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
, Nurs 323 Final Exam Review (Latest 2026/
2027 Update) 100% Verified Questions &
Answers | Grade A - College of Mount Saint
Vincent
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
, Nurs 323 Final Exam Review (Latest 2026/
2027 Update) 100% Verified Questions &
Answers | Grade A - College of Mount Saint
Vincent
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
, Nurs 323 Final Exam Review (Latest 2026/
2027 Update) 100% Verified Questions &
Answers | Grade A - College of Mount Saint
Vincent
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
, Nurs 323 Final Exam Review (Latest 2026/
2027 Update) 100% Verified Questions &
Answers | Grade A - College of Mount Saint
Vincent
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
, Nurs 323 Final Exam Review (Latest 2026/
2027 Update) 100% Verified Questions &
Answers | Grade A - College of Mount Saint
Vincent
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
, Nurs 323 Final Exam Review (Latest 2026/
2027 Update) 100% Verified Questions &
Answers | Grade A - College of Mount Saint
Vincent
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
