NURS NCLEX:Thyroid & Parathyroid QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED, Exams of Nursing

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ANSWERS 2022/2023 A+ SUCCESS GUARANTEED

1. Which of the following assessment findings characterize thyroid storm? A. increased body temperature, decreased pulse, and increased blood pressure B. increased body temperature, increased pulse, and increased blood pressure C. increased body temperature, decreased pulse, and decreased blood pressure D. increased body temperature, increased pulse, and decreased blood pressure
2. The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply A. instill isotonic eye drops as necessary B. provide several, small, well-balanced meals C. provide rest periods D. keep environment warm E. encourage frequent visitors and conversation F. weigh the client daily
3. For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek's sign and Trousseau's sign because they indicate which of the following? A. Hypocalcemia B. Hypercalcemia C. Hypokalemia

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D. Hyperkalemia

4. An incoherent female client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, nurse Libby prepares to take emergency action to prevent the potential complication of: A. Thyroid storm. B. Cretinism C. Myxedema coma. D. Hashimoto's thyroiditis
5. Which nursing diagnosis takes highest priority for a female client with hyperthyroidism? A. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess

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8. In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client: A. That therapy typically lasts about 6 months. B. That weekly laboratory tests for T4 levels will be required. C. To report weight loss, anxiety, insomnia, and palpitations. D. That the drug may be taken every other day if diarrhea occurs.
9. A patient with hyperthyroidism is taking propylthiouracil (PTU). The nurse will monitor the patient for: A. gingival hyperplasia and lycopenemia. B. dyspnea and a dry cough. C. blurred vision and nystagmus. D. fever and sore throat. 10.A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for: A. relief of pain B. signs of renal toxicity C. signs and symptoms of hyperglycemia

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D. signs and symptoms of hypothyroidism 11.A physician prescribes levothyroxine sodium (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication: A. in the morning to prevent insomnia B. only when the client complains of fatigue and cold intolerance C. at various times during the day to prevent tolerance from occurring D. three times daily in equal doses of 0.5 mg each to ensure consistent serum drug levels 12.Of what precautions should a client receiving radioactive iodine-131 be made aware? A. Drink plenty of fluids, especially those high in calcium. B. Avoid close contact with children or pregnant women for one week after administration of drug. C. Be aware of the symptoms of tachycardia, increased metabolic rate, and anxiety. D. Wear a mask around children or pregnant women. 13.A client presents to the emergency room with a history of Graves' disease. The client reports having symptoms for a few days, but has not previously sought or received any additional treatment. The client also reports having had a cold a few days back. Which of the following interventions would be appropriate to implement for this client, based on the history and current symptoms? Select all that apply.

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16.A patient with hypothyroidism is treated with Synthroid. When teaching the patient about the therapy, the nurse A. explains that caloric intake must be reduced when drug therapy is started B. provides written instruction for all information related to the medication therapy C. assures the patient that a return to normal function will occur with replacement therapy D. informs the patient that medications must be taken until hormone balance is reestablished 17.A patient recently admitted with hyperparathyroidism has a very high urine output. Of these actions, what does the nurse do next? A. Calls the health care provider. B. Monitors intake and output. C. Performs an immediate cardiac assessment. D. Slows the rate of IV fluids. 18.The nurse is assessing a patient for hypothyroidism. What findings indicate the presence of hypothyroidism in the patient? Select all that apply: A. Insomnia B. Muscle aches C. Hyperactivity D. Difficulty in speech E. Intolerance to cold

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19.What is a common cause of hypoparathyroidism? A. Neck trauma B. Hypocalcemia C. Vitamin K deficiency D. Congenital dysgenesis 20.The nurse is caring for a patient with hypocalcemia due to hypoparathyroidism. What is the cause of iatrogenic hypoparathyroidism? A. Chronic kidney disease B. Malabsorption syndromes C. Low serum magnesium levels D. Removal of the parathyroid glands 22.A patient reports they do not eat enough iodine in their diet. What condition are they most susceptible to?* A. Pheochromocytoma B. Hyperthyroidism C. Thyroid Storm D. Hypothyroidism 23.A patient has an extremely high T3 and T4 level. Which of the following signs

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26.The thyroid hormones, T3 and T4, play many roles in the human body. Which of the following functions are performed by T3 and T4? Note: Select all that apply* A. Storing calories B. Increasing the Heart Rate C. Stimulating the Sympathetic Nervous System D. Decreasing the body's temperature E. Regulating TSH produced by the anterior pituitary gland 27.A patient is admitted with complaints of palpations, excessive sweating, and unable to

