NU189 Exam 4 Review with Correct
Answers Graded A+ 2026
Hyperpituitary -Correct Answer ✔-Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism -Correct Answer ✔-Never fuses (elongated bones)
Acromegaly (enlarged bones) -Correct Answer ✔-enlargement of the extremities
Hypopituitary -Correct Answer ✔-Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances -Correct Answer ✔-S/S of hyperpituitary
Test to diagnose Cushing disease -Correct Answer ✔-Dexamethasone suppression
test
Steps for a dexamethasone test -Correct Answer ✔-NPO
Blood specimen collected (1st thing)
Pheochromcytoma -Correct Answer ✔-tumor of the adrenal medulla
S/S of pheochromcytoma -Correct Answer ✔-Severe HTN & tachycardia
,Catecholamine (EPI & NONEPI) -Correct Answer ✔-What is secreted from a
pheochromcytoma
SIADH (soaked inside) -Correct Answer ✔-Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH -Correct Answer ✔-JVD, crackles, ABD distention
Increased specific gravity -Correct Answer ✔-Fluid overload
Drop in urine specific gravity -Correct Answer ✔-Fluid overload
Treatment for SIADH -Correct Answer ✔-Tolvaptan
DI (dry inside) (primary DI) -Correct Answer ✔-Decreased production of ADH
(dilute urine)
Secondary DI -Correct Answer ✔-TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI -Correct Answer ✔-Excessive fluid intake
Nephrogenic DI -Correct Answer ✔-kidneys don't respond properly to ADH
Drug related DI -Correct Answer ✔-Lithium, demeclocycline
S/S OF DI -Correct Answer ✔-Dehydration
For someone with DI, check vital signs for -Correct Answer ✔-Tachycardia and
hypotension
, Treatment for DI -Correct Answer ✔-DDAVP (desmopressin)
Therapeutic response for DI -Correct Answer ✔-Decrease urine output
Hallmark sign of DI -Correct Answer ✔-polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember
peak hours so check in 3 hours) -Correct Answer ✔-1000
Why are DM patients prone to infection -Correct Answer ✔-Elevated glucose
increase the chance for bacteria growth
Normal HgbA1c -Correct Answer ✔-Less than 7 is good
PRIORITY for someone with retinopathy -Correct Answer ✔-Make sure BG is
maintained
Things to do for those with retinopathy -Correct Answer ✔-Eye exam
Adequate light to see
Do you apply heat or cold to skin if you have neuropathy -Correct Answer ✔-No!
What does a person who is stressed expect -Correct Answer ✔-Hyperglycemia
Addison therapeutic treatment -Correct Answer ✔-Hypernatremia
With hypernatremia remember -Correct Answer ✔-Everything is decreased except
K+
Cushing is at risk of infection due to -Correct Answer ✔-Low cortisol
Answers Graded A+ 2026
Hyperpituitary -Correct Answer ✔-Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism -Correct Answer ✔-Never fuses (elongated bones)
Acromegaly (enlarged bones) -Correct Answer ✔-enlargement of the extremities
Hypopituitary -Correct Answer ✔-Dehydration
Addison (secondary)
amenorrhea
Headaches
Visual disturbances -Correct Answer ✔-S/S of hyperpituitary
Test to diagnose Cushing disease -Correct Answer ✔-Dexamethasone suppression
test
Steps for a dexamethasone test -Correct Answer ✔-NPO
Blood specimen collected (1st thing)
Pheochromcytoma -Correct Answer ✔-tumor of the adrenal medulla
S/S of pheochromcytoma -Correct Answer ✔-Severe HTN & tachycardia
,Catecholamine (EPI & NONEPI) -Correct Answer ✔-What is secreted from a
pheochromcytoma
SIADH (soaked inside) -Correct Answer ✔-Excessive amounts ADH (fluid overload)
S/s of fluid over load due SIADH -Correct Answer ✔-JVD, crackles, ABD distention
Increased specific gravity -Correct Answer ✔-Fluid overload
Drop in urine specific gravity -Correct Answer ✔-Fluid overload
Treatment for SIADH -Correct Answer ✔-Tolvaptan
DI (dry inside) (primary DI) -Correct Answer ✔-Decreased production of ADH
(dilute urine)
Secondary DI -Correct Answer ✔-TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI -Correct Answer ✔-Excessive fluid intake
Nephrogenic DI -Correct Answer ✔-kidneys don't respond properly to ADH
Drug related DI -Correct Answer ✔-Lithium, demeclocycline
S/S OF DI -Correct Answer ✔-Dehydration
For someone with DI, check vital signs for -Correct Answer ✔-Tachycardia and
hypotension
, Treatment for DI -Correct Answer ✔-DDAVP (desmopressin)
Therapeutic response for DI -Correct Answer ✔-Decrease urine output
Hallmark sign of DI -Correct Answer ✔-polyuria (increased urine)
When a pt receives regular insulin when to check to hypoglycemia (remember
peak hours so check in 3 hours) -Correct Answer ✔-1000
Why are DM patients prone to infection -Correct Answer ✔-Elevated glucose
increase the chance for bacteria growth
Normal HgbA1c -Correct Answer ✔-Less than 7 is good
PRIORITY for someone with retinopathy -Correct Answer ✔-Make sure BG is
maintained
Things to do for those with retinopathy -Correct Answer ✔-Eye exam
Adequate light to see
Do you apply heat or cold to skin if you have neuropathy -Correct Answer ✔-No!
What does a person who is stressed expect -Correct Answer ✔-Hyperglycemia
Addison therapeutic treatment -Correct Answer ✔-Hypernatremia
With hypernatremia remember -Correct Answer ✔-Everything is decreased except
K+
Cushing is at risk of infection due to -Correct Answer ✔-Low cortisol
