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NR 325 Exam 1 Study Guide 2026 | 300+ Expert-Verified Questions and Answers | Endocrine Disorders, Diabetes Mellitus, Neurological Disorders, Stroke, Parkinson’s, Alzheimer’s & Spinal Cord Injuries | Chamberlain University

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This comprehensive NR 325 Exam 1 Study Guide contains more than 300 expert-verified practice questions and answers covering the most frequently tested concepts in Adult Health II nursing. Designed for Chamberlain University NR 325 students, this resource provides extensive review material focused on endocrine function, diabetes mellitus management, neurological assessment, intracranial disorders, seizure disorders, cerebrovascular accidents, neurodegenerative diseases, and spinal cord injuries. The content emphasizes clinical reasoning, nursing priorities, diagnostic interpretation, pharmacologic management, patient education, and NCLEX-style application of medical-surgical nursing concepts. The endocrine and diabetes section provides an in-depth review of insulin physiology, counterregulatory hormones, diabetes mellitus pathophysiology, diagnostic criteria, glycemic control, insulin therapy, oral antidiabetic medications, dietary management, exercise recommendations, hypoglycemia treatment, diabetic complications, and long-term disease prevention strategies. Students gain a detailed understanding of Type 1 and Type 2 diabetes, diabetic ketoacidosis (DKA), blood glucose monitoring, insulin administration, insulin pumps, carbohydrate management, and evidence-based patient teaching required for safe diabetes care. The neurological assessment portion thoroughly reviews cranial nerve assessment, Glasgow Coma Scale interpretation, sensory and motor examinations, lumbar punctures, diagnostic imaging, electroencephalography (EEG), and intracranial pressure monitoring. Particular emphasis is placed on recognizing neurological deterioration, interpreting assessment findings, and implementing timely nursing interventions for patients with acute neurological emergencies. The material also explores increased intracranial pressure (ICP), cerebral edema, brain injuries, skull fractures, concussions, and neurological trauma management. A major focus of this study guide is neurological disease management, including bacterial meningitis, seizure disorders, epilepsy, stroke, transient ischemic attacks (TIA), Parkinson’s disease, Alzheimer’s disease, and spinal cord injuries. Students review disease etiology, risk factors, pathophysiology, clinical manifestations, diagnostic testing, pharmacologic therapies, rehabilitation strategies, and nursing management. High-yield concepts such as tPA administration, stroke recognition, seizure precautions, Parkinson’s pharmacotherapy, dementia progression, and autonomic dysreflexia are presented in an exam-focused format that supports clinical judgment development. The stroke and neurological emergency content provides extensive coverage of ischemic and hemorrhagic strokes, transient ischemic attacks, intracranial pressure management, neurological assessment findings, rehabilitation goals, and interdisciplinary care. Students learn to identify early warning signs, prioritize emergency interventions, interpret diagnostic findings, and implement evidence-based nursing care to reduce disability and improve patient outcomes. The material also reinforces critical concepts related to patient safety, neurological monitoring, and post-stroke recovery. This document aligns closely with evidence-based concepts presented in leading medical-surgical 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 competencies while strengthening clinical reasoning, prioritization skills, and preparation for nursing examinations and clinical practice. This study resource is especially valuable for students preparing for NR 325 Exam 1, Adult Health II examinations, ATI Medical-Surgical Nursing assessments, HESI specialty examinations, NCLEX-RN preparation, and comprehensive nursing pharmacology and pathophysiology reviews. The structured question-and-answer format promotes active recall, reinforces high-yield content, 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 NCLEX-RN Candidates ATI Medical-Surgical Preparation Students HESI Preparation Students Endocrine Nursing Students Diabetes Management Students Neurological Nursing Students Stroke Care Students Critical Care Nursing Students Rehabilitation Nursing Students Clinical Nursing Students Keywords: NR 325 exam 1, adult health 2, endocrine system, diabetes mellitus, type 1 diabetes, type 2 diabetes, diabetes management, insulin therapy, insulin administration, insulin pump, hypoglycemia, hyperglycemia, diabetic ketoacidosis, DKA, hemoglobin A1C, blood glucose monitoring, oral antidiabetic medications, metformin, sulfonylureas, diabetes complications, diabetic neuropathy, diabetic nephropathy, diabetic retinopathy, endocrine disorders, neurological assessment, cranial nerves, Glasgow Coma Scale, lumbar puncture, electroencephalography, EEG, intracranial pressure, increased ICP, head injury, concussion, skull fracture, bacterial meningitis, seizure disorders, epilepsy, seizure precautions, stroke, ischemic stroke, hemorrhagic stroke, transient ischemic attack, TIA, tPA therapy, stroke rehabilitation, Parkinson disease, Alzheimer disease, dementia, autonomic dysreflexia, spinal cord injury, neurogenic bladder, neurogenic bowel, neurogenic skin, neurological emergencies, medical surgical nursing, clinical judgment, nursing exam questions, nursing study guide, ATI preparation, HESI review, NCLEX preparation, Chamberlain University

