NR 325 EXAM 1 2025/2026 QUESTIONS AND
VERIFIED ANSWERS GRADED A+
CHAMBERLAIN
What disorder causes low serum osmolality?
A. SIADH
B. DI
A. SIADH
What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI
B. DI (because you are peeing out all of the H2O)
What sound is indicative of a post-op thyroidectomy pt declining rapidly?
Stridor (upper airway obstruction)
What would a pt experience with a thyroidectomy? What medication would they be on?
Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
,Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss; what do they
have?
Hyperthyroidism
Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt experiencing?
Myxedema coma
What conditions would cause the pt to have high BP?
SIADH
Hyperthyroidism
What condition would cause a low urine specific gravity?
DI (<1.005)
What causes low levels of T3, T4, and high levels of TSH?
Hypothyroidism
A pt is urinating 19L a day and constantly drinking; what condition do they have?
DI
, What condition do you treat with desmopressin?
DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What condition do you treat with IV diuretics?
SIADH (because of fluid retention)
What is the antidote for CT dye and Tylenol?
Mucomyst (acetylcysteine)
What is the antidote for heparin?
Protamine sulphate
What disorders cause an increase in adverse effects when taking synthroid?
Cardiovascular disorders (because synthroid increases metabolism which increases risk for MI, etc)
Does blood pressure decrease or increase during a thyroid storm?
BP increases (because of a spike in metabolism)
VERIFIED ANSWERS GRADED A+
CHAMBERLAIN
What disorder causes low serum osmolality?
A. SIADH
B. DI
A. SIADH
What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI
B. DI (because you are peeing out all of the H2O)
What sound is indicative of a post-op thyroidectomy pt declining rapidly?
Stridor (upper airway obstruction)
What would a pt experience with a thyroidectomy? What medication would they be on?
Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
,Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss; what do they
have?
Hyperthyroidism
Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt experiencing?
Myxedema coma
What conditions would cause the pt to have high BP?
SIADH
Hyperthyroidism
What condition would cause a low urine specific gravity?
DI (<1.005)
What causes low levels of T3, T4, and high levels of TSH?
Hypothyroidism
A pt is urinating 19L a day and constantly drinking; what condition do they have?
DI
, What condition do you treat with desmopressin?
DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What condition do you treat with IV diuretics?
SIADH (because of fluid retention)
What is the antidote for CT dye and Tylenol?
Mucomyst (acetylcysteine)
What is the antidote for heparin?
Protamine sulphate
What disorders cause an increase in adverse effects when taking synthroid?
Cardiovascular disorders (because synthroid increases metabolism which increases risk for MI, etc)
Does blood pressure decrease or increase during a thyroid storm?
BP increases (because of a spike in metabolism)
