MED-SURG BSN 266 EXAM
QUESTIONS & ACCURATE
COMPLETE ANSWERS ALL PASSED
The nurse is completing a health assessment of a 42-year-old female with suspected
Graves' disease. The nurse should assess this client for:
A. Anorexia
B. Tachycardia
C. Weight Gain
D. Cold Skin - Correct Answer ✔✔ B. Tachycardia
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess the
client for which of the following? Select all that apply.
A. Rapid pulse.
B. Decreased energy and fatigue.
C. Weight gain of 10 lb (4.5 kg).
D. Fine, thin hair with hair loss
E. Constipation.
F. Menorrhagia. - Correct Answer ✔✔ B. Decreased energy and fatigue
C. Weight gain of 10lb.
E. Constipation
F. Menorrhagia
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should
teach the client to immediately report which of the following?
A. Sore throat.
B. Painful, excessive menstruation.
C. Constipation.
D. Increased urine output. - Correct Answer ✔✔ A. Sore throat
A client with thyrotoxicosis (hyperthyroidism) says to the nurse, "I am so irritable. I am
having problems at work because I lose my temper very easily." Which of the following
responses by the nurse would give the client the most accurate explanation of her
behavior?
A. "Your behavior is caused by temporary confusion brought on by your illness."
B. "Your behavior is caused by the excess thyroid hormone in your system."
C. "Your behavior is caused by your worrying about the seriousness of your illness."
D. "Your behavior is caused by the stress of trying to manage a career and cope with
illness." - Correct Answer ✔✔ B. Your behavior is caused by the excess thyroid
hormone in your system.
,The nurse is evaluating a client with hyperthyroidism who is taking Propylthiouracil
(PTU) 100 mg/day in three divided doses for maintenance therapy. Which of the
following statements from the client indicates the desired outcome of the drug?
A. "I have excess energy throughout the day."
B. "I am able to sleep and rest at night."
C. "I have lost weight since taking this medication."
D. "I do perspire throughout the entire day." - Correct Answer ✔✔ B. I am able to sleep
and rest at night
The nurse should teach the client with Graves' disease to prevent corneal irritation from
mild exophthalmos by:
A. Massaging the eyes at regular intervals.
B. Instilling an ophthalmic anesthetic as prescribed.
C. Wearing dark-colored glasses.
D. Covering both eyes with moistened gauze pads. - Correct Answer ✔✔ C. Wearing
dark- colored glasses.
A client with Graves' disease is treated with radioactive iodine (RAI) in the form of
sodium iodide 131I. Which of the following statements by the nurse will explain to the
client how the drug works?
A. "The RAI stabilizes the thyroid hormone levels before a thyroidectomy."
B. "The RAI reduces uptake of thyroxine and thereby improves your condition."
C. "The RAI lowers the levels of thyroid hormones by slowing your body's production of
them."
D. "The RAI destroys thyroid tissue so that thyroid hormones are no longer produced." -
Correct Answer ✔✔ D. The RAI lowers the levels of thyroid tissue so that thyroid
hormones are no longer produced.
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse
teaches the client to:
A. Monitor for signs and symptoms of hyperthyroidism.
B. Rest for 1 week to prevent complications of the medication.
C. Take thyroxine replacement for the remainder of the client's life.
D. Assess for hypertension and tachycardia resulting from altered thyroid activity. -
Correct Answer ✔✔ C. Take thyroxine replacement for the remainder of the client's life.
A client with a large goiter is scheduled for a subtotal thyroidectomy to treat
thyrotoxicosis (hyperthyroidism). Saturated solution of potassium iodide (SSKI) is
prescribed preoperatively for the client. The expected outcome of using this drug is that
it helps:
A. Slow progression of exophthalmos.
B. Reduce the vascularity of the thyroid gland.
C. Decrease the body's ability to store thyroxine.
D. Increase the body's ability to excrete thyroxine. - Correct Answer ✔✔ B. Reduce the
vascularity of the thyroid gland
, The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse
should:
A. Pour the solution over ice chips.
B. Mix the solution with an antacid.
C. Dilute the solution with water, milk, or fruit juice and have the client drink it with a
straw.
