PNM 300 TEST 3 ACTUAL LATEST
EXAM 2025-2026 WITH 250 QUESTIONS
AND 100% ACCURATE ANSWERS |
ALREADY GRADED A+ | GUARANTEED
PASS | PNM 300 TEST 3 FINAL EXAM
When assessing for potential serious adverse effects to propylthiouracil (PTU), the
nurse will monitor which laboratory test?
a. Complete blood count (CBC)
b. Brain natriuretic peptide
c. Serum electrolytes
d. Kidney function
a. Complete blood count (CBC)
Rationale: With antithyroid medications, the nurse should monitor for possible
serious adverse reactions such as agranulocytosis, leukopenia, and
thrombocytopenia. These would be present in a complete blood count (CBC) as
abnormal values and indicate bone marrow dysfunction.
Which patient statement demonstrates understanding of radioactive iodine (I-131)
therapy?
,a. "I will need to take this drug on a daily basis for at least 1 year."
b. "This drug will be taken up by the thyroid gland and destroys thyroid tissue."
c. "This drug will help decrease my cold intolerance and weight gain."
d. "I will isolate myself from my family for 1 week so there is no risk of radiation
exposure."
b. "This drug will be taken up by the thyroid gland and destroys thyroid tissue."
(tx for thyroid cancer or hyperthyroidism) -> later might require levothyroxine
(thyroid replacement therapy)
Rationale: Radioactive iodine is an antithyroid medication that is administered
orally. It concentrates in the thyroid gland, where its radioactivity destroys thyroid
tissue.
The nurse is assessing an older adult patient for nonspecific symptoms of
hypothyroidism. Which of the following would make the nurse follow up with the
health care provider?
a. Leukopenia, anemia
b. Loss of appetite, polyuria
c. Weight loss, dry cough
d. Cold intolerance, depression
d. Cold intolerance, depression
,A patient has been diagnosed with hypothyroidism and has started thyroid
replacement therapy with levothyroxine (Synthroid®). After 1 week, the patient
tells the nurse that she feels no better. The nurse would best tell the patient that
a. she will probably require surgery for a cure.
b. levothyroxine does not reach its peak effect for several months.
c. she probably did not take her medication as instructed.
d. her diet may be causing absorption problems.
B.
The therapeutic effects of thyroid drugs may take several months to occur.
Which drugs should be avoided while taking thyroid replacement preparations?
Anticoagulants, digoxin, hypoglycemic and cholestyramine drugs
Which condition may be caused by low levels of thyroid hormone in youth?
a. Goiter
b. Myxedema
c. Cretinism
d. Addison's disease
C. cretinism = abnormal physical + mental development
A patient has been taking levothyroxine (Synthroid) for more than a decade for
primary hypothyroidism. She tells the nurse that her cousin can get her the same
medication in a generic form from a pharmaceutical supply company. What would
be best for the nurse to say to the patient?
, a. "That would be a great way to save money."
b. "There's no difference in brands of this medication."
c. "Switching the form of medication should never be done; once you start with a
certain brand, you must stay with it."
d. "It's better not to switch brands until we check with your doctor."
D.
Switching between different brands of levothyroxine during treatment can
destabilize the course of treatment and should be minimized. If a switch is made,
the patient should be closely monitored.
A patient has been diagnosed with primary hypothyroidism.
Which statement accurately describes this condition?
a. The hypothalamus is not secreting thyrotropin-releasing hormone; therefore,
thyroid-stimulating hormone (TSH) is not released from the pituitary gland.
b. The pituitary gland is dysfunctional and is not secreting TSH.
c. The abnormality is in the thyroid gland itself.
d. The abnormality is caused by an excess intake of iodine.
C.
Primary hypothyroidism stems from an abnormality in the thyroid gland itself and
occurs when the thyroid gland is not able to perform one of its many functions.
Which are the two thyroid hormones produced by the thyroid gland?
