NSG 4100 Adult Health III Exam 2
NSG 4100 Adult Health III Exam 2 Newest
2026 – Verified Questions and Correct
Answers with Detailed Rationales | Galen
NSG 4100 Exam 2 Prep Latest
A nurse is caring for a client who has developed agranulocytosis as a result of taking
propylthiouracil to treat hyperthyroidism. The nurse should understand that this client is at
increased risk for which of the following conditions?
Excessive bleeding
Ecchymosis
Infection
Hyperglycemia - Correct Answer :infection
Agranulocytosis is a failure of the bone marrow to make enough white blood cells, cauing
neutropenia and lowering the body defenses against infection
A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse
should identify which of the following findings as an indication that the medication is
effective?
A decrease in blood sugar
A decrease in blood pressure
A decrease in urine output
A decrease in specific gravity - Correct Answer :A decrease in urine output
A+ TEST BANK 1
, NSG 4100 Adult Health III Exam 2
The major manifestations of diabetes insipidus are excessive urination and extreme thirst.
Vasopressin is used to control frequent urination, increased thirst, and loss of water
associated with diabetes insipidus. A decreased urine output is the desired outcome
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should
the nurse expect?
Dehydration
Polyphagia
Hyperglycemia
Bradycardia - Correct Answer :Dehydration
Diabetes insipidus causes excessive excretion of dilute urine, resulting in dehydration.
Polyphagia and hyperglycemia are found in diabetes mellitus.
Tachycardia, not bradycardia, is a manifestation of diabetes insipidus.
A nurse in a clinic is reviewing the laboratory values of a client who has primary
hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory
values?
Thyroid stimulating hormone (TSH)
Free T4
Serum T4
Serum T3 - Correct Answer :Thyroid stimulating hormone (TSH)
The nurse should anticipate that TSH will be elevated.
A+ TEST BANK 2
, NSG 4100 Adult Health III Exam 2
Free T4 will be decreased
Serum T4 will be decreased
Serum T3 will be decreased
A nurse is proving teaching to a client who has a new diagnosis of hypothyroidism. On which
of the following medications should the nurse prepare to instruct the client?
Radioactive iodine
Levothyroxine
Sumatriptan
Levofloxacin - Correct Answer :Levothyoxine
Levothyroxine is a synthetic thyroid hormone that is chemically identical to thyroxine (T4). It is
used in the treatment of hypothyroidism. The nurse should be prepared to instruct the client
on the use of this medication
Radioactive iodine is an anti-thyroid med that treats thyroid cancer, hyperthyroidism, and is
used as a diagnostic aid for thyroid function studies
Sumatriptan is an anti-migraine agent used for acute treatment migraine and cluster
headaches.
Levofloxacin is a broad spectrum anti-infective of the quinolone class that is used to treat
infections of the sinuses, skin, lungs, ears, airways, bones, joints, and urinary tract
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6
mg/dL. Which of the following findings should the nurse expect?
A+ TEST BANK 3
, NSG 4100 Adult Health III Exam 2
Tingling of the extremities
Hypoactive deep tendon reflexes
Shorted QT intervals
Constipation - Correct Answer :Normal range: 8.8 - 10.4
Tingling of the extremities
A serum calcium level of 7.6 mg/dL is below the expected reference range, indicating
hypocalcemia. A client who undergoes a total thyroidectomy is at risk for parathyroid injury
which can lead to hypocalcemia. The nurse should monitor the client for reports of tingling
and numbness of the extremities and around the mouth, muscle tremors, cramps, and
cardiac dysrhythmias
A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to
report which of the following manifestations?
Sensitivity to cold
Constipation
Frequent mood changes
Weight gain of 4.5 kg (10 lb) in 3 weeks - Correct Answer :Frequent mood changes
Hyperthyroidism develops when the thyroid gland produces an excess of the thyroid
hormones that regulate the metabolic rate. Clients experience emotional lability that
fluctuates between emotional hyperexcitability and irritability. They often cannot sit quietly.
A nurse is caring for a client who is 1 day postoperative following subtotal thyroidectomy. The
client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For
which of the following findings should the nurse assess the client?
