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PNM300 TEST 3 EXAM ACTUAL EXAM
VERIFIED QUESTIONS & 100% ACCURATE
ANSWERS | COMPLETELY UPDATED 2025–2026
EDITION A+ PERFORMANCE GUARANTEED
A patient is concerned about the body changes that have resulted from long-term
prednisone (Winpred®) therapy for the treatment of lupus erythematosus. Which
effect of this drug therapy supports the nursing diagnosis of disturbed body image?
a. Weight loss
b. Weight gain
c. Pale skin colour
d. Loss of hair
B.
others: facial erythema, "moon face" (cushing's)..
A patient newly diagnosed with hypothyroidism received a prescription for a
thyroid drug. In addition to assessing for hypersensitivity and myocardial
infarction, for what should the nurse also assess before administering the thyroid
drug?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency
D. Adrenal insufficiency
A patient with hypothyroidism is given a prescription for levothyroxine
(Synthroid®). When the nurse explains that levothyroxine is a synthetic form of
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the thyroid hormone, the patient states that a more natural form of drug would be
personally preferred. What is the nurse's best explanation to the patient for the use
of levothyroxine?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer advers
D. levothyroxine has a long half-life and its effects are more predictable than
natural forms
D.
-levothyroxine has a long half-life and its effects are more predictable than natural
forms
When teaching a patient who has a new prescription for thyroid hormone, the nurse
will instruct the patient to notify the prescriber if which adverse effects are noted?
(SATA)
a. Palpitations
b. Weight gain
c. Angina
d. Fatigue
e. Cold intolerance
a. Palpitations
c. Angina
Which laboratory tests does the nurse know are used to monitor thyroid hormone
replacement therapy? (SATA)
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a. Serum TSH
b. BUN
c. CBC
d. Free thyroid hormone levels
e. Serum iodine levels
a. Serum TSH
d. Free thyroid hormone levels
The nurse would suspect a patient is taking too much levothyroxine when the
patient exhibits which adverse effect?
a. Lethargy
b. Weight gain
c. Irritability
d. Feeling cold
c. Irritability
Rationale: Irritability is a symptom of hyperthyroidism and may indicate toxicity
of the medication. The other choices are signs of hypothyroidism.
The nurse is discussing thyroid replacement therapy and establishing treatment
goals with a patient. What important adverse effects should the nurse discuss with
the patient?
a. Edema, anemia, and hepatitis
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b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities
C.
** too much thyroid = hyperthyroidism symptoms
For a patient taking levothyroxine and warfarin concurrently, the nurse would
closely monitor for which possible serious adverse effect?
a. Acute confusion
b. Orthostati
c hypotension
c. Cardiac dysrhythmias
d. Increased bruising
d. Increased bruising
Rationale: Levothyroxine can compete with protein-binding sites of warfarin,
allowing more warfarin to be unbound or free, thus increasing effects of warfarin
and risk of bleeding. Bleeding commonly presents as bruising.
A patient on antithyroid medication should avoid foods containing iodine? T/F.
TRUE.
PNM300 TEST 3 EXAM ACTUAL EXAM
VERIFIED QUESTIONS & 100% ACCURATE
ANSWERS | COMPLETELY UPDATED 2025–2026
EDITION A+ PERFORMANCE GUARANTEED
A patient is concerned about the body changes that have resulted from long-term
prednisone (Winpred®) therapy for the treatment of lupus erythematosus. Which
effect of this drug therapy supports the nursing diagnosis of disturbed body image?
a. Weight loss
b. Weight gain
c. Pale skin colour
d. Loss of hair
B.
others: facial erythema, "moon face" (cushing's)..
A patient newly diagnosed with hypothyroidism received a prescription for a
thyroid drug. In addition to assessing for hypersensitivity and myocardial
infarction, for what should the nurse also assess before administering the thyroid
drug?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency
D. Adrenal insufficiency
A patient with hypothyroidism is given a prescription for levothyroxine
(Synthroid®). When the nurse explains that levothyroxine is a synthetic form of
,2|Page
the thyroid hormone, the patient states that a more natural form of drug would be
personally preferred. What is the nurse's best explanation to the patient for the use
of levothyroxine?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer advers
D. levothyroxine has a long half-life and its effects are more predictable than
natural forms
D.
-levothyroxine has a long half-life and its effects are more predictable than natural
forms
When teaching a patient who has a new prescription for thyroid hormone, the nurse
will instruct the patient to notify the prescriber if which adverse effects are noted?
(SATA)
a. Palpitations
b. Weight gain
c. Angina
d. Fatigue
e. Cold intolerance
a. Palpitations
c. Angina
Which laboratory tests does the nurse know are used to monitor thyroid hormone
replacement therapy? (SATA)
,3|Page
a. Serum TSH
b. BUN
c. CBC
d. Free thyroid hormone levels
e. Serum iodine levels
a. Serum TSH
d. Free thyroid hormone levels
The nurse would suspect a patient is taking too much levothyroxine when the
patient exhibits which adverse effect?
a. Lethargy
b. Weight gain
c. Irritability
d. Feeling cold
c. Irritability
Rationale: Irritability is a symptom of hyperthyroidism and may indicate toxicity
of the medication. The other choices are signs of hypothyroidism.
The nurse is discussing thyroid replacement therapy and establishing treatment
goals with a patient. What important adverse effects should the nurse discuss with
the patient?
a. Edema, anemia, and hepatitis
, 4|Page
b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities
C.
** too much thyroid = hyperthyroidism symptoms
For a patient taking levothyroxine and warfarin concurrently, the nurse would
closely monitor for which possible serious adverse effect?
a. Acute confusion
b. Orthostati
c hypotension
c. Cardiac dysrhythmias
d. Increased bruising
d. Increased bruising
Rationale: Levothyroxine can compete with protein-binding sites of warfarin,
allowing more warfarin to be unbound or free, thus increasing effects of warfarin
and risk of bleeding. Bleeding commonly presents as bruising.
A patient on antithyroid medication should avoid foods containing iodine? T/F.
TRUE.
