NURS 505 ALL EXAMS 2025 QUESTIONS
AND ANSWERS 100% PASS
Stress typically results in hypoglycemia. - ✔✔False
Stress typically leads to increased blood glucose levels due to the sympathetic nervous
system control.
What is the most prevalent mineralocorticoid that regulates fluid balance? -
✔✔Aldosterone
The mineralocorticoids (aldosterone is the most prevalent naturally occurring
mineralocorticoid) exert a major influence on regulating potassium, sodium, and water
balance.
Symptoms including severe tachycardia, fever, dehydration, heart failure, and coma are
consistent with which of the following? - ✔✔Thyroid storm
Thyroid storm is a crisis or life-threatening condition characterized by an exaggeration
of the usual physiologic response seen in hyperthyroidism. Whereas hyperthyroidism
can cause symptoms such as sweating, feeling hot, palpitations, and weight loss, the
symptoms of thyroid storm are more severe, resulting in complications such as fever,
rapid heart rate, nausea/vomiting, diarrhea, irregular heart beat, weakness, heart
failure, confusion/disorientation, and coma.
A patient has been admitted to the unit with salt-losing adrenogenital syndrome. The
patient is taking fludrocortisone (Florinef) for replacement therapy in combination with
a glucocorticoid. The nurse would know that high-dose fludrocortisone requires the
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 1
, nurse to monitor for: - ✔✔an increase in sodium and water retention along with
potassium depletion.
Increased doses of fludrocortisone may result in excess retention of sodium and water
along with potassium depletion. Hypokalemia does not occur nor are sodium and
water depleted or potassium retained. This drug is usually given in combination with a
glucocorticoid. Therefore, toxic effects would not be expected.
A 31-year-old woman is being treated with fludrocortisone for Addison disease. In
addition to monitoring the client's urinary output, what other assessment should the
nurse prioritize? - ✔✔Blood pressure
Fludrocortisone acts on the distal renal tubule to enhance the reabsorption of sodium
and to increase the urinary excretion of both potassium and hydrogen ions. In small
oral doses, the mineralocorticoid effects of fludrocortisone predominate: urinary
excretion of potassium, marked sodium retention, and a rise in blood pressure as a
result of the physiologic effects of these electrolyte levels. The level of consciousness is
not affected by fludrocortisone unless there are significant changes in the fluid balance.
Which of the following hormones are secreted by the posterior pituitary gland? Select
all that apply: - ✔✔Vasopressin (ADH)
Oxytocin
Which of the following hormones are secreted by the anterior pituitary gland? Select all
that apply: - ✔✔GH
ACTH
TSH
Prolactin
Systemic antidiarrheals, such as loperamide (Imodium), decrease the number and
liquidity of stools by which of the following mechanisms? - ✔✔Decreasing intestinal
motility
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 2
AND ANSWERS 100% PASS
Stress typically results in hypoglycemia. - ✔✔False
Stress typically leads to increased blood glucose levels due to the sympathetic nervous
system control.
What is the most prevalent mineralocorticoid that regulates fluid balance? -
✔✔Aldosterone
The mineralocorticoids (aldosterone is the most prevalent naturally occurring
mineralocorticoid) exert a major influence on regulating potassium, sodium, and water
balance.
Symptoms including severe tachycardia, fever, dehydration, heart failure, and coma are
consistent with which of the following? - ✔✔Thyroid storm
Thyroid storm is a crisis or life-threatening condition characterized by an exaggeration
of the usual physiologic response seen in hyperthyroidism. Whereas hyperthyroidism
can cause symptoms such as sweating, feeling hot, palpitations, and weight loss, the
symptoms of thyroid storm are more severe, resulting in complications such as fever,
rapid heart rate, nausea/vomiting, diarrhea, irregular heart beat, weakness, heart
failure, confusion/disorientation, and coma.
A patient has been admitted to the unit with salt-losing adrenogenital syndrome. The
patient is taking fludrocortisone (Florinef) for replacement therapy in combination with
a glucocorticoid. The nurse would know that high-dose fludrocortisone requires the
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 1
, nurse to monitor for: - ✔✔an increase in sodium and water retention along with
potassium depletion.
Increased doses of fludrocortisone may result in excess retention of sodium and water
along with potassium depletion. Hypokalemia does not occur nor are sodium and
water depleted or potassium retained. This drug is usually given in combination with a
glucocorticoid. Therefore, toxic effects would not be expected.
A 31-year-old woman is being treated with fludrocortisone for Addison disease. In
addition to monitoring the client's urinary output, what other assessment should the
nurse prioritize? - ✔✔Blood pressure
Fludrocortisone acts on the distal renal tubule to enhance the reabsorption of sodium
and to increase the urinary excretion of both potassium and hydrogen ions. In small
oral doses, the mineralocorticoid effects of fludrocortisone predominate: urinary
excretion of potassium, marked sodium retention, and a rise in blood pressure as a
result of the physiologic effects of these electrolyte levels. The level of consciousness is
not affected by fludrocortisone unless there are significant changes in the fluid balance.
Which of the following hormones are secreted by the posterior pituitary gland? Select
all that apply: - ✔✔Vasopressin (ADH)
Oxytocin
Which of the following hormones are secreted by the anterior pituitary gland? Select all
that apply: - ✔✔GH
ACTH
TSH
Prolactin
Systemic antidiarrheals, such as loperamide (Imodium), decrease the number and
liquidity of stools by which of the following mechanisms? - ✔✔Decreasing intestinal
motility
COPYRIGHT © 2025 BY EMILLY CHARLOTTE, ALL RIGHTS RESERVED 2
