American Association of Critical-Care Nurses (AACN) Certification Practice Test

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What symptom is associated with excessive hunger according to the "TIRED" acronym?

  1. Hyperglycemia

  2. Hypoglycemia

  3. Normal glycemia

  4. Dehydration

The correct answer is: Hypoglycemia

Excessive hunger is primarily associated with hypoglycemia, which is a condition characterized by abnormally low blood glucose levels. When blood sugar levels drop, the body sends signals to the brain indicating the need for more glucose, leading to feelings of intense hunger. This response is part of the body's mechanism to restore normal glycemic levels and ensure that there is enough energy available for vital functions. In contrast, hyperglycemia refers to high blood sugar levels, which typically do not produce the same intense feeling of hunger; instead, individuals may experience other symptoms such as increased thirst and frequent urination. Normal glycemia would indicate stable blood sugar levels, thus not triggering excess hunger. Dehydration can also lead to feelings of hunger as the body misinterprets thirst signals, but it is not directly associated with the TIRED acronym, which highlights the relationship between hypoglycemia and increased appetite.