Hyperthyroidism NCLEX Questions

A patient presents with heat intolerance, anxiety, insomnia, and weight loss. Which of the following conditions is most likely indicated by these symptoms?

A patient with hyperthyroidism is prescribed propranolol (Inderal). What is the primary purpose of this medication in managing hyperthyroidism?

A patient with suspected hyperthyroidism has a low TSH level and elevated serum T3 and T4. Which diagnostic test would best help determine the etiology of the hyperthyroidism?

Which of the following clinical manifestations is least likely to be observed in a patient with hyperthyroidism resulting from toxic multinodular goiter?

A patient is admitted with a suspected thyroid storm. Which assessment finding would be least likely in this condition?

A patient with Graves' disease is being treated with methimazole. What is the most important instruction to provide regarding medication administration?

Which medication is administered one hour after a thyroid drug for a patient experiencing thyroid storm?

A patient with hyperthyroidism undergoes radioactive iodine therapy. What is the most likely long-term complication of this treatment?

What is the primary mechanism by which Esmolol helps manage thyroid storm?

Which of the following lab findings is least likely to be associated with hyperthyroidism?

Which of the following signs and symptoms is most indicative of Graves' ophthalmopathy?

Which condition is most likely associated with the development of thyroid storm?

A patient with hyperthyroidism is scheduled to undergo radioactive iodine therapy after achieving a euthyroid state. What is the primary goal of achieving euthyroidism before this treatment?

A patient presents with exophthalmos, pretibial myxedema, and a goiter. Which condition is the MOST likely cause of these manifestations?

Which of the following is the most common cause of hypothyroidism worldwide?

A patient is diagnosed with primary hypothyroidism. The underlying issue is MOST likely related to:

A patient is diagnosed with secondary hypothyroidism. Which of the following best describes the underlying issue?

Which of the following mechanisms can lead to decreased TSH production?

Which treatment for hyperthyroidism does NOT address infiltrative ophthalmopathy or pretibial myxedema?

Secondary hypothyroidism is characterized by:

What is the primary mechanism behind the development of exophthalmos in Graves disease?

A patient with suspected hyperthyroidism exhibits a rapid heart rate, weight loss, and anxiety. Which of the following assessment findings is MOST likely to support this diagnosis?

A patient has undergone a thyroidectomy as treatment for hyperthyroidism. What potential complication should the nurse monitor for in the immediate postoperative period?

A patient is prescribed methimazole for the treatment of hyperthyroidism. What is the primary mechanism of action of this medication?

A patient presents with extreme fatigue, constipation, and cold intolerance. Which of the following conditions is MOST likely indicated by these symptoms?

Which of the following lab results is MOST indicative of hypothyroidism?

A patient with hypothyroidism also presents with hyponatremia. During the management of myxedema coma, what fluid should be considered if the hyponatremia is severe?

A patient with known hypothyroidism is admitted with altered mental status, hypothermia, and severe bradycardia. Which of the following is the MOST appropriate initial intervention?

A patient with hypothyroidism is started on levothyroxine. What is the MOST important instruction to provide regarding medication administration?

Which of the following signs and symptoms differentiate hypothyroidism from hyperthyroidism?

A female patient with hypothyroidism is planning to become pregnant. What potential complication related to her condition should the healthcare provider discuss with her?

A patient with myxedema coma is being treated with IV levothyroxine and requires mechanical ventilation. What is the rationale for cautious rewarming with blankets?

A patient with Graves' disease is experiencing exophthalmos. What underlying mechanism primarily contributes to this clinical manifestation?

In a patient with suspected primary hypothyroidism, which of the following sets of lab results would MOST strongly support the diagnosis?

A patient is diagnosed with secondary hypothyroidism. Which of the following is the MOST likely underlying cause?

A patient presents with pretibial myxedema. Which condition is MOST likely associated with this finding?

Which of the following is the primary difference between primary and secondary hypothyroidism?

A patient is taking methimazole for Graves' disease. What mechanism underpins its therapeutic effect?

A patient with hyperthyroidism is experiencing ophthalmopathy. Which treatment addresses the underlying cause of hyperthyroidism but does not reverse the ophthalmopathy?

A patient is treated for hyperthyroidism. Which assessment finding indicates that the treatment has been effective?

A patient with a history of hyperthyroidism has undergone radioactive iodine treatment. Years later, they present with symptoms of hypothyroidism. What is the most likely cause of their current condition?

A patient with hypothyroidism reports taking their levothyroxine daily but continues to experience fatigue. Which of the following factors should be evaluated first?

A patient with myxedema coma is being treated with IV levothyroxine and hydrocortisone. What is the rationale for administering hydrocortisone in addition to levothyroxine?

A patient with long-standing, untreated hypothyroidism is likely to develop which hematological abnormality?

When managing a patient in myxedema coma with severe hyponatremia, which of the following interventions is MOST appropriate after initiating fluid restriction?

A patient with hypothyroidism is started on levothyroxine. Which assessment finding would warrant an immediate reduction in the levothyroxine dosage?

A patient with hyperthyroidism is prescribed methimazole (Tapazole). What laboratory value needs to be monitored most closely?

A patient with hypothyroidism is being treated with levothyroxine. Which statement indicates the patient needs further teaching regarding their medication?

A patient with Graves' disease is experiencing persistent atrial fibrillation despite being on antithyroid medications. Which intervention is most appropriate?

A patient with hypothyroidism presents for a follow-up appointment. Lab results show an elevated TSH and a low free T4. Which of the following nursing interventions is MOST appropriate?

A patient with hyperthyroidism develops eye pain, proptosis, and diplopia. Which intervention should be prioritized?

In a patient with hyperthyroidism, which of the following signs and symptoms would be most indicative of thyroid storm?

After undergoing radioactive iodine (RAI) therapy for hyperthyroidism, what is the most important education point for a patient regarding radiation safety at home?

Which of the following is the MOST likely long-term complication of radioactive iodine (RAI) therapy for hyperthyroidism

A patient with hyperthyroidism is being treated with propylthiouracil (PTU) during the first trimester of pregnancy. What is the primary reason for choosing PTU over methimazole in this situation?

A patient with hyperthyroidism is scheduled for a subtotal thyroidectomy. Which medication is typically prescribed preoperatively to achieve a euthyroid state and minimize the risk of thyroid storm during surgery?

A patient experiencing a thyroid storm exhibits severe hyperthermia. Which of the following interventions is MOST critical in managing this manifestation?

In a patient undergoing treatment for thyroid storm, why is it important to administer iodide solutions (such as Lugol's solution) one hour after antithyroid medications?

A patient with a history of Graves' disease is admitted with suspected thyroid storm following a motor vehicle accident. Besides pharmacological interventions, what is an essential nursing intervention for this patient?

A patient in thyroid storm is prescribed Esmolol. What is the primary rationale for using this medication in this situation?

A patient with hypothyroidism is started on levothyroxine. After several months, the patient reports persistent fatigue and constipation despite taking the medication as prescribed. Which of the following is the MOST appropriate next step?

A patient with hypothyroidism is diagnosed with adrenal insufficiency. How should the adrenal insufficiency be managed in relation to the hypothyroidism?

A patient is diagnosed with Hashimoto's thyroiditis. What is the primary pathophysiological mechanism underlying this condition?

What is the most common cause of hypothyroidism worldwide?