NUR 332 EXAM 4 | PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE NCLEX NURSING
STUDY GUIDE 2026/2027
After a hypophysectomy for acromegaly, immediate postoperative nursing care should focus on
a. frequent monitoring of serum and urine osmolarity.
b. parenteral administration of a GH-receptor antagonist.
c. keeping the patient in a recumbent position at all times.
d. patient teaching about the need for lifelong hormone therapy. - correct answer ✔✔a.
frequent monitoring of serum and urine osmolarity.
The health care provider prescribes levothyroxine for a patient with hypothyroidism. After
teaching about this drug, the nurse determines that further instruction is needed when the
patient says
a. "I can expect the medication dose may need to be adjusted."
b. "I only need to take this drug until my symptoms are improved."
c. "I can expect to return to normal function with the use of this drug."
d. "I will report any chest pain or difficulty breathing to the doctor right away." - correct answer
✔✔b. "I only need to take this drug until my symptoms are improved."
A patient with a head injury develops SIADH. Manifestations the nurse would expect to find
include
a. hypernatremia and edema.
b. muscle spasticity and hypertension.
c. low urine output and hyponatremia.
,d. weight gain and decreased glomerular filtration rate. - correct answer ✔✔c. low urine output
and hyponatremia.
After thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the
patient develops
a. muscle weakness and weight loss.
b. hyperthermia and severe tachycardia.
c. hypertension and difficulty swallowing.
d. laryngospasms and tingling in the hands and feet. - correct answer ✔✔d. laryngospasms and
tingling in the hands and feet.
Important nursing intervention(s) when caring for a patient with Cushing syndrome include
(select all that apply)
a. restricting protein intake.
b. monitoring blood glucose levels.
c. observing for signs of hypotension.
d. administering medication in equal doses.
e. protecting patient from exposure to infection. - correct answer ✔✔b. monitoring blood
glucose levels.
e. protecting patient from exposure to infection.
An important preoperative nursing intervention before an adrenalectomy for
hyperaldosteronism is to
a. monitor blood glucose levels.
b. restrict fluid and sodium intake.
,c. administer potassium-sparing diuretics.
d. advise the patient to make postural changes slowly. - correct answer ✔✔c. administer
potassium-sparing diuretics.
To control the side effects of corticosteroid therapy, the nurse teaches the patient who is taking
corticosteroids to
a. increase calcium intake to 1500 mg/day.
b. perform glucose monitoring for hypoglycemia.
c. obtain immunizations due to high risk for infections.
d. avoid abrupt position changes because of orthostatic hypotension. - correct answer ✔✔a.
increase calcium intake to 1500 mg/day.
During the postoperative care of a 76-year-old patient, the nurse monitors the patient's intake
and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances
primarily because
a. older adults have an impaired thirst mechanism and need reminding to drink fluids.
b. water accounts for a greater percentage of body weight in the older adult than in younger
adults.
c. older adults are more likely than younger adults to lose extracellular fluid during surgical
procedures.
d. small losses of fluid are significant because body fluids account for 45% to 50% of body
weight in older adults. - correct answer ✔✔d. small losses of fluid are significant because body
fluids account for 45% to 50% of body weight in older adults.
During administration of a hypertonic IV solution, the mechanism involved in equalizing the
fluid concentration between ECF and the cells is
, a. osmosis.
b. diffusion.
c. active transport.
d. facilitated diffusion - correct answer ✔✔a. osmosis.
An older woman is admitted to the medical unit with GI bleeding. Assessment findings that
indicate fluid volume deficit include (select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure. - correct answer ✔✔a. weight loss.
b. dry oral mucosa.
e. decreased central venous pressure.
The nursing care for a patient with hyponatremia and fluid volume excess includes
a. fluid restriction.
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. placement of an indwelling urinary catheter. - correct answer ✔✔a. fluid restriction.
