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NCLEX- ABG, Fluid, Electrolytes, Burns

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NCLEX- ABG, Fluid, Electrolytes, Burns

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Fluid And Electrolytes NCLEX
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Fluid and Electrolytes NCLEX











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Institution
Fluid and Electrolytes NCLEX
Course
Fluid and Electrolytes NCLEX

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Uploaded on
January 11, 2025
Number of pages
49
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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NCLEX- ABG, Fluid, Electrolytes, Burns
Where is the fluid in hypervolemia?
A)vascular space
B)cellular space
C)intercellular space -
A)vascular space

What organs can cause fluid volume overload during failure?
A) lungs
B) heart
C) kidneys
D)intestines -
B) heart
C) kidneys

Heart failure decreases _____________, which decreases ________________ perfusion
causing low ________________. -
CO, kidney, UOP

What electrolyte imbalance causes fluid volume overload?
A) hyperkalemia
B) hypomagnesia
C)hypernatremia
D)hyponatremia
E)hypokalemia -
C)hypernatremia

What things contain a lot of sodium?
A)water soluble medications
B)effervescent medications
C)lactated ringers
D)normal saline solutions
E)canned foods
F)cooked vegetables
G)processed foods -
B)effervescent medications
D)normal saline solutions
E)canned foods
G)processed foods

What gland makes aldosterone?
A)thyroid gland
B)pituitary gland
C)adrenal gland
D) hypothalamus -
C) adrenal gland


1|Page

,What type of steroid is aldosterone?
A)mineralcorticoid
B)glucocorticoid
C) sex hormone -
A)mineralcorticoid

When blood volume decreases what do aldosterone levels in the body do?
A)decrease
B) increase -
B)increase

What does aldosterone retain?
A)sodium
B)potassium
C)water
D)nitrites -
A)sodium
C)water

What do steroids do in Cushings?
A) all steroids increase
B)mineralocorticoids and glucocorticoids increase
C)all steroids decrease
D) mineralocorticoids and glucocorticoids decrease -
A) all steroids increase

What is the disease called where there is too much aldosterone?
A) Addison's disease
B) diabetes insípidus
C) Conn's disease
D) SIADH -
C) Conns disease

What is the disease called with too little aldosterone?
A) Addison's disease
B) diabetes insípidus
C) Conn's disease
D) SIADH -
A) Addison's disease

Does ADH normal make you
A) Diurese
B) retain -
B) retain

What occurs with ADH?
A) retain sodium
B) retain water
C) excrete sodium
D) excrete water

2|Page

,E) retain potassium -
B) retain water
C) excrete sodium
E) retain potassium

With SIADH, there is too much ADH causing:
A) high UOP
B) low UOP
C)concentrated urine
D) dilute urine
E) dilute blood
F) concentrated blood
G) Fluid volume excess
H) fluid volume deficit -
B) low UOP
C)concentrated urine
E) dilute blood
G) Fluid volume excess

In SIADH water are the electrolytes?
A) hypernatremia
B) hyponatremia
C)hyperkalemia
D) hypokalemia -
B) hyponatremia
C)hyperkalemia

What is the problems with Diabetes insipidus (not enough ADH)?
A) high UOP
B) low UOP
C)concentrated urine
D) dilute urine
E) dilute blood
F)concentrated blood
G) Fluid volume excess
H)fluid volume deficit -
A) high UOP
D) dilute urine
F)concentrated blood
H)fluid volume deficit

With diabetes insípidus what are the electrolytes?
A) hypernatremia
B) hyponatremia
C)hyperkalemia
D) hypokalemia -
A) hypernatremia
D) hypokalemia



3|Page

, If a fluid is concentrated (urine or blood) the lab values in that fluid will go up for which
labs?
A) potassium
B) sodium
C) H&H
D) specific gravity
E) white count -
B) sodium
C) H&H
D) specific gravity

Where is ADH made?
A) adrenal
B) thyroid
C) hypothalamus
D) posterior pituitary -
D) posterior pituitary

What is the number 1 concern with DI?
A) brain swelling
B) seizures
C) hypovolemic shock
D) clots d/t increased H&H -
C) shock

What surgeries can lead to an ADH issue?
A) craniotomy
B) lithotomy
C) sinus surgery
D) hypophysectomy
E) thyroidectomy -
A) craniotomy
C) sinus surgery
D) hypophysectomy

The surgeon plans to use a transphenoidal approach for surgery. The nurse knows to watch
for which complication post op?
A) SIADH
B) DI
C) addison's
D) Conn's -
A) SIADH
B) DI

Which patients are at risk for ADH imbalances?
A) A patient with a brain tumor
B) A patient with a brain bleed
C) A patient with sinus issues
D) A patient with a brain injury
E) A patient post op for a tonsillectomy -

4|Page

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