EXAM 2 NUR 326 ADULT HEALTH 87 QUESTIONS
WITH VERIFIED ANSWERS 2026
True !! - CORRECT ANSWER T/F: Disorders of the thyroid is one of the most
common endocrine issues (alongside diabetes)
Graves’ disease - CORRECT ANSWER what is the most common form of
hyperthyroidism?
decreased TSH with elevated free T4 (& T3) increases the metabolic rate
A sustained increase in synthesis and release of thyroid hormones by thyroid
gland - CORRECT ANSWER What is hyperthyroidism?
- heat intolerance (man on fire)
- exophthalmos (protruding eyes)--seen in graves
- warm moist skin & silky hair
- fine tremor
- goiter (can be in bother hyper and hypo)
- diarrhea
- weight loss (by increase in metabolic weight)
- tachycardia
- amenorrhea - CORRECT ANSWER Describe the clinical manifestations of the
client with thyroid dysfunction: HYPERTHYROIDISM
,radioactive iodine uptake- sees how much iodine is taken up from iodine pill -
CORRECT ANSWER diagnostic test for hyperthyroidism
True! being a women is fun - CORRECT ANSWER T/F: Hyperthyroidism occurs most
often in women
Highest frequency between ages 20 to 40 years - CORRECT ANSWER when is the
highest frequency seen for hyperthyroidism?
• Block adverse effects of thyroid hormones
• Suppress hormone over secretion
• Prevent complications
Three primary treatment options
1. Antithyroid medications - work best for mild hyperthyroidism • Too high of
dosing can lead to hypothyroid issues
• Block formation of thyroid hormone by thyroid gland
• Propylthiouracil (PTU)
• Methimazole (Topazolite)
2. Radioactive iodine therapy (RAI)
3. Surgery
,• Thyroidectomy- usually subtotal to remove a large portion (up to 50-90%) of the
thyroid - CORRECT ANSWER nursing management of the client with
HYPERTHYROIDISM
High-calorie diet (4000 to 5000 call/day)
• Six full meals/day with snacks in between
• Protein intake: 1 to 2 g/kg ideal body weight
• Increased carbohydrate intake Avoid highly seasoned and high-fiber foods,
caffeine Dietitian referral - CORRECT ANSWER nursing management of the client
with HYPERTHYROIDISM (NTR)
- low or undanceable TSH
- increase in total T3 & T4
- Radioactive iodine uptake (RAIU) - CORRECT ANSWER interpret lab values related
to hyperthyroidism
• an acute, severe, and rare condition that occurs when excess amounts of thyroid
hormones are released into circulation.
• LIFE THREATENING
• Death rare when treatment started early
• Results from stressors
• Thyroidectomy patients at risk - CORRECT ANSWER acute thyrotoxicosis (thyroid
storm)
• Severe tachycardia, heart failure
, • Shock
• Hyperthermia (up to 106° F [41.1° C])
• Agitation
• Seizures
• Abdominal pain, vomiting, diarrhea
• Delirium, coma - CORRECT ANSWER acute thyrotoxicosis (thyroid storm) CM
- Necessitates aggressive treatment
- Give medications that block thyroid hormone production
- Monitor for dysrhythmias
- Ensure adequate oxygenation
- Fluid and electrolyte replacement - CORRECT ANSWER Collaborative Care Acute
Thyrotoxicosis
thyroid hormone deficiency, low T3 and T4 levels which decreases the metabolic
rate
- decreased free T4 & increased TSH - CORRECT ANSWER What is hypothyroidism?
• Problem with thyroid gland
• Caused by destruction of thyroid tissue (atrophy) or defective hormone
synthesis (Increased TSH and decreased T3, T4 - CORRECT ANSWER Primary
hypothyroidism
WITH VERIFIED ANSWERS 2026
True !! - CORRECT ANSWER T/F: Disorders of the thyroid is one of the most
common endocrine issues (alongside diabetes)
Graves’ disease - CORRECT ANSWER what is the most common form of
hyperthyroidism?
decreased TSH with elevated free T4 (& T3) increases the metabolic rate
A sustained increase in synthesis and release of thyroid hormones by thyroid
gland - CORRECT ANSWER What is hyperthyroidism?
- heat intolerance (man on fire)
- exophthalmos (protruding eyes)--seen in graves
- warm moist skin & silky hair
- fine tremor
- goiter (can be in bother hyper and hypo)
- diarrhea
- weight loss (by increase in metabolic weight)
- tachycardia
- amenorrhea - CORRECT ANSWER Describe the clinical manifestations of the
client with thyroid dysfunction: HYPERTHYROIDISM
,radioactive iodine uptake- sees how much iodine is taken up from iodine pill -
CORRECT ANSWER diagnostic test for hyperthyroidism
True! being a women is fun - CORRECT ANSWER T/F: Hyperthyroidism occurs most
often in women
Highest frequency between ages 20 to 40 years - CORRECT ANSWER when is the
highest frequency seen for hyperthyroidism?
• Block adverse effects of thyroid hormones
• Suppress hormone over secretion
• Prevent complications
Three primary treatment options
1. Antithyroid medications - work best for mild hyperthyroidism • Too high of
dosing can lead to hypothyroid issues
• Block formation of thyroid hormone by thyroid gland
• Propylthiouracil (PTU)
• Methimazole (Topazolite)
2. Radioactive iodine therapy (RAI)
3. Surgery
,• Thyroidectomy- usually subtotal to remove a large portion (up to 50-90%) of the
thyroid - CORRECT ANSWER nursing management of the client with
HYPERTHYROIDISM
High-calorie diet (4000 to 5000 call/day)
• Six full meals/day with snacks in between
• Protein intake: 1 to 2 g/kg ideal body weight
• Increased carbohydrate intake Avoid highly seasoned and high-fiber foods,
caffeine Dietitian referral - CORRECT ANSWER nursing management of the client
with HYPERTHYROIDISM (NTR)
- low or undanceable TSH
- increase in total T3 & T4
- Radioactive iodine uptake (RAIU) - CORRECT ANSWER interpret lab values related
to hyperthyroidism
• an acute, severe, and rare condition that occurs when excess amounts of thyroid
hormones are released into circulation.
• LIFE THREATENING
• Death rare when treatment started early
• Results from stressors
• Thyroidectomy patients at risk - CORRECT ANSWER acute thyrotoxicosis (thyroid
storm)
• Severe tachycardia, heart failure
, • Shock
• Hyperthermia (up to 106° F [41.1° C])
• Agitation
• Seizures
• Abdominal pain, vomiting, diarrhea
• Delirium, coma - CORRECT ANSWER acute thyrotoxicosis (thyroid storm) CM
- Necessitates aggressive treatment
- Give medications that block thyroid hormone production
- Monitor for dysrhythmias
- Ensure adequate oxygenation
- Fluid and electrolyte replacement - CORRECT ANSWER Collaborative Care Acute
Thyrotoxicosis
thyroid hormone deficiency, low T3 and T4 levels which decreases the metabolic
rate
- decreased free T4 & increased TSH - CORRECT ANSWER What is hypothyroidism?
• Problem with thyroid gland
• Caused by destruction of thyroid tissue (atrophy) or defective hormone
synthesis (Increased TSH and decreased T3, T4 - CORRECT ANSWER Primary
hypothyroidism