The nurse should be alert for which manifestations in a patient receiving a loop diuretic?
a. Restlessness and agitation
STUDY GUIDE 2026/2027
After a hypophysectomy for acromegaly, immediate postoperative nursing care should focus on
a. frequent monitoring of serum and urine osmolarity.
b. parenteral administration of a GH-receptor antagonist.
c. keeping the patient in a recumbent position at all times.
d. patient teaching about the need for lifelong hormone therapy. - correct answer ✔✔a.
frequent monitoring of serum and urine osmolarity.
The health care provider prescribes levothyroxine for a patient with hypothyroidism. After
teaching about this drug, the nurse determines that further instruction is needed when the
patient says
a. "I can expect the medication dose may need to be adjusted."
b. "I only need to take this drug until my symptoms are improved."
c. "I can expect to return to normal function with the use of this drug."
d. "I will report any chest pain or difficulty breathing to the doctor right away." - correct answer
✔✔b. "I only need to take this drug until my symptoms are improved."
A patient with a head injury develops SIADH. Manifestations the nurse would expect to find
include
a. hypernatremia and edema.
b. muscle spasticity and hypertension.
c. low urine output and hyponatremia.
,d. weight gain and decreased glomerular filtration rate. - correct answer ✔✔c. low urine output
and hyponatremia.
After thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the
patient develops
a. muscle weakness and weight loss.
b. hyperthermia and severe tachycardia.
c. hypertension and difficulty swallowing.
d. laryngospasms and tingling in the hands and feet. - correct answer ✔✔d. laryngospasms and
tingling in the hands and feet.
Important nursing intervention(s) when caring for a patient with Cushing syndrome include
(select all that apply)
a. restricting protein intake.
b. monitoring blood glucose levels.
c. observing for signs of hypotension.
d. administering medication in equal doses.
e. protecting patient from exposure to infection. - correct answer ✔✔b. monitoring blood
glucose levels.
e. protecting patient from exposure to infection.
An important preoperative nursing intervention before an adrenalectomy for
hyperaldosteronism is to
a. monitor blood glucose levels.
b. restrict fluid and sodium intake.
,c. administer potassium-sparing diuretics.
d. advise the patient to make postural changes slowly. - correct answer ✔✔c. administer
potassium-sparing diuretics.
To control the side effects of corticosteroid therapy, the nurse teaches the patient who is taking
corticosteroids to
a. increase calcium intake to 1500 mg/day.
b. perform glucose monitoring for hypoglycemia.
c. obtain immunizations due to high risk for infections.
d. avoid abrupt position changes because of orthostatic hypotension. - correct answer ✔✔a.
increase calcium intake to 1500 mg/day.
During the postoperative care of a 76-year-old patient, the nurse monitors the patient's intake
and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances
primarily because
a. older adults have an impaired thirst mechanism and need reminding to drink fluids.
b. water accounts for a greater percentage of body weight in the older adult than in younger
adults.
c. older adults are more likely than younger adults to lose extracellular fluid during surgical
procedures.
d. small losses of fluid are significant because body fluids account for 45% to 50% of body
weight in older adults. - correct answer ✔✔d. small losses of fluid are significant because body
fluids account for 45% to 50% of body weight in older adults.
During administration of a hypertonic IV solution, the mechanism involved in equalizing the
fluid concentration between ECF and the cells is
, a. osmosis.
b. diffusion.
c. active transport.
d. facilitated diffusion - correct answer ✔✔a. osmosis.
An older woman is admitted to the medical unit with GI bleeding. Assessment findings that
indicate fluid volume deficit include (select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure. - correct answer ✔✔a. weight loss.
b. dry oral mucosa.
e. decreased central venous pressure.
The nursing care for a patient with hyponatremia and fluid volume excess includes
a. fluid restriction.
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. placement of an indwelling urinary catheter. - correct answer ✔✔a. fluid restriction.
The nurse should be alert for which manifestations in a patient receiving a loop diuretic?
a. Restlessness and agitation
