PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
1. A patient with hypothyroidism begins taking PO Levothyroxine (Synthroid). The nurse assessed
as a patient at the beginning of the shift and notes a heart rate of 62 bpm and a temperature
of 92.7°F. The patient is lethargic and difficult to arouse. The nurse will contact the provider to
request an order for which drug?
a. Methimazole
b. Increased dose of PO levothyroxine
c. intravenous levothyroxin
d. beta blocker
2. A patient has been taking levothyroxine for several years and reports that “For the past
two weeks, the drug doesn’t seem to work as well as before”. What will the nurse do?
a. Expect the patient to have an elevated temperature and tachycardia
b. Ask the patient when the prescription was last refilled
c. tell the patient to try taking the medication with food
d. suggested the patient start taking calcium supplements
3. The nurse is caring for a pregnant patient recently diagnosed with hypothyroidism. Patient
tells the nurse she does not want to take medications while she is pregnant. What will the
nurse explain to this patient?
a. neurologic deficits in the fetus can occur if the condition is not treated
b. no danger to the fetus exists until the 3rd trimester
c. treatment is required only if the patient is experiencing symptoms
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
, PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
d. hypothyroidism is a normal effect of pregnancy and usually is of no consequence
4. The nurse prepares a patient with Graves’ disease for radioactive iodine therapy.
Which statement made by the patient best demonstrates understanding of this
therapy?
a. I will have to isolate myself from my family for two weeks so that I don't expose them
to radiation
b. “this drug will be taken up by my thyroid and destroy the cells to reduce
my hypothyroidism”
c. I will need to take this drug daily for one year
d. this drug will help reduce my cold intolerance and weight gain
5. A patient has a free T4 level of 0.6 in a free T3 of 220. The patient asked the nurse what
these laboratory values mean. How will the nurse resp
a. we will need to obtain a TSH level to better evaluate your diagnosis
b. these results suggest you have hyperthyroidism
c. we will need to obtain a total T3 and total T4 to know for sure
d. these values indicate you may have grave’s disease
6. A patient is admitted to the hospital and will begin taking levothyroxin (Synthroid). The nurse
learns of the patient also takes warfarin (Coumadin). The nurse will notify the provider to
discuss what?
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
, PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
a. increasing the warfarin dose
b. reducing the warfarin dose
c. decreasing the levothyroxine dose
d. increasing the levothyroxine dose
7. A nurse is teaching a patient who will begin taking methimazole (Tapazole) for Graves’ disease
about the medication. Which statement by the patient indicates understanding of the
teaching?
a. I must take with food every morning to aid and absorption
b. it is safe to get pregnant while taking this medication
c. because of the risk for liver toxicity, I will need frequent liver function tests
d. I should report a sore throat or fever to my provider if either occurs
8. A nurse obtaining an admission history on a adult patient Notes that the patient has a heart rate
of 62 bpm, a blood pressure of 105/62, and a temperature of 96.2°F. The patient appears pale
and complains of always feeling cold and tired. The nurse will contact the provider to discuss
test for what condition?
a. Plummer’s disease
b. Hypothyroidism
c. Cretinism
d. Grave’s Disease
9. A nurse caring for a patient notes that the patient has a temperature of 104°F in a heart rate of
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
, PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
110 bpm. The patient skin is warm and moist, and the patient complains that the room is too
warm. Patient appears nervous and has protuberant eyes. The nurse will contact the provider
to discuss
a. Cretinism
b. Myedema
c. Graves’ disease
d. Plummer’s Disease
10. Which mineral is needed for thyroid stimulating hormone (TSH) to stimulate the secretion
of thyroid hormone (TH)?
a. zinc
b. Iodine
c. copper
d. iron
11. What effect does hyperphosphatemia have on other electrolytes
a. Decreases serum magnesium
b. increases serum calcium
c. increases serum
magnesium d. decreases serum
calcium
12. Which hormone is involved in the regulation of serum calcium levels?
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
CORRECT ANSWERS 2022
1. A patient with hypothyroidism begins taking PO Levothyroxine (Synthroid). The nurse assessed
as a patient at the beginning of the shift and notes a heart rate of 62 bpm and a temperature
of 92.7°F. The patient is lethargic and difficult to arouse. The nurse will contact the provider to
request an order for which drug?
