REVISED EXAM QUESTIONS AND
ANSWERS FOR (ASSESSMENT AND
MANAGEMENT OF PATIENTS WITH
ENDOCRINE DISORDERS)CHAPTER 45
1. The nurse is caring for a patient diagnosed with hypothyroidism secondary to Hashimotos
thyroiditis. When assessing this patient, what sign or symptom would the nurse expect?
A) Fatigue
B) Bulging eyes
C) Palpitations
D) Flushed skin - CORRECT ANSWER -A) Fatigue
2. A patient has been admitted to the post-surgical unit following a thyroidectomy. To promote
comfort and safety, how should the nurse best position the patient?
A) Side-lying (lateral) with one pillow under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the head
C) Semi-Fowlers with the head supported on two pillows
D) Supine, with a small roll supporting the neck - CORRECT ANSWER -C) Semi-Fowlers with
the head supported on two pillows
3. A patient with thyroid cancer has undergone surgery and a significant amount of
parathyroid tissue has been removed. The nurse caring for the patient should prioritize what
question when addressing potential complications?
A) Do you feel any muscle twitches or spasms?
B) Do you feel flushed or sweaty?
C) Are you experiencing any dizziness or lightheadedness?
, D) Are you having any pain that seems to be radiating from your bones? - CORRECT ANSWER -
A) Do you feel any muscle twitches or spasms?
4. The nurse is caring for a patient with a diagnosis of Addisons disease. What sign or
symptom is most closely associated with this health problem?
A) Truncal obesity
B) Hypertension
C) Muscle weakness
D) Moon face - CORRECT ANSWER -C) Muscle weakness
5. The nurse is caring for a patient with Addisons disease who is scheduled for discharge. When
teaching the patient about hormone replacement therapy, the nurse should address what
topic?
A) The possibility of precipitous weight gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to immediate symptoms D) The importance of
monitoring liver function - CORRECT ANSWER -B) The need for lifelong steroid replacement
6. The nurse is teaching a patient that the body needs iodine for the thyroid to function.
What food would be the best source of iodine for the body?
A) Eggs
B) Shellfish
C) Table salt
D) Red meat - CORRECT ANSWER -C) Table salt
7. A patient is prescribed corticosteroid therapy. What would be priority information for the
nurse to give the patient who is prescribed long-term corticosteroid therapy?
A) The patients diet should be low protein with ample fat.
B) The patient may experience short-term changes in cognition.
ANSWERS FOR (ASSESSMENT AND
MANAGEMENT OF PATIENTS WITH
ENDOCRINE DISORDERS)CHAPTER 45
1. The nurse is caring for a patient diagnosed with hypothyroidism secondary to Hashimotos
thyroiditis. When assessing this patient, what sign or symptom would the nurse expect?
A) Fatigue
B) Bulging eyes
C) Palpitations
D) Flushed skin - CORRECT ANSWER -A) Fatigue
2. A patient has been admitted to the post-surgical unit following a thyroidectomy. To promote
comfort and safety, how should the nurse best position the patient?
A) Side-lying (lateral) with one pillow under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the head
C) Semi-Fowlers with the head supported on two pillows
D) Supine, with a small roll supporting the neck - CORRECT ANSWER -C) Semi-Fowlers with
the head supported on two pillows
3. A patient with thyroid cancer has undergone surgery and a significant amount of
parathyroid tissue has been removed. The nurse caring for the patient should prioritize what
question when addressing potential complications?
A) Do you feel any muscle twitches or spasms?
B) Do you feel flushed or sweaty?
C) Are you experiencing any dizziness or lightheadedness?
, D) Are you having any pain that seems to be radiating from your bones? - CORRECT ANSWER -
A) Do you feel any muscle twitches or spasms?
4. The nurse is caring for a patient with a diagnosis of Addisons disease. What sign or
symptom is most closely associated with this health problem?
A) Truncal obesity
B) Hypertension
C) Muscle weakness
D) Moon face - CORRECT ANSWER -C) Muscle weakness
5. The nurse is caring for a patient with Addisons disease who is scheduled for discharge. When
teaching the patient about hormone replacement therapy, the nurse should address what
topic?
A) The possibility of precipitous weight gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to immediate symptoms D) The importance of
monitoring liver function - CORRECT ANSWER -B) The need for lifelong steroid replacement
6. The nurse is teaching a patient that the body needs iodine for the thyroid to function.
What food would be the best source of iodine for the body?
A) Eggs
B) Shellfish
C) Table salt
D) Red meat - CORRECT ANSWER -C) Table salt
7. A patient is prescribed corticosteroid therapy. What would be priority information for the
nurse to give the patient who is prescribed long-term corticosteroid therapy?
A) The patients diet should be low protein with ample fat.
B) The patient may experience short-term changes in cognition.
