NR 325 RENAL PRACTICE 2026 ACTUAL EXAM
PAPER FULL SOLVED QUESTIONS AND
ANSWERS 100 PERCENT CORRECT
◉ The nurse is caring for a client admitted to the intensive care unit
with thyroid storm following a thyroidectomy. Answer: Monitor the
temperature closely as an increase indicates a worsening condition.
Use cooled saline and ice packs to lower temperature.
◉ Which complications is the client at risk for developing due to
acute thyrotoxicosis? Answer: Cardiogenic shock
Stroke
High-output heart failure
Seizures
◉ Patient scheduled to receive radioactive iodine therapy. In
preparation for the procedure, the nurse provides education to limit
radiation exposure to family members. Which statements made by
the client indicate an understanding of the teaching? Answer: "I
should avoid preparing food for others in my family."
"I will flush the toilet at least twice after using the bathroom."
"I should sleep in the guest room for about one week after
treatment."
,◉ received radioactive iodine therapy yesterday. He calls the clinic to
report mouth dryness and throat irritation. Which action taken by
the nurse is correct? Answer: Recommend salt and soda water
gargles for the next 3 days.
◉ Which laboratory results support a diagnosis of primary
hypothyroidism? Answer: High thyroid-stimulating hormone, low
thyroxine (T4) level
◉ Which clinical manifestations are expected in hypothyroidism?
Answer: Slurred speech
Forgetfulness
Constipation
Fatigue and weakness
◉ The nurse is caring for a client admitted to the intensive care unit
with myxedema coma. Answer: Apply telemetry leads and closely
monitor for cardiac dysrhythmias.
Observe the client for signs of infection.
◉ Nevaeh is ready for discharge. Until laboratory values return to
normal, the client is instructed to eat a diet low in iodine. Which
foods should the nurse teach Nevaeh to avoid until the next follow-
, up appointment? Answer: seaweed, dairy like Greek yogurt, eggs,
beef liver, and chicken.
◉ A client with hypothyroidism is started on levothyroxine and
instructed to record daily weights. Which instruction should the
nurse provide to the client? Answer: "You should weigh yourself in
the early morning before breakfast."
◉ Which laboratory result supports a diagnosis of Cushing's
syndrome? Answer: Increased plasma cortisol in response to
dexamethasone administration
◉ What are risk factors for developing Cushing's syndrome?
Answer: Pituitary adenoma
Adrenal tumor
Long-term use of prednisone
Women 20 and 40 years
◉ Which clinical manifestations are expected in hypercortisolism?
Answer: Compression fractures
Weight gain
Truncal obesity
Cervical area fat deposits
Hyperglycemia
PAPER FULL SOLVED QUESTIONS AND
ANSWERS 100 PERCENT CORRECT
◉ The nurse is caring for a client admitted to the intensive care unit
with thyroid storm following a thyroidectomy. Answer: Monitor the
temperature closely as an increase indicates a worsening condition.
Use cooled saline and ice packs to lower temperature.
◉ Which complications is the client at risk for developing due to
acute thyrotoxicosis? Answer: Cardiogenic shock
Stroke
High-output heart failure
Seizures
◉ Patient scheduled to receive radioactive iodine therapy. In
preparation for the procedure, the nurse provides education to limit
radiation exposure to family members. Which statements made by
the client indicate an understanding of the teaching? Answer: "I
should avoid preparing food for others in my family."
"I will flush the toilet at least twice after using the bathroom."
"I should sleep in the guest room for about one week after
treatment."
,◉ received radioactive iodine therapy yesterday. He calls the clinic to
report mouth dryness and throat irritation. Which action taken by
the nurse is correct? Answer: Recommend salt and soda water
gargles for the next 3 days.
◉ Which laboratory results support a diagnosis of primary
hypothyroidism? Answer: High thyroid-stimulating hormone, low
thyroxine (T4) level
◉ Which clinical manifestations are expected in hypothyroidism?
Answer: Slurred speech
Forgetfulness
Constipation
Fatigue and weakness
◉ The nurse is caring for a client admitted to the intensive care unit
with myxedema coma. Answer: Apply telemetry leads and closely
monitor for cardiac dysrhythmias.
Observe the client for signs of infection.
◉ Nevaeh is ready for discharge. Until laboratory values return to
normal, the client is instructed to eat a diet low in iodine. Which
foods should the nurse teach Nevaeh to avoid until the next follow-
, up appointment? Answer: seaweed, dairy like Greek yogurt, eggs,
beef liver, and chicken.
◉ A client with hypothyroidism is started on levothyroxine and
instructed to record daily weights. Which instruction should the
nurse provide to the client? Answer: "You should weigh yourself in
the early morning before breakfast."
◉ Which laboratory result supports a diagnosis of Cushing's
syndrome? Answer: Increased plasma cortisol in response to
dexamethasone administration
◉ What are risk factors for developing Cushing's syndrome?
Answer: Pituitary adenoma
Adrenal tumor
Long-term use of prednisone
Women 20 and 40 years
◉ Which clinical manifestations are expected in hypercortisolism?
Answer: Compression fractures
Weight gain
Truncal obesity
Cervical area fat deposits
Hyperglycemia