D. Disguise the solution in a pureed fruit or vegetable. - Correct Answer ✔✔ C. Dilute
the solution with water, milk, or fruit juice and have the client drink it with a straw.
Following a subtotal thyroidectomy, the nurse asks the client to speak immediately upon
regaining consciousness. The nurse does this to monitor for signs of which of the
following?
A. Internal hemorrhage.
B. Decreasing level of consciousness.
C. Laryngeal nerve damage.
D. Upper airway obstruction. - Correct Answer ✔✔ C. Laryngeal nerve damage
A client who has undergone a subtotal thyroidectomy is subject to complications in the
first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment
to:
A. Begin total parenteral nutrition.
B. Start a cutdown infusion.
C. Administer tube feedings.
D. Perform a tracheotomy. - Correct Answer ✔✔ D. Perform a tracheotomy
One day following a subtotal thyroidectomy, a client begins to have tingling in the
fingers and toes. The nurse should first:
A. Encourage the client to flex and extend the fingers and toes.
B. Notify the physician.
C. Assess the client for thrombophlebitis.
D. Ask the client to speak. - Correct Answer ✔✔ B. Notify the physician.
Which of the following medications should be available to provide emergency treatment
if a client develops tetany after a subtotal thyroidectomy?
1. Sodium phosphate.
2. Calcium gluconate.
3. Echothiopate iodide.
4. Sodium bicarbonate. - Correct Answer ✔✔ 2. Calcium gluconate.
A 60-year-old female is diagnosed with hypothyroidism. The nurse should assess the
client for which of the following?
A. Tachycardia.
B. Weight gain.
C. Diarrhea.
D. Nausea. - Correct Answer ✔✔ B. Weight gain
QUESTIONS & ACCURATE
COMPLETE ANSWERS ALL PASSED
The nurse is completing a health assessment of a 42-year-old female with suspected
Graves' disease. The nurse should assess this client for:
A. Anorexia
B. Tachycardia
C. Weight Gain
D. Cold Skin - Correct Answer ✔✔ B. Tachycardia
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess the
client for which of the following? Select all that apply.
A. Rapid pulse.
B. Decreased energy and fatigue.
C. Weight gain of 10 lb (4.5 kg).
D. Fine, thin hair with hair loss
E. Constipation.
F. Menorrhagia. - Correct Answer ✔✔ B. Decreased energy and fatigue
C. Weight gain of 10lb.
E. Constipation
F. Menorrhagia
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should
teach the client to immediately report which of the following?
A. Sore throat.
B. Painful, excessive menstruation.
C. Constipation.
D. Increased urine output. - Correct Answer ✔✔ A. Sore throat
A client with thyrotoxicosis (hyperthyroidism) says to the nurse, "I am so irritable. I am
having problems at work because I lose my temper very easily." Which of the following
responses by the nurse would give the client the most accurate explanation of her
behavior?
A. "Your behavior is caused by temporary confusion brought on by your illness."
B. "Your behavior is caused by the excess thyroid hormone in your system."
C. "Your behavior is caused by your worrying about the seriousness of your illness."
D. "Your behavior is caused by the stress of trying to manage a career and cope with
illness." - Correct Answer ✔✔ B. Your behavior is caused by the excess thyroid
hormone in your system.
,The nurse is evaluating a client with hyperthyroidism who is taking Propylthiouracil
(PTU) 100 mg/day in three divided doses for maintenance therapy. Which of the
following statements from the client indicates the desired outcome of the drug?
