NSGl 3800/l NSG3800l Examl 1l –l Adultl
Healthl IIl Review|l Galenl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l ADHl andl aldosteronel telll ourl kidneysl tol _______l ontol water.
Answer:
hold
Q:l Canl ADHl deficiencyl orl resistancel causel hyper-l orl hypovolemia?
Answer:
Hypovolemial
*l ADHl meansl "anti"l +l "excessivel urine"l whichl meansl whenl wel havel al defectl inl
ADH,l wel arel urinatingl excessivelyl andl losingl fluid.
Q:l Whatl isl thel #1l signl ofl hypovolemia?l Itl isl alsol ourl firstl intervention.
Answer:
Weightl loss
*l dailyl weightsl everyl 24hrsl atl thel samel timel ofl day
Q:l Il have:
-l highl HCT
-l highl BUN
-l highl Na+l
-l Increasedl urinel specificl gravityl +l osmolality
Aml Il hypovolemicl orl hypervolemic?
,Answer:
Hypovolemic
Q:l Howl dol wel medicallyl managel hypovolemia?
Answer:
-l ifl notl severe,l orall hydrationl preferred
-l isotonicl orl hypotonicl IVl (helpsl excretel metabolicl waste)
Q:l Whatl isl nursingl managementl ofl hypovolemia?
Answer:
1.l I+Ol q8hl orl hourly
2.l dailyl weights
3.l V/Sl q4hl
4.l observel forl weak,l rapidl pulse,l andl orthostaticl hypo
5.l skinl turgorl andl mucusl membranes
6.l idl riskl factorsl (treatl thel cause)
Q:l Anl acutel lossl ofl 0.5kgl (1.1lbs)l representsl al fluidl lossl ofl howl manyl mLs?
Answer:
500mL
Q:l Howl muchl doesl 1Ll ofl fluidl weigh?
Answer:
1kg
Q:l Whatl arel causesl ofl hypervolemia?
Answer:
-l lowl kidneyl fx
,-l heartl pumpingl action
-l hormonall imbalancel (ADH,l aldosterone)l akal retainingl tool muchl H20l andl Na+
-l liverl failure
-l rapidl fluidl administration
-l highl Na+l intake
Q:l Il havel acutel weightl gain,l edema,l crackles,l distendedl neckl veins,l SOA,l HTN,l
boundingl pulse,l tachypnea,l increasedl CVPl (centrall venousl pressure),l andl increasedl urinel
output.l Whatl aml I?
Answer:
Hypervolemia
Q:l Il have:
-l lowl HCT
-l lowl BUN
-l lowl Na+l
-l Decreasedl seruml osmolality
Aml Il hypovolemicl orl hypervolemic?
Answer:
Hypervolemia
Q:l Whatl isl nursingl managementl ofl hypervolemia?
Answer:
-l I+Ol
-l idl highl riskl pts
-l assessl edemal onl legsl andl sacrum
-l dailyl weights
-l mustl elevatel HOB
-l educatel onl dietaryl restrictions
Q:l Alka-seltzerl containsl al lotl ofl sodium.l T/F?
, Answer:
True
Q:l Whatl isl thel medicall managementl ofl hyponatremia?
Answer:
-l waterl restrictionl ifl notl severe
-l sodiuml replacementl
-l dol notl increasel quicklyl duel tol nervel damage
-l LRl orl isotonicl fluidsl mayl bel prescribed
Q:l Whatl isl thel nursingl managementl ofl hyponatremia?
Answer:
-l foodsl inl highl inl Na+l
-l frequentl neurol checks
-l monitorl labs
-l fallsl andl seizurel precautions
Q:l Whatl isl diabetesl insipidus?
Answer:
al disorderl causedl byl LOWl amountsl ofl ADHl whichl causesl excessivel waterl loss
(flushesl outl H2Ol butl notl Na+)
Q:l Whatl isl thel medicall managementl ofl hypernatremia?
Answer:
-l graduall loweringl ofl Na+l throughl hypotonicl soln.l infusion
-l D5Wl inl veryl highl sodiuml levels
Q:l Whatl isl thel nursingl managementl ofl hypernatremia?
