NSG 4100 EXAM 2 STUDY GUIDE 2026
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES ADULT
HEALTH III NURSING EXAM REVIEW A+
PREPARATION
A pt has been admitted to the CCU w/ a diagnosis of thyroid storm. What
interventions should the nurse include in this pt's immediate care? Select
all that apply:
a. administering diuretics to prevent fluid overload
b. administering beta blockers to reduce HR
c. administering insulin to reduce BG levels
d. applying interventions to reduce temperature
e. administering corticosteroids - CORRECT ANSWER-B, D
The nurse assessment of a pt w/ thyroidectomy suggests tetany and a
review of the most recent blood work corroborate this finding. The nurse
should prepare to administer what intervention?
a. oral calcium chloride and vitamin D
b. IV calcium gluconate
c. STAT levothyroxine
d. administration of parathyroid hormone (PTH) - CORRECT ANSWER-B
,Following an Addisonian crisis, a pt's adrenal function has gradually
regained. The nurse should ensure that the pt knows about the need for
supplementary glucocorticoid therapy in which of the following
circumstances?
a. episodes of high psychosocial stress
b. periods of dehydration
c. episodes of physical exertion
d. administration of a vaccine - CORRECT ANSWER-A
A pt w/ pheochromocytoma has been admitted for an adrenalectomy to be
performed the following day. To prevent complications, the nurse should
anticipate preoperative administration of which of the following?
a. IV abx
b. oral antihypertensives
c. parenteral nutrition
d. IV corticosteroids - CORRECT ANSWER-D
A pt is undergoing testing for suspected adrenocorticol insufficiency. The
care team should ensure that the pt has been assessed for the most
common cause of adrenocorticol insufficiency. What is the most common
cause of this health problem?
a. therapeutic use of corticosteroids
b. pheochromocytoma
c. inadequate secretion of ACTH
d. adrenal tumor - CORRECT ANSWER-A
, A pt w/ Cushing syndrome has been hospitalized after a fall. The dietician
consulted works w/ the pt to improve the pt's nutritional intake. What
foods should a pt w/ Cushing syndrome eat to optimize health? Select all
that apply:
a. foods high in vitamin D
b. foods high in calories
c. foods high in protein
d. foods high in calcium
e. foods high in sodium - CORRECT ANSWER-A, C, D
A pt w/ Cushing syndrome as a result of a pituitary tumor has been
admitted for a transsphenoidal hypophysectomy. What would be most
important for the nurse to monitor before, during, and after surgery?
a. BG
b. assessment of urine for blood
c. weight
d. oral temp - CORRECT ANSWER-A
The Nurs caring for a pt at risk for an addisonian crisis. For what as/s
should the nurse monitor the pt? Select all that apply:
a. epistaxis The nurse is discussing ways to prevent DKA w/ a client newly
diagnosed w/ Type 1 DM, which instruction is most important to discuss
with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES ADULT
HEALTH III NURSING EXAM REVIEW A+
PREPARATION
A pt has been admitted to the CCU w/ a diagnosis of thyroid storm. What
interventions should the nurse include in this pt's immediate care? Select
all that apply:
a. administering diuretics to prevent fluid overload
b. administering beta blockers to reduce HR
c. administering insulin to reduce BG levels
d. applying interventions to reduce temperature
e. administering corticosteroids - CORRECT ANSWER-B, D
The nurse assessment of a pt w/ thyroidectomy suggests tetany and a
review of the most recent blood work corroborate this finding. The nurse
should prepare to administer what intervention?
a. oral calcium chloride and vitamin D
b. IV calcium gluconate
c. STAT levothyroxine
d. administration of parathyroid hormone (PTH) - CORRECT ANSWER-B
,Following an Addisonian crisis, a pt's adrenal function has gradually
regained. The nurse should ensure that the pt knows about the need for
supplementary glucocorticoid therapy in which of the following
circumstances?
a. episodes of high psychosocial stress
b. periods of dehydration
c. episodes of physical exertion
d. administration of a vaccine - CORRECT ANSWER-A
A pt w/ pheochromocytoma has been admitted for an adrenalectomy to be
performed the following day. To prevent complications, the nurse should
anticipate preoperative administration of which of the following?
a. IV abx
b. oral antihypertensives
c. parenteral nutrition
d. IV corticosteroids - CORRECT ANSWER-D
A pt is undergoing testing for suspected adrenocorticol insufficiency. The
care team should ensure that the pt has been assessed for the most
common cause of adrenocorticol insufficiency. What is the most common
cause of this health problem?
a. therapeutic use of corticosteroids
b. pheochromocytoma
c. inadequate secretion of ACTH
d. adrenal tumor - CORRECT ANSWER-A
, A pt w/ Cushing syndrome has been hospitalized after a fall. The dietician
consulted works w/ the pt to improve the pt's nutritional intake. What
foods should a pt w/ Cushing syndrome eat to optimize health? Select all
that apply:
a. foods high in vitamin D
b. foods high in calories
c. foods high in protein
d. foods high in calcium
e. foods high in sodium - CORRECT ANSWER-A, C, D
A pt w/ Cushing syndrome as a result of a pituitary tumor has been
admitted for a transsphenoidal hypophysectomy. What would be most
important for the nurse to monitor before, during, and after surgery?
a. BG
b. assessment of urine for blood
c. weight
d. oral temp - CORRECT ANSWER-A
The Nurs caring for a pt at risk for an addisonian crisis. For what as/s
should the nurse monitor the pt? Select all that apply:
a. epistaxis The nurse is discussing ways to prevent DKA w/ a client newly
diagnosed w/ Type 1 DM, which instruction is most important to discuss
with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
