The nurse is assessing a patient diagnosed with Graves' disease. What physical characteristics of Graves' would the nurse expect to find?
A) Hair loss
B) Moon face
C) Bulging eyes
D) Fatigue
Question 2An older adult patient has been brought to the emergency department (ED) after being found unconscious by a neighbor. What action should be the ED nurse's highest priority in the care of this patient?
A) Obtain a full set of vital signs.
B) Assess the patient's level of consciousness (LOC).
C) Maintain the patency of the patient's airway.
D) Establish IV access.
Question 3A neurological nurse is conducting a scheduled assessment of a patient who is receiving care on the unit. The nurse is aware of the need to conduct a vigilant assessment of the patient's level of consciousness (LOC).
How should the nurse best gauge a patient's LOC?
A) By assessing according to the Glasgow Coma Scale (GCS)
B) By eliciting the patient's response to a question requiring judgment
C) By engaging the patient in a conversation, if possible
D) By observing the patient's interactions with caregivers
Question 4A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on a medical unit, and the nurse is writing an individualized care plan.
The priority nursing diagnosis for a patient with this condition is what?
A) Deficient fluid volume
B) Excessive fluid volume
C) Hypothermia
D) Hyperthermia
Question 5The victim of a motor vehicle accident has been admitted with massive trauma, including traumatic brain injury.
Emergency treatment of increased intracranial pressure (ICP) has failed to resolve the problem, and monitoring reveals the ominous presence of Cushing's triad. What assessment findings would be consistent with this clinical phenomenon?
A) PaO2 70 mm Hg; RR 12 breaths per minute; HR 116 beats per minute
B) Temperature 104F (40C); RR 33 breaths per minute; HR 111 beats per minute
C) HR 38 beats per minute; BP 198/107 mm Hg; RR 7 breaths per minute
D) pH 7.2; PaO2 72 mm Hg; HCO3 20 mEq/L
Question 6A middle-aged male has been brought to the emergency department by ambulance after being found unconscious by police with injuries consistent with an assault.
Injuries on the man's face and skull necessitate prompt assessment for traumatic brain injury. What neuroimaging tests are best able to yield clinically meaningful data? Select all that apply.
A) Computed tomography (CT)
B) Radiographs (X-ray)
C) Positron emission tomography (PET)
D) Magnetic resonance imaging (MRI)
E) Doppler ultrasound
Question 7The nurse is caring for a patient diagnosed with Hashimoto's thyroiditis. When assessing this patient what symptom would the nurse expect in a patient with hypothyroidism?
A) Bradycardia
B) Bulging eyes
C) Palpitations
D) Flushed skin
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