NRSG 6300 Advanced Pathophysiology Exam2
Questions with Verified Solutions
A nurse is working with a patient diagnosed with primary hyperparathyroidism. Which
condition is the nurse concerned the patient may be at increased risk for?
Pathological fracture
Severe hypotension
Weight gain and truncal obesity
Acromegaly - ANSWER Pathological fracture
A patient read a medical article and now feels she has hyperthyroidism. Which of the following
of the patient's symptoms may be caused by hyperthyroidism?
Sense of racing heart and tremors
Lethargy and extreme fatigue
Feeling cold all the time
Gaining weight while feeling she is not eating more - ANSWER Sense of racing heart and
tremors
A nurse sees in a patient's file the diagnosis of pheochromocytoma. No treatments have begun.
Which of the following symptoms and signs may the nurse expect to observe in the patient?
Severe hypotension
Sluggish responses and lethargy
Weight gain
Tachycardia - ANSWER Tachycardia
,A patient presents with secondary hyperthyroidism. Which of the following values does the
nurse expect to see reduced on the chart?
Thyroid stimulating hormone (TSH)
Thyroxine
Thyrotropin releasing hormone (TRH)
Triiodothyronine - ANSWER Thyrotropin releasing hormone (TRH)
A patient with diabetes insipidus will likely have which of the following laboratory values?
Elevated blood glucose
Elevated plasma osmolarity
Elevated urine osmolarity
Elevated urine retention - ANSWER Elevated plasma osmolarity
A patient suffering for diabetes insipidus is given antidiuretic hormone (ADH). The result is
increased fluid retention and decreased urine output. Which of the following conditions does
the patient have?
Nephrogenic diabetes insipidus
Central diabetes insipidus
Diabetes mellitus
Syndrome of inappropriate diabetes insipidus (SIADH) - ANSWER Central diabetes insipidus
A patient's parathyroid glands were damaged. What signs and symptoms does the nurse
expect? Select all that apply.
Tetany
, Chvostek's sign
Trousseau's sign
Low serum calcium
Tingling sensation - ANSWER Chvostek's sign
Trousseau's sign
Low serum calcium
Tingling sensation
A patient has very low cortisol levels. Which of the following tests may be appropriate?
Dexamethasone suppression test
Adrenocorticotropic hormone (ACTH) stimulation test
Parathyroid hormone (PTH) stimulation test
Dexamethasone activation test - ANSWER Adrenocorticotropic hormone (ACTH) stimulation
test
A patient presents in the emergency department with a thyrotoxic crisis. Which of the following
are correct associations and actions for the nurse to make in this situation?
Work to calm the patient down. Thyroid hormone levels will decrease with time.
Have the patient move vigorously. Thyroid hormone levels are too low.
Expect to find a calm, complacent patient who does not recognize the severity of the situation.
Recognize that this is a medical emergency and treatment is needed immediately. - ANSWER
Recognize that this is a medical emergency and treatment is needed immediately.
Questions with Verified Solutions
A nurse is working with a patient diagnosed with primary hyperparathyroidism. Which
condition is the nurse concerned the patient may be at increased risk for?
Pathological fracture
Severe hypotension
Weight gain and truncal obesity
Acromegaly - ANSWER Pathological fracture
A patient read a medical article and now feels she has hyperthyroidism. Which of the following
of the patient's symptoms may be caused by hyperthyroidism?
Sense of racing heart and tremors
Lethargy and extreme fatigue
Feeling cold all the time
Gaining weight while feeling she is not eating more - ANSWER Sense of racing heart and
tremors
A nurse sees in a patient's file the diagnosis of pheochromocytoma. No treatments have begun.
Which of the following symptoms and signs may the nurse expect to observe in the patient?
Severe hypotension
Sluggish responses and lethargy
Weight gain
Tachycardia - ANSWER Tachycardia
,A patient presents with secondary hyperthyroidism. Which of the following values does the
nurse expect to see reduced on the chart?
Thyroid stimulating hormone (TSH)
Thyroxine
Thyrotropin releasing hormone (TRH)
Triiodothyronine - ANSWER Thyrotropin releasing hormone (TRH)
A patient with diabetes insipidus will likely have which of the following laboratory values?
Elevated blood glucose
Elevated plasma osmolarity
Elevated urine osmolarity
Elevated urine retention - ANSWER Elevated plasma osmolarity
A patient suffering for diabetes insipidus is given antidiuretic hormone (ADH). The result is
increased fluid retention and decreased urine output. Which of the following conditions does
the patient have?
Nephrogenic diabetes insipidus
Central diabetes insipidus
Diabetes mellitus
Syndrome of inappropriate diabetes insipidus (SIADH) - ANSWER Central diabetes insipidus
A patient's parathyroid glands were damaged. What signs and symptoms does the nurse
expect? Select all that apply.
Tetany
, Chvostek's sign
Trousseau's sign
Low serum calcium
Tingling sensation - ANSWER Chvostek's sign
Trousseau's sign
Low serum calcium
Tingling sensation
A patient has very low cortisol levels. Which of the following tests may be appropriate?
Dexamethasone suppression test
Adrenocorticotropic hormone (ACTH) stimulation test
Parathyroid hormone (PTH) stimulation test
Dexamethasone activation test - ANSWER Adrenocorticotropic hormone (ACTH) stimulation
test
A patient presents in the emergency department with a thyrotoxic crisis. Which of the following
are correct associations and actions for the nurse to make in this situation?
Work to calm the patient down. Thyroid hormone levels will decrease with time.
Have the patient move vigorously. Thyroid hormone levels are too low.
Expect to find a calm, complacent patient who does not recognize the severity of the situation.
Recognize that this is a medical emergency and treatment is needed immediately. - ANSWER
Recognize that this is a medical emergency and treatment is needed immediately.
