3/29/25, 8:02 NRNP 6550 Final Exam Review |
AM
NRNP 6550 FINAL EXAM REVIEW EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
- Primary adrenal insufficiency is dysfunction of adrenal cortices.
- Secondary adrenal insufficiency is result of insufficient ACTH.
S&S: weakness, fatigue, HA, nausea, hyperpigmented skin (lack of cortisol), sparse
axillary hair, abd pain.
Addison's Disease Diagnose: Abd CT, head CT, Cortrosyn ACTH stim test, pan culture.
Findings: low Na, hyperK, low glucose, elevated ESR, neutropenia, esosiniphilia,
lymphocytosis, hyperCal, low plasma cortisol, elevated BUN, metabolic acidosis.
Treat: NS or D5NS, IV hydrocortisone, electrolyte replacement, monitor for decomp.,
IV abx if indicated.
- Hypercortisolemia (iatrogenic from glucocorticoid use, pituitary tumors, and
ectopic ACTH-secretion from tumors outside of the pituitary).
S&S: round face, obesity/weight gain, hirsutism, HTN, lethargy, menstrual changes,
Cushing's Syndrome abnormal glucose tolerance, decreased libido, striae, acne, EKG abnormalities,
osteopenia, female balding.
Diagnose: ask about steroid-use, 24-hour urine free cortisol test, overnight DST test,
and late-night salivary cortisol test.
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3
AM
NRNP 6550 FINAL EXAM REVIEW EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
- Primary adrenal insufficiency is dysfunction of adrenal cortices.
- Secondary adrenal insufficiency is result of insufficient ACTH.
S&S: weakness, fatigue, HA, nausea, hyperpigmented skin (lack of cortisol), sparse
axillary hair, abd pain.
Addison's Disease Diagnose: Abd CT, head CT, Cortrosyn ACTH stim test, pan culture.
Findings: low Na, hyperK, low glucose, elevated ESR, neutropenia, esosiniphilia,
lymphocytosis, hyperCal, low plasma cortisol, elevated BUN, metabolic acidosis.
Treat: NS or D5NS, IV hydrocortisone, electrolyte replacement, monitor for decomp.,
IV abx if indicated.
- Hypercortisolemia (iatrogenic from glucocorticoid use, pituitary tumors, and
ectopic ACTH-secretion from tumors outside of the pituitary).
S&S: round face, obesity/weight gain, hirsutism, HTN, lethargy, menstrual changes,
Cushing's Syndrome abnormal glucose tolerance, decreased libido, striae, acne, EKG abnormalities,
osteopenia, female balding.
Diagnose: ask about steroid-use, 24-hour urine free cortisol test, overnight DST test,
and late-night salivary cortisol test.
1/
3