A+ TEST BANK 4
NSG 4100 Adult Health III Exam 2 Newest
2026 – Verified Questions and Correct
Answers with Detailed Rationales | Galen
NSG 4100 Exam 2 Prep Latest
A nurse is caring for a client who has developed agranulocytosis as a result of taking
propylthiouracil to treat hyperthyroidism. The nurse should understand that this client is at
increased risk for which of the following conditions?
Excessive bleeding
Ecchymosis
Infection
Hyperglycemia - Correct Answer :infection
Agranulocytosis is a failure of the bone marrow to make enough white blood cells, cauing
neutropenia and lowering the body defenses against infection
A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse
should identify which of the following findings as an indication that the medication is
effective?
A decrease in blood sugar
A decrease in blood pressure
A decrease in urine output
A decrease in specific gravity - Correct Answer :A decrease in urine output
A+ TEST BANK 1
, NSG 4100 Adult Health III Exam 2
The major manifestations of diabetes insipidus are excessive urination and extreme thirst.
Vasopressin is used to control frequent urination, increased thirst, and loss of water
associated with diabetes insipidus. A decreased urine output is the desired outcome
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should
the nurse expect?
Dehydration
Polyphagia
Hyperglycemia
Bradycardia - Correct Answer :Dehydration
Diabetes insipidus causes excessive excretion of dilute urine, resulting in dehydration.
Polyphagia and hyperglycemia are found in diabetes mellitus.
Tachycardia, not bradycardia, is a manifestation of diabetes insipidus.
A nurse in a clinic is reviewing the laboratory values of a client who has primary
hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory
values?
Thyroid stimulating hormone (TSH)
Free T4
Serum T4
Serum T3 - Correct Answer :Thyroid stimulating hormone (TSH)
The nurse should anticipate that TSH will be elevated.
A+ TEST BANK 2
, NSG 4100 Adult Health III Exam 2
Free T4 will be decreased
Serum T4 will be decreased
Serum T3 will be decreased
A nurse is proving teaching to a client who has a new diagnosis of hypothyroidism. On which
of the following medications should the nurse prepare to instruct the client?
Radioactive iodine
Levothyroxine
Sumatriptan
Levofloxacin - Correct Answer :Levothyoxine
Levothyroxine is a synthetic thyroid hormone that is chemically identical to thyroxine (T4). It is
used in the treatment of hypothyroidism. The nurse should be prepared to instruct the client
on the use of this medication
Radioactive iodine is an anti-thyroid med that treats thyroid cancer, hyperthyroidism, and is
used as a diagnostic aid for thyroid function studies
Sumatriptan is an anti-migraine agent used for acute treatment migraine and cluster
headaches.
Levofloxacin is a broad spectrum anti-infective of the quinolone class that is used to treat
infections of the sinuses, skin, lungs, ears, airways, bones, joints, and urinary tract
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6
mg/dL. Which of the following findings should the nurse expect?
A+ TEST BANK 3
, NSG 4100 Adult Health III Exam 2
Tingling of the extremities
Hypoactive deep tendon reflexes
Shorted QT intervals
Constipation - Correct Answer :Normal range: 8.8 - 10.4
Tingling of the extremities
A serum calcium level of 7.6 mg/dL is below the expected reference range, indicating
hypocalcemia. A client who undergoes a total thyroidectomy is at risk for parathyroid injury
which can lead to hypocalcemia. The nurse should monitor the client for reports of tingling
and numbness of the extremities and around the mouth, muscle tremors, cramps, and
cardiac dysrhythmias
A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to
report which of the following manifestations?
Sensitivity to cold
Constipation
Frequent mood changes
Weight gain of 4.5 kg (10 lb) in 3 weeks - Correct Answer :Frequent mood changes
Hyperthyroidism develops when the thyroid gland produces an excess of the thyroid
hormones that regulate the metabolic rate. Clients experience emotional lability that
fluctuates between emotional hyperexcitability and irritability. They often cannot sit quietly.
A nurse is caring for a client who is 1 day postoperative following subtotal thyroidectomy. The
client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For
which of the following findings should the nurse assess the client?
A+ TEST BANK 4
