NR 325 ADULT HEALTH 2 EXAM 1REVIEW
QUESTIONS WITH VERIFIED ACTUAL
ANSWERS
The nurse is caring for a client with fluid volume deficit. Which hormone is most likely affecting fluid
balance? - answer ✔✔-Antidiuretic hormone (ADH)
The nurse is caring for a client with extreme tachycardia, diarrhea, weight loss, hypertension, and
intolerance to heat. Which hormone is most likely affecting the client's metabolic rate? - answer ✔✔-
Triiodothyronine (T3)
The nurse is caring for a client who is prescribed an MRI with contrast to evaluate the pituitary gland.
Which lab value must the nurse review before testing can occur? - answer ✔✔-Creatinine level
Jodie's history reveals that she had a total thyroidectomy 3 months ago and is taking levothyroxine.
Which serum electrolyte should be monitored closely following total thyroidectomy? - answer ✔✔-
Calcium
Which prescriptions should the nurse anticipate in Jodie's treatment plan following total thyroidectomy?
- answer ✔✔-Closely monitoring the thyroid-stimulating hormone level
Initiating fall prevention strategies
Increasing levothyroxine dosage
Which laboratory results does the nurse anticipate when caring for a client with diabetes insipidus? -
answer ✔✔-Hypernatremia
Increased blood osmolality
A water deprivation test is often used to diagnose diabetes insipidus. Which assessment finding would
indicate a complication related to testing? - answer ✔✔-Tachycardia
,Which laboratory results support a diagnosis of primary hyperthyroidism? - answer ✔✔-Low thyroid-
stimulating hormone, high thyroxine (T4) levels
Which are risk factors for developing hyperthyroidism? - answer ✔✔-Toxic nodular goiter
Female gender
Excessive iodine intake
Thyroid Cancer
Pituitary tumors
Throiditis
Which are clinical manifestations expected in hyperthyroidism? - answer ✔✔-Diarrhea
Palpitations
Tremors
Rapid speech
Bulging eyes(Exophthalmos)
Heat intolerance
High metabolism
weight loss, increased appetite
Goiter
hyperthyroidism is at risk for developing - answer ✔✔-respiratory alkalosis due to hyperventilation
The healthcare provider prescribes methimazole, and the nurse prepares discharge teaching. Which
statements made by the client indicate an understanding of teaching? - answer ✔✔-"I should use
caution around sharp objects and use an electric razor to shave my legs."
"If I have a sore throat or fever, I will contact my healthcare provider right away."
"I should start to feel better in about a week or two."
, The nurse is caring for a client admitted to the intensive care unit with thyroid storm following a
thyroidectomy. - answer ✔✔-Monitor the temperature closely as an increase indicates a worsening
condition.
Use cooled saline and ice packs to lower temperature.
Which complications is the client at risk for developing due to acute thyrotoxicosis? - answer ✔✔-
Cardiogenic shock
Stroke
High-output heart failure
Seizures
Patient scheduled to receive radioactive iodine therapy. In preparation for the procedure, the nurse
provides education to limit radiation exposure to family members. Which statements made by the client
indicate an understanding of the teaching? - answer ✔✔-"I should avoid preparing food for others in my
family."
"I will flush the toilet at least twice after using the bathroom."
"I should sleep in the guest room for about one week after treatment."
received radioactive iodine therapy yesterday. He calls the clinic to report mouth dryness and throat
irritation. Which action taken by the nurse is correct? - answer ✔✔-Recommend salt and soda water
gargles for the next 3 days.
Which laboratory results support a diagnosis of primary hypothyroidism? - answer ✔✔-High thyroid-
stimulating hormone, low thyroxine (T4) level
Which clinical manifestations are expected in hypothyroidism? - answer ✔✔-Slurred speech
Forgetfulness
Constipation
Fatigue and weakness
The nurse is caring for a client admitted to the intensive care unit with myxedema coma. - answer ✔✔-
Apply telemetry leads and closely monitor for cardiac dysrhythmias.
