QUESTIONS WITH 100% ACCURATE ANSWERS
A young adult female presents with complaints of menstrual irregularities, joint pain, muscle weakness,
and swelling in the neck. Assessment findings include exophthalmos and pretibial myxedema. Based on
these findings, the nurse practitioner (NP) should complete a focused assessment to learn more about
the client's choices related to which of the following?
Physical activity
Dietary intake
Use of vitamin supplements
Daily caffeine consumption - Accurate answers Dietary Intake-looking for increased or decreased
iodine intake
Test for primary hypothyroidism - Accurate answers TSH, T3, T4
Common cause of Hypothyroidism - Accurate answers Hashimotos Thyroiditis
Which of the following hormone levels are elevated with primary hypothyroidism - Accurate answers
T4, T3
Which of the following statements best describes the mechanism of action of hyperthyroid medications
- Accurate answers Decrease synthesis of thyroid hormones
Laboratory testing includes thyroid-stimulating hormone (TSH) levels in combination with thyroxine (T4)
and triiodothyronine (T3). - Accurate answers A low TSH with an elevated T3 and T4 indicates
primary hyperthyroidism.
A high TSH with an elevated T3 and T4 indicates secondary hyperthyroidism.
Which of the following signs or symptoms suggest a diagnosis of hyperthyroidism? Select all that apply.
a-Exophthalmos
b-Weight loss
c-Increased appetite
d-Lack of thirst
e-Decreased urine output
f-Heat intolerance - Accurate answers A,B,C,F
Primary hypothyroidism - Accurate answers Characteristics: Dysfunction is in the thyroid gland,
resulting in decreased production of thyroid hormones thyroxine (T4) and triiodothyronine (T3). The
pituitary and hypothalamus function correctly, causing increased thyroid-stimulating hormone (TSH)
and/or thyroid-releasing hormone (TRH).
Secondary hypothyroidism - Accurate answers Characteristics: Dysfunction is in the pituitary gland
or hypothalamus, leading to a decreased stimulation of the thyroid gland and subsequent reduction in
thyroid hormone production.