Page 1 of 97
NR328 / NR-328 EXAM 2 (LATEST UPDATE 2025):
PEDIATRIC NURSING | COMPLETE GUIDE WITH
QUESTIONS AND VERIFIED ANSWERS | 100%
CORRECT - CHAMBERLAIN
Fluid Overload: S/S .....ANSWER.....- edema
- elevated venous pressure
- hepatomegaly
- weight gain
- slow bounding pulse
- lethargy
- seizures/coma
- increased spinal fluid pressure
Fluid Overload: Lab Findings .....ANSWER.....- low urine specific
gravity
,Page 2 of 97
- decreased serum electrolytes
- decreased hematocrit
- variable urine volume
Fluid Deficit: S/S .....ANSWER.....- variable temp
- dry skin and mucous membranes
- poor skin turgor
- decreased pulse
- slow cap refill
- weight loss
- fatigue
- ALOC
- Tachypnea/tachycardia
Fluid Deficit: Lab Findings .....ANSWER.....- high urine specific
gravity
,Page 3 of 97
- increased hematocrit
- variable serum electrolytes
- variable urine volume
- increased BUN
- increased serum osmolality
Hypokalemia: S/S .....ANSWER.....- muscle weakness
- hypotension
- cardiac arrhythmias
- tach or bradycardia
- Ileus
- drowsiness
- irritability
Hypokalemia: Lab Findings .....ANSWER.....- decreased serum
potassium <3.5
, Page 4 of 97
- abnormal EKG - notched or flattened t-wave, decreased ST
segment
Hypokalemia: Causes .....ANSWER.....- corticosteroids
- healing stage of burns
- hyperglycemic diuresis
- IV administration of insulin in DKA
- Alkalosis
Hyperkalemia: Causes .....ANSWER.....- renal disease
- addison's
- metabolic acidosis
- old donor blood
- crushing injuries
Hyperkalemia: S/S .....ANSWER.....- muscle weakness
- twitching
NR328 / NR-328 EXAM 2 (LATEST UPDATE 2025):
PEDIATRIC NURSING | COMPLETE GUIDE WITH
QUESTIONS AND VERIFIED ANSWERS | 100%
CORRECT - CHAMBERLAIN
Fluid Overload: S/S .....ANSWER.....- edema
- elevated venous pressure
- hepatomegaly
- weight gain
- slow bounding pulse
- lethargy
- seizures/coma
- increased spinal fluid pressure
Fluid Overload: Lab Findings .....ANSWER.....- low urine specific
gravity
,Page 2 of 97
- decreased serum electrolytes
- decreased hematocrit
- variable urine volume
Fluid Deficit: S/S .....ANSWER.....- variable temp
- dry skin and mucous membranes
- poor skin turgor
- decreased pulse
- slow cap refill
- weight loss
- fatigue
- ALOC
- Tachypnea/tachycardia
Fluid Deficit: Lab Findings .....ANSWER.....- high urine specific
gravity
,Page 3 of 97
- increased hematocrit
- variable serum electrolytes
- variable urine volume
- increased BUN
- increased serum osmolality
Hypokalemia: S/S .....ANSWER.....- muscle weakness
- hypotension
- cardiac arrhythmias
- tach or bradycardia
- Ileus
- drowsiness
- irritability
Hypokalemia: Lab Findings .....ANSWER.....- decreased serum
potassium <3.5
, Page 4 of 97
- abnormal EKG - notched or flattened t-wave, decreased ST
segment
Hypokalemia: Causes .....ANSWER.....- corticosteroids
- healing stage of burns
- hyperglycemic diuresis
- IV administration of insulin in DKA
- Alkalosis
Hyperkalemia: Causes .....ANSWER.....- renal disease
- addison's
- metabolic acidosis
- old donor blood
- crushing injuries
Hyperkalemia: S/S .....ANSWER.....- muscle weakness
- twitching
