Nurs 323 Final Exam Review (Latest 2026-
2027 Update) 100% Verified Questions &
Answers Grade A+ - College of Mount Saint
Vincent
What |happens |to |the |blood |cells |when |the |serum |osmolality |is |307 |mOsm?
The |cell |will |dehydrate |as |fluid |moves |intracellular |to |intravascular.
|
isotonic
ECF |= |275-295 |mOsm
hypotonic
ECF |< |275 |mOsm
cells |will |fill |with |fluid |(burst)
hypertonic
ECF |> |295 |mOsm
cells |will |shrink |(dehydrate)
Identify |this |acid |base |imbalance: |pH
= |7.33
|
PCO2 |= |59
,HCO3 |= |28
partially |compensated |respiratory |acidosis
R-O-M-E
Respiratory
Opposite
|
Increased |pH, |Decreased |PCO2 |=> |Alkalosis
Decreased |pH, |Increased |PCO2 |=> |Acidosis
|
Metabolic
Equal
|
Increased |pH, |Increased |HCO3 |=> |Alkalosis
Decreased |pH, |Decreased |HCO3 |=> |Acidosis
|
pH |value
7.35-7.45
|
PCO2 |value
35-45 |mmHg
|
,HCO3 |value
22-26 |mEq/L
|
An |adult |patient |with |a |prolonged |respiratory |rate |of |30 |breaths/minute |is |likely |to |develop |what
|acid |base |imbalance?
Increased |respirations |= |Decreased |CO2 |= |Increased |pH
Respiratory |alkalosis
What |is |the |serum |osmolality |in |a |patient |with |isotonic |hypovolemia?
275-295 |mOsm
|
What |will |happen |to |cells |in |hypertonic |fluid |imbalance?
Cells |will |dehydrate |and |shrink |causing |headache, |confusion, |and |lethargy
Which |is |true |of |SIADH? |(Select |all |that |apply)
a. Serum |Osmolality |260 |mOsm
b. Serum |Na |150 |mEq/L
, c. Urine |Osmolality |low
d. Increased |ADH
e. Decreased |ADH
SIADH |= |Syndrome |of |Inappropriate |Antidiuretic |Hormone
Increased |ADH |=> |kidneys |reabsorb/retain |H2O |=> |decreased |urine |output |=> |expanded |blood |volume
a. Serum |Osmolality |260 |mOsm
d. |Increased |ADH
Name |4 |factors |that |can |contribute |to |edema |formation.
1. Increased |capillary |hydrostatic |pressure
2. Decreased |capillary |colloidal |osmotic |pressure
3. Increased |capillary |permeability
4.Decreased |lymphatic |drainage
|
Which |lab |values |are |within |normal |limits? |(Select |all |that |apply)
a. K |= |3.8 |mEq/L
b. Na |= |155 |mEq/L
c. Ca |= |11.2 |mg/dL
d. Phos |= |3.1 |mg/dL
2027 Update) 100% Verified Questions &
Answers Grade A+ - College of Mount Saint
Vincent
What |happens |to |the |blood |cells |when |the |serum |osmolality |is |307 |mOsm?
The |cell |will |dehydrate |as |fluid |moves |intracellular |to |intravascular.
|
isotonic
ECF |= |275-295 |mOsm
hypotonic
ECF |< |275 |mOsm
cells |will |fill |with |fluid |(burst)
hypertonic
ECF |> |295 |mOsm
cells |will |shrink |(dehydrate)
Identify |this |acid |base |imbalance: |pH
= |7.33
|
PCO2 |= |59
,HCO3 |= |28
partially |compensated |respiratory |acidosis
R-O-M-E
Respiratory
Opposite
|
Increased |pH, |Decreased |PCO2 |=> |Alkalosis
Decreased |pH, |Increased |PCO2 |=> |Acidosis
|
Metabolic
Equal
|
Increased |pH, |Increased |HCO3 |=> |Alkalosis
Decreased |pH, |Decreased |HCO3 |=> |Acidosis
|
pH |value
7.35-7.45
|
PCO2 |value
35-45 |mmHg
|
,HCO3 |value
22-26 |mEq/L
|
An |adult |patient |with |a |prolonged |respiratory |rate |of |30 |breaths/minute |is |likely |to |develop |what
|acid |base |imbalance?
Increased |respirations |= |Decreased |CO2 |= |Increased |pH
Respiratory |alkalosis
What |is |the |serum |osmolality |in |a |patient |with |isotonic |hypovolemia?
275-295 |mOsm
|
What |will |happen |to |cells |in |hypertonic |fluid |imbalance?
Cells |will |dehydrate |and |shrink |causing |headache, |confusion, |and |lethargy
Which |is |true |of |SIADH? |(Select |all |that |apply)
a. Serum |Osmolality |260 |mOsm
b. Serum |Na |150 |mEq/L
, c. Urine |Osmolality |low
d. Increased |ADH
e. Decreased |ADH
SIADH |= |Syndrome |of |Inappropriate |Antidiuretic |Hormone
Increased |ADH |=> |kidneys |reabsorb/retain |H2O |=> |decreased |urine |output |=> |expanded |blood |volume
a. Serum |Osmolality |260 |mOsm
d. |Increased |ADH
Name |4 |factors |that |can |contribute |to |edema |formation.
1. Increased |capillary |hydrostatic |pressure
2. Decreased |capillary |colloidal |osmotic |pressure
3. Increased |capillary |permeability
4.Decreased |lymphatic |drainage
|
Which |lab |values |are |within |normal |limits? |(Select |all |that |apply)
a. K |= |3.8 |mEq/L
b. Na |= |155 |mEq/L
c. Ca |= |11.2 |mg/dL
d. Phos |= |3.1 |mg/dL
