Registered Practical Nurse (RPN) Practice Test

What condition might explain a client's symptoms of lethargy, concentration issues, and patches of hair loss?

1. Hypoglycemia

2. Hypothyroidism

3. Bipolar disorder

4. Anxiety disorder

The correct answer is: Hypothyroidism

The symptoms of lethargy, concentration issues, and patches of hair loss can be associated with hypothyroidism. This condition occurs when the thyroid gland does not produce enough thyroid hormones, which are essential for regulating metabolism, energy levels, and cognitive functions. Lethargy is a common symptom because low levels of thyroid hormone can lead to a decrease in metabolic rate, causing decreased energy and overall sluggishness. Concentration issues may arise due to the impact of insufficient thyroid hormones on brain function, leading to difficulties with focus and cognitive clarity. Additionally, hair loss can occur in patches as a result of hormonal imbalances. The thyroid hormone plays a significant role in the cycling of hair, and a deficiency can disrupt this delicate process, leading to hair thinning or loss. While the other options are associated with various symptoms, they are less likely to produce the specific combination of lethargy, concentration difficulties, and patchy hair loss seen in this scenario. Hypoglycemia primarily affects blood sugar levels and can cause feelings of weakness and confusion, but would not typically explain hair loss. Bipolar disorder may lead to fluctuations in energy and mood, yet does not correlate consistently with hair loss or lethargy specifically tied to metabolic issues. Anxiety disorder can result