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NURS 3366 Exam 4 Study Guide 2026 | Neurological & Endocrine Disorders | Complete Review | Graded A+

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Prepare for NURS 3366 Exam 4 with this updated 2026/2027 study guide focused on neurological and endocrine disorders. Designed for nursing students, this comprehensive resource provides structured pathophysiology reviews, concept-based practice questions, and focused learning summaries to strengthen understanding of complex disease processes and clinical nursing applications. The guide covers essential neurological and endocrine concepts including nervous system function, neurological assessment principles, altered neurological processes, seizure disorders, cerebrovascular conditions, neurodegenerative disorders, spinal cord disorders, endocrine system regulation, hormone imbalances, thyroid disorders, diabetes mellitus, adrenal disorders, pituitary disorders, metabolic changes, diagnostic findings, treatment considerations, and nursing implications for patient care. Practice questions reinforce key concepts, strengthen critical thinking, and support the application of pathophysiology principles to realistic clinical scenarios. Organized for efficient review and long-term learning, this study guide helps improve knowledge retention, enhance clinical reasoning, and build confidence for NURS 3366 coursework and exam preparation.

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NURS 3366 Exam 4 Study Guide 2026 | Neurological &
Endocrine Disorders | Complete Review | Graded A+
1. The main difference between a CVA and TIA is that a CVA _____ _.

is more severe

occurs in a larger area

causes only temporary loss of function

involves some permanent damage

2. What are the three main regulators of endocrine gland secretion mentioned
in the text?

only other hormones

only neural control

negative feedback, other hormones, neural control

only negative feedback

3. Which of the following is a common risk factor for stroke?

Low blood sugar

Hypertension

Dehydration

High thyroid hormone levels

4. If a patient experiences a seizure that begins in one part of the brain and
does not lead to loss of consciousness, what type of seizure is this likely to
be?

Tonic-clonic seizure

, Myoclonic seizure

Partial seizure

General seizure

5. If a patient with diabetes experiences hypoglycemia, what immediate action
should be taken?

Delay treatment until symptoms worsen.

Increase insulin dosage.

Administer fast-acting carbohydrates.

Encourage prolonged physical activity.

6. Endocrine gland secretion may be regulated by:

E. A and C only

D. All of the above

A. Hormones from other endocrine glands

B. Humoral factors

C. Direct neural stimulation

7. What is the primary role of antidiuretic hormone (ADH) in the body?

regulation of metabolic processes

the body's water balance and urine concentration

follicular maturation

maintaining electrolyte levels and concentrations

8. Which of the following is/are true regarding diabetes mellitus?

, Type I DM is characterized as an autoimmune disease that targets the
beta cells of the pancreas.

Unmanaged DM is a vascular disease that results in blood vessel
narrowing.

Risk factors for Type II DM include both genetic & environmental (i.e.
lifestyle) factors.

Management of Type I DM necessitates regular/continuous
monitoring of blood glucose & the administration of exogenous
insulin.

All of the above

9. TSH levels increase in response to:

Cold

Stress

Low T4 levels

A, B, and C

B and C

10. A stroke in the left hemisphere of the brain is most likely to cause which of
the following impairments?

Language deficits and speech problems.

Loss of sensation and weakness on the left side of the body.

Visual disturbances and blindness.

Loss of sensation and weakness on the right side of the body.

11. What is dementia?

, A single disease affecting the brain

A condition that only affects memory

A collection of symptoms caused by various diseases affecting the
brain

A normal part of aging

12. Which of the following patient signs and symptoms are typically seen in the
patient with Graves' disease?

Unexplained weight gain

Thickened hypertrophic nails

Fatigue

Exophthalmos

13. What is the relationship between acetylcholine and dopamine in patients
with Parkinson's disease?

there is too much acetylcholine and not enough dopamine

there is too little acetylcholine and too little dopamine

there is too little acetylcholine and too much dopamine

there is too many unboound acetylcholine and too much dopamine

14. If a patient has an overactivity of osteoclasts, what condition might they
develop, and what would be a potential symptom?

Osteoporosis; increased bone fragility

Hyperthyroidism; weight gain

Rheumatoid arthritis; inflammation of joints

Osteoarthritis; joint pain

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