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Exam (elaborations)

NURS 5461 Newest Exam Questions with accurate detailed solutions

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NURS 5461 Newest Exam Questions with accurate detailed solutions

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NURS 5461 Newest Exam Questions with accurate detailed || || || || || || || ||




solutions


When assessing an individual from a developing country who has a goiter, it is important to
|| || || || || || || || || || || || || || || ||




identify if they have a dietary deficiency of:
|| || || || || || ||




a. mineral
||




b. sodium
||




c. zinc
||




d. iodine - ✔✔D. Iodine
|| || || ||




Grave's disease is caused by: || || || ||




a. viral infection
|| ||




b. use of lithium
|| || ||




c. an autoimmune response
|| || ||




d. excessive ingestion of thyroid hormone - ✔✔C, An autoimmune response
|| || || || || || || || || ||




In Grave's disease, you would expect:
|| || || || ||




a. TSH to be decreased
|| || || ||




b. T3 to be increased
|| || || ||




c. T3 resin uptake to be decreased
|| || || || || ||




d. T4 to be decreased - ✔✔A. TSH to be decreased
|| || || || || || || || || ||




The most serious side effects of both PTU and Tapazole is:
|| || || || || || || || || ||




a. skin rash
|| ||

,2


b. diarrhea
||




c. agranulocytosis
||




d. hepatitis - ✔✔C. Agranulocytosis
|| || || ||




Sally G. is a 44 year old who thinks that she is beginning menopause because her menstrual
|| || || || || || || || || || || || || || || || ||




periods have become irregular. Her major complaint is a lack of energy and weight gain.
|| || || || || || || || || || || || || || ||




Physical exam reveals dry skin, thinning hair, a puffy facial appearance, and an enlarged,
|| || || || || || || || || || || || || ||




nontender thyroid. Her BP is 130/92 with a heart rate of 60. The findings suggest:
|| || || || || || || || || || || || || ||




a. Grave's disease
|| ||




b. Hypothyroidism
||




c. Plummer's disease
|| ||




d. thyrotoxicosis - ✔✔B. Hypothyroidism
|| || || ||




Which of the following thyroid function tests must be used in the pregnant female to
|| || || || || || || || || || || || || || ||




accurately assess thyroid function? || || ||




a. T4
||




b. T3
||




c. T3 by RIA
|| || ||




d. free T4 - ✔✔D. Free T4
|| || || || || ||




Which of the following signs most often leads the patient to be evaluated for
|| || || || || || || || || || || || || ||




hyperthyroidism?



a. weight loss
|| ||




b. nervousness
||

,2


c. tremor
||




d. goiter - ✔✔C. Tremor
|| || || ||




Which of the following lab panels represents primary hypothyroidism?
|| || || || || || || ||




a. low TSH; low T4; low T3; low free T4
|| || || || || || || || ||




b. low TSH; normal T4; normal T3; low free T4
|| || || || || || || || ||




c. high TSH; low T4; low free T4
|| || || || || || ||




d. high TSH; low T4; high T3; high free T4
|| || || || || || || || ||




e. low TSH; high T4; low T3; low free T4 - ✔✔C. High TSH, low T4, low free T4
|| || || || || || || || || || || || || || || || || ||




Which of the following is not a type of thyroid malignancy?
|| || || || || || || || || ||




a. papillary carcinoma
|| ||




b. follicular carcinoma
|| ||




c. anaplastic carcinoma
|| ||




d. squamous carcinoma
|| ||




e. medullary carcinoma - ✔✔d. Squamous carcinoma
|| || || || || ||




Which of the following is used to differentiate thyroiditis from nontoxic goiter?
|| || || || || || || || || || ||




a. thyroid autoantibodies
|| ||




b. thyroid scan
|| ||




c. free T4
|| ||




d. reverse T3 - ✔✔A. Thyroid autoantibodies
|| || || || || ||

, 2


A 58 year old woman presents with a 3 month history of fatigue and memory problems. Her
|| || || || || || || || || || || || || || || ||




physical exam reveals delayed relaxation of the reflexes and coarse, dry skin. You consider a
|| || || || || || || || || || || || || || ||




diagnosis of:
|| ||




a. Myxedema
||




b. Hypothyroidism
||




c. Organic depression
|| ||




d. Multiple sclerosis - ✔✔B Hypothyroidism
|| || || || ||




A patient with symptoms of hypothyroidism is likely to have:
|| || || || || || || || ||




a. Low TSH
|| ||




b. High TSH
|| ||




c. High serum T3
|| || ||




d. High serum T4 - ✔✔B - High TSH
|| || || || || || || ||




For initial routine screening of hyperfunction or hypofunction of the thyroid gland, the first
|| || || || || || || || || || || || || ||




diagnostic test is: || ||




a. T3 resin uptake
|| || ||




b. TSH assay
|| ||




c. TPO Ab level
|| || ||




d. Serum antibody - ✔✔B. TSH assay
|| || || || || ||




The medication prescribed for treating hypothyroidism is:
|| || || || || ||




a. Levothyroxine
||

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