NU 189 Exam 4 review Questions and Answers Already Passed Latest Update 2025-2026
Hyperpituitary - Answers Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism - Answers Never fuses (elongated bones)
Acromegaly (enlarged bones) - Answers enlargement of the extremities
Hypopituitary - Answers Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances - Answers S/S of hyperpituitary
Test to diagnose Cushing disease - Answers Dexamethasone suppression test
Steps for a dexamethasone test - Answers NPO
Blood specimen collected (1st thing)
Pheochromcytoma - Answers tumor of the adrenal medulla
S/S of pheochromcytoma - Answers Severe HTN & tachycardia
Catecholamine (EPI & NONEPI) - Answers What is secreted from a pheochromcytoma
SIADH (soaked inside) - Answers Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH - Answers JVD, crackles, ABD distention
,Increased specific gravity - Answers Fluid overload
Drop in urine specific gravity - Answers Fluid overload
Treatment for SIADH - Answers Tolvaptan
DI (dry inside) (primary DI) - Answers Decreased production of ADH (dilute urine)
Secondary DI - Answers TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI - Answers Excessive fluid intake
Nephrogenic DI - Answers kidneys don't respond properly to ADH
Drug related DI - Answers Lithium, demeclocycline
S/S OF DI - Answers Dehydration
For someone with DI, check vital signs for - Answers Tachycardia and hypotension
Treatment for DI - Answers DDAVP (desmopressin)
Therapeutic response for DI - Answers Decrease urine output
Hallmark sign of DI - Answers polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember peak hours so
check in 3 hours) - Answers 1000
Why are DM patients prone to infection - Answers Elevated glucose increase the chance for
bacteria growth
Normal HgbA1c - Answers Less than 7 is good
PRIORITY for someone with retinopathy - Answers Make sure BG is maintained
Things to do for those with retinopathy - Answers Eye exam
Adequate light to see
, Do you apply heat or cold to skin if you have neuropathy - Answers No!
What does a person who is stressed expect - Answers Hyperglycemia
Addison therapeutic treatment - Answers Hypernatremia
With hypernatremia remember - Answers Everything is decreased except K+
Cushing is at risk of infection due to - Answers Low cortisol
What do you do if the pt has bloody mucus after transhypophysectomy - Answers Notify PCP
What position do you put someone in for transhypophysectomy - Answers Semi Fowler
What do you avoid when you a have transhypophysectomy - Answers No brushing your teeth
No coughing
What should you do when you are doing a renal scan - Answers Handle urine safely
Precautions for taking HTN meds while on dialysis - Answers Check with PCP (hold eliquis)
What do you do if near an doesn't work - Answers Give another dose of narcan
Who comes first in the ER - Answers Chest pain patients
What do you do if you have had a snake bite - Answers Go to ER Immediately
Sit in a low dependent position
What do you do for a pt with frostbite present with numb, discolored, blisters - Answers Cover
with sterile gauze
What do you do if a patient has a bright red arterial blood from wound - Answers Apply pressure
Difference between small pox and chicken pox - Answers Small pox has lesions on the soles of
hands and feet
When do you discontinue precautions for the plague - Answers After 48 hours of antibiotics
You need 3 negative tests
How do you handle a patients
Hyperpituitary - Answers Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism - Answers Never fuses (elongated bones)
Acromegaly (enlarged bones) - Answers enlargement of the extremities
Hypopituitary - Answers Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances - Answers S/S of hyperpituitary
Test to diagnose Cushing disease - Answers Dexamethasone suppression test
Steps for a dexamethasone test - Answers NPO
Blood specimen collected (1st thing)
Pheochromcytoma - Answers tumor of the adrenal medulla
S/S of pheochromcytoma - Answers Severe HTN & tachycardia
Catecholamine (EPI & NONEPI) - Answers What is secreted from a pheochromcytoma
SIADH (soaked inside) - Answers Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH - Answers JVD, crackles, ABD distention
,Increased specific gravity - Answers Fluid overload
Drop in urine specific gravity - Answers Fluid overload
Treatment for SIADH - Answers Tolvaptan
DI (dry inside) (primary DI) - Answers Decreased production of ADH (dilute urine)
Secondary DI - Answers TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI - Answers Excessive fluid intake
Nephrogenic DI - Answers kidneys don't respond properly to ADH
Drug related DI - Answers Lithium, demeclocycline
S/S OF DI - Answers Dehydration
For someone with DI, check vital signs for - Answers Tachycardia and hypotension
Treatment for DI - Answers DDAVP (desmopressin)
Therapeutic response for DI - Answers Decrease urine output
Hallmark sign of DI - Answers polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember peak hours so
check in 3 hours) - Answers 1000
Why are DM patients prone to infection - Answers Elevated glucose increase the chance for
bacteria growth
Normal HgbA1c - Answers Less than 7 is good
PRIORITY for someone with retinopathy - Answers Make sure BG is maintained
Things to do for those with retinopathy - Answers Eye exam
Adequate light to see
, Do you apply heat or cold to skin if you have neuropathy - Answers No!
What does a person who is stressed expect - Answers Hyperglycemia
Addison therapeutic treatment - Answers Hypernatremia
With hypernatremia remember - Answers Everything is decreased except K+
Cushing is at risk of infection due to - Answers Low cortisol
What do you do if the pt has bloody mucus after transhypophysectomy - Answers Notify PCP
What position do you put someone in for transhypophysectomy - Answers Semi Fowler
What do you avoid when you a have transhypophysectomy - Answers No brushing your teeth
No coughing
What should you do when you are doing a renal scan - Answers Handle urine safely
Precautions for taking HTN meds while on dialysis - Answers Check with PCP (hold eliquis)
What do you do if near an doesn't work - Answers Give another dose of narcan
Who comes first in the ER - Answers Chest pain patients
What do you do if you have had a snake bite - Answers Go to ER Immediately
Sit in a low dependent position
What do you do for a pt with frostbite present with numb, discolored, blisters - Answers Cover
with sterile gauze
What do you do if a patient has a bright red arterial blood from wound - Answers Apply pressure
Difference between small pox and chicken pox - Answers Small pox has lesions on the soles of
hands and feet
When do you discontinue precautions for the plague - Answers After 48 hours of antibiotics
You need 3 negative tests
How do you handle a patients
