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PN 4006 Midterm Exam (Latest 2025/ 2026 Update) Guide Q/A | Grade A| 100% Correct (Verified Answers)

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PN 4006 Midterm Exam (Latest 2025/ 2026 Update) Guide Q/A | Grade A| 100% Correct (Verified Answers) QUESTION Normal Saline (NS) Answer: Description: 0.9% NaCl in Water Crystalloid Solution {An isotonic crystalloid solution that contains sodium chloride (salt) as the solute, dissolved in sterile water (solvent). The specific concentration for normal saline solution is 0.9%.} Osmolality: Isotonic (308 mOsm) Use: Increases circulating plasma volume when red cells are adequate • Replaces losses without altering fluid concentrations. • Helpful for Na+ replacement QUESTION What is NS used for? Answer: -ECF replacement - metabolic alkalosis with fluid loss - sodium depletion -blood transfusion QUESTION ½ NS / ½ Normal Saline Answer: "Half Normal Saline," which is an intravenous fluid solution containing 0.45% sodium chloride (NaCl) dissolved in water. QUESTION ½ NS / ½ Normal Saline Answer: Half Normal Saline (1/2 NS) is commonly used in medical settings to provide intravenous hydration and electrolyte balance, especially when a lower sodium concentration than normal saline (0.9% NaCl) is desired. It's often used in patients who do not require as much sodium, such as those with certain medical conditions or during maintenance fluid therapy. QUESTION What is Ringer's lactate? Answer: sodium, chloride, calcium, potassium, and lactate dissolved in water QUESTION What is Ringer's lactate used for? Answer: Electrolyte replacement. contains Sodium, potassium, and calcium QUESTION what is D5w? Answer: 5% dextrose (sugar) in water. TKO IV, with a minidrip tubing QUESTION What is D5W used for? Answer: fluid loss, dehydration, hypernatremia QUESTION What is D5NS (0.9% NaCl in Dextrose 5%)? Answer: Hypertonic solution used in temporary treatment of shock IF plasma expanders not available *Do NOT use in cardiac or renal patients QUESTION What is d5ns used for? Answer: sodium and volume replacement QUESTION What is D51/2NS? Answer: 5% dextrose in 0.45% sodium chloride QUESTION What is D51/2NS used for? Answer: Tx of: dehydration, electrolytes, maintain fluid balance, provide energy for NPO patients QUESTION What kind of solution is normal saline Answer: isotonic QUESTION What kind of solution is ½ NS / ½ Normal Saline Answer: Hypotonic QUESTION What kind of solution is ringers lactate? Answer: Isotonic QUESTION What kind of solution is D5w? Answer: isotonic, hypotonic (after metabolization) QUESTION What kind of solution is D5NS? Answer: hypertonic QUESTION What kind of solution is D51/2NS? Answer: Isotonic QUESTION metabolic acidosis Answer: decreased pH in blood and body tissues as a result of an upset in metabolism QUESTION metabolic alkalosis Answer: elevation of HCO3- usually caused by an excessive loss of metabolic acids QUESTION respiratory acidosis Answer: A drop in blood pH due to hypoventilation (too little breathing) and a resulting accumulation of Co2. QUESTION respiratory alkalosis Answer: Arise in blood pH due to hyperventilation (excessive breathing) and a resulting decrease in CO2. QUESTION What is the pH scale? Answer: measures how acidic or basic a substance is QUESTION normal ph ranges in blood? Answer: 7.35-7.45

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Institution
PN 4006
Course
PN 4006

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PNl 4006l Midterml Examl (Latestl 2025/l
2026l Update)l Guidel Q/Al |l Gradel A|l
100%l Correctl (Verifiedl Answers)

Q:l Normall Salinel (NS)
Answer:
Description:l 0.9%l NaCll inl Waterl Crystalloidl Solution
{Anl isotonicl crystalloidl solutionl thatl containsl sodiuml chloridel (salt)l asl thel solute,l
dissolvedl inl sterilel waterl (solvent).l Thel specificl concentrationl forl normall salinel solutionl
isl 0.9%.}
Osmolality:l Isotonicl (308l mOsm)
Use:l Increasesl circulatingl plasmal volumel whenl redl cellsl arel adequate
•l Replacesl lossesl withoutl alteringl fluidl concentrations.
•l Helpfull forl Na+l replacement


Q:l Whatl isl NSl usedl for?
Answer:
-ECFl replacementl
-l metabolicl alkalosisl withl fluidl lossl
-l sodiuml depletionl
-bloodl transfusion


Q:l ½l NSl /l ½l Normall Saline
Answer:
"Halfl Normall Saline,"l whichl isl anl intravenousl fluidl solutionl containingl
0.45%l
sodiuml chloridel (NaCl)l dissolvedl inl water.


