NURS 6512N CASE SJ COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ What is the medical emergency that can result from long-standing
hypothyroidism?.
Answer: Myxedema coma.
◍ 20. What technique should the nurse use to assess for this occurrence?.
Answer: Monitor blood glucose levels during the night and before breakfast.
◍ 25. What is the best response?.
Answer: "Women with gestational diabetes are at high risk for developing
diabetes after pregnancy, but not all will get the disease."
◍ What should be assessed in a patient with suspected hypothyroidism?.
Answer: Appetite, weight gain, fatigue, constipation, heart rate, skin, hair,
nails, swelling, and loss of lateral eyebrows.
◍ 14. Which action should the nurse take first?.
Answer: Administer IV dextrose to a diabetic client with a blood glucose
level of 25 mg/dL.
◍ What is the significance of monitoring blood glucose levels in Addison's
Disease?.
Answer: Patients may experience hypoglycemia due to decreased cortical
hormones.
◍ What are the key components of the stress diagram to study for NURS 115?.
Answer: Clinical manifestations with rationale, acute vs chronic vs PTSD,
GAS & homeostasis, and non-pharmacological treatments.
◍ 13. What is the priority nursing action?.
, Answer: Check Lara's blood glucose.
◍ What is the diagnosis indicated by the signs and symptoms and lab values in
Case Study #1?.
Answer: Primary Adrenal Insufficiency, also known as Addison's Disease.
◍ 21. Which statement by Lara reflects understanding of glycosylated Hgb?.
Answer: "At least I won't have this done again for 3 months. I will really
work at following my diet between now and then."
◍ What is the expected outcome of treatment for Diabetes Insipidus?.
Answer: Normalization of serum and urine osmolality.
◍ What causes the signs and symptoms of Cushing's syndrome?.
Answer: Increased cortisol levels.
◍ 12. Which action should the nurse implement?.
Answer: Encourage Lara to inject the insulin with the needle in place, as
inserted.
◍ What are the signs and symptoms presented by Mrs. Oakley in Case Study
#1?.
Answer: Dry mouth, weight loss, fatigue, diarrhea, hyperpigmentation of
skin, nausea, arthralgia, low blood pressure, and history of cancer.
◍ What is the treatment for Diabetes Insipidus?.
Answer: Desmopressin Acetate (synthetic ADH).
◍ What is the role of ACTH in Addison's Disease?.
Answer: Increased ACTH levels occur due to decreased cortical hormones.
◍ What is the relationship between serum and urine osmolality in Diabetes
Insipidus?.
Answer: High serum osmolality and low urine osmolality due to decreased
ADH.
◍ 19. Once Lara is more alert, what instructions should the nurse provide the
roommate?.
Answer: Give Lara some crackers and milk while waiting for the emergency
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ What is the medical emergency that can result from long-standing
hypothyroidism?.
Answer: Myxedema coma.
◍ 20. What technique should the nurse use to assess for this occurrence?.
Answer: Monitor blood glucose levels during the night and before breakfast.
◍ 25. What is the best response?.
Answer: "Women with gestational diabetes are at high risk for developing
diabetes after pregnancy, but not all will get the disease."
◍ What should be assessed in a patient with suspected hypothyroidism?.
Answer: Appetite, weight gain, fatigue, constipation, heart rate, skin, hair,
nails, swelling, and loss of lateral eyebrows.
◍ 14. Which action should the nurse take first?.
Answer: Administer IV dextrose to a diabetic client with a blood glucose
level of 25 mg/dL.
◍ What is the significance of monitoring blood glucose levels in Addison's
Disease?.
Answer: Patients may experience hypoglycemia due to decreased cortical
hormones.
◍ What are the key components of the stress diagram to study for NURS 115?.
Answer: Clinical manifestations with rationale, acute vs chronic vs PTSD,
GAS & homeostasis, and non-pharmacological treatments.
◍ 13. What is the priority nursing action?.
, Answer: Check Lara's blood glucose.
◍ What is the diagnosis indicated by the signs and symptoms and lab values in
Case Study #1?.
Answer: Primary Adrenal Insufficiency, also known as Addison's Disease.
◍ 21. Which statement by Lara reflects understanding of glycosylated Hgb?.
Answer: "At least I won't have this done again for 3 months. I will really
work at following my diet between now and then."
◍ What is the expected outcome of treatment for Diabetes Insipidus?.
Answer: Normalization of serum and urine osmolality.
◍ What causes the signs and symptoms of Cushing's syndrome?.
Answer: Increased cortisol levels.
◍ 12. Which action should the nurse implement?.
Answer: Encourage Lara to inject the insulin with the needle in place, as
inserted.
◍ What are the signs and symptoms presented by Mrs. Oakley in Case Study
#1?.
Answer: Dry mouth, weight loss, fatigue, diarrhea, hyperpigmentation of
skin, nausea, arthralgia, low blood pressure, and history of cancer.
◍ What is the treatment for Diabetes Insipidus?.
Answer: Desmopressin Acetate (synthetic ADH).
◍ What is the role of ACTH in Addison's Disease?.
Answer: Increased ACTH levels occur due to decreased cortical hormones.
◍ What is the relationship between serum and urine osmolality in Diabetes
Insipidus?.
Answer: High serum osmolality and low urine osmolality due to decreased
ADH.
◍ 19. Once Lara is more alert, what instructions should the nurse provide the
roommate?.
Answer: Give Lara some crackers and milk while waiting for the emergency
