Nokea
Iodine, colloid, and goiter refer to which gland?
- A. Pancreas
- B. Parathyroid
- C. Thyroid
- D. Neurohypophysis
Correct Answer: C
Rationale: The correct answer is C: Thyroid. Iodine is essential for thyroid hormone production. A colloid is a gel-like substance found in the thyroid follicles. Goiter is a condition of thyroid enlargement. The other choices are incorrect because the pancreas (A) produces digestive enzymes and hormones like insulin, the parathyroid (B) regulates calcium levels, and the neurohypophysis (D) is part of the pituitary gland responsible for releasing hormones like vasopressin. Thus, the correct choice is the thyroid gland due to its association with iodine, colloid, and goiter.
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The patient with type 1 diabetes mellitus is in the clinic to check his long-term glycemic control. Which test should be used?
- A. Water deprivation test
- B. Fasting blood glucose test
- C. Oral glucose tolerance test
- D. Glycosylated hemoglobin (A1C)
Correct Answer: D
Rationale: The A1C test measures long-term glycemic control and is the most appropriate test for monitoring type 1 diabetes mellitus.
Pro-opiomelanocortin (POMC) is a prohormone for __________.
- A. ACTH
- B. growth hormone
- C. thyroxin
- D. insulin
Correct Answer: A
Rationale: Rationale: POMC is processed into various peptide hormones, including adrenocorticotropic hormone (ACTH). ACTH is produced by the pituitary gland and stimulates the adrenal glands to release cortisol. This is why option A is correct. Growth hormone, thyroxin, and insulin are not derived from POMC, making options B, C, and D incorrect.
Atropine is used clinically in all of the following conditions EXCEPT:
- A. Pre-anesthetic medication
- B. Organic phosphate poisoning
- C. Intestinal colic
- D. Xerostomia (Dry mouth)
Correct Answer: D
Rationale: Certainly! Atropine is an anticholinergic drug that works by blocking the action of acetylcholine. Xerostomia (dry mouth) is a symptom caused by decreased salivary gland activity, so using atropine would exacerbate this condition. In contrast, atropine is used in pre-anesthetic medication to reduce secretions, in organic phosphate poisoning to counteract the cholinergic effects, and in intestinal colic to relax smooth muscles. Therefore, the correct answer is D because atropine would worsen dry mouth.
A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should you delegate to the nursing assistant?
- A. Remind patient to change positions slowly.
- B. Check the patient for muscle weakness.
- C. Teach the patient how to collect 24-hour urine.
- D. Plan nursing interventions to promote fluid balance.
Correct Answer: A
Rationale: Reminding the patient to change positions slowly is a non-invasive task that is appropriate for delegation to a nursing assistant, as it helps prevent dizziness or hypotension due to adrenocortical insufficiency.
A patient with hypothyroidism is treated with levothyroxine (Synthroid). What should the nurse include when teaching the patient about this therapy?
- A. Explain that alternate-day dosage may be used if side effects occur.
- B. Provide written instruction for all information related to the drug therapy.
- C. Assure the patient that a return to normal function will occur with replacement therapy.
- D. Inform the patient that the drug must be taken until the hormone balance is reestablished.
Correct Answer: B
Rationale: Providing written instructions helps ensure the patient understands the treatment plan, including correct dosage, administration, and any potential side effects.