Chamberlain University
1 MAXE • 523-RN
TO E D U C AT E , E M P O W E R A N D E M B O L D E N D I V E R S E H E A LT H C A R E
P R O F E S S I O N A LS
CU
EST. 1889 College of Nursing • NR-325 Adult Health II
NR-325 — Adult Health II — Exam 1
ENDOCRINE • RENAL/URINARY • VISION & AUDITORY • DIABETES
INSTITUTION Chamberlain University COURSE CODE NR-325
COURSE TITLE Adult Health II EXAM Exam 1 — Modules 1–3
FORMAT NCLEX-Style Questions with QUESTION COUNT 50 Practice Items
Clinical Rationales
E X A M I N AT I O N I N S T R U C T I O N S
▸ Select the single best answer unless the item states otherwise.
▸ For endocrine emergencies, identify the opposing physiologic state before choosing the
priority action.
▸ For renal items, think perfusion → filtration → elimination → electrolyte/acid-base →
priority action.
▸ Use the answers and rationales immediately below each question for active-recall review.
You Already Know This
You already know the endocrine, renal, and sensory foundations. You know that thyroid storm and
myxedema coma are opposites, that prerenal, intrinsic, and postrenal AKI differ by mechanism,
and that sudden vision or hearing changes can signal an emergency.
NR-325 Exam 1 is about connecting the presentation to the mechanism and the priority
action.
The difficulty comes from recognizing the emergency inside the routine presentation — the
stridor after thyroidectomy, the potassium of 8.0, the curtain over the visual field — while
distinguishing it from the stable problem that can be managed on schedule.
The mechanism matters. But so does knowing what cannot wait.
, Where Is Your Preparation Breaking Down?
If you are missing NR-325 questions, do not automatically respond by memorizing more lab values.
Check where the reasoning chain breaks.
MechanismCan you connect the disorder to PriorityCan you identify the emergency
its underlying pathophysiology? before treating the stable presentation?
PharmacologyCan you match the Patient educationCan you recognize the
medication to the disorder and recognize the teaching point that changes the patient’s
key adverse effects? safety?
DiagnosticsCan you choose the correct test DistinctionCan you separate similar
— TSH, free T4, creatinine, urine studies, eye presentations such as SIADH vs. DI, DKA vs.
examination? HHS, or glaucoma vs. retinal detachment?
01 ENDOCRINE SYSTEM Q1–Q16
1. During a thyroid storm, does blood pressure generally decrease or increase?
A) It decreases because metabolism falls
B) It increases because sympathetic activity and metabolic demand rise
C) It remains unchanged in all patients
D) It decreases because thyroid hormone blocks catecholamines
ANSWER B. It increases because sympathetic activity and metabolic demand rise
RATIONALE Thyroid storm is a life-threatening hyperthyroid emergency. Marked adrenergic
activity can produce tachycardia, hypertension, hyperthermia, agitation, and
other signs of cardiovascular stress.
1 MAXE • 523-RN
TO E D U C AT E , E M P O W E R A N D E M B O L D E N D I V E R S E H E A LT H C A R E
P R O F E S S I O N A LS
CU
EST. 1889 College of Nursing • NR-325 Adult Health II
NR-325 — Adult Health II — Exam 1
ENDOCRINE • RENAL/URINARY • VISION & AUDITORY • DIABETES
INSTITUTION Chamberlain University COURSE CODE NR-325
COURSE TITLE Adult Health II EXAM Exam 1 — Modules 1–3
FORMAT NCLEX-Style Questions with QUESTION COUNT 50 Practice Items
Clinical Rationales
E X A M I N AT I O N I N S T R U C T I O N S
▸ Select the single best answer unless the item states otherwise.
▸ For endocrine emergencies, identify the opposing physiologic state before choosing the
priority action.
▸ For renal items, think perfusion → filtration → elimination → electrolyte/acid-base →
priority action.
▸ Use the answers and rationales immediately below each question for active-recall review.
You Already Know This
You already know the endocrine, renal, and sensory foundations. You know that thyroid storm and
myxedema coma are opposites, that prerenal, intrinsic, and postrenal AKI differ by mechanism,
and that sudden vision or hearing changes can signal an emergency.
NR-325 Exam 1 is about connecting the presentation to the mechanism and the priority
action.
The difficulty comes from recognizing the emergency inside the routine presentation — the
stridor after thyroidectomy, the potassium of 8.0, the curtain over the visual field — while
distinguishing it from the stable problem that can be managed on schedule.
The mechanism matters. But so does knowing what cannot wait.
, Where Is Your Preparation Breaking Down?
If you are missing NR-325 questions, do not automatically respond by memorizing more lab values.
Check where the reasoning chain breaks.
MechanismCan you connect the disorder to PriorityCan you identify the emergency
its underlying pathophysiology? before treating the stable presentation?
PharmacologyCan you match the Patient educationCan you recognize the
medication to the disorder and recognize the teaching point that changes the patient’s
key adverse effects? safety?
DiagnosticsCan you choose the correct test DistinctionCan you separate similar
— TSH, free T4, creatinine, urine studies, eye presentations such as SIADH vs. DI, DKA vs.
examination? HHS, or glaucoma vs. retinal detachment?
01 ENDOCRINE SYSTEM Q1–Q16
1. During a thyroid storm, does blood pressure generally decrease or increase?
A) It decreases because metabolism falls
B) It increases because sympathetic activity and metabolic demand rise
C) It remains unchanged in all patients
D) It decreases because thyroid hormone blocks catecholamines
ANSWER B. It increases because sympathetic activity and metabolic demand rise
RATIONALE Thyroid storm is a life-threatening hyperthyroid emergency. Marked adrenergic
activity can produce tachycardia, hypertension, hyperthermia, agitation, and
other signs of cardiovascular stress.
