NURS 3100 Exam 4 Pearson and iclicker questions

The parent asks why a school-age patient taking prednisone needs to have frequent physical examinations.

Which response should the nurse make?

• "The child may develop a delayed allergy to the medication.

• “The medication can adversely affect cognitive functioning.”

• "Resistance to the medication can occur."

• “Prednisone affects growth and development.”

Prednisone affects growth and development

A patient taking propylthiouracil (PTU) before a partial thyroidectomy asks why the drug is needed if the surgery will treat the problem.

Which response should the nurse provide?

• "This puts you in a normal thyroid state to diminish complications during surgery."

• "This treats thyroiditis due to overproduction of thyroid-stimulating hormone."

• "This medication is designed to work with the radioactive iodine that you will also receive after surgery."

• "This is used to decrease the heart rate and strength of contraction in hyperthyroidism."

This puts you in a normal thyroid state to diminish complications during surgery

A patient is experiencing weight loss and an increased basal metabolic rate.

Which hormone should the nurse recognize as being responsible for these symptoms?

• Corticosteroids

• Antidiuretic

• Thyroid

• Growth

Thyroid

A patient is scheduled for a diagnostic test to detect adrenocortical deficiency.

Which medication should the nurse expect to administer before the evaluation of the cortisol level?

• Prednisone

• Triamcinolone (Aristospan)

• Cosyntropin (Cortrosyn)

• Mitotane (Lysodren)

Cosyntropin (Cortrosyn)

A patient is prescribed pasireotide (Signifor).

Which health problem should the nurse realize this medication is being used to treat?

• Addison disease

• Hyperaldosteronism

• Adrenocortical insufficiency

• Cushing syndrome

Cushing syndrome

A patient is being instructed on the self-administration of a corticosteroid.

Which instruction should the nurse include?

• "You can use a teaspoon to measure your medication."

• "Take your medication in the evening."

• "Take your medication with food or milk."

• "If you forget to take your medication, just take it the next day."

Take your medication with food or milk

The nurse is teaching a prenatal class.

Which hormone should the nurse explain that stimulates contractions?

• Prolactin

• Oxytocin

• Adrenocorticosteroids

• Estrogen

Oxytocin

An older patient is prescribed a low dose of levothyroxine (Synthroid).

For which reason should the nurse suspect this medication is being prescribed?

• Loading dose of thyroid hormone

• Thyrotoxicosis

• New onset of hypothyroidism

• Graves' disease

New onset of hypothyroidism

A patient has an elevated prolactin level.

Which structure should the nurse suspect has abnormal growth?

• Anterior pituitary gland

• Thalamus

• Posterior pituitary gland

• Hypothalamus

Anterior pituitary gland

A patient is diagnosed with diabetes insipidus (DI).

For which symptoms should the nurse assess this patient?

• Very dilute urine, hyponatremia, headache

• Muscle cramps, lethargy, weakness

• Polyuria, polydipsia, very dilute urine

• Concentrated urine, fluid retention, weakness

Polyuria, polydipsia, very dilute urine

A patient is diagnosed with syndrome of inappropriate antidiuretic hormone secretion.

Which body structure should the nurse recognize as being affected by this health problem?

• Kidneys

• Peripheral tissues

• Uterus

• Melanocytes

kidneys

An older patient is taking levothyroxine (Synthroid).

Which patient action should indicate to the nurse that additional teaching about adverse effects of this medication is required?

• Taking calcium 4 hours after thyroid medication

• Getting out of bed without asking for assistance

• Monitoring blood glucose levels several times a day

• Obtaining thyroid hormone levels every 3 months

Getting out of bed without asking for assistance

A patient taking thyroid hormone replacement asks when the drug will take effect.

Which response should the nurse make?

• "You will notice that you have a decreased appetite and may gain weight."

• "This can only be determined by obtaining thyroid hormone levels."

• "It may take several weeks to feel the full effects of the drug."

• "You should notice a change in the first or second dose of the medication."

It may take several weeks to feel the full effects of the drug

A patient is diagnosed with adrenal cancer.

Which medication should the nurse expect to be prescribed?

• Ketoconazole

• Fludrocortisone

• Mitotane (Lysodren)

• Pasireotide (Signifor)

Mitotane (Lysodren)

A patient taking somatropin experiences joint pain and difficulty walking.

Which health problem should the nurse suspect?

• Gout

• Arthritis

• Bursitis

• Avascular necrosis

Avascular necrosis

A patient is diagnosed with hyperthyroidism.

Which medication should the nurse anticipate being prescribed for this patient?

• Methimazole

• Levothyroxine (Levothroid)

• Dexamethasone

• Liothyronine (Cytomel)

Methimazole

The parent of a child prescribed prednisone asks if there are any long-term effects of the medication.

Which response should the nurse provide?

• "Your child is at risk for delayed growth and development."

• "There is no risk, because we'll use alternate-day dosing."

• "Your child may experience early puberty."

• "The dose prescribed will be so low that there are no adverse effects."

Your child is at risk for delayed growth and development

An older patient taking levothyroxine (Synthroid) is instructed to call for assistance before getting out of bed.

Which reason should the nurse explain to the patient for this teaching?

