NGN NCLEX 204 FINAL PAPER 2026
COMPLETE QUESTIONS WITH ANSWERS
GRADED A+
◉ treatments for fluid volume excess. Answer: Low NA Diet
Restrict Fluids
Daily weight
Diuretics
Monitor K levels
I&O
◉ weight of fluid. Answer: 1 kg (2.2 lbs)= 1 liter of fluid
pitting edema equals 5L of fluid
◉ Degree of dehydration. Answer: Mild, moderate and sever
◉ Mild degree of dehydration. Answer: Less than 3% weight loss in
older children
Less than 5% weight loss in infants
50 mL/kg of fluid loss
,◉ moderate degree of dehydration. Answer: 3-6% weight loss in
older children
5-10% weight loss in infants
◉ severe degree of dehydration. Answer: More than 6% weight loss
in older children
More than 10% weight loss in infants
100 mL/kg of fluid loss
◉ oral rehydration solutions. Answer: Oral rehydration solutions
50 - 100 mL/kg ORS
Pedialyte, Infalyte
Popsicles contain 40 - 50 mL of fluid
10 mL/kg ORS for each stool if diarrhea
2 mL/kg ORS for each emesis
◉ the 4 types of shock. Answer: 1.Hypovolemic
2.Cardiogenic
3.Distributive
-Neurogenic
-Anaphylactic
-Septic
, 4.Obstructive
◉ stages of shock. Answer: 1. Initial (Early)
2. Compensatory
3. Progressive
4. Irreversible
◉ how can shock occur?. Answer: Shock can occur in association
with many kinds of major illness
(hemorrhage, trauma, burns, infection & heart disease)
◉ definition shock. Answer: inadequate blood flow to vital organs or
the inability of the tissues of these organs to utilize oxygen and other
nutrients
◉ hypovolemic shock. Answer: Give Colloids - volume expanders;
Action allows fluids to hold and remain in the intravascular
compartment thus increasing blood pressure
Give Blood - whole, packed cells, FFP, platelets
If hypovolemic shock doesn't respond to fluid replacement, it will
lead to cardiogenic shock so then tx with:
Vasodilators -reduce peripheral resistance
Cardiogenic shock:
COMPLETE QUESTIONS WITH ANSWERS
GRADED A+
◉ treatments for fluid volume excess. Answer: Low NA Diet
Restrict Fluids
Daily weight
Diuretics
Monitor K levels
I&O
◉ weight of fluid. Answer: 1 kg (2.2 lbs)= 1 liter of fluid
pitting edema equals 5L of fluid
◉ Degree of dehydration. Answer: Mild, moderate and sever
◉ Mild degree of dehydration. Answer: Less than 3% weight loss in
older children
Less than 5% weight loss in infants
50 mL/kg of fluid loss
,◉ moderate degree of dehydration. Answer: 3-6% weight loss in
older children
5-10% weight loss in infants
◉ severe degree of dehydration. Answer: More than 6% weight loss
in older children
More than 10% weight loss in infants
100 mL/kg of fluid loss
◉ oral rehydration solutions. Answer: Oral rehydration solutions
50 - 100 mL/kg ORS
Pedialyte, Infalyte
Popsicles contain 40 - 50 mL of fluid
10 mL/kg ORS for each stool if diarrhea
2 mL/kg ORS for each emesis
◉ the 4 types of shock. Answer: 1.Hypovolemic
2.Cardiogenic
3.Distributive
-Neurogenic
-Anaphylactic
-Septic
, 4.Obstructive
◉ stages of shock. Answer: 1. Initial (Early)
2. Compensatory
3. Progressive
4. Irreversible
◉ how can shock occur?. Answer: Shock can occur in association
with many kinds of major illness
(hemorrhage, trauma, burns, infection & heart disease)
◉ definition shock. Answer: inadequate blood flow to vital organs or
the inability of the tissues of these organs to utilize oxygen and other
nutrients
◉ hypovolemic shock. Answer: Give Colloids - volume expanders;
Action allows fluids to hold and remain in the intravascular
compartment thus increasing blood pressure
Give Blood - whole, packed cells, FFP, platelets
If hypovolemic shock doesn't respond to fluid replacement, it will
lead to cardiogenic shock so then tx with:
Vasodilators -reduce peripheral resistance
Cardiogenic shock:
