NSG 302 Exam 1 Latest Questions and
All Correct Answers 2025-2026
Updated.
in primary hypothyroidism TSH is ___ and T3/T4 is ___ - Answer increased, low
in secondary hypothyroidism TSH is ___ and T3/T4 is ___ - Answer decreased, low
in primary hyperthyroidism TSH is ___ and T3/T4 is ___ - Answer decreased, high
signs and symptoms associated with hyperthyroidism - Answer anxiety, diaphoresis, fatigue,
emotional lability, fine tremors, increased appetite, weight loss, smooth warm skin, fine thin
hair, exophthalmos, tachycardia, heat intolerance
signs and symptoms associated with hypothyroidism - Answer weakness, muscle fatigue,
cramps, cold intolerance, weight gain, dry skin, hair loss, brittle nails, edema of hands and face,
bradycardia, hypoactive bowel sounds, constipation
hyperthyroid labs - Answer low TSH, high T3/T4
hypothyroid labs - Answer high TSH, low T3/T4, hyponatremia, hypoglycemia
signs and symptoms associated with DKA - Answer polyuria, polydipsia, polyphagia,
weakness/fatigue, nausea/vomiting, kussmals respirations, fruity breath, orthostatic
hypotension with tachycardia, poor skin turgor
signs and symptoms associated with HHNKS (hyperosmolar hyperglycemic nonketotic
syndrome) - Answer polyuria, polydipsia, polyphagia, weakness, hypotension, tachycardia,
poor skin turgor, other signs of dehydration
DKA labs - Answer hyperglycemia above 250, ketonemia, ketonuria, glycosuria, metabolic
acidosis, low bicarb, low pCO2, elevated hct, elevated BUN/creatinine, hyperkalemia,
leukocytosis, hyperosmolality
HHNKS labs - Answer hyperglycemia over 600, hyperosmolality, elevated BUN/creatinine,
elevated A1C, relatively normal pH, normal anion gap
, DKA management - Answer protect airway, IV fluids for rehydration, IV insulin, bicarb drip for
severe acidosis, hourly urinary output monitoring
HHNKS management - Answer protect airway, IV fluids for massive fluid replacement, IV and
SubQ insulin, supportive care
Cushings Syndrome etiology - Answer ACTH hypersecretion
Signs and symptoms of cushings - Answer central obesity, moon face with buffalo hump,
acne, poor wound healing, purple striae, hirsutism, hypertension, weakness, amenorrhea,
impotence, headache, polyuria and thirst, labile mood, frequent infection
Cushings labs - Answer hyperglycemia, hypernatremia, hypokalemia, glycosuria, leukocytosis,
elevated plasma cortisol in the morning
addisons disease etiology - Answer deficient cortisol/androgens/aldosterone, decreased
ACTH
signs and symptoms of addisons - Answer hyperpigmentation in buccal mucosa and skin
creases, diffuse tanning and freckles, orthostasis and hypotension, scant axillary and pubic hair
addisons labs - Answer hypoglycemia, hyponatremia, hyperkalemia, elevated ESR,
lymphocytosis, low cortisol
Jimmy arrives to your clinic. Jimmy has previously been diagnosed with Addison's disease. You
would anticipate Jimmy's labs to be:
1. Na 140 (normal), K 4.0 (normal), Glucose 99 (normal)
2. Na 128 (low), K 5.2 (high), Glucose 61 (low)
3. Na 153 (high), K 3.1 (low), Glucose 200 (high)
4. Na 130 (low), K 2.9 (low), Glucose 30 (low) - Answer 2
Your patient presents with the following: pH 7.19, HCO3 14, pCO2 40, Na 140, K 2.9, Ca 9.0. The
urinalysis is + creatinine, + albumin, + ketones. The patient's symptoms include: rapid and deep
respirations, altered mental status, and polyuria. The patient is diagnosed to be in diabetic
ketoacidosis (DKA). Which actions would you as the nurse anticipate?
