NURS 215 EXAM 3 (ARIZONA COLLEGE OF NURSING)
- COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A client who has just undergone a thyroidectomy is
experiencing high fever, tachycardia, and extreme restlessness.
The nurse would interpret these manifestations as:
Answer:
Thyroid crisis
Question 2: The nurse is performing an assessment for a client
who has hyperthyroidism that is untreated. When obtaining vital
signs, what is the expected finding?
Answer:
Heart rate 110 and bounding
Question 3: Which of the following clinical manifestations lead the
health care worker to suspect the client is at the end-stage
expression of hypothyroidism? A client: Select all that apply.
Answer:
• Who takes analgesics for chronic pain that goes into a coma
• Brought to the emergency department with hypothermia who presents with
low serum sodium levels
Question 4: A client is to have a serum thyroxine and thyroid
stimulating laboratory test performed to assess the baseline status
of the hypothalamic-pituitary target cell hormones. When educating
the client about the laboratory tests, when would the the nurse
,inform him the test should be obtained?
Answer:
Before 0800
Question 5: Before 0800
Answer:
Increased levels of ACTH
Question 6: Congenital adrenal hyperplasia is a congenital disorder
in which a deficiency exists in any of the enzymes necessary for
the synthesis of cortisol. Infants of both sexes are affected,
although boys are not diagnosed at birth unless of enlarged
genitalia. Female infants often have ambiguous genitalia because
of the oversecretion of adrenal androgens. What are the
manifestations of the ambiguous genitalia caused by congenital
adrenal hyperplasia?
Answer:
Enlarged clitoris, fused labia, and urogenital sinus
Question 7: Which disorder is a result of excess cortisol?
Answer:
Cushing syndrome
Question 8: A client with severe hypothyroidism is presently
experiencing hypothermia. What nursing intervention is a priority
in the care of this client?
Answer:
, Slow rewarming of the client to prevent vasodilation and vascular collapse
Question 9: A client with Graves' disease has opthalmopathy and
asks the nurse if the eyes will stay like this forever. What is the best
response by the nurse?
Answer:
"With treatment of the hyperthyroid state, the opthalmopathy usually tends to
stabilize."
Question 10: The nurse is providing education for a client
diagnosed with hypothyroidism. What information about diet
should the nurse be sure to include in this information?
Answer:
The client should maintain a low cholesterol diet.
Question 11: The health care provider is teaching a client about the
metabolic effect of cortisol. The most appropriate information to
provide would be:
Answer:
Breakdown of proteins and fats
Question 12: When the nurse is performing a health history for a
client who is being admitted for hyperthyroidism, what symptoms
does the client report that the nurse would find associated with this
disorder?
Answer:
Increase in appetite
, Question 13: A client with bipolar disorder has developed
hypothyroidism with a goiter. When the nurse obtains a medication
history, which medication taken by the client does the nurse
understand may cause this disorder?
Answer:
Lithium carbonate
Question 14: Which client does the nurse recognize is at the most
risk for the development of subacute thyroiditis?
Answer:
A 32-year-old postpartum client
Question 15: The nurse is preparing a client for a test that will
measure negative feedback suppression of ACTH. Which
medication will the nurse administer in conjunction for this test?
Answer:
Dexamethasone
Question 16: A nurse is assessing an elderly woman diagnosed
with chronic hypothyroidism who has developed myxedematous
coma. The nurse is aware that the client may manifest: Select all
that apply.
Answer:
• Hypoventilation
• Hyponatremia
• Hypoglycemia
• Lactic acidosis
- COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A client who has just undergone a thyroidectomy is
experiencing high fever, tachycardia, and extreme restlessness.
The nurse would interpret these manifestations as:
Answer:
Thyroid crisis
Question 2: The nurse is performing an assessment for a client
who has hyperthyroidism that is untreated. When obtaining vital
signs, what is the expected finding?
Answer:
Heart rate 110 and bounding
Question 3: Which of the following clinical manifestations lead the
health care worker to suspect the client is at the end-stage
expression of hypothyroidism? A client: Select all that apply.
Answer:
• Who takes analgesics for chronic pain that goes into a coma
• Brought to the emergency department with hypothermia who presents with
low serum sodium levels
Question 4: A client is to have a serum thyroxine and thyroid
stimulating laboratory test performed to assess the baseline status
of the hypothalamic-pituitary target cell hormones. When educating
the client about the laboratory tests, when would the the nurse
,inform him the test should be obtained?
Answer:
Before 0800
Question 5: Before 0800
Answer:
Increased levels of ACTH
Question 6: Congenital adrenal hyperplasia is a congenital disorder
in which a deficiency exists in any of the enzymes necessary for
the synthesis of cortisol. Infants of both sexes are affected,
although boys are not diagnosed at birth unless of enlarged
genitalia. Female infants often have ambiguous genitalia because
of the oversecretion of adrenal androgens. What are the
manifestations of the ambiguous genitalia caused by congenital
adrenal hyperplasia?
Answer:
Enlarged clitoris, fused labia, and urogenital sinus
Question 7: Which disorder is a result of excess cortisol?
Answer:
Cushing syndrome
Question 8: A client with severe hypothyroidism is presently
experiencing hypothermia. What nursing intervention is a priority
in the care of this client?
Answer:
, Slow rewarming of the client to prevent vasodilation and vascular collapse
Question 9: A client with Graves' disease has opthalmopathy and
asks the nurse if the eyes will stay like this forever. What is the best
response by the nurse?
Answer:
"With treatment of the hyperthyroid state, the opthalmopathy usually tends to
stabilize."
Question 10: The nurse is providing education for a client
diagnosed with hypothyroidism. What information about diet
should the nurse be sure to include in this information?
Answer:
The client should maintain a low cholesterol diet.
Question 11: The health care provider is teaching a client about the
metabolic effect of cortisol. The most appropriate information to
provide would be:
Answer:
Breakdown of proteins and fats
Question 12: When the nurse is performing a health history for a
client who is being admitted for hyperthyroidism, what symptoms
does the client report that the nurse would find associated with this
disorder?
Answer:
Increase in appetite
, Question 13: A client with bipolar disorder has developed
hypothyroidism with a goiter. When the nurse obtains a medication
history, which medication taken by the client does the nurse
understand may cause this disorder?
Answer:
Lithium carbonate
Question 14: Which client does the nurse recognize is at the most
risk for the development of subacute thyroiditis?
Answer:
A 32-year-old postpartum client
Question 15: The nurse is preparing a client for a test that will
measure negative feedback suppression of ACTH. Which
medication will the nurse administer in conjunction for this test?
Answer:
Dexamethasone
Question 16: A nurse is assessing an elderly woman diagnosed
with chronic hypothyroidism who has developed myxedematous
coma. The nurse is aware that the client may manifest: Select all
that apply.
Answer:
• Hypoventilation
• Hyponatremia
• Hypoglycemia
• Lactic acidosis
