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NR 325 Adult Health II Exam 1 (2026) | 500+ Medical-Surgical Nursing Practice Questions & Answers | Diabetes, Thyroid Disorders, Acute Kidney Injury, Chronic Kidney Disease, Dialysis & Endocrine Nursing

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Prepare for NR 325 Adult Health II Exam 1 (2026) with this comprehensive Medical-Surgical Nursing study guide featuring 500+ expertly compiled practice questions and verified answers covering the major endocrine and renal concepts tested in Adult Health II. This exam-focused resource reinforces clinical reasoning through NCLEX-style questions and detailed answers, helping students master disease pathophysiology, nursing assessment, diagnostic testing, pharmacologic therapy, patient education, and priority nursing interventions required for classroom exams, ATI, HESI, and NCLEX-RN success. This study guide provides extensive coverage of Type 1 Diabetes Mellitus (T1DM), Type 2 Diabetes Mellitus (T2DM), diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic syndrome (HHS), hypoglycemia, insulin therapy, rapid-, short-, intermediate-, and long-acting insulin, insulin administration and mixing, Hemoglobin A1C interpretation, fasting blood glucose, oral glucose tolerance testing (OGTT), metformin, glipizide, diabetic nutrition, carbohydrate counting, diabetic foot care, diabetes complications, diabetes insipidus (DI), syndrome of inappropriate antidiuretic hormone (SIADH), hyperthyroidism, hypothyroidism, Graves' disease, Hashimoto's disease, thyroid storm, myxedema coma, Cushing's syndrome, thyroid function testing (TSH, T3, T4), urinary tract infections (UTIs), pyelonephritis, renal calculi (kidney stones), urinary incontinence, urinary catheter management, acute kidney injury (AKI), chronic kidney disease (CKD), end-stage renal disease (ESRD), hemodialysis, peritoneal dialysis, kidney transplantation, renal diagnostics, electrolyte imbalances, fluid and acid-base disorders, dialysis complications, renal pharmacology, transplant rejection, and priority nursing interventions for endocrine and renal disorders. The content emphasizes clinical application, nursing priorities, patient safety, and evidence-based management of complex adult health conditions. Students will strengthen their understanding of endocrine physiology, glucose regulation, thyroid disorders, renal pathophysiology, fluid and electrolyte balance, dialysis care, transplantation nursing, medication management, laboratory interpretation, and comprehensive adult health assessment. The question-and-answer format promotes critical thinking, improves clinical judgment, and prepares learners for high-stakes nursing examinations, simulation experiences, clinical practice, and professional licensure. The material aligns with current evidence-based standards presented in leading medical-surgical nursing and adult health textbooks and reflects recommendations from the American Diabetes Association (ADA), the American Association of Clinical Endocrinology (AACE), the National Kidney Foundation (NKF), the Kidney Disease: Improving Global Outcomes (KDIGO) organization, and the American Thyroid Association (ATA). References (APA 7th Edition) Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2025). Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems (13th ed.). Elsevier. Hinkle, J. L., & Cheever, K. H. (2025). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (16th ed.). Wolters Kluwer. American Diabetes Association. (2025). Standards of Care in Diabetes—2025. Diabetes Care, 48(Suppl. 1). Kidney Disease: Improving Global Outcomes (KDIGO). (2024). KDIGO Clinical Practice Guidelines for Kidney Disease. KDIGO. American Thyroid Association. (2024). Guidelines for the Diagnosis and Management of Thyroid Disease. American Thyroid Association. National Kidney Foundation. (2024). KDOQI Clinical Practice Guidelines for Kidney Disease. National Kidney Foundation. This study guide is highly recommended for NR 325 students, BSN students, ADN/ASN nursing students, accelerated BSN (ABSN) students, Adult Health II students, Medical-Surgical Nursing students, endocrine nursing students, renal nursing students, nephrology nursing students, ATI Medical-Surgical students, HESI Medical-Surgical students, NCLEX-RN candidates, nursing educators, graduate entry nursing students, and healthcare professionals preparing for Adult Health II examinations, clinical rotations, competency assessments, and nursing licensure. Keywords NR 325, NR 325 Exam 1, Adult Health II, Medical Surgical Nursing, Med Surg Nursing, Diabetes Mellitus, Type 1 Diabetes, Type 2 Diabetes, DKA, Diabetic Ketoacidosis, HHS, Hyperosmolar Hyperglycemic Syndrome, Hypoglycemia, Hyperglycemia, Insulin Therapy, Insulin Administration, Hemoglobin A1C, Fasting Blood Glucose, OGTT, Metformin, Glipizide, Diabetes Insipidus, SIADH, Hyperthyroidism, Hypothyroidism, Graves Disease, Hashimoto Disease, Thyroid Storm, Myxedema Coma, Cushing Syndrome, TSH, Thyroid Hormones, Acute Kidney Injury, AKI, Chronic Kidney Disease, CKD, End Stage Renal Disease, ESRD, Hemodialysis, Peritoneal Dialysis, Kidney Transplant, Renal Failure, Renal Calculi, Kidney Stones, Urinary Tract Infection, Pyelonephritis, Urinary Incontinence, Electrolyte Imbalances, Fluid and Electrolyte Balance, Acid Base Balance, Endocrine Nursing, Renal Nursing, Nephrology Nursing, ATI Med Surg, HESI Med Surg, NCLEX Review, Nursing Practice Questions, Nursing Study Guide

