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The NSG 451 Endocrine Exam 4 Preparation (2025/2026 Updated Edition) is a focused, high-yield review resource designed to prepare BSN nursing students for comprehensive assessment of endocrine system disorders commonly tested in Adult Health Nursing cours

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The NSG 451 Endocrine Exam 4 Preparation (2025/2026 Updated Edition) is a focused, high-yield review resource designed to prepare BSN nursing students for comprehensive assessment of endocrine system disorders commonly tested in Adult Health Nursing courses. This preparation guide emphasizes pathophysiologic mechanisms, clinical manifestations, diagnostics, nursing interventions, and priority management, ensuring readiness for both course exams and NCLEX-style assessments. This updated question bank with verified answers mirrors real Exam 4 difficulty and structure, prioritizing clinical application and critical thinking over memorization. Content aligns with current nursing education standards and evidence-based clinical guidelines relevant to endocrine care.

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Institution
NSG 451
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NSG 451

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Uploaded on
December 20, 2025
Number of pages
23
Written in
2025/2026
Type
Exam (elaborations)
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Page |1



NSG 451 – ENDOCRINE (EXAM 4)
PREPARATION: 2025/2026 UPDATED
QUESTIONS WITH VERIFIED ANSWERS



What system controls and regulates
- energy production
- growth
- fluid and electrolyte balance
- stress response
- sexual development - ANSWERS ✔
✔endocrine


How does the endocrine system regulate
everything? - ANSWERS ✔ ✔secreting
hormones

, Page |2




When do endocrine glands develop? -
ANSWERS ✔ ✔first trimester of gestation


_____________ cannot fully regulate fluid
concentration, electrolytes, amino acids,
glucose, and trace substances - ANSWERS ✔
✔infants


What s/s may these indicate:
- high and dry
- increased urination
- hypernatremia
- serum osmolality > 300 mOsm/kg
- urine spec gravity < 1.005
- decreased urine osmolality

, Page |3


- dehydration, thirst
- under secretion of ADH - ANSWERS ✔
✔diabetes insipidus


What s/s may these indicate:
- low and wet
- decreased urination
- hyponatremia
- serum osmolality < 280 mOsm/kg
- urine spec gravity > 1.030
- increased urine osmolality
- fluid retention, weight gain, increased BP
- hypersecretion of ADH - ANSWERS ✔ ✔SIADH
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