QUESTIONS WITH VERIFIED ACTUAL
ANSWERS
The nurse is caring for a client with fluid volume deficit. Which hormone is most likely affecting fluid
balance? - answer ✔✔-Antidiuretic hormone (ADH)
The nurse is caring for a client with extreme tachycardia, diarrhea, weight loss, hypertension, and
intolerance to heat. Which hormone is most likely affecting the client's metabolic rate? - answer ✔✔-
Triiodothyronine (T3)
The nurse is caring for a client who is prescribed an MRI with contrast to evaluate the pituitary gland.
Which lab value must the nurse review before testing can occur? - answer ✔✔-Creatinine level
Jodie's history reveals that she had a total thyroidectomy 3 months ago and is taking levothyroxine.
Which serum electrolyte should be monitored closely following total thyroidectomy? - answer ✔✔-
Calcium
Which prescriptions should the nurse anticipate in Jodie's treatment plan following total thyroidectomy?
- answer ✔✔-Closely monitoring the thyroid-stimulating hormone level
Initiating fall prevention strategies
Increasing levothyroxine dosage
Which laboratory results does the nurse anticipate when caring for a client with diabetes insipidus? -
answer ✔✔-Hypernatremia
Increased blood osmolality
A water deprivation test is often used to diagnose diabetes insipidus. Which assessment finding would
indicate a complication related to testing? - answer ✔✔-Tachycardia
,Which laboratory results support a diagnosis of primary hyperthyroidism? - answer ✔✔-Low thyroid-
stimulating hormone, high thyroxine (T4) levels
Which are risk factors for developing hyperthyroidism? - answer ✔✔-Toxic nodular goiter
Female gender
Excessive iodine intake
Thyroid Cancer
Pituitary tumors
Throiditis
Which are clinical manifestations expected in hyperthyroidism? - answer ✔✔-Diarrhea
Palpitations
Tremors
Rapid speech
Bulging eyes(Exophthalmos)
Heat intolerance
High metabolism
weight loss, increased appetite
Goiter
hyperthyroidism is at risk for developing - answer ✔✔-respiratory alkalosis due to hyperventilation
The healthcare provider prescribes methimazole, and the nurse prepares discharge teaching. Which
statements made by the client indicate an understanding of teaching? - answer ✔✔-"I should use
caution around sharp objects and use an electric razor to shave my legs."
"If I have a sore throat or fever, I will contact my healthcare provider right away."
"I should start to feel better in about a week or two."
, The nurse is caring for a client admitted to the intensive care unit with thyroid storm following a
thyroidectomy. - answer ✔✔-Monitor the temperature closely as an increase indicates a worsening
condition.
Use cooled saline and ice packs to lower temperature.
Which complications is the client at risk for developing due to acute thyrotoxicosis? - answer ✔✔-
Cardiogenic shock
Stroke
High-output heart failure
Seizures
Patient scheduled to receive radioactive iodine therapy. In preparation for the procedure, the nurse
provides education to limit radiation exposure to family members. Which statements made by the client
indicate an understanding of the teaching? - answer ✔✔-"I should avoid preparing food for others in my
family."
"I will flush the toilet at least twice after using the bathroom."
"I should sleep in the guest room for about one week after treatment."
received radioactive iodine therapy yesterday. He calls the clinic to report mouth dryness and throat
irritation. Which action taken by the nurse is correct? - answer ✔✔-Recommend salt and soda water
gargles for the next 3 days.
Which laboratory results support a diagnosis of primary hypothyroidism? - answer ✔✔-High thyroid-
stimulating hormone, low thyroxine (T4) level
Which clinical manifestations are expected in hypothyroidism? - answer ✔✔-Slurred speech
Forgetfulness
Constipation
Fatigue and weakness
The nurse is caring for a client admitted to the intensive care unit with myxedema coma. - answer ✔✔-
Apply telemetry leads and closely monitor for cardiac dysrhythmias.
