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PNR 309 Final Exam Questions (140+) | Endocrine, Renal, Reproductive, Respiratory, Integumentary, Disaster Nursing

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This document features an extensive set of over 140 verified final exam questions and answers tailored for students enrolled in PNR 309 – Advanced Practical Nursing for the 2025/2026 academic year. It is designed to serve as a comprehensive review guide across several key nursing domains, ideal for NCLEX-PN preparation, end-of-course exams, and practical application in clinical rotations. Key nursing systems and topics covered include: Endocrine system: Hormone regulation, thyroid and parathyroid disorders, diabetes insipidus, SIADH, adrenal dysfunction, corticosteroid therapy Renal & Urological care: Nephrotic syndrome, polycystic kidney disease, BPH, TURP, urinary tract infections, renal calculi, dialysis complications Reproductive health: Prostate and testicular cancer, fertility, prostatitis, post-op prostate care, vasectomy education Eye & Ear care: Glaucoma, cataracts, conjunctivitis, hearing loss, visual impairment, medication administration Respiratory system: Asthma, COPD, oxygen therapy, bronchodilators, corticosteroid use, breathing techniques, pulmonary complications Integumentary system: Psoriasis, cellulitis, melanoma, contact dermatitis, herpes zoster, acne, diagnostic skin assessments Mental health and sensory changes: Patient education, psychosocial support, grief related to sensory loss, therapeutic interventions Disaster nursing: Disaster stages, response strategies, psychological reactions, triage awareness, vulnerability assessment The content reflects realistic clinical scenarios and includes accurate pharmacological knowledge, assessment strategies, nursing interventions, patient education tips, and delegation principles. It is ideal for LPN students needing both breadth and depth in their final revision. Recommended for: – Practical Nursing (PN/LPN) programs – Vocational Nursing Schools – NCLEX-PN exam prep – Courses in advanced adult health, med-surg, and clinical application – Community and technical colleges offering nursing diplomas or certificates This all-in-one exam guide provides critical insights into complex nursing care areas and supports success in both academic and clinical settings. Keywords: PNR 309, practical nursing final exam, LPN review, endocrine disorders, renal nursing, reproductive health, respiratory care, glaucoma management, TURP care, asthma nursing, NCLEX-PN prep, disaster nursing, integumentary system, corticosteroids, BPH, COPD management, nursing exam questions

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PNR 309 Final Exam 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+



What is a characteristic that is common to all hormones? - 🧠 ANSWER

✔✔They influence cellular activity of specific target tissues.


A client is receiving radiation therapy for cancer of the kidney. The nurse

monitors the client for signs and symptoms of damage to which of the

following organ(s)? - 🧠 ANSWER ✔✔Adrenal Glands


A client has a serum sodium level of 152 mmol/L. What is the normal

hormonal response to this situation? - 🧠 ANSWER ✔✔Release of ADH


All cells in the body are believed to have intracellular receptors for which of

the following? - 🧠 ANSWER ✔✔Thyroid hormone

,When obtaining subjective data from a client during assessment of the

endocrine system, the nurse asks specifically about which of the following?

- 🧠 ANSWER ✔✔Energy level


What is appropriate technique to use during physical assessment of the

thyroid gland? - 🧠 ANSWER ✔✔Have the client swallow water during

inspection and palpitation of the gland.

Why do endocrine disorders often go unrecognized in older adults? - 🧠

ANSWER ✔✔Symptoms are often attributed to aging.


A client has a total serum calcium level of 0.75 mmol/L. If this finding

reflects hypoparathyroidism, what would the nurse expect further diagnostic

testing to reveal? - 🧠 ANSWER ✔✔Decrease serum PTH


after hypophysectomy for acromegaly, which of the following should be the

focus of post-operative Nursing Care? - 🧠 ANSWER ✔✔frequent monitoring

of serum and urine osmolarity

a client with head injury develops siadh. Which of the following

manifestations of siadh would the nurse expect to find? - 🧠 ANSWER

✔✔low urine output and hyponatremia

,which of the following symptoms would lead the nurse to suspect

Ganondorf removal of the parathyroid glands after thyroid surgery? - 🧠

ANSWER ✔✔hypothermia and tachycardia


important nursing intervention when caring for a client with Cushing's

syndrome? - 🧠 ANSWER ✔✔monitoring blood glucose levels and

protecting the client from exposure to infection

which of the following is an important preoperative nursing intervention

before an adrenalectomy for hyper aldosteronism - 🧠 ANSWER

✔✔administer potassium sparing diuretics


how does the nurse instruct the client who is taking corticosteroids to

control the adverse effects of drug therapy? - 🧠 ANSWER ✔✔increase

calcium intake to 1500 mg per day

what does the nurse teach the client regarding the best time to take

corticosteroids for replacement purposes? - 🧠 ANSWER ✔✔honour rising

and in the late afternoon

The nurse is providing instructions to a client regarding a urine study for

free cortisol. Which of the following instructions is most important to




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, include? - 🧠 ANSWER ✔✔Try to avoid stressful situations during the

collection period.

Which of the following assessment parameters is of highest priority when

caring for a client undergoing a water deprivation test? - 🧠 ANSWER

✔✔Weight


A client has sought care because of a loss of 12 kg over the past 6 months,

during which the client claims to have made no significant dietary changes.

Which of the following disorders is a potential cause of the weight loss? - 🧠

ANSWER ✔✔Thyroid disorder


The surgeon was unable to save a client's parathyroid gland during a

radical thyroidectomy. The nurse should consequently pay particular

attention to which of the following components of the client's laboratory

values? - 🧠 ANSWER ✔✔Calcium levels


A client's recent medical history is indicative of diabetes insipidus. The

nurse would perform client education related to which of the following

diagnostic tests? - 🧠 ANSWER ✔✔Water deprivation test


The nurse is caring for a client admitted with suspected

hyperparathyroidism. Because of the potential effects of this disease on

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