NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
What are some nursing interventions for a patient in a hyperglycemic state? -
Correct Answer-VS, hemodynamic monitoring, I/Os, labs (CBC and electrolytes),
jugular vein flat/collapsed, large bore IV (or central line), fluid replacement,
vasopressors, BS checks, serum and urine ketones, ABGs, anion gap, assess LOC,
Kussmaul respirations, initiate insulin therapy, identify etiology, learning needs,
and deficits
What is important to know regarding insulin therapy? - Correct Answer-insulin
therapy varies with continuous drips and sliding scales to SQ sliding scales, but do
not need to memorize any particular doses
What two organs are at risk with microvascular disease? - Correct Answer-retina
(eyes) and kidneys
What are acute care implications for peripheral vascular disease and increased risk
for infection in the patient in hyperglycemic crisis? - Correct Answer-development
of pressure ulcers, infection, gangrene, or possible amputation
What are some common precipitating factors of hypoglycemic crisis in the
critically ill patient? - Correct Answer-tachycardia, palpitations, hunger, sweating,
nervous/anxiety, tremors, cold/clammy skin, hyperventilation, tingling extremities,
N/V, slowed thinking, change in mental status, emotional lability, headache,
dizziness, slurred speech, loss of coordination/proprioception, numbness,
drowsiness, convulsions, coma
1|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
What two factors influence the type of symptoms that predominate in the patient
experiencing hypoglycemic crisis? - Correct Answer-the rate of onset and patient's
age
What interventions are major goals for the patient experiencing a hypoglycemic
crisis? - Correct Answer-rapid restoration of intravascular fluid levels and normal
BS levels, treat the underlying cause
What 4 collaborative interventions are recommended for the hospitalized patient
who is experiencing acute onset mental alterations or hypoglycemia? - Correct
Answer-ABCs, IV access, side-lying position, STAT blood glucose level,
policy/procedure per agency
What are some nursing interventions for conscious patients with hypoglycemia? -
Correct Answer-glucose replacement, assess safety of medication administration,
repeat BS Q15 until normal and then as ordered, monitor for relapse, encourage
meals/snacks, report episodes, document occurrences/assessments/interventions
What are some nursing interventions for unconscious patients with
hypoglycemia? - Correct Answer-glucose replacement (IV bolus of D5W, IV glucose
infusion, or glucagon IM, BS Q30 and as ordered, monitor LOC and VS, report
episodes, and document occurence/assesments/interventions
What are dextrose and glucagon used for? - Correct Answer-hypoglycemia
treatment
2|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
What is the difference between dextrose and glucagon? - Correct Answer-
glucagon stimulates glucose production, where dextrose directly increases BS
What is the normal dose for dextrose? - Correct Answer-15-20g for mild, or 0.5-
1g/kg in IV D5W if altered LOC
What is the normal dose for glucagon? - Correct Answer-1-2 mg SQ or IV
What are some side effects of dextrose? - Correct Answer-hyperglycemia
What are some side effects of glucagon? - Correct Answer-N/V, hypersensitivity
reaction
What are some nursing implications of dextrose? - Correct Answer-BS checks,
hypoglycemia reactions
What is thyroid storm? - Correct Answer-severe exacerbation of hyperthyroidism
What conditions cause thyroid storm? - Correct Answer-acute illness, infection,
withdrawal of antithyroid medications, surgery
What is a thyroid storm characterized by? - Correct Answer-severe agitation, high
fever, tachyarrhythmias, heart failure (with high CO), shock, coma, death
3|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
What are some signs/symptoms of a thyroid storm? - Correct Answer-lethargy,
goiter, heart failure, a-fib/flutter, tremor, diaphoresis, diarrhea, elevated LFTs,
psychosis, high T3/T4, decreased TSH
What are treatment strategies for thyroid storm? - Correct Answer-decrease TSH
production, inhibit T4 to T3 conversion, block effects of metabolically active
thyroid hormone
What are some interventions for a thyroid storm? - Correct Answer-antipyretics,
aggressive fluid resuscitation to replace excessive fluid loss, nutritional support,
monitor for liver dysfunction, jaundice, LFTs, agranulycotosis
What medication classes are give to a patient with thyroid storm? - Correct
Answer-beta blockers, iodine therapy, glucocorticoids
What is a myxedema coma? - Correct Answer-severe form of hypothyroidism
What are some characteristics of myxedema coma? - Correct Answer-altered
mental status from lethargy to psychosis, hypothermia, bradycardia, hypotension,
hypoventilation, hyponatremia, hypoglycemia
How is myxedema coma treated? - Correct Answer-IV thyroid hormone, passive
warming, fluid resuscitation, vasopressors, positive pressure ventilator support, IV
glucose, adrenal hormone replacement (glucocorticoids)
What are some factors that contribute to hyperglycemia? - Correct Answer-
increased cortisol production, release of cytokines/mediators in response to
4|Page
NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
What are some nursing interventions for a patient in a hyperglycemic state? -
Correct Answer-VS, hemodynamic monitoring, I/Os, labs (CBC and electrolytes),
jugular vein flat/collapsed, large bore IV (or central line), fluid replacement,
vasopressors, BS checks, serum and urine ketones, ABGs, anion gap, assess LOC,
Kussmaul respirations, initiate insulin therapy, identify etiology, learning needs,
and deficits
What is important to know regarding insulin therapy? - Correct Answer-insulin
therapy varies with continuous drips and sliding scales to SQ sliding scales, but do
not need to memorize any particular doses
What two organs are at risk with microvascular disease? - Correct Answer-retina
(eyes) and kidneys
What are acute care implications for peripheral vascular disease and increased risk
for infection in the patient in hyperglycemic crisis? - Correct Answer-development
of pressure ulcers, infection, gangrene, or possible amputation
What are some common precipitating factors of hypoglycemic crisis in the
critically ill patient? - Correct Answer-tachycardia, palpitations, hunger, sweating,
nervous/anxiety, tremors, cold/clammy skin, hyperventilation, tingling extremities,
N/V, slowed thinking, change in mental status, emotional lability, headache,
dizziness, slurred speech, loss of coordination/proprioception, numbness,
drowsiness, convulsions, coma
1|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
What two factors influence the type of symptoms that predominate in the patient
experiencing hypoglycemic crisis? - Correct Answer-the rate of onset and patient's
age
What interventions are major goals for the patient experiencing a hypoglycemic
crisis? - Correct Answer-rapid restoration of intravascular fluid levels and normal
BS levels, treat the underlying cause
What 4 collaborative interventions are recommended for the hospitalized patient
who is experiencing acute onset mental alterations or hypoglycemia? - Correct
Answer-ABCs, IV access, side-lying position, STAT blood glucose level,
policy/procedure per agency
What are some nursing interventions for conscious patients with hypoglycemia? -
Correct Answer-glucose replacement, assess safety of medication administration,
repeat BS Q15 until normal and then as ordered, monitor for relapse, encourage
meals/snacks, report episodes, document occurrences/assessments/interventions
What are some nursing interventions for unconscious patients with
hypoglycemia? - Correct Answer-glucose replacement (IV bolus of D5W, IV glucose
infusion, or glucagon IM, BS Q30 and as ordered, monitor LOC and VS, report
episodes, and document occurence/assesments/interventions
What are dextrose and glucagon used for? - Correct Answer-hypoglycemia
treatment
2|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
What is the difference between dextrose and glucagon? - Correct Answer-
glucagon stimulates glucose production, where dextrose directly increases BS
What is the normal dose for dextrose? - Correct Answer-15-20g for mild, or 0.5-
1g/kg in IV D5W if altered LOC
What is the normal dose for glucagon? - Correct Answer-1-2 mg SQ or IV
What are some side effects of dextrose? - Correct Answer-hyperglycemia
What are some side effects of glucagon? - Correct Answer-N/V, hypersensitivity
reaction
What are some nursing implications of dextrose? - Correct Answer-BS checks,
hypoglycemia reactions
What is thyroid storm? - Correct Answer-severe exacerbation of hyperthyroidism
What conditions cause thyroid storm? - Correct Answer-acute illness, infection,
withdrawal of antithyroid medications, surgery
What is a thyroid storm characterized by? - Correct Answer-severe agitation, high
fever, tachyarrhythmias, heart failure (with high CO), shock, coma, death
3|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
What are some signs/symptoms of a thyroid storm? - Correct Answer-lethargy,
goiter, heart failure, a-fib/flutter, tremor, diaphoresis, diarrhea, elevated LFTs,
psychosis, high T3/T4, decreased TSH
What are treatment strategies for thyroid storm? - Correct Answer-decrease TSH
production, inhibit T4 to T3 conversion, block effects of metabolically active
thyroid hormone
What are some interventions for a thyroid storm? - Correct Answer-antipyretics,
aggressive fluid resuscitation to replace excessive fluid loss, nutritional support,
monitor for liver dysfunction, jaundice, LFTs, agranulycotosis
What medication classes are give to a patient with thyroid storm? - Correct
Answer-beta blockers, iodine therapy, glucocorticoids
What is a myxedema coma? - Correct Answer-severe form of hypothyroidism
What are some characteristics of myxedema coma? - Correct Answer-altered
mental status from lethargy to psychosis, hypothermia, bradycardia, hypotension,
hypoventilation, hyponatremia, hypoglycemia
How is myxedema coma treated? - Correct Answer-IV thyroid hormone, passive
warming, fluid resuscitation, vasopressors, positive pressure ventilator support, IV
glucose, adrenal hormone replacement (glucocorticoids)
What are some factors that contribute to hyperglycemia? - Correct Answer-
increased cortisol production, release of cytokines/mediators in response to
4|Page