1. Start an IV line
2. Start the patient on 0.9% Normal Saline
3. Start the patient on an insulin drip
4. Start the patient on Potassium Chloride replacement IV
All Correct Answers 2025-2026
Updated.
in primary hypothyroidism TSH is ___ and T3/T4 is ___ - Answer increased, low
in secondary hypothyroidism TSH is ___ and T3/T4 is ___ - Answer decreased, low
in primary hyperthyroidism TSH is ___ and T3/T4 is ___ - Answer decreased, high
signs and symptoms associated with hyperthyroidism - Answer anxiety, diaphoresis, fatigue,
emotional lability, fine tremors, increased appetite, weight loss, smooth warm skin, fine thin
hair, exophthalmos, tachycardia, heat intolerance
signs and symptoms associated with hypothyroidism - Answer weakness, muscle fatigue,
cramps, cold intolerance, weight gain, dry skin, hair loss, brittle nails, edema of hands and face,
bradycardia, hypoactive bowel sounds, constipation
hyperthyroid labs - Answer low TSH, high T3/T4
hypothyroid labs - Answer high TSH, low T3/T4, hyponatremia, hypoglycemia
signs and symptoms associated with DKA - Answer polyuria, polydipsia, polyphagia,
weakness/fatigue, nausea/vomiting, kussmals respirations, fruity breath, orthostatic
hypotension with tachycardia, poor skin turgor
signs and symptoms associated with HHNKS (hyperosmolar hyperglycemic nonketotic
syndrome) - Answer polyuria, polydipsia, polyphagia, weakness, hypotension, tachycardia,
poor skin turgor, other signs of dehydration
DKA labs - Answer hyperglycemia above 250, ketonemia, ketonuria, glycosuria, metabolic
acidosis, low bicarb, low pCO2, elevated hct, elevated BUN/creatinine, hyperkalemia,
leukocytosis, hyperosmolality
HHNKS labs - Answer hyperglycemia over 600, hyperosmolality, elevated BUN/creatinine,
elevated A1C, relatively normal pH, normal anion gap
, DKA management - Answer protect airway, IV fluids for rehydration, IV insulin, bicarb drip for
severe acidosis, hourly urinary output monitoring
HHNKS management - Answer protect airway, IV fluids for massive fluid replacement, IV and
SubQ insulin, supportive care
Cushings Syndrome etiology - Answer ACTH hypersecretion
Signs and symptoms of cushings - Answer central obesity, moon face with buffalo hump,
acne, poor wound healing, purple striae, hirsutism, hypertension, weakness, amenorrhea,
impotence, headache, polyuria and thirst, labile mood, frequent infection
Cushings labs - Answer hyperglycemia, hypernatremia, hypokalemia, glycosuria, leukocytosis,
elevated plasma cortisol in the morning
addisons disease etiology - Answer deficient cortisol/androgens/aldosterone, decreased
ACTH
signs and symptoms of addisons - Answer hyperpigmentation in buccal mucosa and skin
creases, diffuse tanning and freckles, orthostasis and hypotension, scant axillary and pubic hair
addisons labs - Answer hypoglycemia, hyponatremia, hyperkalemia, elevated ESR,
lymphocytosis, low cortisol
Jimmy arrives to your clinic. Jimmy has previously been diagnosed with Addison's disease. You
would anticipate Jimmy's labs to be:
1. Na 140 (normal), K 4.0 (normal), Glucose 99 (normal)
2. Na 128 (low), K 5.2 (high), Glucose 61 (low)
3. Na 153 (high), K 3.1 (low), Glucose 200 (high)
4. Na 130 (low), K 2.9 (low), Glucose 30 (low) - Answer 2
Your patient presents with the following: pH 7.19, HCO3 14, pCO2 40, Na 140, K 2.9, Ca 9.0. The
urinalysis is + creatinine, + albumin, + ketones. The patient's symptoms include: rapid and deep
respirations, altered mental status, and polyuria. The patient is diagnosed to be in diabetic
ketoacidosis (DKA). Which actions would you as the nurse anticipate?
1. Start an IV line
2. Start the patient on 0.9% Normal Saline
3. Start the patient on an insulin drip
4. Start the patient on Potassium Chloride replacement IV
