NSG 4800 -Comp Latest Exam with All
Correct Answers 2025-2026 Updated.
hyperthyroidism - Answer Causes: Graves, Thyroiditis
Symptoms: Heat intolerance, tachycardia, weight loss, increased systolic BP, Goiter
Treatment: PTU, Methamazole (pregnant?), radioactive iodine therapy, thyroidectomy
thyroidectomy - Answer keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm - Answer Symptoms: fever (1 degree elevated is an emergency), Tachycardia,
Systolic hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling blankets
hypothyroidism - Answer causes: autoimmune disease, medications, and thyroid surgery
symptoms: cold intolerance, weight gain, dry skin, brittle nails and hair, hair loss, constipation
treatment: levothyroxine (Synthroid) go low and slow, am in the morning 30 mins before meals,
do not take fiber, monitor for chest pain
mxydema coma - Answer Causes: stopping levothyroxine, surgery, chemo, acute illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV glucose
hyperparathyroidism - Answer Causes: Primary (adenoma, hyperplasia, or cancerous tumor)
Secondary (severe calcium deficit, vitamin D deficiency, Chronic kidney failure)
Symptoms: hypercalcemia, epigastric pain, bone weakness
Treatment: Diuretic and hydration (NS, Furosemide, Bumetanide) Calcitonin, oral phosphate
hypoparathyroidism - Answer Causes: Neck surgery, cancer radiation to the neck, low
magnesium
Symptoms: Hypocalcemia (CATS), Larynospasms, hypomagnesemia, hyperphosphatemia,
seizures
Treatment: decrease stimuli, calcium gluconate, calcitriol, NO milk, yogurt, or processed cheese,
ADD dark green leafy vegetables
, SIADH - Answer Causes: brain tumors, head trauma, meningitis, Gullian barre, encephalitis
Symptoms: ALOT of fluid, LOW sodium
Treatment: fluid restrictions, furosemide, 3% NS, IV Conivaptan, PO Tolvaptan
DI - Answer Causes: craniotomy, falls/car accidents
Symptoms: ALOT of sodium, LOW fluids, increased thirst, up to 20L urine/day
Treatment: replace fluids, monitor output, vasopressin, desmopressin DDVAP (nasal spray)
Addison's disease - Answer causes: TB, glucocorticosteroids, infections
symptoms: LOW bs and BP, HIGH HR, sodium, potassium, shock
Treatment: 3% hypertonic NS, replace hydrocortisone, solumedrol IS A PRIORITY
addisonian crisis - Answer Causes: precipitated by physical or emotional stress, the sudden
withdrawal of hormone.
Treatment: hyperkalemia replacement, hormone replacement
cushings syndrome - Answer Causes: Corticosteroid therapy (COPD, asthma, RA, MS, Lupus),
pituitary tumor
Symptoms: moon face, buffalo hump, thin skin, muscle atrophy
Treatment: Surgical removal of the adrenal gland, low sodium diet, decrease in corticosteroid
use
phenochromocytoma - Answer Causes: catecholamine-producing tumor
Symptoms: HTN, palpitation, diaphoresis, flushing, impending doom
Treatment: DO NOT PALPATE ABDOMEN, don't smoke or drink, avoid foods high in tyramine (red
wine, dried meat, chocolate, and cheese)
dig toxicity - Answer >2
halo vision, n/v, EKG change
digibind is the antidote
elderly pts (decreased renal and liver fxn) and CCBs
Burns - Answer Rule of nines
foley (more than 30mL/hr)
IV meds only
Fluid resuscitation immediately
Correct Answers 2025-2026 Updated.
hyperthyroidism - Answer Causes: Graves, Thyroiditis
Symptoms: Heat intolerance, tachycardia, weight loss, increased systolic BP, Goiter
Treatment: PTU, Methamazole (pregnant?), radioactive iodine therapy, thyroidectomy
thyroidectomy - Answer keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside
thyroid storm - Answer Symptoms: fever (1 degree elevated is an emergency), Tachycardia,
Systolic hypertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling blankets
hypothyroidism - Answer causes: autoimmune disease, medications, and thyroid surgery
symptoms: cold intolerance, weight gain, dry skin, brittle nails and hair, hair loss, constipation
treatment: levothyroxine (Synthroid) go low and slow, am in the morning 30 mins before meals,
do not take fiber, monitor for chest pain
mxydema coma - Answer Causes: stopping levothyroxine, surgery, chemo, acute illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV glucose
hyperparathyroidism - Answer Causes: Primary (adenoma, hyperplasia, or cancerous tumor)
Secondary (severe calcium deficit, vitamin D deficiency, Chronic kidney failure)
Symptoms: hypercalcemia, epigastric pain, bone weakness
Treatment: Diuretic and hydration (NS, Furosemide, Bumetanide) Calcitonin, oral phosphate
hypoparathyroidism - Answer Causes: Neck surgery, cancer radiation to the neck, low
magnesium
Symptoms: Hypocalcemia (CATS), Larynospasms, hypomagnesemia, hyperphosphatemia,
seizures
Treatment: decrease stimuli, calcium gluconate, calcitriol, NO milk, yogurt, or processed cheese,
ADD dark green leafy vegetables
, SIADH - Answer Causes: brain tumors, head trauma, meningitis, Gullian barre, encephalitis
Symptoms: ALOT of fluid, LOW sodium
Treatment: fluid restrictions, furosemide, 3% NS, IV Conivaptan, PO Tolvaptan
DI - Answer Causes: craniotomy, falls/car accidents
Symptoms: ALOT of sodium, LOW fluids, increased thirst, up to 20L urine/day
Treatment: replace fluids, monitor output, vasopressin, desmopressin DDVAP (nasal spray)
Addison's disease - Answer causes: TB, glucocorticosteroids, infections
symptoms: LOW bs and BP, HIGH HR, sodium, potassium, shock
Treatment: 3% hypertonic NS, replace hydrocortisone, solumedrol IS A PRIORITY
addisonian crisis - Answer Causes: precipitated by physical or emotional stress, the sudden
withdrawal of hormone.
Treatment: hyperkalemia replacement, hormone replacement
cushings syndrome - Answer Causes: Corticosteroid therapy (COPD, asthma, RA, MS, Lupus),
pituitary tumor
Symptoms: moon face, buffalo hump, thin skin, muscle atrophy
Treatment: Surgical removal of the adrenal gland, low sodium diet, decrease in corticosteroid
use
phenochromocytoma - Answer Causes: catecholamine-producing tumor
Symptoms: HTN, palpitation, diaphoresis, flushing, impending doom
Treatment: DO NOT PALPATE ABDOMEN, don't smoke or drink, avoid foods high in tyramine (red
wine, dried meat, chocolate, and cheese)
dig toxicity - Answer >2
halo vision, n/v, EKG change
digibind is the antidote
elderly pts (decreased renal and liver fxn) and CCBs
Burns - Answer Rule of nines
foley (more than 30mL/hr)
IV meds only
Fluid resuscitation immediately