Q:l ½l NSl /l ½l Normall Saline
Answer:
Halfl Normall Salinel (1/2l NS)l isl commonlyl usedl inl medicall settingsl tol providel
intravenousl hydrationl andl electrolytel balance,l especiallyl whenl al lowerl sodiuml
concentrationl thanl normall salinel (0.9%l NaCl)l isl desired.l It'sl oftenl usedl inl patientsl whol

,dol notl requirel asl muchl sodium,l suchl asl thosel withl certainl medicall conditionsl orl
duringl maintenancel fluidl therapy.


Q:l Whatl isl Ringer'sl lactate?
Answer:
sodium,l chloride,l calcium,l potassium,l andl lactatel dissolvedl inl water


Q:l Whatl isl Ringer'sl lactatel usedl for?
Answer:
Electrolytel replacement.l containsl Sodium,l potassium,l andl calcium


Q:l whatl isl D5w?
Answer:
5%l dextrosel (sugar)l inl water.l
TKOl IV,l withl al minidripl tubing


Q:l Whatl isl D5Wl usedl for?
Answer:
fluidl loss,l dehydration,l hypernatremia


Q:l Whatl isl D5NSl (0.9%l NaCll inl Dextrosel 5%)?
Answer:
Hypertonicl solutionl usedl inl temporaryl treatmentl ofl shockl IFl plasmal expandersl notl
available
*Dol NOTl usel inl cardiacl orl renall patients


Q:l Whatl isl d5nsl usedl for?
Answer:
sodiuml andl volumel replacement


Q:l Whatl isl D51/2NS?
Answer:
5%l dextrosel inl 0.45%l sodiuml chloride


Q:l Whatl isl D51/2NSl usedl for?
Answer:

,Txl of:l dehydration,l electrolytes,l maintainl fluidl balance,l providel energyl forl NPOl patients


Q:l Whatl kindl ofl solutionl isl normall saline
Answer:
isotonic


Q:l Whatl kindl ofl solutionl isl ½l NSl /l ½l Normall Saline
Answer:
Hypotonic


Q:l Whatl kindl ofl solutionl isl ringersl lactate?
Answer:
Isotonic


Q:l Whatl kindl ofl solutionl isl D5w?
Answer:
isotonic,l hypotonicl (afterl metabolization)


Q:l Whatl kindl ofl solutionl isl D5NS?
Answer:
hypertonic


Q:l Whatl kindl ofl solutionl isl D51/2NS?
Answer:
Isotonic


Q:l metabolicl acidosis
Answer:
decreasedl pHl inl bloodl andl bodyl tissuesl asl al resultl ofl anl upsetl inl metabolism


Q:l metabolicl alkalosis
Answer:
elevationl ofl HCO3-l usuallyl causedl byl anl excessivel lossl ofl metabolicl acids


Q:l respiratoryl acidosis
Answer:

, Al dropl inl bloodl pHl duel tol hypoventilationl (tool littlel breathing)l andl al resultingl
accumulationl ofl Co2.


Q:l respiratoryl alkalosis
Answer:
Arisel inl bloodl pHl duel tol hyperventilationl (excessivel breathing)l andl al resultingl decreasel
inl CO2.


Q:l Whatl isl thel pHl scale?
Answer:
measuresl howl acidicl orl basicl al substancel is


Q:l normall phl rangesl inl blood?
Answer:
7.35-7.45


Q:l Whatl bloodl pHl suggestsl acidosis?
Answer:
anythingl belowl 7.35


Q:l Whatl bloodl pHl suggestsl alkalosis?
Answer:
anythingl abovel 7.45


Q:l Howl doesl thel bodyl regulatel Ph?
Answer:
bufferl system,l lungs,l kidneys


Q:l abnormall musculoskeletall findings
Answer:
•Backl Pain
•Falls
•Osteoporosis
•Osteoarthritis
•Rheumatoidl Arthritis
•Bursitis
•Jointl Dislocation

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