NU 185: Med-Surge II EXAM 4
updated exam script 2026
• Pt undergoing CT W/ contrast, which statement requires follow up? -✓✓ Did I tell you I
cannot eat lobster?
• Gland that secretes adrogenetic hormones -✓✓ Adrenal cortex
• Addison's disease Pt receiving IV fluids, which problem to monitor for? -✓✓
Hypotension
• Pt 8 hr post op for total thyroidectomy. Pt complains of muscle cramps, positive
Chvostek sign. These complications are from -✓✓ Hypoparathyroidism
• Manifestations of hyperthyroidism -✓✓ Dyspnea, tremulousness, scanty
menstruation,increased thirst and urination
• Mineralcorticoids and glucocorticoids are produced where in the body -✓✓ Adrenal
cortex
• Which corticoid counteracts with the inflammation response? -✓✓ Cortisol
• If an endocrine gland hypersecretes, it usually causes which result? -✓✓ Hyperplasia
(increase in cellular growth)
• Manifestation of a benign pituitary adenoma(soa) -✓✓ Acromegaly, joint pain ,
gigantism, muscle weakness
• Type one diabetes asks why they are so thirsty. Best response -✓✓ High glucose
levels in the blood pull cellular water into circulating vol. and increase thirst.
• Pt taking prednisolone should eat -✓✓ High protein
• Age related changes in endocrine -✓✓ Rising BG levels, decreasing thyroxine levels,
declining metabolism,decreasing epinephrine
• Which glad secretes Epi and norepinephrine? -✓✓ Adrenal medulla
• Undergoing glucose tolerance test, which meds to withhold ? -✓✓ Oral contraceptives
• Serious electrolytes imbalance due to diabetes insipidus -✓✓ Hypernatremia
updated exam script 2026
• Pt undergoing CT W/ contrast, which statement requires follow up? -✓✓ Did I tell you I
cannot eat lobster?
• Gland that secretes adrogenetic hormones -✓✓ Adrenal cortex
• Addison's disease Pt receiving IV fluids, which problem to monitor for? -✓✓
Hypotension
• Pt 8 hr post op for total thyroidectomy. Pt complains of muscle cramps, positive
Chvostek sign. These complications are from -✓✓ Hypoparathyroidism
• Manifestations of hyperthyroidism -✓✓ Dyspnea, tremulousness, scanty
menstruation,increased thirst and urination
• Mineralcorticoids and glucocorticoids are produced where in the body -✓✓ Adrenal
cortex
• Which corticoid counteracts with the inflammation response? -✓✓ Cortisol
• If an endocrine gland hypersecretes, it usually causes which result? -✓✓ Hyperplasia
(increase in cellular growth)
• Manifestation of a benign pituitary adenoma(soa) -✓✓ Acromegaly, joint pain ,
gigantism, muscle weakness
• Type one diabetes asks why they are so thirsty. Best response -✓✓ High glucose
levels in the blood pull cellular water into circulating vol. and increase thirst.
• Pt taking prednisolone should eat -✓✓ High protein
• Age related changes in endocrine -✓✓ Rising BG levels, decreasing thyroxine levels,
declining metabolism,decreasing epinephrine
• Which glad secretes Epi and norepinephrine? -✓✓ Adrenal medulla
• Undergoing glucose tolerance test, which meds to withhold ? -✓✓ Oral contraceptives
• Serious electrolytes imbalance due to diabetes insipidus -✓✓ Hypernatremia
