ATI LPN
PN Learning System Medical Surgical Endocrine Practice Quiz Questions
Question 1 of 4
Which should the nurse monitor the client for that is receiving glucocorticoid therapy?
Correct Answer: A
Rationale: Glucocorticoids can cause hypertension due to sodium and water retention.
Question 2 of 4
The nurse correlates a husky voice in the patient with hypothyroidism to which assessment finding?
Correct Answer: C
Rationale: Edema of the tongue and around the larynx causes changes in speech resulting in a husky tone, a common finding in hypothyroidism due to myxedema.
Question 3 of 4
A patient with thyroid cancer is receiving high-dose radiation to the thyroid gland. In assessing the patient, which clinical manifestations would be consistent with hypoparathyroidism?
Correct Answer: B
Rationale: Clinical manifestations of hypoparathyroidism are related to hypocalcemia and include tetany, muscle cramps, positive Chvostek's sign, positive Trousseau's sign, paresthesias of the hands and feet, and circumoral tingling.
Question 4 of 4
What actions does the nurse implement for the patient experiencing thyroid storm? SelectONE that does not apply.
Correct Answer: C
Rationale: 1: Cooling blankets may be used to treat hyperthermia. 2: Fluid resuscitation is a priority in a thyroid storm. 4: Glucocorticoids, of which dexamethasone is one, may be administered to block the conversion of T4 to T3 and decrease the release of thyroid-stimulating hormone (TSH) from the anterior pituitary gland. 5: For management of tachycardia, beta-adrenergic blockers may be administered.