NCLEX CRUSADE ACADEMY TEST - 11 DIABETES INSIPIDA VS SIADG & CUSHING_S

1. Which hormone is primarily responsible for regulating water retention in the kidneys?. Aldosterone. Antidiuretic hormone (ADH). Cortisol. Insulin.

2. ADH is produced in which structure of the brain?. Hypothalamus. Pituitary gland. Pineal gland. Cerebellum.

3. A patient with Diabetes Insipidus will most likely exhibit which symptom?. Oliguria. Severe thirst and polyuria. Weight gain. Fluid overload.

4. Which laboratory finding is expected in Diabetes Insipidus?. Hyponatremia. Low urine output. Hypernatremia. Increased urine specific gravity.

5. Which urine specific gravity finding is consistent with Diabetes Insipidus?. <1.005. 1.020. 1.030. >1.040.

6. Which medication is commonly used to treat Diabetes Insipidus?. Insulin. Desmopressin. Furosemide. Metformin.

7. The primary diagnostic test used to confirm Diabetes Insipidus is: Glucose tolerance test. Water deprivation test. Hemoglobin A1C. Stress test.

8. SIADH results from which physiological abnormality?. Deficient ADH secretion. Excessive ADH secretion. Lack of aldosterone. Increased insulin.

9. A key electrolyte imbalance seen in SIADH is: Hyperkalemia. Hypernatremia. Hyponatremia. Hypercalcemia.

10. Which clinical manifestation is common in SIADH?. Severe dehydration. Weight loss. Fluid volume overload. Excessive urination.

11. What is a priority nursing intervention for SIADH?. Increase oral fluids. Fluid restriction. Administer glucose. Encourage sodium restriction.

12. Which symptom in a patient with SIADH requires immediate attention?. Muscle twitching. Increased appetite. Mild headache. Dry mouth.

13. Addisons disease is caused by deficiency of which hormones?. ADH and insulin. Cortisol and aldosterone. Thyroxine and calcitonin. Growth hormone and prolactin.

14. Which laboratory finding is associated with Addisons disease?. Hyperglycemia. Hypernatremia. Hypoglycemia. Increased cortisol.

15. Which electrolyte imbalance is expected in Addisons disease?. Hyponatremia. Hypernatremia. Hypokalemia. Hypocalcemia.

16. Which physical finding is characteristic of Addisons disease?. Moon face. Bronze skin hyperpigmentation. Truncal obesity. Buffalo hump.

17. Which condition is considered a medical emergency in Addisons disease?. Addisonian crisis. Hyperglycemic crisis. Thyroid storm. Diabetic ketoacidosis.

18. Treatment for Addisonian crisis includes: Oral potassium. IV hydrocortisone. Insulin infusion. Diuretics.

19. Cushings syndrome is characterized by excessive levels of: Insulin. Cortisol. ADH. Growth hormone.

20. Which physical sign is commonly seen in Cushings syndrome?. Severe dehydration. Moon face. Weight loss. Hypotension.

21. Which electrolyte imbalance is associated with Cushings syndrome?. Hyponatremia. Hypernatremia. Hypocalcemia. Hypoglycemia.

22. Which glucose abnormality occurs in Cushings syndrome?. Hypoglycemia. Hyperglycemia. Normal glucose. Severe insulin deficiency.

23. Which body change is associated with Cushings syndrome?. Muscle wasting. Increased muscle mass. Increased hydration. Hyperpigmentation.

24. Which nursing priority is essential when caring for patients with Cushings syndrome?. Infection prevention. Fluid overload therapy. Potassium restriction. Dehydration treatment.

25. A nurse comparing DI and SIADH recognizes which difference?. DI causes fluid retention. SIADH causes polyuria. DI causes dehydration while SIADH causes fluid overload. Both cause hypernatremia.

26. Which vital sign finding is most likely in Addisons disease?. Hypertension. Hypotension. Tachycardia with hypertension. Bradycardia with hypertension.

27. Which vital sign finding is most likely in Cushings syndrome?. Hypotension. Hypertension. Bradycardia. Hypothermia.

28. Which condition is associated with extremely low urine output and concentrated urine?. Diabetes Insipidus. SIADH. Addisons disease. Cushings syndrome.

29. A nurse should expect which urine output in Diabetes Insipidus?. Less than 400 mL/day. Normal output. More than 2000 mL/day. No urine production.

30. Which nursing intervention is appropriate for a patient undergoing a water deprivation test?. Encourage fluid intake. Administer diuretics. Strict NPO with close monitoring. Provide glucose solutions.