PN3 EXAM 3 QUESTIONS AND
ANSWERS
Which treatment is used to manage hyperthyroidism? Select all that apply.
Irradiation of the thyroid and Thyroidectomy
Which problem is most likely to develop if hyperthyroidism remains untreated?
Heart failure
A client who has just had a thyroidectomy returns to the unit in stable condition.
What equipment is it essential for the nurse to have readily available?
Tracheostomy set
Which finding would be the greatest cause for concern to the nurse during the
early postoperative period following a thyroidectomy?
Carpal spasm when the blood pressure is taken
An adult with myxedema is started on thyroid replacement therapy and is
discharged. The client returns to the doctor's office one week later. which
statement that the client makes is most indicative of an adverse reaction to the
medication?
"My chest hurt when I was sweeping the floor this morning."
Which diet does the nurse expect will be ordered for the client with
hypothyroidism?
High roughage, low calorie
A client develops hypoparathyroidism after a total thyroidectomy. What treatment
should the nurse anticipate?
Administration of calcium
A nurse is caring for a an older adult client who has diabetes mellitus. The client
reports loss of peripheral vision. For which of the following is the client at risk?
Open-angle glaucoma
A nurse is reinforcing selfcare instructions with a client following a
trabeculectomy. Which of the following statements should the nurse include?
"You need to limit your housekeeping activities."
A nurse is caring for a male older adult client who has a new diagnosis of
glaucoma. Which of the following should the nurse recognize as risk factors
associated with this disease? (Select all that apply.)
Genetic predisposition, Hypertension, and Age
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the
following clinical manifestations should the nurse expect to find? (Select all that
apply.)
Blurred vision and White pupils
A nurse is collecting data from a client who has Parkinson's disease. Which of
the following are expected findings? (Select all that apply.)
Pill-rolling tremor of the fingers, Shuffling gait, and Lack of facial expressions
, A nurse is assisting with a plan of care for the nutritional needs of a client who
has stage 4 Parkinson's disease. Which of the following actions should the nurse
include in the plan of care? (Select all that apply.)
Record diet and fluid intake daily, Add thickener to liquids, and Offer nutritional
supplements between meals.
A nurse is caring for a client who is to start therapy with bromocriptine (Parlodel).
For which of the following should the nurse monitor? (Select all that apply.)
Dyskinesias, Orthostatic hypotension, and Constipation
A nurse is caring for a client who has Parkinson's disease and displays
manifestations of bradykinesia. Which of the following is an appropriate action by
the nurse?
Assist with hygiene as needed
A client is diagnosed as having insulindependent diabetes mellitus (IDDM). She
received regular insulin at 7:30 A.M. When is she most apt to develop a
hypoglycemic reaction?
Mid-morning
An adolescent with IDDM is learning about a diabetic diet. He asks the nurse if he
will ever be able to go out to eat with his friends again. What is the most
appropriate answer for the nurse to give?
"Yes. You will learn what foods are allowed so you can eat with your friends."
At 10 A.M., a client with Type 1 diabetes becomes very irritable and starts to yell
at the nurse. Which initial nursing assessment should take priority?
Color and temperature of skin
An elderly woman has been recently diagnosed as having Type 2 diabetes. Which
of the following complaints that she has is most likely to be related to the
diagnosis of diabetes mellitus?
Pruritus vulvae
A client is admitted to the hospital with recently diagnosed Type I diabetes
mellitus and is to have fasting blood work drawn this morning. At 7:00 A.M., the
lab has not arrived to draw the blood. The client's dose of regular insulin is
scheduled for 7:30 A.M. What is the best action for the nurse to take?
Withhold the insulin until the lab comes and the client will be eating within 15 to 30
minutes
An elderly client with Type 2 diabetes mellitus develops an ingrown toenail. What
is the best action for the nurse to take?
Notify the physician
Prednisone (Deltasone) is prescribed for a patient with an acute exacerbation of
rheumatoid arthritis. Which laboratory result will the nurse monitor to determine
whether the medication has been effective?
C-reactive protein level
Which information will the nurse include when teaching range of motion
exercises to a patient with an exacerbation of rheumatoid arthritis
Application of cold packs before exercise may decrease joint pain
Which of these laboratory values, noted by the nurse when reviewing the chart of
a hospitalized diabetic patient, indicates the need for rapid assessment of the
patient?
