CNUR 305 FINAL EXAM REVIEW | COMPLETE NURSING STUDY GUIDE, PRACTICE
QUESTIONS & EXAM PREP 2026/2027
Isotonic solutions - ANS ✔✔0.9% NaCl
Lactated Ringers
same osmolarity as body fluids
ECF=ICF
hydration
hypotonic fluids - ANS ✔✔0.45% NS
intravascular --> intracellular
used for cellular dehydration (cells may burst)
^ICP
hypertonic solutions - ANS ✔✔D5W
Intracellular --> intravascular
tx water intoxication
Type A blood - ANS ✔✔Receive A and O
Donate A and AB
Type B blood - ANS ✔✔Receive B and O
Donate B and AB
Type AB blood - ANS ✔✔Receive from all
Donate to AB
,type O blood - ANS ✔✔Receive from O
Donate to all
Rh positive blood - ANS ✔✔compatible with all
RH negative blood - ANS ✔✔compatible with only -
Albumin indications - ANS ✔✔V expansion
liver failure
hypoproteinemia
albumin action - ANS ✔✔^ vascular V
^ colloidal/contonic pressure
Fresh Frozen Plasma indications - ANS ✔✔bleeding r/t clotting factor deficiencies
warfarin reversing
plasma deficiency
fresh frozen plasma action - ANS ✔✔improve coagulation
Packed RBCs indications - ANS ✔✔acute blood loss
anemia
Packed RBCs action - ANS ✔✔improve/restore O2 carrying capacity of Hgb
,Platelet infusion indication - ANS ✔✔bleeding r/t thrombocytopenia
platelet infusion action - ANS ✔✔tx/prevent bleeding r/t low or dysfunctional platelets
Cryoprecipitate indications - ANS ✔✔bleeding r/t fibrinogen loss (clotting)
Cryoprecipitate action - ANS ✔✔fibrinogen replacement and clotting factors
IV immune globulin (IVIG) indications - ANS ✔✔autoimmune crisis
ITP
Gullina-barre syndrome
IV immune globulin action - ANS ✔✔anti-inflammatory
anit-immune reactions
Steps before blood transfusion - ANS ✔✔1. Informed consent
2. Rx
3. hx of reactions?
4. Cross-matching
5. ensure IV access
6. Call lab
7. V/S
8. prime tubes
9. receive
10. verify
, when to take V/S before blood transfusion? - ANS ✔✔30 mins before
Verifying blood product steps - ANS ✔✔At bedside
Need: 2 RNs, transfusion report, blood unit label, transfusion record tag
- 2 pt identifiers
- confirm matchers transfusion order and compatible
- # on blood unit label = transfusion record
- expiry date and time
- both nurse sign and leave a copy in chart
blood transfusion rate first 15 mins and after - ANS ✔✔50ml/h
^ infusion to rx rate
V/S during blood transfusion - ANS ✔✔15 mins afte rblood reaches vein
q30m up to an hour after transfusion
max amount of time to infuse blood at - ANS ✔✔4hrs
How long to monitor pt for after blood transfusion? - ANS ✔✔6h
blood transfusion acute reactions - ANS ✔✔Fever
Allergic Reaction
Dyspnea (TRALI and TACO)
Hypotension
Hemolysis
QUESTIONS & EXAM PREP 2026/2027
Isotonic solutions - ANS ✔✔0.9% NaCl
Lactated Ringers
same osmolarity as body fluids
ECF=ICF
hydration
hypotonic fluids - ANS ✔✔0.45% NS
intravascular --> intracellular
used for cellular dehydration (cells may burst)
^ICP
hypertonic solutions - ANS ✔✔D5W
Intracellular --> intravascular
tx water intoxication
Type A blood - ANS ✔✔Receive A and O
Donate A and AB
Type B blood - ANS ✔✔Receive B and O
Donate B and AB
Type AB blood - ANS ✔✔Receive from all
Donate to AB
,type O blood - ANS ✔✔Receive from O
Donate to all
Rh positive blood - ANS ✔✔compatible with all
RH negative blood - ANS ✔✔compatible with only -
Albumin indications - ANS ✔✔V expansion
liver failure
hypoproteinemia
albumin action - ANS ✔✔^ vascular V
^ colloidal/contonic pressure
Fresh Frozen Plasma indications - ANS ✔✔bleeding r/t clotting factor deficiencies
warfarin reversing
plasma deficiency
fresh frozen plasma action - ANS ✔✔improve coagulation
Packed RBCs indications - ANS ✔✔acute blood loss
anemia
Packed RBCs action - ANS ✔✔improve/restore O2 carrying capacity of Hgb
,Platelet infusion indication - ANS ✔✔bleeding r/t thrombocytopenia
platelet infusion action - ANS ✔✔tx/prevent bleeding r/t low or dysfunctional platelets
Cryoprecipitate indications - ANS ✔✔bleeding r/t fibrinogen loss (clotting)
Cryoprecipitate action - ANS ✔✔fibrinogen replacement and clotting factors
IV immune globulin (IVIG) indications - ANS ✔✔autoimmune crisis
ITP
Gullina-barre syndrome
IV immune globulin action - ANS ✔✔anti-inflammatory
anit-immune reactions
Steps before blood transfusion - ANS ✔✔1. Informed consent
2. Rx
3. hx of reactions?
4. Cross-matching
5. ensure IV access
6. Call lab
7. V/S
8. prime tubes
9. receive
10. verify
, when to take V/S before blood transfusion? - ANS ✔✔30 mins before
Verifying blood product steps - ANS ✔✔At bedside
Need: 2 RNs, transfusion report, blood unit label, transfusion record tag
- 2 pt identifiers
- confirm matchers transfusion order and compatible
- # on blood unit label = transfusion record
- expiry date and time
- both nurse sign and leave a copy in chart
blood transfusion rate first 15 mins and after - ANS ✔✔50ml/h
^ infusion to rx rate
V/S during blood transfusion - ANS ✔✔15 mins afte rblood reaches vein
q30m up to an hour after transfusion
max amount of time to infuse blood at - ANS ✔✔4hrs
How long to monitor pt for after blood transfusion? - ANS ✔✔6h
blood transfusion acute reactions - ANS ✔✔Fever
Allergic Reaction
Dyspnea (TRALI and TACO)
Hypotension
Hemolysis