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tolerate heat. In addition, the patient voices concern about how her appearance has changed over the past year. The patient presents with protruding eyeballs and pretibial myxedema on the legs and feet. Which of the following is the likely cause of the patient's signs and symptoms?* A. Thyroiditis B. Deficiency of iodine consumption C. Grave's Disease D. Hypothyroidism 28.A patient who is in her first trimester of pregnancy is diagnosed with hyperthyroidism. Which medication do you suspect the patient will be started on?* A. Propylthiouracil (PTU) B. Radioactive Iodine C. Tapazole D. Synthroid 29.Which of the following are treatment options for hyperthyroidism? Please select all that apply:* A. Thyroidectomy B. Methimazole C. Liothyronine Sodium "Cytomel" D. Radioactive Iodine

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32.A patient with hypothyroidism is having pain 6 on 1-10 scale in the right hip due to recent hip surgery. Which of the following medications are NOT appropriate for this patient? Select all that apply:* A. Fentanyl B. Tylenol C. Morphine D. Dilaudid 33.A patient is 6 hours post-opt from a thyroidectomy. The surgical site is clean, dry and intact with no excessive swelling noted. What position is best for this patient to be in?* A. Fowler’s B. Prone C. Trendelenburg D. Semi-Fowler’s 34.Which of the following signs and symptoms causes concern and requires nursing intervention for a patient who recently had a thyroidectomy?* A. Heart rate of 120, blood pressure 220/102, temperature 103.2 'F B. Heart rate of 35, blood pressure 60/43, temperature 95.3 'F C. Soft hair, irritable, diarrhea D. Constipation, drowsiness, goiter

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35. is an autoimmune disorder where the body attacks the thyroid gland that causes it to stop releasing T3 and T4. The patient is likely to have the typical signs/symptoms of hypothyroidism, however, they may present with what other sign as well?* A. Myxedema coma; joint pain B. Thyroid storm; memory loss C. Hashimoto's Thyroiditis; goiter D. Toxic nodular goiter (TNG); goiter 36.Which of the following side effects are possible for a patient taking an anti-thyroid medication?* A. Agranulocytosis and aplastic anemia B. Tachycardia C. Skin discoloration D. Joint pain and eczema 37.A patient is receiving radioactive iodine treatment for hyperthyroidism. What will you include in your patient education to this patient about this type of treatment?*

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A. Do not give with an antacid. B. Ask about allergies to shellfish. C. Do not give to clients with asthma. D. Monitor for itching and rash. E. Dilute in milk or juice. F. Monitor for bradycardia 41.A client is taking Synthroid (levothyroxine sodium) for 3 months. Which evaluation would indicate a therapeutic response to this drug? A. decreased appetite B. decreased diarrhea C. normal heart rate D. weight loss of 5 lbs 42.Which one of these nursing actions is the highest priority for a client admitted with acute hypoparathyroidism? A. Provide a quiet, dimly lighted room.

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B. Assess for abdominal cramps. C. Provide a diet high in calcium. D. Assess for a patent airway. 43.The nursing intervention that has the highest priority for the client who has undergone a subtotal thyroidectomy should be: A. assess for hemorrhage. B. assess for absent bowel sounds. C. assess for calcium deficiency. D. assess for laryngeal nerve damage. 44.Mr. Tracy was diagnosed with hyperthyroidism 15 years ago. Recently he has been experiencing difficulty breathing and swallowing. You suspect: A. thyroid cancer. B. hyperparathyroidism. C. hypocalcemia. D. strok 45.The term euthyroid is used to describe: A. balanced thyroid. B. hyperthyroidism. C. hypothyroidism.

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C. Decreased TSH D. Decreased TSH-RAb 48.Mrs. Kay presents with a temperature of 101ºF, malaise, and decreased lung sounds. She has a prescription for L-thyroxine, but tells you that she cannot afford the medication. During the assessment, she rapidly progresses to confusion and subsequently becomes unresponsive. You suspect that Mrs. Kay will be diagnosed with: A. thyroiditis. B. severe bronchitis. C. myxedema. D. sepsis 49.Hypercalcemia may lead to kidney stones, which are also known as: A. calculi. B. boils. C. striations. D. cysts. 50.An elderly woman with hyperparathyroidism is also likely to have: A. hypophosphatemia. B. hyponatremia.

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C. hypercalcemia. D. osteomyelitis.