• Ensure that drug toxicity is not occurring

• Allow sufficient time for the dose to take effect

• Prevent from leaving the hospital against medical advice

• Ensure safety due to possible dizziness

Ensure safety due to possible dizziness

A patient is scheduled to receive a dose of levothyroxine (Synthroid) at 0600.

Which medication should be rescheduled to facilitate drug absorption?

• Iron supplement at 1200

• Calcium carbonate at 0900

• Iron supplement at 1700

• Calcium carbonate at 1600

Calcium carbonate at 0900

A patient taking antidiuretic hormone (ADH) experiences drowsiness, lethargy, and dizziness.

Which laboratory test should the nurse expect to be prescribed?

• Serum sodium

• Serum potassium

• Urine specific gravity

• Urine calcium

Serum sodium

A patient has an elevated luteinizing hormone (LH) level.

Which hormone should the nurse recognize as being responsible for this elevation?

• Gonadotropin-releasing hormone (GnRH)

• Testosterone

• Estrogen

• Progesterone

Gonadotropin-releasing hormone (GnRH)

A patient is prescribed gonadotropin-releasing hormone (GnRH).

Which hormone should the nurse anticipate will increase as a result?

• Oxytocin

• Thyroid hormone

• Prolactin

• Luteinizing hormone (LH)

Luteinizing hormone (LH)

An 8-year-old child is experiencing enuresis.

Which medication should the nurse expect to be prescribed?

• Somatropin (Genotropin)

• Octreotide (Sandostatin)

• Vasopressin

• Desmopressin (DDVAP)

Desmopressin (DDVAP)

A patient is prescribed fludrocortisone.

Which information should the nurse include when teaching about this medication?

• "Weigh yourself daily and report any gain of 2 pounds or more over 24 hours."

• "Cut back on alcohol intake."

• "Cut back on carbonated beverages."

• "Notify the healthcare provider if you can't take the medication for more than 2 days."

Weigh yourself daily and report any gain of 2 pounds or more over 24 hours

The nurse administers growth hormone (GH) to a patient.

Which finding should indicate to the nurse that treatment was effective?

• Increased growth of adipose tissue

• Decreased blood glucose levels

• Decreased insulin resistance

• Increased bone growth

Increased bone growth

An older patient with new-onset hypothyroidism is prescribed levothyroxine (Synthroid).

Which dose should the nurse expect to be prescribed after the initial loading dose is administered?

• Maximum dose

• Same as the loading dose

• Lowest dose possible

• Double the loading dose

Lowest dose possible

A patient has an elevated blood pressure.

Which hormonal process should the nurse understand is occurring in this patient?

• Inhibition of corticosteroid secretion

• Stimulation of antidiuretic hormone (ADH) secretion

• Stimulation of adrenocorticotropic hormone (ACTH) secretion

• Inhibition of aldosterone secretion

Inhibition of aldosterone secretion

A patient is prescribed levothyroxine (Synthroid).

Which teaching should the nurse provide about this medication?

• "Take levothyroxine 4 hours before taking any calcium supplements."

• "Consume large amounts of dark green, leafy vegetables."

• "Refrain from consuming foods that are high in vitamin C, such as oranges."

• "Avoid the use of heparin when taking levothyroxine."

Take levothyroxine 4 hours before taking any calcium supplements

A patient is diagnosed with acromegaly.

Which medication should the nurse expect to administer to the patient?

• Mecasermin (Increlex)

• Desmopressin (DDVAP)

• Somatropin (Humatrope)

• Octreotide (Sandostatin)

Octreotide (Sandostatin)

A patient is experiencing polyuria, polydipsia, and very dilute urine.

Which health problem should the nurse suspect?

• Syndrome of inappropriate antidiuretic hormone

• Acromegaly

• Gigantism

• Diabetes insipidus

Diabetes insipidus

Which hypothalamic and pituitary hormones are given orally Select all that apply.
A. Somatotropin
B. Leuprolide
C. Oxytocin
D. Desmopressin

Desmopressin

Which of the following is a sign or symptom of hypothyroidism? Select all that apply.
A. Diarrhea
B. Constipation
C. Dry Skin
D. Palpitations
E. Menstrual irregularities

Palpitations and Menstrual irregularities

Which of the following medications are used in the treatment of hyperthyroidism? Select all that apply.
A. Propylthiouracil
B. Methimazole
C. Radioactive iodine
D. Levothyroxine
E. Propranolol

Methimazole, Propylthiouracil, Radioactive iodine, and Propranolol

What’s your diagnosis?
1. TSH: 0.01 T4: 14.5
2. TSH: 12.5 T4: 2.0
3. Random BS: 650 pH: 7.2
4. FBS: 110 HgbA1C: 6.0

Normal Ranges: TSH: 0.4-5, T4: 4.6-12, Non-fasting BS: <140 HgbA1C: <6.0 Serum pH: 7.35-7.45
(A) Diabetic Ketoacidosis (B) Hypothyroidism
(C) Metabolic Syndrome (D) Hyperthyroidism

1: Hyperthyroidism 2: Hypothyroidism 3: Diabetic Ketoacidosis 4: Metabolic Syndrome