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PNM300 TEST 3 EXAM PART 2 VERIFIED QUESTIONS & 100% ACCURATE ANSWERS | COMPLETELY UPDATED 2025–2026 EDITION A+ PERFORMANCE GUARANTEED

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PNM300 TEST 3 EXAM PART 2 VERIFIED QUESTIONS & 100% ACCURATE ANSWERS | COMPLETELY UPDATED 2025–2026 EDITION A+ PERFORMANCE GUARANTEED

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PNM300
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November 14, 2025
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2025/2026
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PNM300 TEST 3 EXAM PART 2 VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
COMPLETELY UPDATED 2025–2026 EDITION A+
PERFORMANCE GUARANTEED
Thyroid secretes which hormones? - ANSWER: Triiodothyronine (T3)

Thyroxine (T4)

Calcitonin



effects metabolic rate, as well as lipid & carbohydrate metabolism - ANSWER: T4



effects growth/development + metabolism + heat regulation - ANSWER: T3



stimulates osteoBLAST; inhibits osteoCLAST activity - ANSWER: Calcitonin



Hypothyroidism symptoms?

**SLOW - ANSWER: slowed metabolism: DECREASED

-HR, RR, BP

- Cold intolerance

- weight gain

- constipation



abnormality in the thyroid gland = unable to release hormone

,2|Page


primary/secondary/tertiary?

**hint: most common - ANSWER: primary



dysfunctional pituitary = doesn't secrete TSH (needed for T3 + T4)

primary/secondary/tertiary? - ANSWER: Secondary



Hypothalamus doesn't secrete TRH (stimulates release of TSH) - ANSWER:
Tertiary



hyposecretion of thyroid hormone (T4) during YOUTH leads to this condition

--> dysfunctional sexual, physical and mental growth - ANSWER: Cretinism



hyposecretion of thyroid hormone as an adult leads to this condition

--> decreased metabolic rate loss of mental, physical stamina, weight gain, loss of
hair, firm edema, yellow dullness of skin

(An EXTREME complication of hypothyroidism!) - ANSWER: Myxedema



enlargement of the thyroid gland --> overstimulation by elevated levels of TSH -
ANSWER: Goiter



Why is levothyroxine the preferred thyroid replacement drug? - ANSWER: -
100% chemically pure T4

, 3|Page


- standardized hormonal content

- predictable effect

- long half-life



Which lab tests does the nurse need to know that are used to monitor thyroid
hormone replacement therapy? (SATA)

a. Serum TSH

b. Blood urea nitrogen (BUN)

c. Complete blood count (CBCs)

d. Free thyroid hormone levels

e. Serum iodine levels - ANSWER: A, D.

- serum TSH

- free thyroid hormone levels



levothyroxine route? - ANSWER: PO



levothyroxine onset? - ANSWER: 3-5 days



levothyroxine peak - ANSWER: 2-4 hrs



levothyroxine duration of action? - ANSWER: 1-3 weeks; half life= 6-7 days

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