This QUIZ will test your nursing knowledge about thyroid and endocrine disorders in preparation for the NCLEX NextGen exam and HESI Exit.
POP QUIZ NCLEX Question
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1. A 32-year-old female presents to the clinic with complaints of a swollen neck and difficulty swallowing. Upon assessment, the nurse notes an enlarged thyroid gland. The client’s history reveals a lack of iodine intake in her diet. The nurse suspects the client is experiencing a goiter. Which nursing intervention should the nurse prioritize for this client?
a) Administering a high dose of iodine supplement orally
b) Monitoring vital signs and providing respiratory support
c) Initiating thyroid hormone replacement therapy
d) Educating the client about a low-iodine diet
2. A 42-year-old female with a history of untreated hyperthyroidism presents to the emergency department in a state of severe agitation, confusion, and hyperthermia. The nurse suspects the client is experiencing a thyroid storm. Which clinical manifestations should the nurse expect to assess in a client with thyroid storm? Select all that apply.
a) Bradycardia
b) Hypothermia
c) Profuse sweating
d) Hypotension
e) Restlessness
3. A 46-year-old male, is admitted to the medical-surgical unit with a diagnosis of hyperthyroidism. On physical examination, the nurse notes a visible swelling in the anterior neck area. The client reports weight loss, heat intolerance, and tremors. The nurse suspects the client has a goiter related to hyperthyroidism. Which nursing intervention is the most appropriate for this client?
a) Providing a high-calorie, high-protein diet
b) Encouraging rest and promoting energy conservation
c) Administering propranolol to control tachycardia
d) Educating the client about a high-iodine diet
4. A 60-year-old female is being evaluated for potential thyroid dysfunction. The nurse reviews the client’s laboratory results and notes a decreased level of free thyroxine (T4) and an elevated level of thyroid-stimulating hormone (TSH). Based on these findings, what interpretation should the nurse make?
a) The client has hypothyroidism
b) The client has hyperthyroidism
c) The client has euthyroidism
d) The client has secondary adrenal insufficiency.
5. A 35-year-old male, with a history of Graves’ disease is undergoing treatment for hyperthyroidism. The nurse reviews the client’s laboratory results and notes an elevated level of total triiodothyronine (T3). What interpretation should the nurse make based on these findings?
a) The client’s treatment for hyperthyroidism is effective.
b) The client’s treatment for hyperthyroidism needs adjustment.
c) The client has developed secondary hypothyroidism.
d) The client has developed thyroid storm.
6. A 62-year-old female is admitted to the hospital with a diagnosis of hypothyroidism. The nurse notes a visibly enlarged thyroid gland during the physical examination. The client reports fatigue, weight gain, and constipation. The nurse suspects the client has a goiter related to hypothyroidism. Which nursing intervention should the nurse include in the plan of care for this client?
a) Encouraging a diet high in iodine-rich foods.
b) Administering levothyroxine as prescribed.
c) Teaching the client deep breathing and coughing exercises.
d) Assisting the client with regular exercise routines.
7. A 38-year-old female is diagnosed with Graves’ disease, an autoimmune disorder affecting the thyroid gland. She presents to the clinic with symptoms of hyperthyroidism, including weight loss, palpitations, and tremors. The nurse prepares to administer medication to manage her condition. Which medications are commonly prescribed for the treatment of Graves’ disease? Select all that apply.
a) Methimazole.
b) Levothyroxine.
c) Propranolol.
d) Prednisone.
8. A 25-year-old male with Graves’ disease is scheduled for a radioactive iodine therapy procedure. The nurse is providing pre-procedure education to the client. Which instructions should the nurse include in the teaching? Select all that apply.
a) Instruct the client to avoid close contact with pregnant women for one week after the procedure.
b) Inform the client that he will need to follow a low-iodine diet prior to the procedure.
c) Explain that the client may experience a temporary exacerbation of hyperthyroid symptoms.
d) Advise the client to continue taking antithyroid medications after the procedure.
9. A 55-year-old male with a history of Graves’ disease presents to the emergency department with complaints of eye discomfort and protrusion of both eyes. The nurse notes bilateral exophthalmos upon assessment. Which nursing intervention should the nurse prioritize for this client?
a) Administering corticosteroids to reduce inflammation.
b) Elevating the head of the bed to promote venous return.
c) Providing artificial tears to alleviate dryness and irritation.
d) Assessing visual acuity and visual field changes.
10. A 42-year-old female is scheduled for orbital decompression surgery due to severe exophthalmos associated with Graves’ disease. The client expresses concerns about the cosmetic appearance of her eyes after the surgery. How should the nurse respond to the client’s concerns?
a) “The surgery will improve the cosmetic appearance of your eyes and reduce the protrusion.”
b) “Cosmetic appearance is not a priority concern in the treatment of Graves’ disease.”
c) “The surgery will correct the protrusion, but the cosmetic outcome varies among individuals.”
d) “Don’t worry about the cosmetic appearance. The focus is on managing your thyroid function.”