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PNUR 3350 – 50+ Practice Questions with Answers on Fluid Balance, Electrolytes, Acid-Base Imbalances & Shock | Nursing Review Guide 2025/2026

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This PNUR 3350 study document includes over 50 practice questions with detailed answers covering critical nursing concepts. Core topics span fluid compartments, sodium/potassium imbalances, calcium/magnesium regulation, fluid volume overload/deficit, respiratory and metabolic acidosis/alkalosis, and types of shock. Highly valuable for Nursing, Practical Nursing, and Health Sciences students preparing for exams in medical-surgical nursing, pathophysiology, or clinical decision-making related to fluid and electrolyte management. Keywords: fluid balance, electrolytes, sodium, potassium, calcium, magnesium, fluid volume deficit, fluid overload, acid-base imbalance, respiratory acidosis, metabolic alkalosis, shock types, PNUR 3350 exam, nursing practice questions, clinical scenarios, medical-surgical nursing

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PNUR 3350: Pharmacology
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PNUR 3350: Pharmacology

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PNUR 3350: Pharmacology Final
2025/2026 Exam Questions and Verified
Answers | Already Graded A+



where are corticosteroids produced? - 🧠 ANSWER ✔✔adrenal cortex of the

adrenal glands


where is epinephrine and norepinephrine produced? - 🧠 ANSWER ✔✔the adrenal

medulla in the adrenal glands


what system regulates corticosteroid levels? - 🧠 ANSWER ✔✔Hypothalamic-

Pituitary-Adrenal (HPA) axis


what is the HPA axis? - 🧠 ANSWER ✔✔a negative feedback loop




releases corticotropin releasing hormone (CRH) from the hypothalamus -->

releases adrenocorticotropic hormone (ACTH) from the anterior pituitary -->

releases glucocorticoids from the adrenal cortex

,what are the two types of corticosteroids? - 🧠 ANSWER ✔✔glucocorticoids and

mineralocorticoids


what is the major action of glucocorticoids? - 🧠 ANSWER ✔✔anti-inflammatory




also: regulates carbohydrate, protein & lipid metabolism, maintains BP, stress

effects, immune response


what is the main action of mineralocorticoids? - 🧠 ANSWER ✔✔BP control




also: maintains blood pH, maintains serum K levels, affects sodium and water

reabsorption

what results from the over-secretion of the adrenal hormones? - 🧠 ANSWER

✔✔CUSHING'S SYNDROME




May be caused by a tumour, or excessive administration of medication (steroids)


manifestations of Cushing's syndrome - 🧠 ANSWER ✔✔redistribution of body fat

from extremities to shoulders/abdomen, 'moon face' (from glucocorticoid

hypersecretion)


COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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,increased water & sodium retention, muscle weakness d/t K loss (from aldosterone

hypersecretion)

what results from the under-secretion of adrenal hormones? - 🧠 ANSWER

✔✔ADDISONS DISEASE




due to decreased blood sodium and glucose levels, and increased K




S&S: hyperpigmentation, weakness, headache, fatigue, nausea, anorexia,

dehydration, weight loss, confusion, fever, diaphoresis, hypotension

mineralocorticoids (indications, mechanism of action) - 🧠 ANSWER

✔✔Fludrocortisone 21-acetate




INDICATIONS: addison's disease, salt losing adrenogenital syndrome




MOA: acts on distal kidney tubule -> sodium reabsorption into blood -> pulls

water and fluid with it -> regulates B/P & edema


COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, what are some indications of glucocorticoids? - 🧠 ANSWER ✔✔INDICATIONS:

adrenocortical deficiency, cerebral edema, leukemia, lupus, GI diseases,

bronchospasms, allergic rhinitis, inflammation, chronic respiratory illness

exacerbations


glucocorticoids mechanism of action - 🧠 ANSWER ✔✔INHIBITS inflammatory &

immune responses


what are three common glucocorticoids & their indications? - 🧠 ANSWER ✔✔1.

dexamethasone [PO, IV, IM] : variety of disorders, involving INFLAMMATION




2. hydrocortisone [PO, IV, IM] : adrenocortical insufficiency &

INFLAMMATION




3. prednisone [PO] : same as dexamethasone


what are some common adverse effects of corticosteroids? - 🧠 ANSWER ✔✔they

may affect EVERY body system and causes IMMUNOSUPPRESSION




COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED

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