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NSG 430 Exam 1 2026 – 220 Expert Verified Questions on Critical Care, Endocrine Disorders, Respiratory Failure and EOL Nursing

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This document contains approximately 220 expertly verified questions and answers for NSG 430 Exam 1 (2026), organized across 16 structured pages in a concise Q&A study format. The material begins with end-of-life (EOL) care concepts including distinctions between palliative care and hospice care, physical manifestations of dying (Cheyne-Stokes respirations, death rattle, mottling, cyanosis, waxlike skin), decisional capacity, organ donation considerations, Code of Ethics guidance, and postmortem nursing care (pages 1–2). It emphasizes comfort-focused assessments in the last hours of life and ethical principles such as beneficence and standard of care. Comprehensive endocrine emergency content includes DKA versus HHS pathophysiology and treatment (IV fluids, insulin 0.1 U/kg/hr, potassium management), Addison’s disease and Addisonian crisis management (IV hydrocortisone, vasopressors, electrolyte replacement), Cushing’s syndrome and disease diagnostics with pre- and post-operative pituitary care, hyperthyroidism and thyroid storm management (PTU, methimazole, iodine, beta blockers), hypothyroidism and myxedema coma treatment, as well as diabetes insipidus and SIADH comparison including lab abnormalities, fluid balance management, and medication therapy (pages 3–12). Respiratory and thoracic content includes lung cancer pathophysiology and diagnostics, acute respiratory failure (hypoxemic vs hypercapnic), ABG interpretation, oxygen therapy, bronchodilators and corticosteroids, thoracotomy and pneumonectomy post-operative care, tension pneumothorax emergency management (needle decompression and chest tube), hemothorax intervention, lung transplant indications, and status asthmaticus recognition (pages 12–16). This document is particularly suitable for: Senior BSN students enrolled in NSG 430 Critical Care or Advanced Medical-Surgical Nursing Nursing students preparing for Exam 1 in high-acuity or ICU-focused coursework Students reviewing endocrine crises and respiratory emergencies Learners strengthening prioritization and emergency intervention skills Students preparing for clinical rotations in critical care settings It serves as a high-yield, exam-focused study resource designed to reinforce ethical end-of-life nursing care, endocrine disorder management, respiratory failure recognition, emergency thoracic interventions, and advanced medical-surgical concepts required for upper-level nursing examinations. Keywords: NSG 430 exam 1 2026, palliative vs hospice care nursing, end of life manifestations Cheyne Stokes death rattle, DKA vs HHS treatment protocol, Addisonian crisis management IV hydrocortisone, Cushing syndrome vs Cushing disease, thyroid storm management PTU iodine beta blockers, myxedema coma IV thyroid hormone, diabetes insipidus vs SIADH labs, acute respiratory failure hypoxemic hypercapnic, tension pneumothorax needle decompression, hemothorax chest tube management, lung transplant indications nursing, status asthmaticus emergency care

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NSG 430 Exam 1 2026 Expert
Verified | Ace the Test



Palliative Care - 🧠ANSWER ✔✔Care or treatment focusing on reducing the

severity of symptoms; curative treatment can be involved


Hospice Care - 🧠ANSWER ✔✔treatment of the terminally ill with the goal of

helping them to die comfortably, without pain; curative care is forgone


Physical manifestations of EOL - respiratory - 🧠ANSWER ✔✔Cheyne-

Stokes respirations, death rattle, terminal secretions, loss of gag reflex (risk

for aspiration)

,Physical manifestations of EOL - integumentary - 🧠ANSWER ✔✔Mottling,

cyanosis in nail beds, cold/clammy skin, and "waxlike" skin very near death


Decisional capacity - 🧠ANSWER ✔✔ability to consent to or refuse care


Tissue/Organ donation - 🧠ANSWER ✔✔Some used within hours, notify

physician immediately


What guides our care? - 🧠ANSWER ✔✔Code of Ethics - relieve suffering


Principle of Beneficence - care is provided to benefit

Standard of Care - define nursing acts that are required for safe and

competent care


Assessments - last hours of life - 🧠ANSWER ✔✔limit to comfort measures,

concerns about pain and respiratory should be addressed,

emotional/comfort support


Postmortem Care - 🧠ANSWER ✔✔close pt's eyes, replace dentures,

wash/position body - allow family privacy


Classic triad of DKA - 🧠ANSWER ✔✔hyperglycemia (>250)


ketones

, acidosis


Other manifestations of DKA include - 🧠ANSWER ✔✔profound dehydration


tachycardia

fruity breath

(early signs) - weakness/lethargy


DKA treatment includes - 🧠ANSWER ✔✔IV fluids


regular insulin - 0.1 U/kg/hr

electrolytes (potassium esp.) - PRN


HHS occurs when - 🧠ANSWER ✔✔Blood glucose >600


HHS vs DKA - 🧠ANSWER ✔✔no ketones (has enough insulin to prevent

this)

severe hyperglycemia (>600)

occurs gradually


Other HHS manifestations - 🧠ANSWER ✔✔increased serum osmolality

(concentrated)

normal blood pH


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