ADULT HEALTH CJE EXAM
FREQUENTLY ASKED
QUESTIONS WITH VERIFIED
SOLUTIONS 100% CORRECT
2026/2027 STUDY
OSMOLALITY
AMOUNT OF PARTICLES WITHIN A FLUID CONTRIBUTING TO A FLUID'S CONCENTRATION
- HIGH OSMOLALITY: HYPERTONIC SOLUTION
- BALANCED OSMOLALITY: ISOTONIC SOLUTION
- LOW OSMOLALITY: HYPOTONIC SOLUTION
HYDROSTATIC PRESSURE
A FORCE PRESSING OUTWARD AGAINST A SURFACE
OSMOTIC PRESSURE
AN INWARD PULLING PRESSURE TOWARDS A HIGHER CONCENTRATION
DIFFUSION
PASSIVE MOVEMENT OF PARTICLES DOWN A CONCENTRATION GRADIENT
ACTIVE TRANSPORT
USING ENERGY TO MOVE ELECTROLYTES ACROSS CELL MEMBRANE
FLUID MOVES TO THE CELL IN THE FOLLOWING ORDER:
, 1. VASCULAR SYSTEM
2. CAPILLARY MEMBRANE
3. INTERSTITIAL AREA
4. CELL MEMBRANE
OSMOLALITY IMBALANCE
THE BLOOD IS TOO CONCENTRATED/DILUTE
LABS TO MEASURE OSMOLALITY
OSMOLALITY SPECIFIC- MOST ACCURATE!!
URINE SPECIFIC GRAVITY-
HGB & HCT- THE HIGHER THE HCT, THE HIGHER THE OSMOLALITY
SODIUM LEVELS- WATER FOLLOWS SALT!! IF SODIUM IS ELEVATED, THEN OSMOLALITY IS
ELEVATED
TYPES OF IV FLUIDS
HYPERTONIC SOLUTION
- CONCENTRATED AND USUALLY GIVEN WHEN BLOOD OSMOLALITY IS LOW
- COMBINATION OF DEXTROSE & SALINE TOGETHER W/ WATER MAKES THESE FLUIDS
HYPERTONIC
- HELP DRAW FLUID BACK INTO THE VASCULAR SPACE= DECREASING EDEMA
- LOW BLOOD OSMOLALITY + HYPERTONIC FLUID = ISOTONIC BLOOD
- D5 NACL
- D5 LR
- D5 0.45% NACL
FREQUENTLY ASKED
QUESTIONS WITH VERIFIED
SOLUTIONS 100% CORRECT
2026/2027 STUDY
OSMOLALITY
AMOUNT OF PARTICLES WITHIN A FLUID CONTRIBUTING TO A FLUID'S CONCENTRATION
- HIGH OSMOLALITY: HYPERTONIC SOLUTION
- BALANCED OSMOLALITY: ISOTONIC SOLUTION
- LOW OSMOLALITY: HYPOTONIC SOLUTION
HYDROSTATIC PRESSURE
A FORCE PRESSING OUTWARD AGAINST A SURFACE
OSMOTIC PRESSURE
AN INWARD PULLING PRESSURE TOWARDS A HIGHER CONCENTRATION
DIFFUSION
PASSIVE MOVEMENT OF PARTICLES DOWN A CONCENTRATION GRADIENT
ACTIVE TRANSPORT
USING ENERGY TO MOVE ELECTROLYTES ACROSS CELL MEMBRANE
FLUID MOVES TO THE CELL IN THE FOLLOWING ORDER:
, 1. VASCULAR SYSTEM
2. CAPILLARY MEMBRANE
3. INTERSTITIAL AREA
4. CELL MEMBRANE
OSMOLALITY IMBALANCE
THE BLOOD IS TOO CONCENTRATED/DILUTE
LABS TO MEASURE OSMOLALITY
OSMOLALITY SPECIFIC- MOST ACCURATE!!
URINE SPECIFIC GRAVITY-
HGB & HCT- THE HIGHER THE HCT, THE HIGHER THE OSMOLALITY
SODIUM LEVELS- WATER FOLLOWS SALT!! IF SODIUM IS ELEVATED, THEN OSMOLALITY IS
ELEVATED
TYPES OF IV FLUIDS
HYPERTONIC SOLUTION
- CONCENTRATED AND USUALLY GIVEN WHEN BLOOD OSMOLALITY IS LOW
- COMBINATION OF DEXTROSE & SALINE TOGETHER W/ WATER MAKES THESE FLUIDS
HYPERTONIC
- HELP DRAW FLUID BACK INTO THE VASCULAR SPACE= DECREASING EDEMA
- LOW BLOOD OSMOLALITY + HYPERTONIC FLUID = ISOTONIC BLOOD
- D5 NACL
- D5 LR
- D5 0.45% NACL