A goiter is characterized by which of the following?
Fever of 103 degrees
An enlarged thyroid
Fibrotic tissue in the arterioles
Deposits of glycosaminoglycans in the skin
The Correct Answer is B
Choice A reason: Fever of 103°F may occur in thyroid storm, not goiter, which is simply thyroid enlargement without systemic hypermetabolism or infection necessarily.
Choice B reason: Goiter is defined by thyroid gland enlargement, often from iodine deficiency or hyperplasia, palpable as a neck mass, the core characteristic here.
Choice C reason: Fibrotic tissue in arterioles relates to vascular diseases, not goiter, which involves thyroid tissue growth, not arterial structural changes.
Choice D reason: Glycosaminoglycan deposits occur in myxedema (hypothyroidism), not goiter, which is enlargement alone, not skin or connective tissue alteration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Hypothyroidism slows metabolism due to low thyroid hormone, reducing calorie burning and causing weight gain from fat accumulation and fluid retention in tissues.
Choice B reason: Diaphoresis (sweating) occurs in hyperthyroidism from excess metabolism raising body heat. Hypothyroidism causes dry skin and cold intolerance, not sweating.
Choice C reason: Exophthalmos, bulging eyes, results from Graves’ disease in hyperthyroidism due to orbital inflammation. Hypothyroidism doesn’t affect eye protrusion, making this unlikely.
Choice D reason: Palpitations stem from hyperthyroidism’s increased heart rate via excess thyroid hormone. Hypothyroidism slows heart rate, leading to bradycardia, not palpitations.
Correct Answer is A
Explanation
Choice A reason: NSTEMI causes chest pain at rest due to reduced blood flow from partial occlusion, unlike stable angina, reflecting demand-supply mismatch without full blockage.
Choice B reason: Complete occlusion causes ST-elevation MI (STEMI), not NSTEMI, which involves partial blockage, leading to subendocardial ischemia without full transmural infarction.
Choice C reason: Chest pain on exertion resolving with rest describes stable angina, not NSTEMI, which occurs unpredictably, often at rest, due to unstable plaque rupture.
Choice D reason: NSTEMI results from partial coronary occlusion, causing ischemia without ST elevation, detectable by troponin rise, distinguishing it from STEMI’s complete blockage.
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