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Endocrine System Function - ANSWER ✔✔Produce hormones and

secrete them directly into the bloodstream


Insulin - ANSWER ✔✔Regulator of metabolism and storage of

ingested carbohydrates, fats, and proteins (anabolic or storage

hormone).

Facilitates glucose transport across cell membranes


Counterregulatory Hormones - ANSWER ✔✔Oppose the effects of

insulin, and increase blood glucose levels. They provide a regulated

,release of glucose for energy, and help maintain normal blood glucose

levels.

Ex: glucagon, epinephrine, growth hormone, cortisol


Glucagon - ANSWER ✔✔Normally produced by pancreatic alpha

cells when blood sugar is low to raise blood glucose levels. In diabetes

II, glucagon is still produced, but because there is so much insulin, our

pancreas doesn't respond normally.


Diabetes Mellitus - ANSWER ✔✔A chronic, multi-system disease

related to abnormal insulin production, impaired insulin utilization, or

both. There is no cure, but diabetic complications can be delayed or

prevented with good management. African Americans, Hispanic/Latino

Americans, and Native Americans have a higher incidence of diabetes.


Diabetes Complications - ANSWER ✔✔Diabetes is the leading cause

of adult blindness, end-stage renal failure, and non-traumatic lower limb

amputations. It is also a major contributing factor to heart disease and

stroke.


Gerontologic Considerations with Diabetes - ANSWER ✔✔Diabetes

prevalence increases with age related to reduced B-cell function,

decreased insulin sensitivity (!!), and altered carb metabolism.

Undiagnosed and untreated diabetes is more common in older adults,

,partly due to the normal physiologic changes of aging resembling that of

DM.

Diabetes is present in at least 25% of people over age 65.


Diabetes Type I Epidemiology - ANSWER ✔✔Formerly known as

"juvenile onset" or "insulin dependent" diabetes.

Most often occurs in people under 40 years old, and accounts for 5-10%

of all people with diabetes.

Has a sudden onset.

It is an autoimmune disease, in which B-cells responsible for insulin

production are destroyed. A genetic predisposition and exposure to a

virus are factors that may contribute to the development of DM I.

Autoantibody are produced and destroy B-cells. Manifestations occur

after the pancreas is unable to produced insulin, and symptoms are

rapid. Usually patients present to ER with DKA.


Diabetes Type I Classic Symptoms - ANSWER ✔✔Polyuria


Polydipsia

Polyphagia

Weight loss




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, Prediabetes - ANSWER ✔✔Known as impaired glucose tolerance

(IGT) or impaired fasting glucose (IFG).


Prediabetes Labs - ANSWER ✔✔IFG: fasting glucose levels 100-126

mg/dl

IGT: 2 hour plasma glucose 140-199 mg/dl

A1C: in the range of 5.7-6.4%


A1C Lab - ANSWER ✔✔It is a test that determines how well your

glucose was stabilized within the last three months.

If you have a high A1C, that means you have had high glucose levels in

the last 3 months


Diabetes Type II Etiology - ANSWER ✔✔Probably has a genetic

basis.

A genetic mutation leading to insulin resistance, and as the disease

progresses, less insulin production. There is also an increased risk for

obesity.

Obesity is the most powerful risk factor, especially obesity with an

increased waist circumference.

Type II DM is now being seen in children due to epidemic of childhood

obesity.

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