Healthl IIl Review|l Galenl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l ADHl andl aldosteronel telll ourl kidneysl tol _______l ontol water.
Answer:
hold
Q:l Canl ADHl deficiencyl orl resistancel causel hyper-l orl hypovolemia?
Answer:
Hypovolemial
*l ADHl meansl "anti"l +l "excessivel urine"l whichl meansl whenl wel havel al defectl inl
ADH,l wel arel urinatingl excessivelyl andl losingl fluid.
Q:l Whatl isl thel #1l signl ofl hypovolemia?l Itl isl alsol ourl firstl intervention.
Answer:
Weightl loss
*l dailyl weightsl everyl 24hrsl atl thel samel timel ofl day
Q:l Il have:
-l highl HCT
-l highl BUN
-l highl Na+l
-l Increasedl urinel specificl gravityl +l osmolality
Aml Il hypovolemicl orl hypervolemic?
,Answer:
Hypovolemic
Q:l Howl dol wel medicallyl managel hypovolemia?
Answer:
-l ifl notl severe,l orall hydrationl preferred
-l isotonicl orl hypotonicl IVl (helpsl excretel metabolicl waste)
Q:l Whatl isl nursingl managementl ofl hypovolemia?
Answer:
1.l I+Ol q8hl orl hourly
2.l dailyl weights
3.l V/Sl q4hl
4.l observel forl weak,l rapidl pulse,l andl orthostaticl hypo
5.l skinl turgorl andl mucusl membranes
6.l idl riskl factorsl (treatl thel cause)
Q:l Anl acutel lossl ofl 0.5kgl (1.1lbs)l representsl al fluidl lossl ofl howl manyl mLs?
Answer:
500mL
Q:l Howl muchl doesl 1Ll ofl fluidl weigh?
Answer:
1kg
Q:l Whatl arel causesl ofl hypervolemia?
Answer:
-l lowl kidneyl fx
,-l heartl pumpingl action
-l hormonall imbalancel (ADH,l aldosterone)l akal retainingl tool muchl H20l andl Na+
-l liverl failure
-l rapidl fluidl administration
-l highl Na+l intake
Q:l Il havel acutel weightl gain,l edema,l crackles,l distendedl neckl veins,l SOA,l HTN,l
boundingl pulse,l tachypnea,l increasedl CVPl (centrall venousl pressure),l andl increasedl urinel
output.l Whatl aml I?
Answer:
Hypervolemia
Q:l Il have:
-l lowl HCT
-l lowl BUN
-l lowl Na+l
-l Decreasedl seruml osmolality
Aml Il hypovolemicl orl hypervolemic?
Answer:
Hypervolemia
Q:l Whatl isl nursingl managementl ofl hypervolemia?
Answer:
-l I+Ol
-l idl highl riskl pts
-l assessl edemal onl legsl andl sacrum
-l dailyl weights
-l mustl elevatel HOB
-l educatel onl dietaryl restrictions
Q:l Alka-seltzerl containsl al lotl ofl sodium.l T/F?
, Answer:
True
Q:l Whatl isl thel medicall managementl ofl hyponatremia?
Answer:
-l waterl restrictionl ifl notl severe
-l sodiuml replacementl
-l dol notl increasel quicklyl duel tol nervel damage
-l LRl orl isotonicl fluidsl mayl bel prescribed
Q:l Whatl isl thel nursingl managementl ofl hyponatremia?
Answer:
-l foodsl inl highl inl Na+l
-l frequentl neurol checks
-l monitorl labs
-l fallsl andl seizurel precautions
Q:l Whatl isl diabetesl insipidus?
Answer:
al disorderl causedl byl LOWl amountsl ofl ADHl whichl causesl excessivel waterl loss
(flushesl outl H2Ol butl notl Na+)
Q:l Whatl isl thel medicall managementl ofl hypernatremia?
Answer:
-l graduall loweringl ofl Na+l throughl hypotonicl soln.l infusion
-l D5Wl inl veryl highl sodiuml levels
Q:l Whatl isl thel nursingl managementl ofl hypernatremia?
