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NR 325 Adult Health II Exam 1 Study Guide 2026 | 150+ Questions and Answers | Endocrine Disorders, Diabetes Mellitus, Renal Failure, Dialysis, Glaucoma, Cataracts & Sensory Disorders | Chamberlain University

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This comprehensive NR 325 Adult Health II Exam 1 study guide contains more than 150 exam-style questions and detailed answers covering major concepts in endocrine, metabolic, renal, ophthalmologic, and sensory system nursing care. Developed for Chamberlain University NR 325 students, the resource provides extensive review material focused on clinical judgment, nursing interventions, diagnostic testing, pharmacology, patient education, and priority nursing care commonly assessed on Adult Health II examinations. The endocrine section provides in-depth coverage of pituitary, thyroid, adrenal, and pancreatic disorders, including diabetes insipidus, hyperthyroidism, hypothyroidism, thyroid storm, myxedema coma, Cushing’s syndrome, and postoperative endocrine management. Students review laboratory interpretation, hormone regulation, diagnostic testing, medication management, radioactive iodine therapy, levothyroxine replacement, methimazole therapy, and recognition of life-threatening endocrine emergencies. The content emphasizes pathophysiology, clinical manifestations, nursing priorities, and evidence-based treatment approaches. A major focus of this document is diabetes mellitus management, including Type 1 diabetes, Type 2 diabetes, diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic syndrome (HHS), insulin administration, glucose monitoring, nutrition therapy, oral antidiabetic medications, glycemic control, and prevention of acute and chronic complications. Students gain practical understanding of insulin pharmacology, hypoglycemia management, diabetic education, lifestyle modification, and interpretation of hemoglobin A1C values. The renal and urinary elimination section covers acute kidney injury (AKI), chronic kidney disease (CKD), nephrolithiasis, pyelonephritis, urinary diagnostics, dialysis therapy, arteriovenous fistulas, electrolyte imbalances, fluid management, acid-base disturbances, and complications associated with renal dysfunction. Emphasis is placed on laboratory interpretation, dialysis preparation and monitoring, renal replacement therapies, medication considerations, and patient safety. Clinical decision-making scenarios reinforce nursing prioritization skills for clients experiencing renal compromise. Additional content addresses ophthalmologic and sensory disorders including glaucoma, cataracts, visual acuity testing, eye medication administration, Meniere’s disease, hearing loss, hearing aid management, vertigo, and ototoxic medications. Students review assessment findings, pharmacologic interventions, postoperative care, communication strategies, preventive care, and patient teaching essential for nursing practice in adult health settings. The study material aligns with evidence-based concepts presented in leading nursing references, including Lewis's Medical-Surgical Nursing, Brunner & Suddarth's Textbook of Medical-Surgical Nursing, and Medical-Surgical Nursing. The content supports mastery of adult health nursing concepts while strengthening clinical reasoning, NCLEX-style test-taking skills, and safe patient care practices. This resource is particularly valuable for students preparing for NR 325 Exam 1, Adult Health II examinations, Medical-Surgical Nursing courses, ATI Medical-Surgical assessments, HESI specialty examinations, and NCLEX-RN preparation. The question-and-answer format promotes active recall, reinforces high-yield concepts, and helps learners identify knowledge gaps before high-stakes nursing examinations. Relevant for: Chamberlain University Nursing Students NR 325 Adult Health II Students Medical-Surgical Nursing Students BSN Students ADN Students Adult Health Nursing Students Endocrine Nursing Students Renal Nursing Students Dialysis Nursing Students Diabetes Care Students ATI Medical-Surgical Preparation Students HESI Preparation Students NCLEX-RN Candidates Clinical Nursing Students Advanced Nursing Assessment Students Keywords: NR 325 exam 1, adult health 2, endocrine disorders, diabetes mellitus, type 1 diabetes, type 2 diabetes, diabetic ketoacidosis, DKA, hyperosmolar hyperglycemic syndrome, HHS, insulin administration, insulin therapy, hemoglobin A1C, glycemic control, diabetes education, diabetes insipidus, hyperthyroidism, hypothyroidism, thyroid storm, myxedema coma, thyroidectomy, radioactive iodine therapy, Cushing syndrome, adrenal disorders, pituitary disorders, hormone regulation, endocrine pharmacology, acute kidney injury, AKI, chronic kidney disease, CKD, renal failure, dialysis, hemodialysis, peritoneal dialysis, arteriovenous fistula, urinary elimination, nephrolithiasis, pyelonephritis, electrolyte imbalances, metabolic acidosis, renal assessment, renal diagnostics, glaucoma, cataracts, visual acuity testing, eye medications, ophthalmology nursing, Meniere disease, hearing loss, vertigo, ototoxic medications, sensory disorders, medical surgical nursing, nursing exam questions, nursing study guide, ATI preparation, HESI review, NCLEX preparation, Chamberlain University

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NR 325 Adult Health 2 Exam 1
2026 Exam Questions and
Answers | Already Graded A+



The nurse is caring for a client with fluid volume deficit. Which hormone

is most likely affecting fluid balance? - ANSWER ✔✔Antidiuretic

hormone (ADH)

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

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