Thyroxine (T4) and tri-iodothyronine (T3)
EXAM 2025-2026 WITH 250 QUESTIONS
AND 100% ACCURATE ANSWERS |
ALREADY GRADED A+ | GUARANTEED
PASS | PNM 300 TEST 3 FINAL EXAM
When assessing for potential serious adverse effects to propylthiouracil (PTU), the
nurse will monitor which laboratory test?
a. Complete blood count (CBC)
b. Brain natriuretic peptide
c. Serum electrolytes
d. Kidney function
a. Complete blood count (CBC)
Rationale: With antithyroid medications, the nurse should monitor for possible
serious adverse reactions such as agranulocytosis, leukopenia, and
thrombocytopenia. These would be present in a complete blood count (CBC) as
abnormal values and indicate bone marrow dysfunction.
Which patient statement demonstrates understanding of radioactive iodine (I-131)
therapy?
,a. "I will need to take this drug on a daily basis for at least 1 year."
b. "This drug will be taken up by the thyroid gland and destroys thyroid tissue."
c. "This drug will help decrease my cold intolerance and weight gain."
d. "I will isolate myself from my family for 1 week so there is no risk of radiation
exposure."
b. "This drug will be taken up by the thyroid gland and destroys thyroid tissue."
(tx for thyroid cancer or hyperthyroidism) -> later might require levothyroxine
(thyroid replacement therapy)
Rationale: Radioactive iodine is an antithyroid medication that is administered
orally. It concentrates in the thyroid gland, where its radioactivity destroys thyroid
tissue.
The nurse is assessing an older adult patient for nonspecific symptoms of
hypothyroidism. Which of the following would make the nurse follow up with the
health care provider?
a. Leukopenia, anemia
b. Loss of appetite, polyuria
c. Weight loss, dry cough
d. Cold intolerance, depression
d. Cold intolerance, depression
,A patient has been diagnosed with hypothyroidism and has started thyroid
replacement therapy with levothyroxine (Synthroid®). After 1 week, the patient
tells the nurse that she feels no better. The nurse would best tell the patient that
a. she will probably require surgery for a cure.
b. levothyroxine does not reach its peak effect for several months.
c. she probably did not take her medication as instructed.
d. her diet may be causing absorption problems.
B.
The therapeutic effects of thyroid drugs may take several months to occur.
Which drugs should be avoided while taking thyroid replacement preparations?
Anticoagulants, digoxin, hypoglycemic and cholestyramine drugs
Which condition may be caused by low levels of thyroid hormone in youth?
a. Goiter
b. Myxedema
c. Cretinism
d. Addison's disease
C. cretinism = abnormal physical + mental development
A patient has been taking levothyroxine (Synthroid) for more than a decade for
primary hypothyroidism. She tells the nurse that her cousin can get her the same
medication in a generic form from a pharmaceutical supply company. What would
be best for the nurse to say to the patient?
, a. "That would be a great way to save money."
b. "There's no difference in brands of this medication."
c. "Switching the form of medication should never be done; once you start with a
certain brand, you must stay with it."
d. "It's better not to switch brands until we check with your doctor."
D.
Switching between different brands of levothyroxine during treatment can
destabilize the course of treatment and should be minimized. If a switch is made,
the patient should be closely monitored.
A patient has been diagnosed with primary hypothyroidism.
Which statement accurately describes this condition?
a. The hypothalamus is not secreting thyrotropin-releasing hormone; therefore,
thyroid-stimulating hormone (TSH) is not released from the pituitary gland.
b. The pituitary gland is dysfunctional and is not secreting TSH.
c. The abnormality is in the thyroid gland itself.
d. The abnormality is caused by an excess intake of iodine.
C.
Primary hypothyroidism stems from an abnormality in the thyroid gland itself and
occurs when the thyroid gland is not able to perform one of its many functions.
Which are the two thyroid hormones produced by the thyroid gland?
Thyroxine (T4) and tri-iodothyronine (T3)
