EXAM 2025-2026 WITH 250
QUESTIONS AND DETAILED
ACCURATE ANSWERS | ALREADY
GRADED A+ | PNM 300 LATEST
EXAM [BRAND NEW]
What should you consider when administering adrenal medications? - ANSWER-
Oral forms should be given with food or milk to minimize GI upset
What patient education should you provide regarding inhaled corticosteroids? -
ANSWER-After using an inhaled corticosteroid, instruct patients to rinse their
mouths to prevent possible oral fungal infections
Teach patients on corticosteroids to avoid contact with people with infections and
to report any fever, increased weakness, lethargy, or sore throat (caused decreased
immune system)
Patient education regarding oral adrenal medications? - ANSWER-- Patients
should be taught to take all adrenal medications at the same time every day, usually
in the morning, with meals or food
- Necessary for steady blood levels
,- Sudden discontinuation of these agents can precipitate an adrenal crisis caused by
a sudden drop in serum levels of cortisone (serious rebound effect)
- Doses are usually tapered before the agent is discontinued
Which statement is correct regarding corticosteroids?
a. They have few adverse effects.
b. They are often used for their anti-inflammatory effects.
c. They may be administered only by inhalant dosage forms.
d. They may be used long term without major complications. - ANSWER-b. They
are often used for their anti-inflammatory effects.
The nurse has provided teaching about oral corticosteroid therapy to a patient.
Which statement from the patient shows a need for more teaching?
a. "I will report any fever or sore throat symptoms."
b. "I will stay away from anyone who has a cold or infection."
c. "I can stop this medication if I have severe adverse effects."
d. "I will take this drug with food or milk." - ANSWER-c. "I can stop this
medication if I have severe adverse effects."
The nurse will monitor the patient's laboratory results for which adverse effects
that can occur during long-term corticosteroid therapy? (Select all that apply.)
a. Increased serum potassium levels
b. Decreased serum potassium levels
c. Increased sodium levels
d. Decreased sodium levels
e. Hyperglycemia
f. Hypoglycemia - ANSWER-b. Decreased serum potassium levels
,c. Increased sodium levels
e. Hyperglycemia
What is thyroglobulin? - ANSWER-storage form of thyroid hormone
How is the break down the thyroglobulin and release T3 and T4 stimulated? -
ANSWER-thyroid stimulating hormone (TSH)
Where is TSH produced? - ANSWER-anterior pituitary
What does cretinism looks like? - ANSWER-low metabolic rate, short stature
and severely delayed sexual development
and possible intellectual disabilities
What are symptoms of myxedema coma? - ANSWER-- decreased metabolic rate,
loss of mental and physical stamina, weight gain, hair loss, firm edema, and yellow
dullness of the skin
-formation of a goiter (enlargement of the thyroid gland) resulting from its
overstimulation by elevated levels of TSH because there is little or no thyroid
hormone in the circulation.
What is amiodarone hydrochloride used to treat? - ANSWER-ventricular
tachycardia
, acts as an enzyme inhibitor and decreases the peripheral conversion of T4 to T3
resulting in reduced T3 levels.
What hormones does the thyroid gland secrete? - ANSWER-T3, T4, calcitonin
What is the job of Thyroxine (T4)? - ANSWER-influences metabolic rate,
regulates lipid & carbohydrate metabolism
What is the job of Triiodothyronine (T3)? - ANSWER-help regulate growth
development, metabolism and controls heat regulation (thermoregulating center)
What is the jobs of calcitonin? - ANSWER-responds to hypercalcemia
lowers plasma calcium and phosphate levels
stimulates osteoblast
inhibits osteoclast activity
What is the parathyroid hormone responsible for? - ANSWER-Responsible for
maintaining adequate levels of calcium and phosphate in the extracellular fluid
What hormone opposed calcitonin? - ANSWER-Parathyroid hormone
What is the primary cause of hypothyroidism? - ANSWER-abnormality in the
thyroid gland