NCLEX PN Practice Test with NGN Practice Question
Scenario/Extract:
The nurse is caring for a 25-year-old female client.
History and Physical
Body System
General
Client reports jitteriness, anxiety, and palpitations for the past 2 months. Fine hand tremor is noted. Client reports insomnia for approximately 1 week.
Integumentary
Client is diaphoretic.
Eye, Ear, Nose, andThroat (EENT)
Exophthalmos is noted. Goiter is present.
Gastrointestinal
Client reports 10 lb (4.5 kg) weight loss over the past month. Bowel sounds are normoactive. Client reports diarrhea for the past few days.
Reproductive
Last menstrual period was 3 months ago.
Vital Signs
T 99.2 F (37.3 C)
P 164
RR 22
BP 156/92
The client is most likely experiencing.......... and requires intervention to prevent............
Correct Answer: B,F
Rationale: The client's symptoms (tachycardia, weight loss, exophthalmos, etc.) indicate hyperthyroidism, and intervention is needed to prevent acute thyrotoxicosis, a life-threatening complication.
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