NR 325 RENAL PRACTICE 2026 EXAM SCRIPT
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉ The nurse is caring for a client with extreme tachycardia,
diarrhea, weight loss, hypertension, and intolerance to heat. Which
hormone is most likely affecting the client's metabolic rate? Answer:
Triiodothyronine (T3)
◉ The nurse is caring for a client who is prescribed an MRI with
contrast to evaluate the pituitary gland. Which lab value must the
nurse review before testing can occur? Answer: Creatinine level
◉ Jodie's history reveals that she had a total thyroidectomy 3
months ago and is taking levothyroxine. Which serum electrolyte
should be monitored closely following total thyroidectomy? Answer:
Calcium
◉ Which prescriptions should the nurse anticipate in Jodie's
treatment plan following total thyroidectomy? Answer: Closely
monitoring the thyroid-stimulating hormone level
Initiating fall prevention strategies
Increasing levothyroxine dosage
,◉ Which laboratory results does the nurse anticipate when caring
for a client with diabetes insipidus? Answer: Hypernatremia
Increased blood osmolality
◉ A water deprivation test is often used to diagnose diabetes
insipidus. Which assessment finding would indicate a complication
related to testing? Answer: Tachycardia
◉ Which laboratory results support a diagnosis of primary
hyperthyroidism? Answer: Low thyroid-stimulating hormone, high
thyroxine (T4) levels
◉ Which are risk factors for developing hyperthyroidism? Answer:
Toxic nodular goiter
Female gender
Excessive iodine intake
Thyroid Cancer
Pituitary tumors
Throiditis
◉ Which are clinical manifestations expected in hyperthyroidism?
Answer: Diarrhea
Palpitations
Tremors
, Rapid speech
Bulging eyes(Exophthalmos)
Heat intolerance
High metabolism
weight loss, increased appetite
Goiter
◉ hyperthyroidism is at risk for developing Answer: respiratory
alkalosis due to hyperventilation
◉ The healthcare provider prescribes methimazole, and the nurse
prepares discharge teaching. Which statements made by the client
indicate an understanding of teaching? Answer: "I should use
caution around sharp objects and use an electric razor to shave my
legs."
"If I have a sore throat or fever, I will contact my healthcare provider
right away."
"I should start to feel better in about a week or two."
◉ 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.
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉ The nurse is caring for a client with extreme tachycardia,
diarrhea, weight loss, hypertension, and intolerance to heat. Which
hormone is most likely affecting the client's metabolic rate? Answer:
Triiodothyronine (T3)
◉ The nurse is caring for a client who is prescribed an MRI with
contrast to evaluate the pituitary gland. Which lab value must the
nurse review before testing can occur? Answer: Creatinine level
◉ Jodie's history reveals that she had a total thyroidectomy 3
months ago and is taking levothyroxine. Which serum electrolyte
should be monitored closely following total thyroidectomy? Answer:
Calcium
◉ Which prescriptions should the nurse anticipate in Jodie's
treatment plan following total thyroidectomy? Answer: Closely
monitoring the thyroid-stimulating hormone level
Initiating fall prevention strategies
Increasing levothyroxine dosage
,◉ Which laboratory results does the nurse anticipate when caring
for a client with diabetes insipidus? Answer: Hypernatremia
Increased blood osmolality
◉ A water deprivation test is often used to diagnose diabetes
insipidus. Which assessment finding would indicate a complication
related to testing? Answer: Tachycardia
◉ Which laboratory results support a diagnosis of primary
hyperthyroidism? Answer: Low thyroid-stimulating hormone, high
thyroxine (T4) levels
◉ Which are risk factors for developing hyperthyroidism? Answer:
Toxic nodular goiter
Female gender
Excessive iodine intake
Thyroid Cancer
Pituitary tumors
Throiditis
◉ Which are clinical manifestations expected in hyperthyroidism?
Answer: Diarrhea
Palpitations
Tremors
, Rapid speech
Bulging eyes(Exophthalmos)
Heat intolerance
High metabolism
weight loss, increased appetite
Goiter
◉ hyperthyroidism is at risk for developing Answer: respiratory
alkalosis due to hyperventilation
◉ The healthcare provider prescribes methimazole, and the nurse
prepares discharge teaching. Which statements made by the client
indicate an understanding of teaching? Answer: "I should use
caution around sharp objects and use an electric razor to shave my
legs."
"If I have a sore throat or fever, I will contact my healthcare provider
right away."
"I should start to feel better in about a week or two."
◉ 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.
