FIRST PUBLISH OCTOBER 2024
NUR276 Exam Study Questions and
Answers
Fill in the blank regarding the negative feedback loop for thyroid hormone production: The
______________ produces TRH (Thyrotropin-Releasing Hormone) which causes the anterior pituitary
gland to produce _______________ which in turn causes the thyroid gland to release _______ and
_______.
A. Thalamus, CRH (Corticotropin-releasing hormone) TSH (thyroid-stimulating hormone) and T4
B. Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4
C. Posterior pituitary gland, TSH (thyroid-stimulating hormone), T3 and T4
D. Hypothalamus, CRH (Corticotropin-releasing hormone), TSH (thyroid-stimulating hormone), T3 and
TSH - Ans:✔✔-The answer is B: Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4
A patient reports they do not eat enough iodine in their diet. What condition are they most susceptible
to?
A. Pheochromocytoma
B. Hyperthyroidism
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C. Thyroid Storm
D. Hypothyroidism - Ans:✔✔-The answer is D: Hypothyroidism...Iodine helps make T3 and T4....if a
person does not consume enough iodine they are at risk for developing HYPOTHYROIDISM.
A patient has an extremely high T3 and T4 level. Which of the following signs and symptoms DO NOT
present with this condition?
A. Weight loss
B. Intolerance to heat
C. Smooth skin
D. Hair loss - Ans:✔✔-The answer is D: Hair loss
A patient is being discharged home for treatment of hypothyroidism. Which medication is most
commonly prescribed for this condition?
A. Tapazole
B. PTU (Propylthiouracil)
C. Synthroid
D. Inderal - Ans:✔✔-C.
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You are performing discharge teaching with a patient who is going home on Synthroid. Which statement
by the patient causes you to re-educate the patient about this medication?
A. "I will take this medication at bedtime with a snack."
B. "I will never stop taking the medication abruptly."
C. "If I have palpitations, chest pain, intolerance to heat, or feel restless, I will notify the doctor."
D. "I will not take this medication at the same time I take my Carafate." - Ans:✔✔-The answer is A:
Synthroid is best taken in the MORNING on an empty stomach. All the other statements are correct
about taking Synthroid.
The thyroid hormones, T3 and T4, play many roles in the human body. Which of the following functions
are performed by T3 and T4? Note: Select all that apply
A. Storing calories
B. Increasing the Heart Rate
C. Stimulating the Sympathetic Nervous System
D. Decreasing the body's temperature
E. Regulating TSH produced by the anterior pituitary gland - Ans:✔✔-The answers are B, C, and E. T3 and
T4 burn calories (not store them) and increases body temperature (not decrease).
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A patient is admitted with complaints of palpations, excessive sweating, and unable to tolerate heat. In
addition, the patient voices concern about how her appearance has changed over the past year. The
patient presents with protruding eyeballs and pretibial myxedema on the legs and feet. Which of the
following is the likely cause of the patient's signs and symptoms?
A. Thyroiditis
B. Deficiency of iodine consumption
C. Grave's Disease
D. Hypothyroidism - Ans:✔✔-The answer is C: Grave's Disease
A patient who is in her first trimester of pregnancy is diagnosed with hyperthyroidism. Which medication
do you suspect the patient will be started on?
A. Propylthiouracil (PTU)
B. Radioactive Iodine
C. Tapazole
D. Synthroid - Ans:✔✔-The answer is A: Propylthiouracil (PTU) is the only anti-thyroid medication that
can be used during the 1st trimester of pregnancy.
Which of the following are treatment options for hyperthyroidism? Please select all that apply:
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