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NSG320/ NSG 320 Exam 1 (Latest 2026/2027 Update) | Complete Exam Questions with Verified Answers and Detailed Rationales | Nursing Process, Physical Assessment, Vital Signs & Pain, Hyperthyroidism, Hypothyroidism, Thyroid Storm, Myxedema Coma, RAI Therap

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INSTANT PDF DOWNLOAD This comprehensive EXAM resource for NSG 320 Exam 1 at Grand Canyon University covers Glucose Regulation, Diabetes Mellitus, and Thyroid Disorders for the 2026/2027 academic year, based on the official exam blueprint . The blueprint allocates 38% of the exam to Endocrine Disorders (Topics 1) which includes 10 questions on nursing management, 3 on pharmacology, 2 on pathophysiology/clinical manifestations/diagnostics, and 2 on outcome evaluation . Topic 2 (28%) covers Fluid and Electrolyte Imbalances and Perioperative Care . Topic 3 (34%) covers Respiratory Disorders . It features exam-style questions with verified answers and detailed rationales covering prediabetes (FBG 100-125 mg/dL, A1C 5.7-6.4%), diagnostic criteria for diabetes mellitus (A1C ≥6.5%, FBG ≥126 mg/dL, 2-hour OGTT ≥200 mg/dL, random glucose ≥200 mg/dL with symptoms), microvascular complications (retinopathy, peripheral neuropathy, nephropathy), somogyi effect (morning hyperglycemia due to nighttime hypoglycemia + rebound, treatment with bedtime snack or reduced insulin dose), dawn phenomenon (morning hyperglycemia due to normal hormone elevation, treatment with increased insulin dose or adjusted administration time) , the "3 P's" of Type 1 DM (polyuria, polydipsia, polyphagia) with associated weight loss, DKA with fruity breath and ketosis , insulin types (rapid-acting: onset 10-30 min, peak 30 min-3 hr; short-acting: onset 30-60 min; intermediate-acting NPH: must be gently rolled, cloudy appearance; long-acting: glargine, detemir) , sick day management (I SICK mnemonic: Increase fluids, Sugar testing q4h, Insulin always taken, Continue meals, Check Ketones for type 1), foot care (wash daily, pat dry between toes, use lanolin, cut nails straight across, avoid heat/cold, leather shoes preferred, no commercial callus remov

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NSG 320 Exam 1: (Latest 2026/2027 Update) Nursing Process, Physical
Assessment, Vital Signs, & Pain | Q&A | Grade A | 100% Correct (Verified
Answers) – Nursing Program

Subject: NSG 320 – Medical-Surgical Nursing / Health Assessment

Source: NSG 320 Exam 1 Blueprint 2026/2027 Format: Q&A Guide with Rationale | Verified Grade A


1. What are the steps of the nursing process?
Correct Answer: Assessment, Analysis/Diagnosis, Planning, Implementation, Evaluation (ADPIE)
1. Assessment: collect subjective/objective data. Diagnosis: analyze data to identify problems.
2. Planning: set goals and interventions. Implementation: perform interventions. Evaluation: assess outcomes.
3. Cyclical process; revise plan based on evaluation.

2. What is the definition of a general survey?
Correct Answer: Initial observation of the patient's overall presentation and behaviors at first contact; covers
general health state and obvious physical characteristics
1. Begins when you first encounter the person (before touching).
2. Includes appearance, behavior, body structure, mobility, speech, and mood.
3. Provides baseline and guides focused assessment.

3. What is the normal adult temperature range?
Correct Answer: 98.6°F (37°C) – range varies 97-99°F
1. Fever >100.4°F (38°C); hypothermia <95°F (35°C).
2. Influenced by time of day (morning lower), age, activity, hormones, environment.
3. Measurement sites: oral, axillary (lowest), rectal (highest), tympanic, temporal.

4. What is the normal adult pulse rate range?
Correct Answer: 60-100 bpm
1. Tachycardia >100 bpm (causes: fever, pain, hypovolemia, hypoxia, exercise, medications).
2. Bradycardia <60 bpm (causes: hypothermia, beta-blockers, athletes, sleep).
3. Assess rate (bpm), rhythm (regular/irregular), strength (bounding/weak).

5. What is the normal adult respiratory rate range?
Correct Answer: 12-20 breaths per minute
1. Tachypnea >20/min (pain, fever, shock, pulmonary disease).
2. Bradypnea <12/min (drugs, metabolic disorder, head injury, sleep).
3. Respiratory rate is the earliest indicator of patient deterioration.

6. What is the normal adult blood pressure range?
Correct Answer: 120/80 mmHg (normal)
1. Hypotension: systolic <90 mmHg (blood loss, dehydration, shock).
2. Elevated BP: 120-129/<80; Stage 1 HTN: 130-139/80-89; Stage 2: ≥140/90.
3. Hypertensive crisis: >180 and/or >120 (requires immediate treatment).

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