NSG 4100 Knowledge test Exam Toolkit Questions and
Verified Marking Scheme 2024/2025
CM of Addisonian Crisis - correct answer Severe HTN, Cyanosis, Fever, N/V , signs of
shock , pallor, Inc. HR, Hypoglycemic
PT Teaching for Cushings - correct answer RF infection - HAND HYGINE
RF injury- Osteoporosis, muscle wasting, slow healing skin
Diet- low calorie, high protein
Exercise but not to point of exhaustion
Falls- well lit areas, no rugs or cords, shoes on
diabetes insipidus fluids - correct answer PT W DI DIES NOT GET FLUIS
RESTRICTION
When do you notify MD if pt is getting a fluid restriction test - correct answer
tachycardia, weight loss of 3-5%, HTN
Sick Day Rules - correct answer test BG and urine Ketones Q3-4 Hrs
report elevation to MD
Take insulin Q3-4
Drink Fluids every 0.5-1 Hr
Report N/V and Diarrhea
Sub Soft Foods 6-8X Daily
, Microalbuminuria is a CM of what - correct answer Diabetic Nephropathy (Check
annually)
Nephropathy Teaching - correct answer HTN control (ACE inhibitor)
Prevention of UTI
Avoid nephrotoxic drugs and contrast dyes
Adjust med dosage as kidney function changes
Low sodium/ Low protein Diet
Pheochromocytoma - correct answer hypersecretion of epi/norepi. persistent HTN,
increased HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress, frequent
bathing and rest breaks, avoid cold and stimulating foods (surgery to remove tumor)
DKA patient care NI - correct answer fluid replacement
Electrolyte monitoring (every hour)
Foley Cath to measure strict I&O
Monitor Potassium and Glucose (Add to IV fluids PRN)
Hypoaldosteronism / Addisons Labs - correct answer High K
High WBC
Low sugar
Low Salt
Hypotension
Whos at risk of Addisonian Crisis - correct answer Abrupt stop of corticosteroids
Addison Crisis Late vs Early S/S - correct answer Early- Severe hypotension ,
cyanosis, fever, N/V, Shock
Late- Palloe, headache, Abd pain, Diarrhea
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