Complete NUR 212 Exam 3 Review: 200 Practice
Questions with Expert Rationales Covering
Endocrine Disorders, Diabetes, Thyroid Conditions,
Adrenal Insufficiency, SIADH, and Metabolic
Syndrome - Latest 2026 Updated Content for
Hondros College Nursing Students
NUR 212 Exam 3 Practice Questions
1. Which sign and symptoms, if noted in the
patient with hyperthyroidism, will alert the nurse
to the presence of a thyroid storm?
a) Pallor and tachycardia.
b) Agitation and tachycardia.
c) Restlessness and bradycardia.
d) Fever and tachycardia.
☑VERIFIED ANSWER: d) Fever and tachycardia.
Rationale: Thyroid storm is a life-threatening
emergency characterized by a sudden onset of
severe hypermetabolism. Classic symptoms include
extreme tachycardia, hyperthermia (fever up to
,106°F), and central nervous system symptoms like
agitation and delirium .
2. A nurse is providing education to a diabetic
patient who is physically active. What information
should be included in the education? (Select all
that apply)
a) If blood glucose is less than 100 mg/dL, eat a 15-
gram carbohydrate snack and recheck the blood
glucose before exercising.
b) If blood glucose is greater than 250 mg/dL,
administer 5 units of rapid insulin coverage.
c) The glucose-lowering effect of exercise can last up
to four hours after activity.
d) Exercise increases insulin resistance and can have
a direct effect on increasing blood glucose levels.
e) If blood glucose is greater than 250 mg/dL, the
patient is at risk for dehydration.
☑VERIFIED ANSWER: a, c, e.
Rationale: For a patient with diabetes who is
,physically active, key teaching points include:
consuming a 15g carbohydrate snack for pre-
exercise hypoglycemia prevention (blood glucose
<100 mg/dL) . The glucose-lowering effect of
exercise can persist for several hours post-activity,
increasing the risk of hypoglycemia . Additionally,
high blood glucose (>250 mg/dL) indicates a risk for
dehydration and may be a sign of insufficient
insulin, meaning exercise could worsen the
condition .
3. What is the priority for a patient presenting with
bronze-colored skin, anorexia, vomiting, diarrhea,
fatigue, and weight loss?
a) Controlling hypertension.
b) Monitoring for decreased peripheral tissue
perfusion.
c) Preventing infection.
d) Relieving anxiety.
, ☑VERIFIED ANSWER: b) Monitoring for decreased
peripheral tissue perfusion.
Rationale: The patient's symptoms are classic for
Addisonian crisis (acute adrenal insufficiency). This
is characterized by severe hypotension and
hypovolemic shock. The priority nursing
intervention is to monitor for and manage
decreased tissue perfusion related to the profound
hypotension .
4. When assessing the patient diagnosed with
Addison’s disease for their understanding of long-
term steroid use, additional teaching is indicated
for which of the following statements?
a) Long-term use can decrease the response of the
immune system.
b) Long-term use can lead to osteoporosis.
c) I will maintain a diet low in sodium.
d) I will be on steroid therapy for the rest of my life.
Questions with Expert Rationales Covering
Endocrine Disorders, Diabetes, Thyroid Conditions,
Adrenal Insufficiency, SIADH, and Metabolic
Syndrome - Latest 2026 Updated Content for
Hondros College Nursing Students
NUR 212 Exam 3 Practice Questions
1. Which sign and symptoms, if noted in the
patient with hyperthyroidism, will alert the nurse
to the presence of a thyroid storm?
a) Pallor and tachycardia.
b) Agitation and tachycardia.
c) Restlessness and bradycardia.
d) Fever and tachycardia.
☑VERIFIED ANSWER: d) Fever and tachycardia.
Rationale: Thyroid storm is a life-threatening
emergency characterized by a sudden onset of
severe hypermetabolism. Classic symptoms include
extreme tachycardia, hyperthermia (fever up to
,106°F), and central nervous system symptoms like
agitation and delirium .
2. A nurse is providing education to a diabetic
patient who is physically active. What information
should be included in the education? (Select all
that apply)
a) If blood glucose is less than 100 mg/dL, eat a 15-
gram carbohydrate snack and recheck the blood
glucose before exercising.
b) If blood glucose is greater than 250 mg/dL,
administer 5 units of rapid insulin coverage.
c) The glucose-lowering effect of exercise can last up
to four hours after activity.
d) Exercise increases insulin resistance and can have
a direct effect on increasing blood glucose levels.
e) If blood glucose is greater than 250 mg/dL, the
patient is at risk for dehydration.
☑VERIFIED ANSWER: a, c, e.
Rationale: For a patient with diabetes who is
,physically active, key teaching points include:
consuming a 15g carbohydrate snack for pre-
exercise hypoglycemia prevention (blood glucose
<100 mg/dL) . The glucose-lowering effect of
exercise can persist for several hours post-activity,
increasing the risk of hypoglycemia . Additionally,
high blood glucose (>250 mg/dL) indicates a risk for
dehydration and may be a sign of insufficient
insulin, meaning exercise could worsen the
condition .
3. What is the priority for a patient presenting with
bronze-colored skin, anorexia, vomiting, diarrhea,
fatigue, and weight loss?
a) Controlling hypertension.
b) Monitoring for decreased peripheral tissue
perfusion.
c) Preventing infection.
d) Relieving anxiety.
, ☑VERIFIED ANSWER: b) Monitoring for decreased
peripheral tissue perfusion.
Rationale: The patient's symptoms are classic for
Addisonian crisis (acute adrenal insufficiency). This
is characterized by severe hypotension and
hypovolemic shock. The priority nursing
intervention is to monitor for and manage
decreased tissue perfusion related to the profound
hypotension .
4. When assessing the patient diagnosed with
Addison’s disease for their understanding of long-
term steroid use, additional teaching is indicated
for which of the following statements?
a) Long-term use can decrease the response of the
immune system.
b) Long-term use can lead to osteoporosis.
c) I will maintain a diet low in sodium.
d) I will be on steroid therapy for the rest of my life.
