NUR 265 Advanced Concepts of
Medical–Surgical Nursing |Exam 2
Questions & Answers
Addison's disease is? - ----ANS:chronic adrenal insufficiency
Addison's disease priority intervention? - ----ANS:Safety
Adrenal Cortex secretes what hormones? - ----ANS:Glucocorticoids,
aldosterone (increase blood sugar, stimulate digestion, regulate NA and K)
Adrenal glands produce what hormones? - ----ANS:epi, norepi,
corticosteroids, aldosterone
Adrenal Medulla secretes what hormones? - ----ANS:Epi and norepi (Fight or
Flight response)
Beta blockers promote what in patients with diabetes? -
----ANS:Hypoglycemia (especially in elderly)
Client teaching for Addison's Disease? - ----ANS:Carry injectable
dexamethasone (Decadron), will have to take this medication for life
Client teaching for Cushing's Syndrome? - ----ANS:Recognizing the signs and
symptoms of infection and fluid retention
Client teaching for Diabetes Insipidus? - ----ANS:Recognizing the signs and
symptoms of dehydration
Client teaching for Diabetes Mellitus? - ----ANS:Self monitoring for infection,
skin breakdown, changes in peripheral circulation, poor wound healing,
numbness in extremities, foot care
Client teaching for Hyperthyroidism? - ----ANS:Avoiding the use of stimulants
such as caffeine containing foods and drugs, avoid bulky foods/fiber
Client teaching for Hypothyroidism? - ----ANS:Avoiding sedatives
, Cushing's disease priority intervention? - ----ANS:Skin breakdown
Disorder of the pituitary gland that causes a deficiency of ADH hormone? -
----ANS:Diabetes Insipidus
Disorder of the pituitary gland that causes excess ADH hormone? -
----ANS:SIADH
DKA - ----ANS:Only Type 1 diabetics, absence of insulin or inadequate
amount of insulin causes ketones to be spilled in the urine, very high Blood
sugar level
Dosages of this drug may need to be decreased if a client is also taking
levothyroxine (Synthroid)? - ----ANS:Coumadin
HHNS - ----ANS:Lack of effective insulin blood sugar above 1000, no ketones
are spilled
Hypocalcemia is common when what organ is injured during surgery? -
----ANS:parathyroid
Hypothalamus is the what of the endocrine system? - ----ANS:heart
If a diabetic patient is taking a betablocker, what might need to be adjusted? -
----ANS:Their insulin
If a high pressure alarm goes off on a mechanical ventilator what needs to be
done by the nurse? - ----ANS:The patient needs to be assessed for suction
If a low pressure alarm goes off on a mechanical ventilator what needs to be
done by the nurse? - ----ANS:There is a disconnection somewhere and the
nurse needs to bag the patient with oxygen
If a nurse is asked to adjust the settings on a ventilator what should the nurse
do? - ----ANS:Say no, call respiratory therapy
If a patient experiences sudden shortness of breath, what should the nurse
do? - ----ANS:Elevate the head of the bed to open the airway
Medical–Surgical Nursing |Exam 2
Questions & Answers
Addison's disease is? - ----ANS:chronic adrenal insufficiency
Addison's disease priority intervention? - ----ANS:Safety
Adrenal Cortex secretes what hormones? - ----ANS:Glucocorticoids,
aldosterone (increase blood sugar, stimulate digestion, regulate NA and K)
Adrenal glands produce what hormones? - ----ANS:epi, norepi,
corticosteroids, aldosterone
Adrenal Medulla secretes what hormones? - ----ANS:Epi and norepi (Fight or
Flight response)
Beta blockers promote what in patients with diabetes? -
----ANS:Hypoglycemia (especially in elderly)
Client teaching for Addison's Disease? - ----ANS:Carry injectable
dexamethasone (Decadron), will have to take this medication for life
Client teaching for Cushing's Syndrome? - ----ANS:Recognizing the signs and
symptoms of infection and fluid retention
Client teaching for Diabetes Insipidus? - ----ANS:Recognizing the signs and
symptoms of dehydration
Client teaching for Diabetes Mellitus? - ----ANS:Self monitoring for infection,
skin breakdown, changes in peripheral circulation, poor wound healing,
numbness in extremities, foot care
Client teaching for Hyperthyroidism? - ----ANS:Avoiding the use of stimulants
such as caffeine containing foods and drugs, avoid bulky foods/fiber
Client teaching for Hypothyroidism? - ----ANS:Avoiding sedatives
, Cushing's disease priority intervention? - ----ANS:Skin breakdown
Disorder of the pituitary gland that causes a deficiency of ADH hormone? -
----ANS:Diabetes Insipidus
Disorder of the pituitary gland that causes excess ADH hormone? -
----ANS:SIADH
DKA - ----ANS:Only Type 1 diabetics, absence of insulin or inadequate
amount of insulin causes ketones to be spilled in the urine, very high Blood
sugar level
Dosages of this drug may need to be decreased if a client is also taking
levothyroxine (Synthroid)? - ----ANS:Coumadin
HHNS - ----ANS:Lack of effective insulin blood sugar above 1000, no ketones
are spilled
Hypocalcemia is common when what organ is injured during surgery? -
----ANS:parathyroid
Hypothalamus is the what of the endocrine system? - ----ANS:heart
If a diabetic patient is taking a betablocker, what might need to be adjusted? -
----ANS:Their insulin
If a high pressure alarm goes off on a mechanical ventilator what needs to be
done by the nurse? - ----ANS:The patient needs to be assessed for suction
If a low pressure alarm goes off on a mechanical ventilator what needs to be
done by the nurse? - ----ANS:There is a disconnection somewhere and the
nurse needs to bag the patient with oxygen
If a nurse is asked to adjust the settings on a ventilator what should the nurse
do? - ----ANS:Say no, call respiratory therapy
If a patient experiences sudden shortness of breath, what should the nurse
do? - ----ANS:Elevate the head of the bed to open the airway