a. Methimazole
b. Increased dose of PO levothyroxine
c. intravenous levothyroxin
d. beta blocker
2. A patient has been taking levothyroxine for several years and reports that “For the past
two weeks, the drug doesn’t seem to work as well as before”. What will the nurse do?
a. Expect the patient to have an elevated temperature and tachycardia
b. Ask the patient when the prescription was last refilled
c. tell the patient to try taking the medication with food
d. suggested the patient start taking calcium supplements
3. The nurse is caring for a pregnant patient recently diagnosed with hypothyroidism. Patient
tells the nurse she does not want to take medications while she is pregnant. What will the
nurse explain to this patient?
a. neurologic deficits in the fetus can occur if the condition is not treated
b. no danger to the fetus exists until the 3rd trimester
c. treatment is required only if the patient is experiencing symptoms
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
, PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
d. hypothyroidism is a normal effect of pregnancy and usually is of no consequence
4. The nurse prepares a patient with Graves’ disease for radioactive iodine therapy.
Which statement made by the patient best demonstrates understanding of this
therapy?
a. I will have to isolate myself from my family for two weeks so that I don't expose them
to radiation
b. “this drug will be taken up by my thyroid and destroy the cells to reduce
my hypothyroidism”
c. I will need to take this drug daily for one year
d. this drug will help reduce my cold intolerance and weight gain
5. A patient has a free T4 level of 0.6 in a free T3 of 220. The patient asked the nurse what
these laboratory values mean. How will the nurse resp
a. we will need to obtain a TSH level to better evaluate your diagnosis
b. these results suggest you have hyperthyroidism
c. we will need to obtain a total T3 and total T4 to know for sure
d. these values indicate you may have grave’s disease
6. A patient is admitted to the hospital and will begin taking levothyroxin (Synthroid). The nurse
learns of the patient also takes warfarin (Coumadin). The nurse will notify the provider to
discuss what?
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
, PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
a. increasing the warfarin dose
b. reducing the warfarin dose
c. decreasing the levothyroxine dose
d. increasing the levothyroxine dose
7. A nurse is teaching a patient who will begin taking methimazole (Tapazole) for Graves’ disease
about the medication. Which statement by the patient indicates understanding of the
teaching?
a. I must take with food every morning to aid and absorption
b. it is safe to get pregnant while taking this medication
c. because of the risk for liver toxicity, I will need frequent liver function tests
d. I should report a sore throat or fever to my provider if either occurs
8. A nurse obtaining an admission history on a adult patient Notes that the patient has a heart rate
of 62 bpm, a blood pressure of 105/62, and a temperature of 96.2°F. The patient appears pale
and complains of always feeling cold and tired. The nurse will contact the provider to discuss
test for what condition?
a. Plummer’s disease
b. Hypothyroidism
c. Cretinism
d. Grave’s Disease
9. A nurse caring for a patient notes that the patient has a temperature of 104°F in a heart rate of
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
, PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
110 bpm. The patient skin is warm and moist, and the patient complains that the room is too
warm. Patient appears nervous and has protuberant eyes. The nurse will contact the provider
to discuss
a. Cretinism
b. Myedema
c. Graves’ disease
d. Plummer’s Disease
10. Which mineral is needed for thyroid stimulating hormone (TSH) to stimulate the secretion
of thyroid hormone (TH)?
a. zinc
b. Iodine
c. copper
d. iron
11. What effect does hyperphosphatemia have on other electrolytes
a. Decreases serum magnesium
b. increases serum calcium
c. increases serum
magnesium d. decreases serum
calcium
12. Which hormone is involved in the regulation of serum calcium levels?
PATHO FINAL EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2022
