BSN 266 MED-SURG EXAM NEWLY UPDATED
WITH QUESTIONS AND CORRECT GRADED
ANSWERS
A client with a large goiter is scheduled for a subtotal
thyroidectomy to treat thyrotoxicosis (hyperthyroidism).
Saturated solution of potassium iodide (SSKI) is prescribed
preoperatively for the client. The expected outcome of using
this drug is that it helps:
A. Slow progression of exophthalmos.
B. Reduce the vascularity of the thyroid gland.
C. Decrease the body's ability to store thyroxine.
D. Increase the body's ability to excrete thyroxine. - answer-B.
Reduce the vascularity of the thyroid gland
The nurse is completing a health assessment of a 42-year-old
female with suspected Graves' disease. The nurse should assess
this client for:
A. Anorexia
B. Tachycardia
C. Weight Gain
D. Cold Skin - answer-B. Tachycardia
,A 34-year-old female is diagnosed with hypothyroidism. The
nurse should assess the client for which of the following? Select
all that apply.
A. Rapid pulse.
B. Decreased energy and fatigue.
C. Weight gain of 10 lb (4.5 kg).
D. Fine, thin hair with hair loss
E. Constipation.
F. Menorrhagia. - answer-B. Decreased energy and fatigue
C. Weight gain of 10lb.
E. Constipation
F. Menorrhagia
Propylthiouracil (PTU) is prescribed for a client with Graves'
disease. The nurse should teach the client to immediately report
which of the following?
A. Sore throat.
B. Painful, excessive menstruation.
C. Constipation.
D. Increased urine output. - answer-A. Sore throat
,A client with thyrotoxicosis (hyperthyroidism) says to the nurse,
"I am so irritable. I am having problems at work because I lose
my temper very easily." Which of the following responses by
the nurse would give the client the most accurate explanation of
her behavior?
A. "Your behavior is caused by temporary confusion brought
on by your illness."
B. "Your behavior is caused by the excess thyroid hormone in
your system."
C. "Your behavior is caused by your worrying about the
seriousness of your illness."
D. "Your behavior is caused by the stress of trying to manage a
career and cope with illness." - answer-B. Your behavior is
caused by the excess thyroid hormone in your system.
The nurse is evaluating a client with hyperthyroidism who is
taking Propylthiouracil (PTU) 100 mg/day in three divided
doses for maintenance therapy. Which of the following
statements from the client indicates the desired outcome of the
drug?
A. "I have excess energy throughout the day."
B. "I am able to sleep and rest at night."
, C. "I have lost weight since taking this medication."
D. "I do perspire throughout the entire day." - answer-B. I am
able to sleep and rest at night
The nurse should teach the client with Graves' disease to
prevent corneal irritation from mild exophthalmos by:
A. Massaging the eyes at regular intervals.
B. Instilling an ophthalmic anesthetic as prescribed.
C. Wearing dark-colored glasses.
D. Covering both eyes with moistened gauze pads. - answer-C.
Wearing dark- colored glasses.
A client with Graves' disease is treated with radioactive iodine
(RAI) in the form of sodium iodide 131I. Which of the
following statements by the nurse will explain to the client how
the drug works?
A. "The RAI stabilizes the thyroid hormone levels before a
thyroidectomy."
B. "The RAI reduces uptake of thyroxine and thereby improves
your condition."
C. "The RAI lowers the levels of thyroid hormones by slowing
your body's production of them."
WITH QUESTIONS AND CORRECT GRADED
ANSWERS
A client with a large goiter is scheduled for a subtotal
thyroidectomy to treat thyrotoxicosis (hyperthyroidism).
Saturated solution of potassium iodide (SSKI) is prescribed
preoperatively for the client. The expected outcome of using
this drug is that it helps:
A. Slow progression of exophthalmos.
B. Reduce the vascularity of the thyroid gland.
C. Decrease the body's ability to store thyroxine.
D. Increase the body's ability to excrete thyroxine. - answer-B.
Reduce the vascularity of the thyroid gland
The nurse is completing a health assessment of a 42-year-old
female with suspected Graves' disease. The nurse should assess
this client for:
A. Anorexia
B. Tachycardia
C. Weight Gain
D. Cold Skin - answer-B. Tachycardia
,A 34-year-old female is diagnosed with hypothyroidism. The
nurse should assess the client for which of the following? Select
all that apply.
A. Rapid pulse.
B. Decreased energy and fatigue.
C. Weight gain of 10 lb (4.5 kg).
D. Fine, thin hair with hair loss
E. Constipation.
F. Menorrhagia. - answer-B. Decreased energy and fatigue
C. Weight gain of 10lb.
E. Constipation
F. Menorrhagia
Propylthiouracil (PTU) is prescribed for a client with Graves'
disease. The nurse should teach the client to immediately report
which of the following?
A. Sore throat.
B. Painful, excessive menstruation.
C. Constipation.
D. Increased urine output. - answer-A. Sore throat
,A client with thyrotoxicosis (hyperthyroidism) says to the nurse,
"I am so irritable. I am having problems at work because I lose
my temper very easily." Which of the following responses by
the nurse would give the client the most accurate explanation of
her behavior?
A. "Your behavior is caused by temporary confusion brought
on by your illness."
B. "Your behavior is caused by the excess thyroid hormone in
your system."
C. "Your behavior is caused by your worrying about the
seriousness of your illness."
D. "Your behavior is caused by the stress of trying to manage a
career and cope with illness." - answer-B. Your behavior is
caused by the excess thyroid hormone in your system.
The nurse is evaluating a client with hyperthyroidism who is
taking Propylthiouracil (PTU) 100 mg/day in three divided
doses for maintenance therapy. Which of the following
statements from the client indicates the desired outcome of the
drug?
A. "I have excess energy throughout the day."
B. "I am able to sleep and rest at night."
, C. "I have lost weight since taking this medication."
D. "I do perspire throughout the entire day." - answer-B. I am
able to sleep and rest at night
The nurse should teach the client with Graves' disease to
prevent corneal irritation from mild exophthalmos by:
A. Massaging the eyes at regular intervals.
B. Instilling an ophthalmic anesthetic as prescribed.
C. Wearing dark-colored glasses.
D. Covering both eyes with moistened gauze pads. - answer-C.
Wearing dark- colored glasses.
A client with Graves' disease is treated with radioactive iodine
(RAI) in the form of sodium iodide 131I. Which of the
following statements by the nurse will explain to the client how
the drug works?
A. "The RAI stabilizes the thyroid hormone levels before a
thyroidectomy."
B. "The RAI reduces uptake of thyroxine and thereby improves
your condition."
C. "The RAI lowers the levels of thyroid hormones by slowing
your body's production of them."
