NUR 221 FINAL EXAM TESTBANK REAL
ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS | ALREADY SCORED
A+ | NEW UPDATE 2025
Signs and symptoms of hyperthyroidism include: select all that apply (p. 865) -
ANSWER Tremors or nervousness, Atrial fibrillation, Increased appetite and
weight loss,
Fatigue and lethargy, (NOT Hypotension, Constipation)
A male client is admitted for treatment of the syndrome of inappropriate anti-
diuretic hormone (SIADH). Which nursing intervention is appropriate? (p. 860) -
ANSWER Infusing I.V. fluids rapidly as ordered {3% sodium chloride},
Restricting fluids (NOT Encouraging increased oral intake, Increasing salt intake ?)
signs and symptoms of hypothyroidism in the infant include: (Kyle, p. 1025) -
ANSWER poor feeder, jaundice or cyanosis
(NOT tachycardia, hoarse cry, high pitched cry,
bradypnea)
Test results reveal a pituitary tumor, which necessitates a transsphenoidal
hypophysectomy. The evening before the surgery, nurse Jacob reviews
preoperative and postoperative instructions given to the client earlier. Which
postoperative instruction should the nurse emphasize? (p. 858) - ANSWER
"You must avoid coughing, sneezing, and blowing your nose." (NOT "You must lie
flat for 24 hours after surgery.", "You must restrict your fluid intake.",
"You must report ringing in your ears immediately.")**
,Early this morning, a female client had a subtotal thyroidectomy. The client now
has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme
restlessness. What is the most likely cause of these signs? (p. 867) - ANSWER
Thyroid crisis (NOT Diabetic ketoacidosis, Hypoglycemia, Tetany) **
Which is an adverse affect of levothyroxine (Synthroid) (p. 863) - ANSWER
tachycardia, leg cramps (NOT dysuria, blurred vision)
signs and symptoms of hypothyroidism are: (p. 862) - ANSWER hair loss,
weight gain, decreased pulse and BP, fatigue and lethargy, edema of the hands
and feet
(NOT increased pulse and BP)
Parathyroid hormone (PTH) is responsible for the regulation of: (p. 872) -
ANSWER calcium, phosphorus (NOT , potassium, sodium) **
signs and symptoms of adrenocortical insufficiency (Addison's Disease) (p. 879) -
ANSWER weakness, anorexia, bronze-like pigmentation of the skin, decreased
blood pressure
(NOT urinary frequency, hyperglycemia)
A key medication in the management of diabetes insipidus is: (p. - ANSWER
vasopressin (NOT insulin, furosemide, 10%
dextrose) **
,Signs and symptoms associated with Cushing's disease, also called:
hypercortisolism, include: (p. 883) - ANSWER Buffalo hump, Increased BP,
hypokalemia, Osteoporosis (NOT hypoglycemia, hypercalcemia) **
** = correct - ANSWER .
The three principal types of pituitary tumors represent an overgrowth of -
ANSWER eosinophilic cells, basophilic cells, or chromophilic cells
name the hereditary condition that is strongly associated with developing
pituitary tumors - ANSWER multiple endocrine neoplasia type 1 - MEN1
list of the three types of diabetes insipidus - ANSWER Neurogenic,
nephrogenic and psychogenic polydipsia
due to intense thirst, the patient with diabetes insipidus tends to drink _____
liters per day - ANSWER 2 - 20 liters of fluid daily
name the three medical goals for the treatment of diabetes insipidus -
ANSWER replace antidiuretic hormone {ADH which is usually a long-term
therapeutic program} ensure adequate fluid replacement, and identify and correct
the underlined intracranial pathology
the most common cause of *hypothyroidism* in adults is autoimmune thyroiditis,
also known as - ANSWER Hashimoto's disease
, the primary objective in the medical management of hypothyroidism is to -
ANSWER restore a normal metabolic state by replacing the missing hormone
*levothyroxine* -
thyroxine T4
the most common cause of acute thyroiditis is - ANSWER staphylococcus
aureus
list for post thyroidectomy complications that a nurse should observe for -
ANSWER Hemorrhage, hematoma formation, edema of the glottis and injury
to the recurrent laryngeal nerve
Cushing's syndrome is commonly caused by use of _____ and is frequently due to
_____ secondary to _____ or _____. - ANSWER synthetic corticosteroid
medications; and is infrequently due to excessive corticosteroid production
secondary to hyperplasia or a tumor of the adrenal cortex
Dominant clinical features of hypothyroidism. Choose the correct term from the
list below and fill in each blank in the figure identifying the clinical features of
hypothyroidism. - ANSWER Coarse, dry, brittle hair; constipation; deep course
voice; diminished perspiration, cold intolerance, gastric atrophy, large tongue,
lethargy and impaired memory, loss of lateral eyebrows,
- ANSWER menorrhagia anovulatory cycles, muscle weakness, pallor,
periorbital edema and puffy face, peripheral edema - hands, feet, etc., slow pulse,
enlarged heart, cardiomegaly, weight gain.
ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS | ALREADY SCORED
A+ | NEW UPDATE 2025
Signs and symptoms of hyperthyroidism include: select all that apply (p. 865) -
ANSWER Tremors or nervousness, Atrial fibrillation, Increased appetite and
weight loss,
Fatigue and lethargy, (NOT Hypotension, Constipation)
A male client is admitted for treatment of the syndrome of inappropriate anti-
diuretic hormone (SIADH). Which nursing intervention is appropriate? (p. 860) -
ANSWER Infusing I.V. fluids rapidly as ordered {3% sodium chloride},
Restricting fluids (NOT Encouraging increased oral intake, Increasing salt intake ?)
signs and symptoms of hypothyroidism in the infant include: (Kyle, p. 1025) -
ANSWER poor feeder, jaundice or cyanosis
(NOT tachycardia, hoarse cry, high pitched cry,
bradypnea)
Test results reveal a pituitary tumor, which necessitates a transsphenoidal
hypophysectomy. The evening before the surgery, nurse Jacob reviews
preoperative and postoperative instructions given to the client earlier. Which
postoperative instruction should the nurse emphasize? (p. 858) - ANSWER
"You must avoid coughing, sneezing, and blowing your nose." (NOT "You must lie
flat for 24 hours after surgery.", "You must restrict your fluid intake.",
"You must report ringing in your ears immediately.")**
,Early this morning, a female client had a subtotal thyroidectomy. The client now
has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme
restlessness. What is the most likely cause of these signs? (p. 867) - ANSWER
Thyroid crisis (NOT Diabetic ketoacidosis, Hypoglycemia, Tetany) **
Which is an adverse affect of levothyroxine (Synthroid) (p. 863) - ANSWER
tachycardia, leg cramps (NOT dysuria, blurred vision)
signs and symptoms of hypothyroidism are: (p. 862) - ANSWER hair loss,
weight gain, decreased pulse and BP, fatigue and lethargy, edema of the hands
and feet
(NOT increased pulse and BP)
Parathyroid hormone (PTH) is responsible for the regulation of: (p. 872) -
ANSWER calcium, phosphorus (NOT , potassium, sodium) **
signs and symptoms of adrenocortical insufficiency (Addison's Disease) (p. 879) -
ANSWER weakness, anorexia, bronze-like pigmentation of the skin, decreased
blood pressure
(NOT urinary frequency, hyperglycemia)
A key medication in the management of diabetes insipidus is: (p. - ANSWER
vasopressin (NOT insulin, furosemide, 10%
dextrose) **
,Signs and symptoms associated with Cushing's disease, also called:
hypercortisolism, include: (p. 883) - ANSWER Buffalo hump, Increased BP,
hypokalemia, Osteoporosis (NOT hypoglycemia, hypercalcemia) **
** = correct - ANSWER .
The three principal types of pituitary tumors represent an overgrowth of -
ANSWER eosinophilic cells, basophilic cells, or chromophilic cells
name the hereditary condition that is strongly associated with developing
pituitary tumors - ANSWER multiple endocrine neoplasia type 1 - MEN1
list of the three types of diabetes insipidus - ANSWER Neurogenic,
nephrogenic and psychogenic polydipsia
due to intense thirst, the patient with diabetes insipidus tends to drink _____
liters per day - ANSWER 2 - 20 liters of fluid daily
name the three medical goals for the treatment of diabetes insipidus -
ANSWER replace antidiuretic hormone {ADH which is usually a long-term
therapeutic program} ensure adequate fluid replacement, and identify and correct
the underlined intracranial pathology
the most common cause of *hypothyroidism* in adults is autoimmune thyroiditis,
also known as - ANSWER Hashimoto's disease
, the primary objective in the medical management of hypothyroidism is to -
ANSWER restore a normal metabolic state by replacing the missing hormone
*levothyroxine* -
thyroxine T4
the most common cause of acute thyroiditis is - ANSWER staphylococcus
aureus
list for post thyroidectomy complications that a nurse should observe for -
ANSWER Hemorrhage, hematoma formation, edema of the glottis and injury
to the recurrent laryngeal nerve
Cushing's syndrome is commonly caused by use of _____ and is frequently due to
_____ secondary to _____ or _____. - ANSWER synthetic corticosteroid
medications; and is infrequently due to excessive corticosteroid production
secondary to hyperplasia or a tumor of the adrenal cortex
Dominant clinical features of hypothyroidism. Choose the correct term from the
list below and fill in each blank in the figure identifying the clinical features of
hypothyroidism. - ANSWER Coarse, dry, brittle hair; constipation; deep course
voice; diminished perspiration, cold intolerance, gastric atrophy, large tongue,
lethargy and impaired memory, loss of lateral eyebrows,
- ANSWER menorrhagia anovulatory cycles, muscle weakness, pallor,
periorbital edema and puffy face, peripheral edema - hands, feet, etc., slow pulse,
enlarged heart, cardiomegaly, weight gain.
