Hurst- NCLEX-PN Exam Review
Questions and Answers
CAUSES: a.HEART FAILURE(HF) - correct answer-Heart is WEAK Cardiac Output:
goes down, decreased KIDNEY perfusion, URINARY OUTPUT decreases.
The volume stays in the - correct answer-VASCULAR SPACE
CAUSES b. RENAL FAILURE (RF) - correct answer-Kidneys aren't working
c. Three things with a lot of sodium - correct answer-1) Effervescent soluble
medications(alkerseler) 2. Canned processed foods 3.) IVF with Sodium-retain water
2. Hormonal Regulation of Fluid Volume - correct answer-a. ALDOSTERONE (Steroid,
mineralocorticoid)
Where is Aldosterone found - correct answer-ADRENAL GLANDS
Normal Action of Aldosterone - correct answer-When blood volume gets low- vomiting,
hemorrhage, ect.
aldosterone secretion increases - correct answer-Retain Sodium/water - blood volume
goes up
Diseases with too little aldosterone - correct answer-Addisons disease (need to add
steroids). Fluid volume deficit
Diseases with too much aldosterone - correct answer-cushings, hyperaldosteronism
and Conn's syndrome
fluid volume excess - correct answer-hypervolemia- to much fluid in the vascular space
ANP -atrial natriuretic peptide - correct answer-Secreted in response to excess blood
volume in the heart, promotes salt and thus water excretion.
Where is ANP found? - correct answer-atrium of the heart
How does ANP work? - correct answer-opposite of aldosterone
ANP causes - correct answer-Excretion of sodium and H2O
Questions and Answers
CAUSES: a.HEART FAILURE(HF) - correct answer-Heart is WEAK Cardiac Output:
goes down, decreased KIDNEY perfusion, URINARY OUTPUT decreases.
The volume stays in the - correct answer-VASCULAR SPACE
CAUSES b. RENAL FAILURE (RF) - correct answer-Kidneys aren't working
c. Three things with a lot of sodium - correct answer-1) Effervescent soluble
medications(alkerseler) 2. Canned processed foods 3.) IVF with Sodium-retain water
2. Hormonal Regulation of Fluid Volume - correct answer-a. ALDOSTERONE (Steroid,
mineralocorticoid)
Where is Aldosterone found - correct answer-ADRENAL GLANDS
Normal Action of Aldosterone - correct answer-When blood volume gets low- vomiting,
hemorrhage, ect.
aldosterone secretion increases - correct answer-Retain Sodium/water - blood volume
goes up
Diseases with too little aldosterone - correct answer-Addisons disease (need to add
steroids). Fluid volume deficit
Diseases with too much aldosterone - correct answer-cushings, hyperaldosteronism
and Conn's syndrome
fluid volume excess - correct answer-hypervolemia- to much fluid in the vascular space
ANP -atrial natriuretic peptide - correct answer-Secreted in response to excess blood
volume in the heart, promotes salt and thus water excretion.
Where is ANP found? - correct answer-atrium of the heart
How does ANP work? - correct answer-opposite of aldosterone
ANP causes - correct answer-Excretion of sodium and H2O
