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NU 185 Exam 4 (100+ Q&A) – Med-Surg II | Endocrine, Renal, Diabetes Management, Hemodialysis | Truman State University

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This document features 100+ expertly answered questions for NU 185: Med-Surg II – Exam 4, following the 2025/2026 curriculum at Truman State University. It is a complete and accurate study tool covering advanced medical-surgical nursing topics, with emphasis on endocrine and renal disorders, and diabetes management. The format is concise and exam-focused, designed for last-minute revision and high retention of critical nursing knowledge. Topics include: – Endocrine system disorders: Addison’s, Cushing’s, hyper/hypoparathyroidism, acromegaly, pheochromocytoma – Diabetes management: insulin types, oral hypoglycemics (sulfonylureas, biguanides, TZDs, etc.), hypoglycemia vs. hyperglycemia, sick-day protocols – Thyroid and parathyroid care: postoperative airway management, calcium metabolism, vitamin D interactions – Renal system disorders: glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, dialysis care (hemodialysis access types and maintenance) – Drug safety and pharmacology: prednisone, gentamicin, hydralazine, metformin, insulin administration and IV compatibility – Substance abuse management: alcohol and narcotic withdrawal, detox protocols, critical safety interventions – Patient safety and nursing priorities: airway management, infection control, dietary restrictions, emergency assessment (ABCDE & mnemonics) This guide is especially valuable for: – Nursing students in Med-Surg II, Advanced Adult Health, or Endocrine and Renal System Care – Learners preparing for unit exams, HESI, ATI, or NCLEX-RN – Nurses reviewing high-stakes clinical concepts related to endocrinology, nephrology, and diabetes care Presented in a high-yield Q&A format, the document is based on real clinical reasoning scenarios, current standards of care, and pharmacological considerations—ideal for both visual learners and clinical thinkers. Keywords: NU 185, Med-Surg II, endocrine disorders, renal disorders, diabetes management, insulin types, Addison’s, Cushing’s, dialysis care, thyroidectomy, NCLEX prep, prednisone, glomerulonephritis, nephrotic syndrome, metformin, insulin peak times, sick day rules, pheochromocytoma, alcohol withdrawal, nursing priorities, Truman State University

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NU 185: Med-Surge II EXAM 4 2025/2026
Exam Questions and Answers | 100%
Solved



A client is admitted for removal of a goiter. Which nursing intervention

should receive priority during the postoperative period? *Exam Cram

Endocrine - 🧠 ANSWER ✔✔Assessing the Clients Airway


A client is admitted for treatment of hypoparathyroidism. Based on the

client's diagnosis, the nurse would anticipate an order for? *Exam Cram

Endocrine - 🧠 ANSWER ✔✔Calcium


A client with Addison's Disease will most likely exhibit which symptom?

*Exam Cram Endocrine - 🧠 ANSWER ✔✔Bronze Pigmentation


A client w/ Cushing's Syndrome should be instructed to? *Exam Cram

Endocrine - 🧠 ANSWER ✔✔Limit the Sodium in her DIet

,The client w/ a suspected pituitary tumor will most likely exhibit symptoms

of? *Exam Cram Endocrine - 🧠 ANSWER ✔✔Alteration in Visual Acuity


A diabetic client has been maintained on GLucophage (Metformin) for

regulation of his blood glucose levels. Which teaching should be included in

the plan of care? *Exam Cram Endocrine - 🧠 ANSWER ✔✔Report changes

in Urinary Pattern

A client w/ diabetes experiences Somogyi's effect. To prevent this

complication, the nurse should instruct the client to? *Exam Cram

Endocrine - 🧠 ANSWER ✔✔Eat a protein and carbohydrate snack at

bedtime

Which item should be kept at the bedside of a client who has just returned

from having a thyroidectomy? *Exam Cram Endocrine - 🧠 ANSWER ✔✔A

tracheostomy set

Which vitamin is directly involved in the metabolism of the hormones

secreted by the parathyroid? *Exam Cram Endocrine - 🧠 ANSWER

✔✔Vitamin D


A client w/ acromegaly will most likely experience which symptom? *Exam

Cram Endocrine - 🧠 ANSWER ✔✔Bone Pain

, A diabetic client is taking Lantus Insulin for regulation of his blood glucose

levels. The nurse should know that this insulin will most likely be

administered? *Exam Cram Endocrine - 🧠 ANSWER ✔✔At Night


A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/ diabetes

mellitus. The nurse would expect that these symptoms are r/t? *Exam

Cram Endocrine - 🧠 ANSWER ✔✔Hyperglycemia


Which laboratory test conducted on the client w/ Diabetes Mellitus indicates

compliance? *Exam Cram Endocrine - 🧠 ANSWER ✔✔Hgb A-1C


A client hospitalized with acute glomerulonephritis has a positive ASO titer.

The nurse understands that the client's current illness is due to a... *Exam

Cram Renal - 🧠 ANSWER ✔✔Prior Bacterial Infection


The physician has prescribed hydralazine (Apresoline) for a client with

acute glomerulonephritis. Which finding indicates that the drug is having

the desired effect? *Exam Cram Renal - 🧠 ANSWER ✔✔The clients bp has

decreased

A client with acute glomerulonephritis requests a snack. Which snack is

suitable given the client's dietary restrictions? *Exam Cram Renal - 🧠

ANSWER ✔✔Applesauce

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