Nurse 623 Exam 2 Study Guide Latest Update
2025-2026 Exam Questions with 100% Verified
Correct Answers Guaranteed A+
Addisons diagnostics - CORRECT ANSWER: plasma cortisol level ( am level >3)
ACTH>200
Diagnosed with confirmed cosyntropin stim test
Addisons Disease - CORRECT ANSWER: Failure of adrenals to produce hormones due
to autoimmune destruction of adrenal cortex
women 30-60
Secondary causes: TB, HIV, chronic steroid use
followed by stressful event
Addisons pt education and follow up - CORRECT ANSWER: ED:know implications of
addisonian crisis
see PCP during times of illness due to additional needs od corticosteroid theraphy
F/U: endocrinologist
Addisons treatment - CORRECT ANSWER: Hydrocortisone15-30 in 2 divided dosed
use prednisone in those who cannot tolerate hydro
if physiological stressors give IM or IV q6 hr
mineralcorticoids (florinef)
, Complications of treatment with Hypothyroidism - CORRECT ANSWER: if untreated
myexedema....
Complications of untreated cushings - CORRECT ANSWER:
Cushings Diagnostics - CORRECT ANSWER:
Cushings follow up - CORRECT ANSWER: Monthly x1 year and then evry 6 months
Refer for surgical intervention
Primary secretion of ACTH
Adrenocorticol tumors
Ectopic ACTH production
Cushings patient education - CORRECT ANSWER: -S/s of undertreatment
-take cortisone with food
-wear med alert bracelet if on high dose steroids
-avoid excess salt and low fat diet
-weekly glucose check (more if stressed)
-weekly BP
-Fall prevention due to risk of osteoporosis
- Monitor for GI bleed
-report return fo symptoms post surgical tx
Cushings syndrome - CORRECT ANSWER:
2025-2026 Exam Questions with 100% Verified
Correct Answers Guaranteed A+
Addisons diagnostics - CORRECT ANSWER: plasma cortisol level ( am level >3)
ACTH>200
Diagnosed with confirmed cosyntropin stim test
Addisons Disease - CORRECT ANSWER: Failure of adrenals to produce hormones due
to autoimmune destruction of adrenal cortex
women 30-60
Secondary causes: TB, HIV, chronic steroid use
followed by stressful event
Addisons pt education and follow up - CORRECT ANSWER: ED:know implications of
addisonian crisis
see PCP during times of illness due to additional needs od corticosteroid theraphy
F/U: endocrinologist
Addisons treatment - CORRECT ANSWER: Hydrocortisone15-30 in 2 divided dosed
use prednisone in those who cannot tolerate hydro
if physiological stressors give IM or IV q6 hr
mineralcorticoids (florinef)
, Complications of treatment with Hypothyroidism - CORRECT ANSWER: if untreated
myexedema....
Complications of untreated cushings - CORRECT ANSWER:
Cushings Diagnostics - CORRECT ANSWER:
Cushings follow up - CORRECT ANSWER: Monthly x1 year and then evry 6 months
Refer for surgical intervention
Primary secretion of ACTH
Adrenocorticol tumors
Ectopic ACTH production
Cushings patient education - CORRECT ANSWER: -S/s of undertreatment
-take cortisone with food
-wear med alert bracelet if on high dose steroids
-avoid excess salt and low fat diet
-weekly glucose check (more if stressed)
-weekly BP
-Fall prevention due to risk of osteoporosis
- Monitor for GI bleed
-report return fo symptoms post surgical tx
Cushings syndrome - CORRECT ANSWER:
