Exam 4: NUR209/ NUR 209 (Latest 2025/
2026 Update) Medical Surgical Nursing II
Review| Questions with Well Detailed
Answers| 100% Correct| Grade A+ –
Fortis
What is RN's responsibility for IV fluids? -CORRECTANSWER How does fluid react
once inside body
What does fluid overload do to the body -CORRECTANSWER Raises BP
What is an isotonic solution? -CORRECTANSWER solution has same osmotic pressure
as body fluids
What does an isotonic fluid do to body? -CORRECTANSWER increases circulating
blood volume
Where does isotonic fluid go? -CORRECTANSWER Stays inside beins
Who are isotonic fluids good for (3) -CORRECTANSWER dehydration, hemorrhage, pt
taking diuretics
,What do diurectics do? (2) -CORRECTANSWER removes circulating blood volume and
lowers BP
What are hypertonic fluids? -CORRECTANSWER Fluids with a higher osmotic pressure
than body fluids.
Where do hypertonic fluids do? (3) -CORRECTANSWER Pulls fluid from cells into
veins, increases BP and circulating blood volume
Who are hypertonic fluids good for? (2) -CORRECTANSWER pt w/ edema,
postoperative patients
What are hypotonic fluids -CORRECTANSWER Fluid has less osmotic pressure than
body fluids
What do hypotonic fluids do? -CORRECTANSWER moves fluid out of veins into cells
Which IV fluid is not commonly used? -CORRECTANSWER hypotonic fluids
What are the 3 isotonic iv fluids? -CORRECTANSWER NSS 0.9%, LR, D5W
What are the 3 hypertonic iv fluids? -CORRECTANSWER D5NS, D5 1/2 NSS, D5LR
, Which iv fluid is used most commonly after surgery -CORRECTANSWER D5LR
(hypertonic solution)
Which IV fluid is used with blood transfusions -CORRECTANSWER hypertonic fluid
What are the 2 types of hypotonic iv fluids -CORRECTANSWER 0.45% NaCl, 0.33%
NaCl
What is another name for normal saline? -CORRECTANSWER NaCl (sodium chloride)
What can happen with the infusion of a hypotonic solution? -CORRECTANSWER
Hemolysis: RBC swell and rupture bc of too much fluid
Where does the tip of a central line go? -CORRECTANSWER Straight into right atrial
junction of the superior vena cava
What needs to be done after central line insertion? -CORRECTANSWER Xray to
confirm placement
How do you access the port of a central line? -CORRECTANSWER Needle used to
access port
2026 Update) Medical Surgical Nursing II
Review| Questions with Well Detailed
Answers| 100% Correct| Grade A+ –
Fortis
What is RN's responsibility for IV fluids? -CORRECTANSWER How does fluid react
once inside body
What does fluid overload do to the body -CORRECTANSWER Raises BP
What is an isotonic solution? -CORRECTANSWER solution has same osmotic pressure
as body fluids
What does an isotonic fluid do to body? -CORRECTANSWER increases circulating
blood volume
Where does isotonic fluid go? -CORRECTANSWER Stays inside beins
Who are isotonic fluids good for (3) -CORRECTANSWER dehydration, hemorrhage, pt
taking diuretics
,What do diurectics do? (2) -CORRECTANSWER removes circulating blood volume and
lowers BP
What are hypertonic fluids? -CORRECTANSWER Fluids with a higher osmotic pressure
than body fluids.
Where do hypertonic fluids do? (3) -CORRECTANSWER Pulls fluid from cells into
veins, increases BP and circulating blood volume
Who are hypertonic fluids good for? (2) -CORRECTANSWER pt w/ edema,
postoperative patients
What are hypotonic fluids -CORRECTANSWER Fluid has less osmotic pressure than
body fluids
What do hypotonic fluids do? -CORRECTANSWER moves fluid out of veins into cells
Which IV fluid is not commonly used? -CORRECTANSWER hypotonic fluids
What are the 3 isotonic iv fluids? -CORRECTANSWER NSS 0.9%, LR, D5W
What are the 3 hypertonic iv fluids? -CORRECTANSWER D5NS, D5 1/2 NSS, D5LR
, Which iv fluid is used most commonly after surgery -CORRECTANSWER D5LR
(hypertonic solution)
Which IV fluid is used with blood transfusions -CORRECTANSWER hypertonic fluid
What are the 2 types of hypotonic iv fluids -CORRECTANSWER 0.45% NaCl, 0.33%
NaCl
What is another name for normal saline? -CORRECTANSWER NaCl (sodium chloride)
What can happen with the infusion of a hypotonic solution? -CORRECTANSWER
Hemolysis: RBC swell and rupture bc of too much fluid
Where does the tip of a central line go? -CORRECTANSWER Straight into right atrial
junction of the superior vena cava
What needs to be done after central line insertion? -CORRECTANSWER Xray to
confirm placement
How do you access the port of a central line? -CORRECTANSWER Needle used to
access port