ANSWERS
Which treatment is used to manage hyperthyroidism? Select all that apply.
Irradiation of the thyroid and Thyroidectomy
Which problem is most likely to develop if hyperthyroidism remains untreated?
Heart failure
A client who has just had a thyroidectomy returns to the unit in stable condition.
What equipment is it essential for the nurse to have readily available?
Tracheostomy set
Which finding would be the greatest cause for concern to the nurse during the
early postoperative period following a thyroidectomy?
Carpal spasm when the blood pressure is taken
An adult with myxedema is started on thyroid replacement therapy and is
discharged. The client returns to the doctor's office one week later. which
statement that the client makes is most indicative of an adverse reaction to the
medication?
"My chest hurt when I was sweeping the floor this morning."
Which diet does the nurse expect will be ordered for the client with
hypothyroidism?
High roughage, low calorie
A client develops hypoparathyroidism after a total thyroidectomy. What treatment
should the nurse anticipate?
Administration of calcium
A nurse is caring for a an older adult client who has diabetes mellitus. The client
reports loss of peripheral vision. For which of the following is the client at risk?
Open-angle glaucoma
A nurse is reinforcing selfcare instructions with a client following a
trabeculectomy. Which of the following statements should the nurse include?
"You need to limit your housekeeping activities."
A nurse is caring for a male older adult client who has a new diagnosis of
glaucoma. Which of the following should the nurse recognize as risk factors
associated with this disease? (Select all that apply.)
Genetic predisposition, Hypertension, and Age
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the
following clinical manifestations should the nurse expect to find? (Select all that
apply.)
Blurred vision and White pupils
A nurse is collecting data from a client who has Parkinson's disease. Which of
the following are expected findings? (Select all that apply.)
Pill-rolling tremor of the fingers, Shuffling gait, and Lack of facial expressions
, A nurse is assisting with a plan of care for the nutritional needs of a client who
has stage 4 Parkinson's disease. Which of the following actions should the nurse
include in the plan of care? (Select all that apply.)
Record diet and fluid intake daily, Add thickener to liquids, and Offer nutritional
supplements between meals.
A nurse is caring for a client who is to start therapy with bromocriptine (Parlodel).
For which of the following should the nurse monitor? (Select all that apply.)
Dyskinesias, Orthostatic hypotension, and Constipation
A nurse is caring for a client who has Parkinson's disease and displays
manifestations of bradykinesia. Which of the following is an appropriate action by
the nurse?
Assist with hygiene as needed
A client is diagnosed as having insulindependent diabetes mellitus (IDDM). She
received regular insulin at 7:30 A.M. When is she most apt to develop a
hypoglycemic reaction?
Mid-morning
An adolescent with IDDM is learning about a diabetic diet. He asks the nurse if he
will ever be able to go out to eat with his friends again. What is the most
appropriate answer for the nurse to give?
"Yes. You will learn what foods are allowed so you can eat with your friends."
At 10 A.M., a client with Type 1 diabetes becomes very irritable and starts to yell
at the nurse. Which initial nursing assessment should take priority?
Color and temperature of skin
An elderly woman has been recently diagnosed as having Type 2 diabetes. Which
of the following complaints that she has is most likely to be related to the
diagnosis of diabetes mellitus?
Pruritus vulvae
A client is admitted to the hospital with recently diagnosed Type I diabetes
mellitus and is to have fasting blood work drawn this morning. At 7:00 A.M., the
lab has not arrived to draw the blood. The client's dose of regular insulin is
scheduled for 7:30 A.M. What is the best action for the nurse to take?
Withhold the insulin until the lab comes and the client will be eating within 15 to 30
minutes
An elderly client with Type 2 diabetes mellitus develops an ingrown toenail. What
is the best action for the nurse to take?
Notify the physician
Prednisone (Deltasone) is prescribed for a patient with an acute exacerbation of
rheumatoid arthritis. Which laboratory result will the nurse monitor to determine
whether the medication has been effective?
C-reactive protein level
Which information will the nurse include when teaching range of motion
exercises to a patient with an exacerbation of rheumatoid arthritis
Application of cold packs before exercise may decrease joint pain
Which of these laboratory values, noted by the nurse when reviewing the chart of
a hospitalized diabetic patient, indicates the need for rapid assessment of the
patient?
