NUR 211 Exam 1 Questions And
Answers 100% Pass
Donning PPE order - - -
correct answer ✅gown, mask/n95, face shield/goggles, gloves
Doffing PPE order - - -
correct answer ✅gloves, gown, leave patient's room and hand
hygiene, face shield/goggles, mask/n95, hand hygiene
Isotonic fluid examples - - -
correct answer ✅0.9% NS, D5W, 5% Dextrose in 0.225% Saline, LR
What do isotonic fluids do? - - -
correct answer ✅Expand plasma volume and cause cells to stay
the same size
-Replaces fluid lost due to nausea, vomiting, diarrhea, surgery
-increases extracellular fluid
Hypotonic fluid examples - - -
correct answer ✅0.45% NS, 0.225% NS, 0.33% NS, D5W, Plasma
lyte 56
What do hypotonic fluids do? - - -
correct answer ✅Expand intracellular volume and cause cells to
swell
,NUR 211 Exam 1 Questions And
Answers 100% Pass
-Give for dehydrated cell (DKA, HHS, DI, severe dehydration)
-don't give to patient with increased ICP, burns, or trauma
Hypertonic fluid examples - - -
correct answer ✅3% NS, 5% NS, D10W, 5% Dextrose in 0.9%NS, 5%
Dextrose in 0.45% NS, 5% Dextrose in LR
What do hypertonic fluids do? - - -
correct answer ✅Expand extracellular volume and cause cells to
shrink
-Give for cellular edema such as cerebral edema, hyponatremia
-give it slowly in large vein, because it can cause fluid overload
What electrolytes are in LR? - - -
correct answer ✅Ca, K, Cl, Na
Colloids - - -
correct answer ✅are proteins, starches, and other large molecules
such as Albumin, Hetastarch, and Plasmalyte
-they expand plasma volume and draw fluids from the cells and
tissues into the intravascular space expanding circulating volume.
,NUR 211 Exam 1 Questions And
Answers 100% Pass
Endocrine system - - -
correct answer ✅-Affects most cell, organ, and body functions
-Closely linked with neurologic and immune systems
-Works by negative feedback system
Anti-Diuretic Hormone (Vasopressin) - - -
correct answer ✅-Controls fluid excretions by kidneys
-BP decreased -> body releases ADH so more water is in the blood -
> this raises BP -> blood osmo goes down -> urine we excrete is
decreased and more concentrated
Normal blood osmolality - - -
correct answer ✅275-295 mOsm/kg
Normal urine osmolality - - -
correct answer ✅500-850 mOsml/kg
Diabetes Insipidus (DI) - - -
correct answer ✅DRY DAN
-Hyposecretion of ADH or failure of kidney to respond appropriately
to ADH
-Large Volume of dilute urine*
, NUR 211 Exam 1 Questions And
Answers 100% Pass
-Associated- Neurogenic or Nephrogenic- failure of kidney to
respond appropriately to ADH/ pee a lot
-polyurea/ nothing to do with blood sugar
-lose large volume of dilute urine 4-30 L in 24 hrs
-associated with neurogenic (hyposecretion- swelling of the brain,
tumor in the brain, infection of the brain, surgery) and nephrogenic
(hypokalemia, hypercalcemia, meds like lithium kidneys less
responsive) become dehydrated
-Dry patient because urinating lots of water
-Hypernatremia can occur
DI Diagnostics - - -
correct answer ✅-Fluid Deprivation Test: 8-12 hrs or until 3-5% of
body weight is lost/ person is weighed frequently
-Plasma and urine osmolality studies performed/ Inability for the
specific gravity to increase is characteristic of DI
-ADH test: measures how much ADH is in the blood usually used in
combination with other tests to determine what is causing the
increase or decrease in ADH levels/ The increase in urine osmolality
and decreased urine output with this test is characteristic of DI
-Urine specific gravity for DI is < 1.006
-Hold meds with sucrose or dextrose
-No heavily dyed foods before test
