NUR 2392 / NUR2392 Multidimensional Care II Final
Exam Quiz Bank
1. When teaching a client with Cushing's syndrome about dietary changes, the nurse should
instruct the client to increase intake of:
A. fresh fruits.
B. dairy products.
C. processed meats.
D. cereals and grains
2. A nurse is assessing a client after a thyroidectomy. The assessment reveals muscle
twitching and tingling, along with numbness in the fingers, toes, and mouth area. The
nurse should suspect which complication?
A. Laryngeal nerve damage
B. Tetany
C. Hemorrhage
D. Thyroid storm
3. A middle-aged female client complains of anxiety, insomnia, weight loss, the inability to
concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following:
thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine
253 ng/dl. A 6-hour radioactive iodine uptake test showed a diffuse uptake of 85%. Based
on these assessment findings, the nurse should suspect:
A. thyroiditis.
B. Graves' disease.
, C. Hashimoto's thyroiditis.
D. multinodular goiter.
4. For the first 72 hours after thyroidectomy surgery, a nurse should assess a client for
Chvostek's sign and Trousseau's sign because they indicate:
A. hypocalcemia.
B. hypercalcemia.
C. hypokalemia.
D. hyperkalemia.
5. A woman with a progressively enlarging neck comes into the clinic. She mentions that
she has been in a foreign country for the previous 3 months and that she didn't eat much
while she was there because she didn't like the food. She also mentions that she becomes
dizzy when lifting her arms to do normal household chores or when dressing. What
endocrine condition should the nurse expect the health care provider to diagnose?
A. Diabetes mellitus
B. Diabetes insipidus
C. Cushing's syndrome
D. Goiter
6. Which hormone would be responsible for increasing blood glucose levels by stimulating
glycogenolysis?
A. Somatostatin
B. Insulin
C. Glucagon
, D. Cholecystokinin
7. Which of the following would the nurse expect the physician to order for a client with
hypothyroidism?
A. Levothyroxine sodium
B. Methimazole
C. Propranolol
D. Propylthiouracil
8. While assessing a client with hypoparathyroidism, the nurse taps the client's facial nerve
and observes twitching of the mouth and tightening of the jaw. The nurse would
document this finding as which of the following?
A. Positive Trousseau's sign
B. Positive Chvostek's sign
C. Hyperactive deep tendon reflex
D. Tetany
9. Trousseau's sign is elicited by which of the following?
A. Carpopedal spasm is induced by occluding the blood flow to the arm for 3
minutes with the use of a blood pressure cuff.
B. A sharp tapping over the facial nerve just in front of the parotid gland and anterior
to the ear causes spasm or twitching of the mouth, nose, and eye.
C. After making a clenched fist, the palm remains blanched when pressure is placed
over the radial artery.
D. The patient complains of pain in the calf when his foot is dorsiflexed.
Exam Quiz Bank
1. When teaching a client with Cushing's syndrome about dietary changes, the nurse should
instruct the client to increase intake of:
A. fresh fruits.
B. dairy products.
C. processed meats.
D. cereals and grains
2. A nurse is assessing a client after a thyroidectomy. The assessment reveals muscle
twitching and tingling, along with numbness in the fingers, toes, and mouth area. The
nurse should suspect which complication?
A. Laryngeal nerve damage
B. Tetany
C. Hemorrhage
D. Thyroid storm
3. A middle-aged female client complains of anxiety, insomnia, weight loss, the inability to
concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following:
thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine
253 ng/dl. A 6-hour radioactive iodine uptake test showed a diffuse uptake of 85%. Based
on these assessment findings, the nurse should suspect:
A. thyroiditis.
B. Graves' disease.
, C. Hashimoto's thyroiditis.
D. multinodular goiter.
4. For the first 72 hours after thyroidectomy surgery, a nurse should assess a client for
Chvostek's sign and Trousseau's sign because they indicate:
A. hypocalcemia.
B. hypercalcemia.
C. hypokalemia.
D. hyperkalemia.
5. A woman with a progressively enlarging neck comes into the clinic. She mentions that
she has been in a foreign country for the previous 3 months and that she didn't eat much
while she was there because she didn't like the food. She also mentions that she becomes
dizzy when lifting her arms to do normal household chores or when dressing. What
endocrine condition should the nurse expect the health care provider to diagnose?
A. Diabetes mellitus
B. Diabetes insipidus
C. Cushing's syndrome
D. Goiter
6. Which hormone would be responsible for increasing blood glucose levels by stimulating
glycogenolysis?
A. Somatostatin
B. Insulin
C. Glucagon
, D. Cholecystokinin
7. Which of the following would the nurse expect the physician to order for a client with
hypothyroidism?
A. Levothyroxine sodium
B. Methimazole
C. Propranolol
D. Propylthiouracil
8. While assessing a client with hypoparathyroidism, the nurse taps the client's facial nerve
and observes twitching of the mouth and tightening of the jaw. The nurse would
document this finding as which of the following?
A. Positive Trousseau's sign
B. Positive Chvostek's sign
C. Hyperactive deep tendon reflex
D. Tetany
9. Trousseau's sign is elicited by which of the following?
A. Carpopedal spasm is induced by occluding the blood flow to the arm for 3
minutes with the use of a blood pressure cuff.
B. A sharp tapping over the facial nerve just in front of the parotid gland and anterior
to the ear causes spasm or twitching of the mouth, nose, and eye.
C. After making a clenched fist, the palm remains blanched when pressure is placed
over the radial artery.
D. The patient complains of pain in the calf when his foot is dorsiflexed.