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NR 325 Adult Health II Exam 1
Concepts 2026 Expert Verifed
Ace the Test



A patient is exhibiting s/s of hypothyroidism. What dx test will the nurse

expect to be performed first? - ANSWER ✔✔- Thyroid stimulating

Hormone (TSH)

Why is TSH the first Dx done in order to assess for hypothyroidism? -

ANSWER ✔✔- b/c it is the most sensitive of the T3/T4/ TSH


- TSH is most sensitive in discovering hypothyroidism

A patient with Type 1 Diabetes (T1D) calls the clinic w/ complaints of

nausea, vomiting , and diarrhea. What is most important to advise your

,patient to do? - ANSWER ✔✔- Check blood glucose levels every 2-4

hours

Why should T1D's check blood glucose levels every 2-3 hours when

stressed? - ANSWER ✔✔- B/c Stressors (sickness, trauma, stress,

etc) cause an INCREASE in blood glucose levels

A patient screened for diabetes at a clinic has a fasting plasma BG level

of 120 mg/dL (6.7 mmol/L). Which statement is best? - ANSWER

✔✔- You are at an increased risk for developing diabetes


How long should a patient fast for prior to a fasting blood glucose/2-hour

plasma glucose test is taken? - ANSWER ✔✔- 8-12 hours


What is the normal value of a fasting blood glucose level? - ANSWER

✔✔74-106


What result of a fasting blood glucose level indicates at risk for

developing diabetes? - ANSWER ✔✔- 100-120


What are some reasons for non-normal range of fasting blood glucose

levels? - ANSWER ✔✔- Not fasting for 8-12 hours before


- some medications

,What is the reasoning for performing a fasting blood glucose test/ 2

hours plasma glucose test? - ANSWER ✔✔- Aids in the diagnosis of

diabetes

What is the normal range for a 2 hours plasma glucose test for patients

ages 0-50? - ANSWER ✔✔- < 140 mg/dL OR 7.4 mmol/L


What is the normal range for a 2 hours plasma glucose test for patients

ages 50-60? - ANSWER ✔✔- < 150 mg./dL


What is the normal range for a 2 hours plasma glucose test for patients

ages >60? - ANSWER ✔✔- < 160 mg/dL


How many grams of carbohydrates should a patient taking a 2 hour

plasma test consume prior to the exam starting? - ANSWER ✔✔- 75

grams

What are some requirements that a patient must comply with during the

2-hour plasma test? - ANSWER ✔✔- no exercising during the exam


- must fast after initial 75g of carbs are consumed

What are some factors in developing Type 2 diabetes (T2D)? -

ANSWER ✔✔- Overweight


- Obesity



COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, - Advanced age

- Family history

- Certain ethnical groups

A nurse plans a class for patients who are newly diagnosed with T2D.

Which goal is most appropriate? - ANSWER ✔✔- enable the patient

to become active participants in the management of their disease


What are some s/s of thyroid storm? - ANSWER ✔✔- Elevated

Temperature

- s/s of heart failure

- s/s of Hyperthyroidism

What electrolyte imbalances are associated with diabetic ketoacidosis

(DKA)? - ANSWER ✔✔- Hyponatremia


- Hypokalemia

- Hypophosphatemia

- Hypochloremia

- Hypomagnesemia


What are some s/s of diabetic ketoacidosis (DKA)? - ANSWER ✔✔-

Nausea

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