Answers 100% Pass
Donning PPE order - - -
correct answer ✅gown, mask/n95, face shield/goggles, gloves
Doffing PPE order - - -
correct answer ✅gloves, gown, leave patient's room and hand
hygiene, face shield/goggles, mask/n95, hand hygiene
Isotonic fluid examples - - -
correct answer ✅0.9% NS, D5W, 5% Dextrose in 0.225% Saline, LR
What do isotonic fluids do? - - -
correct answer ✅Expand plasma volume and cause cells to stay
the same size
-Replaces fluid lost due to nausea, vomiting, diarrhea, surgery
-increases extracellular fluid
Hypotonic fluid examples - - -
correct answer ✅0.45% NS, 0.225% NS, 0.33% NS, D5W, Plasma
lyte 56
What do hypotonic fluids do? - - -
correct answer ✅Expand intracellular volume and cause cells to
swell
,NUR 211 Exam 1 Questions And
Answers 100% Pass
-Give for dehydrated cell (DKA, HHS, DI, severe dehydration)
-don't give to patient with increased ICP, burns, or trauma
Hypertonic fluid examples - - -
correct answer ✅3% NS, 5% NS, D10W, 5% Dextrose in 0.9%NS, 5%
Dextrose in 0.45% NS, 5% Dextrose in LR
What do hypertonic fluids do? - - -
correct answer ✅Expand extracellular volume and cause cells to
shrink
-Give for cellular edema such as cerebral edema, hyponatremia
-give it slowly in large vein, because it can cause fluid overload
What electrolytes are in LR? - - -
correct answer ✅Ca, K, Cl, Na
Colloids - - -
correct answer ✅are proteins, starches, and other large molecules
such as Albumin, Hetastarch, and Plasmalyte
-they expand plasma volume and draw fluids from the cells and
tissues into the intravascular space expanding circulating volume.
,NUR 211 Exam 1 Questions And
Answers 100% Pass
Endocrine system - - -
correct answer ✅-Affects most cell, organ, and body functions
-Closely linked with neurologic and immune systems
-Works by negative feedback system
Anti-Diuretic Hormone (Vasopressin) - - -
correct answer ✅-Controls fluid excretions by kidneys
-BP decreased -> body releases ADH so more water is in the blood -
> this raises BP -> blood osmo goes down -> urine we excrete is
decreased and more concentrated
Normal blood osmolality - - -
correct answer ✅275-295 mOsm/kg
Normal urine osmolality - - -
correct answer ✅500-850 mOsml/kg
Diabetes Insipidus (DI) - - -
correct answer ✅DRY DAN
-Hyposecretion of ADH or failure of kidney to respond appropriately
to ADH
-Large Volume of dilute urine*
, NUR 211 Exam 1 Questions And
Answers 100% Pass
-Associated- Neurogenic or Nephrogenic- failure of kidney to
respond appropriately to ADH/ pee a lot
-polyurea/ nothing to do with blood sugar
-lose large volume of dilute urine 4-30 L in 24 hrs
-associated with neurogenic (hyposecretion- swelling of the brain,
tumor in the brain, infection of the brain, surgery) and nephrogenic
(hypokalemia, hypercalcemia, meds like lithium kidneys less
responsive) become dehydrated
-Dry patient because urinating lots of water
-Hypernatremia can occur
DI Diagnostics - - -
correct answer ✅-Fluid Deprivation Test: 8-12 hrs or until 3-5% of
body weight is lost/ person is weighed frequently
-Plasma and urine osmolality studies performed/ Inability for the
specific gravity to increase is characteristic of DI
-ADH test: measures how much ADH is in the blood usually used in
combination with other tests to determine what is causing the
increase or decrease in ADH levels/ The increase in urine osmolality
and decreased urine output with this test is characteristic of DI
-Urine specific gravity for DI is < 1.006
-Hold meds with sucrose or dextrose
-No heavily dyed foods before test
