NUR 172 EXAM PACKAGE DEAL 2026
FINAL PAPER PRACTICE
QUESTIONS ANSWERS ACCURATE
A+
◉ s/s fluid overload.
Answer: •CV: tachycardia, bounding pulse, HTN, decrease pulse
pressure, JVD, weight gain
•Resp: increase and shallow resp; SOB, crackles lung sounds
•Skin: pitting edema, skin pale and cool to touch
•Neuromuscular: LOC, HA, visual disturbance, muscle weakness,
paresthesia
•GI: increase motility, enlarge liver
◉ Assessment for fluid overload.
Answer: •Assess risk r/t age and diagnosis, history (overhydration, CHF,
kidney disease)
•Assess vital signs why: watch for bounding tachycardia, HTN,
dysrhythmias, tachypnea
•Assess lung sounds (crackles) , weight, LOC, Observe JVD
•Assess lab values: electrolytes imbalance and signs and symptoms
• Focus Assessment: skin/extremities/ abdomen and sacrum area for
edema
•Assess perfusion: edema may impair perfusion to extremities, assess
peripheral and central pulses, capillary refill, skin color, temp, sensory
and motor function
,•Observe for urine output
◉ Lab values fluid overload.
Answer: •Serum osmolality (275-295 mOsm/kg)
•Decrease found in overhydration <275; and < 265 is critical finding
•CBC
•Decrease hemoglobin and hematocrit
•BUN
•decreased BUN
•Electrolytes
•Decreased sodium (shifts due to dilution)
•Urine specific gravity Decrease < 1.005
◉ fluid overload interventions/goal.
Answer: •Goal: reduce excess body fluids, promote desired elimination
•Manage underlying cause
•Restrict dietary sodium intake
•Monitor I/O
•Administer diuretic
•Monitor client's s/s and electrolytes values
•Restrict oral and other fluid intake as prescribed
◉ Fluid overload complications.
, Answer: •Isotonic overhydration
•HF and pulmonary edema
•Seizure
•Coma
◉ Fluid overload medications.
Answer: Furosemide
Mannitol
◉ S/S of dehydration.
Answer: •Vital signs: hyperthermia, ST, thread pulse, hypotension,
decrease CVP
•Neuromusculoskeletal: Dizziness, syncope, confusion, weakness,
fatigue
•GI: thirst, dry furrowed tongue, N/V, anorexia, weight loss
•Renal: Oliguria
•Other signs: Diminish capillary refill, cool clammy skin, diaphoresis,
sunken eyeballs, flat neck vein
◉ Dehydration assessment.
Answer: •Assess for condition leading to dehydration: diarrhea, poor
intake, vigorous exercise, vomiting, polyuria, fluid losses (burns,
trauma) clients with drains/NG tube, burns/fluid shifts, overuse of
diuretic
FINAL PAPER PRACTICE
QUESTIONS ANSWERS ACCURATE
A+
◉ s/s fluid overload.
Answer: •CV: tachycardia, bounding pulse, HTN, decrease pulse
pressure, JVD, weight gain
•Resp: increase and shallow resp; SOB, crackles lung sounds
•Skin: pitting edema, skin pale and cool to touch
•Neuromuscular: LOC, HA, visual disturbance, muscle weakness,
paresthesia
•GI: increase motility, enlarge liver
◉ Assessment for fluid overload.
Answer: •Assess risk r/t age and diagnosis, history (overhydration, CHF,
kidney disease)
•Assess vital signs why: watch for bounding tachycardia, HTN,
dysrhythmias, tachypnea
•Assess lung sounds (crackles) , weight, LOC, Observe JVD
•Assess lab values: electrolytes imbalance and signs and symptoms
• Focus Assessment: skin/extremities/ abdomen and sacrum area for
edema
•Assess perfusion: edema may impair perfusion to extremities, assess
peripheral and central pulses, capillary refill, skin color, temp, sensory
and motor function
,•Observe for urine output
◉ Lab values fluid overload.
Answer: •Serum osmolality (275-295 mOsm/kg)
•Decrease found in overhydration <275; and < 265 is critical finding
•CBC
•Decrease hemoglobin and hematocrit
•BUN
•decreased BUN
•Electrolytes
•Decreased sodium (shifts due to dilution)
•Urine specific gravity Decrease < 1.005
◉ fluid overload interventions/goal.
Answer: •Goal: reduce excess body fluids, promote desired elimination
•Manage underlying cause
•Restrict dietary sodium intake
•Monitor I/O
•Administer diuretic
•Monitor client's s/s and electrolytes values
•Restrict oral and other fluid intake as prescribed
◉ Fluid overload complications.
, Answer: •Isotonic overhydration
•HF and pulmonary edema
•Seizure
•Coma
◉ Fluid overload medications.
Answer: Furosemide
Mannitol
◉ S/S of dehydration.
Answer: •Vital signs: hyperthermia, ST, thread pulse, hypotension,
decrease CVP
•Neuromusculoskeletal: Dizziness, syncope, confusion, weakness,
fatigue
•GI: thirst, dry furrowed tongue, N/V, anorexia, weight loss
•Renal: Oliguria
•Other signs: Diminish capillary refill, cool clammy skin, diaphoresis,
sunken eyeballs, flat neck vein
◉ Dehydration assessment.
Answer: •Assess for condition leading to dehydration: diarrhea, poor
intake, vigorous exercise, vomiting, polyuria, fluid losses (burns,
trauma) clients with drains/NG tube, burns/fluid shifts, overuse of
diuretic