A. "I have excess energy throughout the day."
B. "I am able to sleep and rest at night."
C. "I have lost weight since taking this medication."
D. "I do perspire throughout the entire day." - Correct Answer ✔✔ B. I am able to sleep
and rest at night
The nurse should teach the client with Graves' disease to prevent corneal irritation from
mild exophthalmos by:
A. Massaging the eyes at regular intervals.
B. Instilling an ophthalmic anesthetic as prescribed.
C. Wearing dark-colored glasses.
D. Covering both eyes with moistened gauze pads. - Correct Answer ✔✔ C. Wearing
dark- colored glasses.
A client with Graves' disease is treated with radioactive iodine (RAI) in the form of
sodium iodide 131I. Which of the following statements by the nurse will explain to the
client how the drug works?
A. "The RAI stabilizes the thyroid hormone levels before a thyroidectomy."
B. "The RAI reduces uptake of thyroxine and thereby improves your condition."
C. "The RAI lowers the levels of thyroid hormones by slowing your body's production of
them."
D. "The RAI destroys thyroid tissue so that thyroid hormones are no longer produced." -
Correct Answer ✔✔ D. The RAI lowers the levels of thyroid tissue so that thyroid
hormones are no longer produced.
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse
teaches the client to:
A. Monitor for signs and symptoms of hyperthyroidism.
B. Rest for 1 week to prevent complications of the medication.
C. Take thyroxine replacement for the remainder of the client's life.
D. Assess for hypertension and tachycardia resulting from altered thyroid activity. -
Correct Answer ✔✔ C. Take thyroxine replacement for the remainder of the client's life.
A client with a large goiter is scheduled for a subtotal thyroidectomy to treat
thyrotoxicosis (hyperthyroidism). Saturated solution of potassium iodide (SSKI) is
prescribed preoperatively for the client. The expected outcome of using this drug is that
it helps:
A. Slow progression of exophthalmos.
B. Reduce the vascularity of the thyroid gland.
C. Decrease the body's ability to store thyroxine.
D. Increase the body's ability to excrete thyroxine. - Correct Answer ✔✔ B. Reduce the
vascularity of the thyroid gland
, The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse
should:
A. Pour the solution over ice chips.
B. Mix the solution with an antacid.
C. Dilute the solution with water, milk, or fruit juice and have the client drink it with a
straw.
D. Disguise the solution in a pureed fruit or vegetable. - Correct Answer ✔✔ C. Dilute
the solution with water, milk, or fruit juice and have the client drink it with a straw.
Following a subtotal thyroidectomy, the nurse asks the client to speak immediately upon
regaining consciousness. The nurse does this to monitor for signs of which of the
following?
A. Internal hemorrhage.
B. Decreasing level of consciousness.
C. Laryngeal nerve damage.
D. Upper airway obstruction. - Correct Answer ✔✔ C. Laryngeal nerve damage
A client who has undergone a subtotal thyroidectomy is subject to complications in the
first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment
to:
A. Begin total parenteral nutrition.
B. Start a cutdown infusion.
C. Administer tube feedings.
D. Perform a tracheotomy. - Correct Answer ✔✔ D. Perform a tracheotomy
One day following a subtotal thyroidectomy, a client begins to have tingling in the
fingers and toes. The nurse should first:
A. Encourage the client to flex and extend the fingers and toes.
B. Notify the physician.
C. Assess the client for thrombophlebitis.
D. Ask the client to speak. - Correct Answer ✔✔ B. Notify the physician.
Which of the following medications should be available to provide emergency treatment
if a client develops tetany after a subtotal thyroidectomy?
1. Sodium phosphate.
2. Calcium gluconate.
3. Echothiopate iodide.
4. Sodium bicarbonate. - Correct Answer ✔✔ 2. Calcium gluconate.
A 60-year-old female is diagnosed with hypothyroidism. The nurse should assess the
client for which of the following?
A. Tachycardia.
B. Weight gain.
C. Diarrhea.
D. Nausea. - Correct Answer ✔✔ B. Weight gain
