CNUR 204 MIDTERM EXAM REVIEW | COMPLETE NURSING STUDY GUIDE, PRACTICE
QUESTIONS, NCLEX REVIEW & EXAM PREP 2026/2027
List 4 complications of the respiratory system associated with morbid obesity. - correct answer
✔✔Sleep apnea, hypoventilation, reduced chest wall compliance, increased work of breathing,
diminished lung function, functional resistance.
Discuss the hormone Leptin. What alteration does it undergo in morbid obesity? - correct
answer ✔✔Suppresses appetite and hunger, increases energy expenditure, and regulates eating
behavior. In obesity, leptin levels are significantly increased. This results in high resistance to
changes in leptin hormone levels. Subsequent loss of appetite suppression.
List 3 clinical manifestations of polycystic ovarian syndrome. - correct answer ✔✔Irregular
menstrual cycle, dysfunctional uterine bleeding, infertility, obesity, acne, male pattern baldness,
excessive body hair.
Identify 3 causes of Cushing's syndrome. - correct answer ✔✔Prolonged use of high dosage
corticosteroids, ACTH secreting pituitary tumors, cortisol-secreting neoplasms, excessive
secretion of ACTH from carcinoma of lung.
What is Myxedema? What are the clinical manifestations associated with it? - correct answer
✔✔Extreme complication of hypothyroidism that leads to extreme manifestations. CM: Mental
sluggishness, lethargy, impaired consciousness/coma, abnormal temperature, hypotension,
hypoventilation, facial puffiness.
List 3 causes of hyperthyroidism. - correct answer ✔✔Autoimmune disease marked by diffuse
thyroid enlargement, excessive thyroid hormone secretion, thyroiditis, iodine excess, long
term/poorly regulated hypothyroid treatment, tumors/cancer.
Describe the nursing care associated with hyperthyroidism. - correct answer ✔✔•Subjective
data collection, thyroid assessment, patient teaching, medication administration, monitor for
, dysrhythmias, apply supplemental oxygen if needed, IV therapy, promote rest, decrease
external stressors, pre/post-operative care.
List 4 strategies to prevent patient falls. - correct answer ✔✔Remove all environmental clutter,
ensure home is well lit, correct usage of assistance devices, ensuring assistance devices are
nearby, well-fitting shoes and clothing, understand the effects and usage of medications,
teaching pathophysiology of disease processes, regular vision checks.
Perform a focused assessment of the upper and lower extremities using the techniques of
inspection and palpation. - correct answer ✔✔Inspection: overall appearance, size and contour
of joints, skin, tissues over muscle/bone/joints, masses, deformities.-Palpation: palpate each
joint, bone and muscle grouping. Detect any heat, tenderness, swelling, masses, deformities.
Name 3 potential complications following a fracture. - correct answer ✔✔Compartment
syndrome, fat emboli, pulmonary emboli, infection, VTE (DVT), deformity, pain.
Name the 6 P's of compartment syndrome. Which 2 are late signs? - correct answer ✔✔Pain
(Unrelenting &distal to the injury & does not respond to pain medication), Paresthesia
(Numbness and Tingling), Pallor, Pressure, Paralysis, Pulselessness. Paralysis and pulselessness
are late signs.
Your patient has a confirmed complication of compartment syndrome. List 4 interventions the
nurse will implement and/or anticipate. - correct answer ✔✔Leave extremity flat (never above
heart level), do not ice or cool extremity, remove or split cast/Loosen bandage, reduce or
discontinue traction, analgesia/sedation/comfort, surgical decompression (fasciotomy) may be
required, possible amputation.
Name 3 signs and symptoms of a VTE. - correct answer ✔✔Tenderness or pain to leg/thigh,
warm to touch, swelling, fever, pinkish-purple color to leg.
QUESTIONS, NCLEX REVIEW & EXAM PREP 2026/2027
List 4 complications of the respiratory system associated with morbid obesity. - correct answer
✔✔Sleep apnea, hypoventilation, reduced chest wall compliance, increased work of breathing,
diminished lung function, functional resistance.
Discuss the hormone Leptin. What alteration does it undergo in morbid obesity? - correct
answer ✔✔Suppresses appetite and hunger, increases energy expenditure, and regulates eating
behavior. In obesity, leptin levels are significantly increased. This results in high resistance to
changes in leptin hormone levels. Subsequent loss of appetite suppression.
List 3 clinical manifestations of polycystic ovarian syndrome. - correct answer ✔✔Irregular
menstrual cycle, dysfunctional uterine bleeding, infertility, obesity, acne, male pattern baldness,
excessive body hair.
Identify 3 causes of Cushing's syndrome. - correct answer ✔✔Prolonged use of high dosage
corticosteroids, ACTH secreting pituitary tumors, cortisol-secreting neoplasms, excessive
secretion of ACTH from carcinoma of lung.
What is Myxedema? What are the clinical manifestations associated with it? - correct answer
✔✔Extreme complication of hypothyroidism that leads to extreme manifestations. CM: Mental
sluggishness, lethargy, impaired consciousness/coma, abnormal temperature, hypotension,
hypoventilation, facial puffiness.
List 3 causes of hyperthyroidism. - correct answer ✔✔Autoimmune disease marked by diffuse
thyroid enlargement, excessive thyroid hormone secretion, thyroiditis, iodine excess, long
term/poorly regulated hypothyroid treatment, tumors/cancer.
Describe the nursing care associated with hyperthyroidism. - correct answer ✔✔•Subjective
data collection, thyroid assessment, patient teaching, medication administration, monitor for
, dysrhythmias, apply supplemental oxygen if needed, IV therapy, promote rest, decrease
external stressors, pre/post-operative care.
List 4 strategies to prevent patient falls. - correct answer ✔✔Remove all environmental clutter,
ensure home is well lit, correct usage of assistance devices, ensuring assistance devices are
nearby, well-fitting shoes and clothing, understand the effects and usage of medications,
teaching pathophysiology of disease processes, regular vision checks.
Perform a focused assessment of the upper and lower extremities using the techniques of
inspection and palpation. - correct answer ✔✔Inspection: overall appearance, size and contour
of joints, skin, tissues over muscle/bone/joints, masses, deformities.-Palpation: palpate each
joint, bone and muscle grouping. Detect any heat, tenderness, swelling, masses, deformities.
Name 3 potential complications following a fracture. - correct answer ✔✔Compartment
syndrome, fat emboli, pulmonary emboli, infection, VTE (DVT), deformity, pain.
Name the 6 P's of compartment syndrome. Which 2 are late signs? - correct answer ✔✔Pain
(Unrelenting &distal to the injury & does not respond to pain medication), Paresthesia
(Numbness and Tingling), Pallor, Pressure, Paralysis, Pulselessness. Paralysis and pulselessness
are late signs.
Your patient has a confirmed complication of compartment syndrome. List 4 interventions the
nurse will implement and/or anticipate. - correct answer ✔✔Leave extremity flat (never above
heart level), do not ice or cool extremity, remove or split cast/Loosen bandage, reduce or
discontinue traction, analgesia/sedation/comfort, surgical decompression (fasciotomy) may be
required, possible amputation.
Name 3 signs and symptoms of a VTE. - correct answer ✔✔Tenderness or pain to leg/thigh,
warm to touch, swelling, fever, pinkish-purple color to leg.
