NUR: 2025 - EXAM 1 PREP Questions and
Answers 2025/2026 A+ Graded.
older adults who have hyperthyroidism often present with: - ANS-heart failure, angina, & atrial
fibrillation.
dietary intake of (a.)___________ and (b.)___________ is necessary for the production of
thyroid hormones - ANS-(a.) protein
(b.) iodine
recent use of contrast media and oral contraceptives can cause: - ANS-falsely elevated
thyroid hormone levels in blood work
severe illness, malnutrition, and the use of aspirin, corticosteroids, and phenytoin sodium can
cause: - ANS-a false decrease in thyroid hormone levels in blood work
why must the RN report a temperature increase of 1 degree F or more to the MD immediately? -
ANS-this is indicative of an impending thyroid crisis
T/F: If a subtotal thyroidectomy is performed, the patient will need thyroid hormone replacement
therapy. - ANS-F: if a TOTAL thyroidectomy is performed, the patient will need thyroid
hormone replacement therapy.
after a SUBTOTAL thyroidectomy, the remaining thyroid tissue usually supplies enough thyroid
hormone for normal function.
Why is it crucial for the RN to check the surgical dressing and back of the neck for bleeding,
following a thyroidectomy? - ANS-respiratory distress can occur from compression of trachea
due to hemorrhage, which is most likely to occur in the first 24 hours post-operatively.
how will the nurse assess for laryngeal nerve damage following a thyroidectomy? - ANS-the
nurse will ask the patient to speak as soon as awake from anesthesia and every 2 hours
thereafter.
indications of hypocalcemia: - ANS-tingling of the fingers & toes, carpopedal spasms,
convulsions
a nurse is reviewing the medical record of a patient who is being evaluated for Graves' disease.
the nurse should identify that which of the following laboratory results is an expected finding?
, a. decreased thyrotropin receptor antibodies
b. decreased thyroid-stimulating hormone (TSH)
c. decreased free thyroxine index (T4)
d. decreased triiodothyronine (T3) - ANS-CORRECT: b. decreased TSH in Graves' disease.
the pituitary gland decreases the production of TSH when TH levels are elevated
rationale: in Graves' a. c. & d. would be elevated.
a nurse is reviewing the manifestations of hyperthyroidism with a patient. which of the following
findings should the nurse include? (select all that apply)
a. anorexia
b. heat intolerance
c. constipation
d. palpitations
e. weight loss
f. bradycardia - ANS-rationale:
a. increased metabolic rate, resulting in increased hunger.
b. CORRECT: hyperthyroidism increases the patient's metabolism, causing heat intolerance.
c. diarrhea is an expected finding for hyperthyroidism
d. CORRECT: increased metabolism, causes palpitations
e. CORRECT: increased metabolism, causes weight loss
f. increased metabolism, causes tachycardia
After being diagnosed with Graves' disease, the Dr. orders propranolol. What information should
the nurse include, regarding the new prescription? - ANS-the nurse should include, "Take your
pulse before each dose" regarding the new Rx for propranolol because it can cause
bradycardia. Follow Dr.'s orders for pulse parameters, medication may need to be withheld d/t
bradycardia.
Postoperative thyroidectomy, what equipment should be available at the bedside? (select all that
apply.)
a. suction equipment
b. humidified oxygen
c. flashlight
d. tracheostomy tray
e. chest tube tray - ANS-rationale:
a. CORRECT: patient can require oral or tracheal suctioning. the nurse should ensure that
suctioning equipment is available.
b. CORRECT: patient can require supplemental oxygen d/t respiratory complications. humidified
oxygen thins secretions & promotes respiratory exchange
c. a flashlight is used to measure the reaction of the pupils to light for a patient who has an
intracranial disorder - not indicated for this patient
d. CORRECT: the patient can experience respiratory obstruction.
Answers 2025/2026 A+ Graded.
older adults who have hyperthyroidism often present with: - ANS-heart failure, angina, & atrial
fibrillation.
dietary intake of (a.)___________ and (b.)___________ is necessary for the production of
thyroid hormones - ANS-(a.) protein
(b.) iodine
recent use of contrast media and oral contraceptives can cause: - ANS-falsely elevated
thyroid hormone levels in blood work
severe illness, malnutrition, and the use of aspirin, corticosteroids, and phenytoin sodium can
cause: - ANS-a false decrease in thyroid hormone levels in blood work
why must the RN report a temperature increase of 1 degree F or more to the MD immediately? -
ANS-this is indicative of an impending thyroid crisis
T/F: If a subtotal thyroidectomy is performed, the patient will need thyroid hormone replacement
therapy. - ANS-F: if a TOTAL thyroidectomy is performed, the patient will need thyroid
hormone replacement therapy.
after a SUBTOTAL thyroidectomy, the remaining thyroid tissue usually supplies enough thyroid
hormone for normal function.
Why is it crucial for the RN to check the surgical dressing and back of the neck for bleeding,
following a thyroidectomy? - ANS-respiratory distress can occur from compression of trachea
due to hemorrhage, which is most likely to occur in the first 24 hours post-operatively.
how will the nurse assess for laryngeal nerve damage following a thyroidectomy? - ANS-the
nurse will ask the patient to speak as soon as awake from anesthesia and every 2 hours
thereafter.
indications of hypocalcemia: - ANS-tingling of the fingers & toes, carpopedal spasms,
convulsions
a nurse is reviewing the medical record of a patient who is being evaluated for Graves' disease.
the nurse should identify that which of the following laboratory results is an expected finding?
, a. decreased thyrotropin receptor antibodies
b. decreased thyroid-stimulating hormone (TSH)
c. decreased free thyroxine index (T4)
d. decreased triiodothyronine (T3) - ANS-CORRECT: b. decreased TSH in Graves' disease.
the pituitary gland decreases the production of TSH when TH levels are elevated
rationale: in Graves' a. c. & d. would be elevated.
a nurse is reviewing the manifestations of hyperthyroidism with a patient. which of the following
findings should the nurse include? (select all that apply)
a. anorexia
b. heat intolerance
c. constipation
d. palpitations
e. weight loss
f. bradycardia - ANS-rationale:
a. increased metabolic rate, resulting in increased hunger.
b. CORRECT: hyperthyroidism increases the patient's metabolism, causing heat intolerance.
c. diarrhea is an expected finding for hyperthyroidism
d. CORRECT: increased metabolism, causes palpitations
e. CORRECT: increased metabolism, causes weight loss
f. increased metabolism, causes tachycardia
After being diagnosed with Graves' disease, the Dr. orders propranolol. What information should
the nurse include, regarding the new prescription? - ANS-the nurse should include, "Take your
pulse before each dose" regarding the new Rx for propranolol because it can cause
bradycardia. Follow Dr.'s orders for pulse parameters, medication may need to be withheld d/t
bradycardia.
Postoperative thyroidectomy, what equipment should be available at the bedside? (select all that
apply.)
a. suction equipment
b. humidified oxygen
c. flashlight
d. tracheostomy tray
e. chest tube tray - ANS-rationale:
a. CORRECT: patient can require oral or tracheal suctioning. the nurse should ensure that
suctioning equipment is available.
b. CORRECT: patient can require supplemental oxygen d/t respiratory complications. humidified
oxygen thins secretions & promotes respiratory exchange
c. a flashlight is used to measure the reaction of the pupils to light for a patient who has an
intracranial disorder - not indicated for this patient
d. CORRECT: the patient can experience respiratory obstruction.
