CMSRN ALL CORE MAIN QUESTIONS AND
ANSWERS SET A+
✔✔type of shock: most common- from massive blood loss - ✔✔hypovolemic
✔✔stage of hypovolemic shock that the cardiac output and BP are maintained -
✔✔compensated
✔✔stage of hypovolemic shock that evidence of decrease in cardiac OP (changes in
BP) is present - ✔✔uncompensated
✔✔stage of hypovolemic shock that cell and tissue ischemia lead to death -
✔✔irreversible
✔✔which endocrine organ of the brain stimulates/inhibits the pituitary gland, makes
ADH and oxytocin, and sends them to the posterior pituitary gland? - ✔✔hypothalamus
✔✔which endocrine gland of the brain is the "master gland" - ✔✔pituitary
✔✔which pituitary gland stores ADH and oxytocin, assists in maintaining fluid balance
and BP? - ✔✔posterior pituitary
✔✔which pituitary gland stores all "stimulating" hormones - ✔✔anterior
✔✔what endocrine insufficiency is characterized by hyposecretion of ADH? -
✔✔diabetes insipidus
✔✔what patients should you watch for DI? - ✔✔post op craniotomy patients
✔✔what endocrine insufficiency has the following S/S: high UOP, hypernatremia, low
urine osmolality, high plasma osmolality (DEHYDRATED) - ✔✔diabetes insipidus
, ✔✔what is the treatment for DI? - ✔✔aggressive fluid replacement, replace ADH,
accurate I/O
✔✔which endocrine insufficiency is characterized by hypersecretion of ADH and it's S/S
include nausea/vomiting/seizures? - ✔✔SIADH
✔✔what patients should you watch for SIADH? - ✔✔stroke, trauma, tumor, infection
✔✔treatment for SIADH? - ✔✔alleviate cause, fluid restriction/diuretics, daily weights
✔✔what are two important nursing aspects to remember with a thyroid storm? - ✔✔do
not give ASA, do not treat increased temp
✔✔which endocrine organ stores and maintains calcium levels? - ✔✔parathyroid
✔✔which endocrine organ produces epi and norepinephrine? - ✔✔adrenal medulla
✔✔which endocrine organ is responsible for steroid hormones (aldosterone, cortisol,
testosterone) - ✔✔adrenal cortex
✔✔what endocrine insufficiency is caused by under secretion of steroids from the
adrenal cortex r/t tumor? - ✔✔primary (adrenal) addisons disease
✔✔what endocrine insufficiency is caused by under secretion of ACTH r/t tumor? -
✔✔secondary (pituitary) addisons disease
✔✔how do you treat addisons disease? - ✔✔steroid replacement
✔✔what endocrine insufficiencies are related to the adrenal glands? - ✔✔addisons and
cushings
✔✔what endocrine insufficiency is caused by over secretion of steroids from the adrenal
cortex r/t tumor? - ✔✔primary (adrenal) cushings
✔✔what endocrine insufficiency is caused by over secretion of ACTH? - ✔✔secondary
(pituitary) cushings
✔✔how do you treat cushings disease? - ✔✔surgery for tumor removal, steroid taper
✔✔what category of insulin are lantus, levemir, and NPH? - ✔✔basal
✔✔what category of insulin are regular, humalog, novalog? - ✔✔prandial/bolus
ANSWERS SET A+
✔✔type of shock: most common- from massive blood loss - ✔✔hypovolemic
✔✔stage of hypovolemic shock that the cardiac output and BP are maintained -
✔✔compensated
✔✔stage of hypovolemic shock that evidence of decrease in cardiac OP (changes in
BP) is present - ✔✔uncompensated
✔✔stage of hypovolemic shock that cell and tissue ischemia lead to death -
✔✔irreversible
✔✔which endocrine organ of the brain stimulates/inhibits the pituitary gland, makes
ADH and oxytocin, and sends them to the posterior pituitary gland? - ✔✔hypothalamus
✔✔which endocrine gland of the brain is the "master gland" - ✔✔pituitary
✔✔which pituitary gland stores ADH and oxytocin, assists in maintaining fluid balance
and BP? - ✔✔posterior pituitary
✔✔which pituitary gland stores all "stimulating" hormones - ✔✔anterior
✔✔what endocrine insufficiency is characterized by hyposecretion of ADH? -
✔✔diabetes insipidus
✔✔what patients should you watch for DI? - ✔✔post op craniotomy patients
✔✔what endocrine insufficiency has the following S/S: high UOP, hypernatremia, low
urine osmolality, high plasma osmolality (DEHYDRATED) - ✔✔diabetes insipidus
, ✔✔what is the treatment for DI? - ✔✔aggressive fluid replacement, replace ADH,
accurate I/O
✔✔which endocrine insufficiency is characterized by hypersecretion of ADH and it's S/S
include nausea/vomiting/seizures? - ✔✔SIADH
✔✔what patients should you watch for SIADH? - ✔✔stroke, trauma, tumor, infection
✔✔treatment for SIADH? - ✔✔alleviate cause, fluid restriction/diuretics, daily weights
✔✔what are two important nursing aspects to remember with a thyroid storm? - ✔✔do
not give ASA, do not treat increased temp
✔✔which endocrine organ stores and maintains calcium levels? - ✔✔parathyroid
✔✔which endocrine organ produces epi and norepinephrine? - ✔✔adrenal medulla
✔✔which endocrine organ is responsible for steroid hormones (aldosterone, cortisol,
testosterone) - ✔✔adrenal cortex
✔✔what endocrine insufficiency is caused by under secretion of steroids from the
adrenal cortex r/t tumor? - ✔✔primary (adrenal) addisons disease
✔✔what endocrine insufficiency is caused by under secretion of ACTH r/t tumor? -
✔✔secondary (pituitary) addisons disease
✔✔how do you treat addisons disease? - ✔✔steroid replacement
✔✔what endocrine insufficiencies are related to the adrenal glands? - ✔✔addisons and
cushings
✔✔what endocrine insufficiency is caused by over secretion of steroids from the adrenal
cortex r/t tumor? - ✔✔primary (adrenal) cushings
✔✔what endocrine insufficiency is caused by over secretion of ACTH? - ✔✔secondary
(pituitary) cushings
✔✔how do you treat cushings disease? - ✔✔surgery for tumor removal, steroid taper
✔✔what category of insulin are lantus, levemir, and NPH? - ✔✔basal
✔✔what category of insulin are regular, humalog, novalog? - ✔✔prandial/bolus