NSG 4100 Exam 2
NSG 4100 Exam 2 Study Guide
Questions with Correct Answers 2025
Where is aldosterone secreted? -Correct Answer ✔adrenal gland
what is hyperaldosteronism called? -Correct Answer ✔Conn's syndrome
Conn's syndrome -Correct Answer ✔increased Na, increased BP, decreased K+
What is hypoaldosteronism called? -Correct Answer ✔Addisons Disease
S/S of Addison's Disease? -Correct Answer ✔decreased Na, decreased BP, increased
K+, fatigue, muscle weakness, dark skin pigmentation, hypotension, hypoglycemia
s/s of Addisonian crisis -Correct Answer ✔decreased LOC, hypotension, flu like
symptoms (N/V)- call DR!!
Tx of addisons/ Addisonian crisis -Correct Answer ✔First- FLUIDS!!! then steroids
Pheochromocytoma -Correct Answer ✔a benign tumor of the adrenal medulla that
causes the gland to produce excess catecholamines
What does pheochromocytoma cause? -Correct Answer ✔fight/ flight response
5 H's of pheochromocytoma -Correct Answer ✔Hypertension (MOST DANGEROUS)
Headache
Hyperhidrosis (excess sweating)
Hypermetabolism
Hyperglycemia
Treatment of pheochromocytoma -Correct Answer ✔adrenalectomy, elevate HOB 30
degrees, give alpha adrenergic blockers (SE: hypotension, increased HR, nasal
congestion), give beta blockers (hold if HR below 60)
Hyperthyroidism -Correct Answer ✔high T3 and T4 and low TSH
S/S of hyperthyroidism -Correct Answer ✔wt loss, HTN, anxious, goiter, exophthalmos,
heat intolerance, thin skin
s/s of thyroid storm -Correct Answer ✔fever, restlessness, N/V
tx of hyperthyroidism -Correct Answer ✔thyroidectomy, radioactive iodine
NSG 4100 Exam 2
, NSG 4100 Exam 2
hypothyroidism -Correct Answer ✔low T3 and T4, high TSH
s/s of hypothyroidism -Correct Answer ✔wt gain, constipation, hypotension, depression,
decreased HR, cold intolerance, goiter
tx of hypothyroidism -Correct Answer ✔levothyroxine- MUST take every morning on an
empty stomach for life. must continually have levels checked
where are corticosteroids secreted? -Correct Answer ✔pituitary gland
What is hypercortisolism? -Correct Answer ✔Cushing's syndrome
S/S of Cushing's Syndrome? -Correct Answer ✔moon face, purple striae,
hyperglycemia, thin extremities, large trunk, osteoporosis, thin skin- SAFETY, too much
cortisol, fluid retention, HTN, increased Na, decreased K+
what is the biggest concern with Cushing's? -Correct Answer ✔SAFETY- increased r/f
infections
what causes Cushing's? -Correct Answer ✔excess steroid use, pituitary tumor
treatment of Cushing's with pituitary tumor? -Correct Answer ✔transsphenoidal
hypophysectomy- check for clear fluid with halo/ glucose (CSF)
What is hypocortisolism? -Correct Answer ✔Congenital adrenal hyperplasia
s/s of congenital adrenal hyperplasia? -Correct Answer ✔ambiguous genitalia- females:
masculine features, men- feminine features. Easier to visually see in women
tx of congenital adrenal hyperplasia -Correct Answer ✔steroid use
Normal serum osmolality -Correct Answer ✔280-295
What is serum osmolality? -Correct Answer ✔how concentrated blood is
with dehydration what will the concentration of serum osmolality be? -Correct Answer
✔increased concentration
hypertonic blood -Correct Answer ✔increased concentration- ex: hyperglycemia with
DKA
hypotonic blood -Correct Answer ✔decreased concentration- ex: fluid overload with
SIADH
NSG 4100 Exam 2
NSG 4100 Exam 2 Study Guide
Questions with Correct Answers 2025
Where is aldosterone secreted? -Correct Answer ✔adrenal gland
what is hyperaldosteronism called? -Correct Answer ✔Conn's syndrome
Conn's syndrome -Correct Answer ✔increased Na, increased BP, decreased K+
What is hypoaldosteronism called? -Correct Answer ✔Addisons Disease
S/S of Addison's Disease? -Correct Answer ✔decreased Na, decreased BP, increased
K+, fatigue, muscle weakness, dark skin pigmentation, hypotension, hypoglycemia
s/s of Addisonian crisis -Correct Answer ✔decreased LOC, hypotension, flu like
symptoms (N/V)- call DR!!
Tx of addisons/ Addisonian crisis -Correct Answer ✔First- FLUIDS!!! then steroids
Pheochromocytoma -Correct Answer ✔a benign tumor of the adrenal medulla that
causes the gland to produce excess catecholamines
What does pheochromocytoma cause? -Correct Answer ✔fight/ flight response
5 H's of pheochromocytoma -Correct Answer ✔Hypertension (MOST DANGEROUS)
Headache
Hyperhidrosis (excess sweating)
Hypermetabolism
Hyperglycemia
Treatment of pheochromocytoma -Correct Answer ✔adrenalectomy, elevate HOB 30
degrees, give alpha adrenergic blockers (SE: hypotension, increased HR, nasal
congestion), give beta blockers (hold if HR below 60)
Hyperthyroidism -Correct Answer ✔high T3 and T4 and low TSH
S/S of hyperthyroidism -Correct Answer ✔wt loss, HTN, anxious, goiter, exophthalmos,
heat intolerance, thin skin
s/s of thyroid storm -Correct Answer ✔fever, restlessness, N/V
tx of hyperthyroidism -Correct Answer ✔thyroidectomy, radioactive iodine
NSG 4100 Exam 2
, NSG 4100 Exam 2
hypothyroidism -Correct Answer ✔low T3 and T4, high TSH
s/s of hypothyroidism -Correct Answer ✔wt gain, constipation, hypotension, depression,
decreased HR, cold intolerance, goiter
tx of hypothyroidism -Correct Answer ✔levothyroxine- MUST take every morning on an
empty stomach for life. must continually have levels checked
where are corticosteroids secreted? -Correct Answer ✔pituitary gland
What is hypercortisolism? -Correct Answer ✔Cushing's syndrome
S/S of Cushing's Syndrome? -Correct Answer ✔moon face, purple striae,
hyperglycemia, thin extremities, large trunk, osteoporosis, thin skin- SAFETY, too much
cortisol, fluid retention, HTN, increased Na, decreased K+
what is the biggest concern with Cushing's? -Correct Answer ✔SAFETY- increased r/f
infections
what causes Cushing's? -Correct Answer ✔excess steroid use, pituitary tumor
treatment of Cushing's with pituitary tumor? -Correct Answer ✔transsphenoidal
hypophysectomy- check for clear fluid with halo/ glucose (CSF)
What is hypocortisolism? -Correct Answer ✔Congenital adrenal hyperplasia
s/s of congenital adrenal hyperplasia? -Correct Answer ✔ambiguous genitalia- females:
masculine features, men- feminine features. Easier to visually see in women
tx of congenital adrenal hyperplasia -Correct Answer ✔steroid use
Normal serum osmolality -Correct Answer ✔280-295
What is serum osmolality? -Correct Answer ✔how concentrated blood is
with dehydration what will the concentration of serum osmolality be? -Correct Answer
✔increased concentration
hypertonic blood -Correct Answer ✔increased concentration- ex: hyperglycemia with
DKA
hypotonic blood -Correct Answer ✔decreased concentration- ex: fluid overload with
SIADH
NSG 4100 Exam 2
