NUR 667 – Final questions with correct answers
A patient is seen with complaints of diarrhea. Which of the following
should be included in the patient's differential diagnosis?
A. Gastroenteritis
B. Recent use of Imodium
C. Lack of dietary fiber
D. Decreased physical activity Correct Answer-A. Gastroenteritis
A 45-year-old patient presents with a chief complaint of generalized
abdominal pain. Her physical examination is remarkable for left lower
quadrant tenderness. At this time, which of the following should be
considered in the differential diagnosis?
A. Endometriosis
B. Yersinia enterocolitica infection
C. Appendicitis
D. GERD Correct Answer-A. Endometriosis
A 21-year-old student presents with complaints of fatigue, headache,
anorexia, and a runny nose, all of which began about 2 weeks ago. She
started taking vitamins and over-the-counter cold preparations but feels
worse. The smell of food makes her nauseated. Her boyfriend had
mononucleosis about 1 month ago, and she wonders if she might have it
also. Examination reveals cervical adenopathy and an enlarged liver and
,spleen. Which of the following labs would be most helpful in the
differential diagnosis at this point?
A. Stool culture
B. Liver enzymes
C. Antihepatitis D virusD
Thyroid-stimulating hormone test Correct Answer-C. Antihepatitis D
virus
A pt is seen with c/o diarrhea. Which of the following should be
included in the pt's differentials?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above Correct Answer-d. All of the above
One of the three P's of diabetes is:
A. paresthesias
B. polydipsia
C. polycythemia
D. proteinuria
b. polydipsia Correct Answer-B. polydipsia
,A client is experiencing sudden tachycardia, systolic hypertension, and a
high fever after a thyroid assessment by the provider. What medication
should be administered? Select all that apply.
A. Antithyroid medications
B. Thyroid supplements
C. Vitamin D
D. Iodine preparations
E. Glucocorticoids Correct Answer-A. Antithyroid medications
D. Iodine preparations
E. Glucocorticoids
Rationale: Thyroid storm or thyrotoxicosis may develop with poorly
managed hyperthyroidism. Clinical manifestations include tachycardia,
fever, systolic hypertension, abdominal pain, tremors, and changes in
level of consciousness. Airway management and fluid resuscitation are
priorities. Antithyroid medications may be administered along with
iodine preparations. For management of tachycardia, beta-adrenergic
blockers may be administered. Glucocorticoids may also be
administered because in high doses these medications decrease the
conversion of T4 to the more active T3, as well as decreasing the release
of TSH from the anterior pituitary gland.
Joyce is seen in the clinic complaining of vague symptoms of
nervousness and irritability. She says that her hair will not hold a
permanent wave anymore. On physical examination, the clinician finds
, an irregular heartbeat and brisk reflexes. The differential diagnosis
should include which of the following conditions?
A. Myxedema
B. Thyrotoxicosis
C. Cushing's syndrome
D. Pan-hypopituitarism Correct Answer-B. Thyrotoxicosis
The nurse is caring for a client with exophthalmos. What is the
anticipated cause?
A. Hypothyroidism
B. Hyperthyroidism
C. Thyrotoxicosis
D. Hypoparathyroidism Correct Answer-B. Hyperthyroidism
The patient experiencing thyroid storm (thyrotoxicosis) is ordered to
receive beta-adrenergic agents. The nurse monitors which therapeutic
effect of these medications?
A. Increased respiratory rate
B. Increased appetite
C. Decreased heart rate
D. Decreased bowel sounds Correct Answer-C. Decreased heart rate
A patient is seen with complaints of diarrhea. Which of the following
should be included in the patient's differential diagnosis?
A. Gastroenteritis
B. Recent use of Imodium
C. Lack of dietary fiber
D. Decreased physical activity Correct Answer-A. Gastroenteritis
A 45-year-old patient presents with a chief complaint of generalized
abdominal pain. Her physical examination is remarkable for left lower
quadrant tenderness. At this time, which of the following should be
considered in the differential diagnosis?
A. Endometriosis
B. Yersinia enterocolitica infection
C. Appendicitis
D. GERD Correct Answer-A. Endometriosis
A 21-year-old student presents with complaints of fatigue, headache,
anorexia, and a runny nose, all of which began about 2 weeks ago. She
started taking vitamins and over-the-counter cold preparations but feels
worse. The smell of food makes her nauseated. Her boyfriend had
mononucleosis about 1 month ago, and she wonders if she might have it
also. Examination reveals cervical adenopathy and an enlarged liver and
,spleen. Which of the following labs would be most helpful in the
differential diagnosis at this point?
A. Stool culture
B. Liver enzymes
C. Antihepatitis D virusD
Thyroid-stimulating hormone test Correct Answer-C. Antihepatitis D
virus
A pt is seen with c/o diarrhea. Which of the following should be
included in the pt's differentials?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above Correct Answer-d. All of the above
One of the three P's of diabetes is:
A. paresthesias
B. polydipsia
C. polycythemia
D. proteinuria
b. polydipsia Correct Answer-B. polydipsia
,A client is experiencing sudden tachycardia, systolic hypertension, and a
high fever after a thyroid assessment by the provider. What medication
should be administered? Select all that apply.
A. Antithyroid medications
B. Thyroid supplements
C. Vitamin D
D. Iodine preparations
E. Glucocorticoids Correct Answer-A. Antithyroid medications
D. Iodine preparations
E. Glucocorticoids
Rationale: Thyroid storm or thyrotoxicosis may develop with poorly
managed hyperthyroidism. Clinical manifestations include tachycardia,
fever, systolic hypertension, abdominal pain, tremors, and changes in
level of consciousness. Airway management and fluid resuscitation are
priorities. Antithyroid medications may be administered along with
iodine preparations. For management of tachycardia, beta-adrenergic
blockers may be administered. Glucocorticoids may also be
administered because in high doses these medications decrease the
conversion of T4 to the more active T3, as well as decreasing the release
of TSH from the anterior pituitary gland.
Joyce is seen in the clinic complaining of vague symptoms of
nervousness and irritability. She says that her hair will not hold a
permanent wave anymore. On physical examination, the clinician finds
, an irregular heartbeat and brisk reflexes. The differential diagnosis
should include which of the following conditions?
A. Myxedema
B. Thyrotoxicosis
C. Cushing's syndrome
D. Pan-hypopituitarism Correct Answer-B. Thyrotoxicosis
The nurse is caring for a client with exophthalmos. What is the
anticipated cause?
A. Hypothyroidism
B. Hyperthyroidism
C. Thyrotoxicosis
D. Hypoparathyroidism Correct Answer-B. Hyperthyroidism
The patient experiencing thyroid storm (thyrotoxicosis) is ordered to
receive beta-adrenergic agents. The nurse monitors which therapeutic
effect of these medications?
A. Increased respiratory rate
B. Increased appetite
C. Decreased heart rate
D. Decreased bowel sounds Correct Answer-C. Decreased heart rate
