NCSBN Exam 3 with Practice Questions and Answers

NCSBN Exam 3 with Practice Questions and Answers A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse should anticipate which of these findings? A. Lethargy B. Diarrhea C. Heat intolerance D. Skin eruptions ANSWER A In hypothyroidism the metabolic activity of all cells of the body decreases, reducing oxygen consumption, decreasing oxidation of nutrients for energy, and producing less body heat. Therefore, the nurse can expect the client to report being constipated, tired and unable to get warm. A neonate born 12 hours ago to a methadone-maintained woman is exhibiting a hyperactive Moro reflex and slight tremors. The newborn passed one loose, watery stool. Which of these actions is a nursing priority? A. Hold the infant at frequent intervals B. Offer fluids to prevent dehydration C. Administer paregoric to stop diarrhea D. Assess for neonatal withdrawal syndrome ANSWER D Neonatal withdrawal syndrome is a cluster of findings that signal the withdrawal of the infant from the opiates. The findings seen in methadone withdrawal are often more severe than for other substances. Initial signs are central nervous system hyperirritability and gastrointestinal symptoms. If withdrawal signs are severe, there is an increased mortality risk. Scoring the infant ensures proper treatment during the periods of withdrawal.