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NUR 265 EXAM 3 LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A patient is being admitted with a diagnosis of Cushing syndrome.
Which finding will the nurse expect during the assessment?
a. Chronically low blood pressure
b. Bronzed appearance of the skin
c. Purplish streaks on the abdomen
d. Decreased axillary and pubic hair - ANSWER-ANS: C
Purplish-red striae on the abdomen are a common clinical
manifestation of Cushing syndrome. Hypotension and
bronzed-appearing skin are manifestations of Addison's
disease. Decreased axillary and pubic hair occur with
androgen deficiency.
A patient with Cushing syndrome is admitted for an
adrenalectomy. Which information would likely help the patient
cope with a disturbed body image related to changes in
appearance?
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a. Reassure the patient that the physical changes are very
common in patients with
Cushing syndrome.
b. Discuss the use of diet and exercise in controlling the weight
gain associated with
Cushing syndrome.
c. Teach the patient that the metabolic impact of Cushing
syndrome is of more
importance than appearance.
d. Remind the patient that most of the physical changes caused
by Cushing syndrome
will resolve after surgery. - ANSWER-ANS: D
The most reassuring and accurate communication to the
patient is that the physical and emotional changes caused by
the Cushing syndrome will resolve after hormone levels
return to normal postoperatively. Reassurance that the
physical changes are expected or that there are more serious
physiologic problems associated with Cushing syndrome
minimize the patient's concerns. The patient's physiological
changes are caused by the high hormone levels, not by the
patient's diet or exercise choices.
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Which finding indicates to the nurse that the current therapies are
effective for a patient who has acute adrenal insufficiency?
a. Increasing serum sodium levels
b. Decreasing blood glucose levels
c. Decreasing serum chloride levels
d. Increasing serum potassium levels - ANSWER-ANS: A
Clinical manifestations of Addison's disease include
hyponatremia and an increase in sodium level indicates
improvement. The other values indicate that treatment has
not been effective.
The nurse admits a patient to the hospital in Addisonian crisis.
Which patient statement supports the need to plan additional
teaching?
a. "I frequently eat at restaurants, and my food has a lot of added
salt."
b. "I had the flu earlier this week, so I couldn't take the
hydrocortisone."
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c. "I always double my dose of hydrocortisone on the days that I
go for a long run."
d. "I take twice as much hydrocortisone in the morning dose as I
do in the afternoon." - ANSWER-ANS: B
The need for hydrocortisone replacement is increased with
stressors such as illness, and the patient needs to be taught
to call the health care provider because medication and IV
fluids and electrolytes may need to be given. The other
patient statements indicate appropriate management of the
Addison's disease.
A patient with systemic lupus erythematosus has been prescribed
2 weeks of high-dose prednisone therapy. Which information
about the prednisone is most important for the nurse to include?
a. "Weigh yourself daily to monitor for weight gain."
b. "The prednisone dose should be decreased gradually."
c. "A weight-bearing exercise program will help minimize risk for
osteoporosis."
d. "Call the health care provider if you have mood changes with
the prednisone." - ANSWER-ANS: B
NUR 265 EXAM 3 LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A patient is being admitted with a diagnosis of Cushing syndrome.
Which finding will the nurse expect during the assessment?
a. Chronically low blood pressure
b. Bronzed appearance of the skin
c. Purplish streaks on the abdomen
d. Decreased axillary and pubic hair - ANSWER-ANS: C
Purplish-red striae on the abdomen are a common clinical
manifestation of Cushing syndrome. Hypotension and
bronzed-appearing skin are manifestations of Addison's
disease. Decreased axillary and pubic hair occur with
androgen deficiency.
A patient with Cushing syndrome is admitted for an
adrenalectomy. Which information would likely help the patient
cope with a disturbed body image related to changes in
appearance?
,2|Page
a. Reassure the patient that the physical changes are very
common in patients with
Cushing syndrome.
b. Discuss the use of diet and exercise in controlling the weight
gain associated with
Cushing syndrome.
c. Teach the patient that the metabolic impact of Cushing
syndrome is of more
importance than appearance.
d. Remind the patient that most of the physical changes caused
by Cushing syndrome
will resolve after surgery. - ANSWER-ANS: D
The most reassuring and accurate communication to the
patient is that the physical and emotional changes caused by
the Cushing syndrome will resolve after hormone levels
return to normal postoperatively. Reassurance that the
physical changes are expected or that there are more serious
physiologic problems associated with Cushing syndrome
minimize the patient's concerns. The patient's physiological
changes are caused by the high hormone levels, not by the
patient's diet or exercise choices.
,3|Page
Which finding indicates to the nurse that the current therapies are
effective for a patient who has acute adrenal insufficiency?
a. Increasing serum sodium levels
b. Decreasing blood glucose levels
c. Decreasing serum chloride levels
d. Increasing serum potassium levels - ANSWER-ANS: A
Clinical manifestations of Addison's disease include
hyponatremia and an increase in sodium level indicates
improvement. The other values indicate that treatment has
not been effective.
The nurse admits a patient to the hospital in Addisonian crisis.
Which patient statement supports the need to plan additional
teaching?
a. "I frequently eat at restaurants, and my food has a lot of added
salt."
b. "I had the flu earlier this week, so I couldn't take the
hydrocortisone."
, 4|Page
c. "I always double my dose of hydrocortisone on the days that I
go for a long run."
d. "I take twice as much hydrocortisone in the morning dose as I
do in the afternoon." - ANSWER-ANS: B
The need for hydrocortisone replacement is increased with
stressors such as illness, and the patient needs to be taught
to call the health care provider because medication and IV
fluids and electrolytes may need to be given. The other
patient statements indicate appropriate management of the
Addison's disease.
A patient with systemic lupus erythematosus has been prescribed
2 weeks of high-dose prednisone therapy. Which information
about the prednisone is most important for the nurse to include?
a. "Weigh yourself daily to monitor for weight gain."
b. "The prednisone dose should be decreased gradually."
c. "A weight-bearing exercise program will help minimize risk for
osteoporosis."
d. "Call the health care provider if you have mood changes with
the prednisone." - ANSWER-ANS: B
