.
During the invitation of this medication therapy it is a priority for
the nurse to assess the client for the development of
A. Chest pain and dyspnea
B. Periorbital edema and facial puffiness
C. Increased bruising and muscle weakness
D. Weakness and fatigue
Answer:
a. Chest pain and dyspnea
Question 9: The nurse is teaching a client who has hypothyroidism
about self management. Which of the following should the nurse
include in the teaching plan
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The nurse preceptor is observing a newly hired nurse
care for a client with suspected pheochromocytoma . Which of the
actions by the newly hired nurse requires the nurse preceptor to
intervene
A. Avoiding palpitation and percussion of the client's abd
B. Alternating arms when taking the client's blood pressure
C. Assessing the client's diet for red wine and aged cheeses
D. Limiting visitors while client is sleeping
Answer:
b. Alternating arms when taking the client's blood pressure
Question 2: The nurse is assessing a client who has grave's
disease and notes that the client's temp has increased by 1. After
notifying the PHCP the nurse should first
A. Dim the lights in the rom
B. Assess for any changes in vision
C. Administer prescribed oral antithyroid
D. Check for a positive trousseau sign
Answer:
c. Administer prescribed oral antithyroid
,Question 3: The nurse has instructed a male client with
hyperthyroidism who is schedules to receive radioactive iodine
therapy. Which of the following client statements indicates a
correct understanding of the instructions
A. I will use disposable tissues rather than a cloth handkerchief
B. I will limit time with my pregnant daughter to no more than 2 hours
daily
C. I will have my clothing dry cleaned as opposed to washing them in
my home
D. I will wash my dishes in very hot water or a dishwasher after each
use
Answer:
a. I will use disposable tissues rather than a cloth handkerchief
Question 4: The nurse is caring for a client who is 12 hours
postoperative from a total thyroid Tony and has developed stridor.
Which of the following actions should the nurse take
A. Encourage the client to take slow deep breaths
B. Set up oral suctioning equipment at bedside
C. Hyperextended the client;s neck and apply oxygen via simple
mask
D. Prepare the client for an emergency tracheotomy
Answer:
d. Prepare the client for an emergency tracheotomy
Question 5: The nurse has instructed a female client who has
hyperthyroidism about a newly prescribed medication,
methimazole. Which of the following client statements indicates a
,need for further teaching
A. I will need to monitor for any weight gain while taking this
medication
B. I should avoid crowds and people who are ill while taking this
medication
C. I might have a heat intolerance or hot flashes while taking this
medication
D. I will notify my doctor if I become pregnant while taking this
medication
Answer:
c. I might have a heat intolerance or hot flashes while taking this medication
Question 6: The nurse has become aware of the follow client
situations. It would be a priority for the nurse to follow up with the
client who
A. Has syndrome of inappropriate anti diuretic hormone secretion and
continues to have a sodium level of 119
B. Had a subtotal thyroidectomy 12 hours ago and reports tingling of
the fingers
C. Has hyperparathyroidism and received prescribed furosemide one
hour ago
D. Has hypothyroidism and is reporting that the last bowel movement
was three days ago
Answer:
b. Had a subtotal thyroidectomy 12 hours ago and reports tingling of the
fingers
, Question 7: The nurse is caring for a 35 y.o. female client who has
the following data: difficulty with memory facial edema dry skin
amenorrhea pulse: 60 increased peripheral pulses BG: 64mg/dL
sodium: 135mEq/L weight gain of 5lbs in 1 week which of the
following complications should the nurse suspect that the client is
experiencing
A. Myxedema coma
B. Thyroid storm
C. Diabetes insipidus
D. Syndrome of inappropriate anti diuretic hormone
Answer:
a. Myxedema coma
Question 8: The nurse is caring for a client recently diagnosed with
hypothyroidism and is receiving initial dose of levothyroxine.
During the invitation of this medication therapy it is a priority for
the nurse to assess the client for the development of
A. Chest pain and dyspnea
B. Periorbital edema and facial puffiness
C. Increased bruising and muscle weakness
D. Weakness and fatigue
Answer:
a. Chest pain and dyspnea
Question 9: The nurse is teaching a client who has hypothyroidism
about self management. Which of the following should the nurse
include in the teaching plan
