NSG3850 / NSG 3850 Exam 1| Latest Update 2025 / 2026 | Pathophysiology for Nurses II, Exams of Pathophysiology

NSG3850 / NSG 3850 Exam 1| Latest Update 2025 / 2026 | Pathophysiology for Nurses II | 100 out of 100 | Questions and Answers | Grade A | 100% Correct – Galen

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2025/2026

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NSG3850 / NSG 3850 Exam 1| Latest Update
2025 / 2026 | Pathophysiology for Nurses II |
100 out of 100 | Questions and Answers |
Grade A | 100% Correct – Galen
Question:
2/3 of body fluid is intracellular. 1/3 is extracellular. T/F?
Answer:
True
Question:
Where is the extracellular fluid?
Answer:
- between cells (interstitial)
- blood vessels (vascular)
- dense connective tissue and bone
- CSF, GI fluids, synovial (transcellular)
GRADE A+
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NSG3850 / NSG 3850 Exam 1 | Latest Update

2025 / 2026 | Pathophysiology for Nurses II |

100 out of 100 | Questions and Answers |

Grade A | 100% Correct – Galen

Question:

2/3 of body fluid is intracellular. 1/3 is extracellular. T/F? Answer: True

Question:

Where is the extracellular fluid? Answer:

  • between cells (interstitial)
  • blood vessels (vascular)
  • dense connective tissue and bone
  • CSF, GI fluids, synovial (transcellular)

Question:

When ADH is low, urine volume is Answer: high

Question:

When aldosterone is high, urine volume is Answer: low

Question:

ADH is the "____ water" hormone. Answer: free *causes kidneys to reabsorb plain water

Question:

Aldosterone is the "____ water" hormone. Answer: salt *causes kidneys to reabsorb water AND sodium

No!

Question:

A gain of more water than salt is called: Answer: *gain water dilutional hyponatremia

Question:

A loss of more salt than water is called: Answer: *lose salt depletional hyponatremia

Question:

Aldosterone increases or decreases potassium excretion in urine? Answer: Increases

Question:

I have low ionized calcium levels after a massive or fast blood transfusion or FFP because of: Answer: citrate (preservative in blood products) *citrate renders calcium inactive

Question:

PTH increases plasma calcium, therefore, pt's with hypoparathyroidism from sx or trauma will have: Answer: low levels of calcium

Question:

With low levels of extracellular Ca, voltage gated Na channels are less stable. Making them more likely to open up allowing them to depolarize more easily. This makes neurons more: Answer: excitable! *which means tetany occurs

Question:

PTH increases plasma calcium, therefore, pt's with hyperparathyroidism will have: higher levels of calcium Answer:

contract *this is due to neuromuscular excitability

Question:

Too much Mg, causes acetylcholine to rarely be released causing muscular: Answer: depression

Question:

Phosphate is an important component of ATP. Since ATP is a major source of energy, if we have low phosphate we are more likely to be: Answer: weak

Question:

Pt's with hyperphosphatemia and kidney dx are likely to have to ______________ salts in soft tissues of the body. Leading to aching, stiffness in joints, itching, and conjunctivitis. Answer: phosphate

Question:

What electrolytes are in the ECF and ICF? Answer: ECF = K+ and Mg ICF = Na+, Cl, Bicarb

Question:

What are the components of blood? Answer: RBCs (carry O2) platelets (clotting) leukocytes (WBCs) (infection)

Question:

What does the blood transport? Answer: Oxygen (PO2) and carbon dioxide (CO2)

Question:

What are the compensatory mechanisms in anemia? Answer: Increase oxygen to tissues

  • increased resp and HR

Answer: False. You would have low oxygen.

Question:

I have insufficient iron for hemoglobin synthesis. I can be caused by low intake, increased demand (e.g., pregnancy), diminished absorption (e.g., chronic disease), hemorrhage, and hemodialysis. What am I? Answer: Iron-deficient anemia

Question:

What anemia causes increased iron absorption? Answer: Hemolytic (SCD and thalassemia)

Question:

In sickle cell anemia, Hgb is altered. This causes: Answer: instability and solubility of Hgb

Question:

What type of pulse do we have with general anemia?

Answer: Tachycardic (also SOA)

Question:

You can develop heart failure from anemia. T/F? Answer: True

Question:

I have pica, koilonychias, blue sclerae, weakness and fatigue, dyspnea, palpitation, tachycardia, and erosions at the corner of the mouth. What do I have? Answer: Iron-deficient anemia

Question:

What is needed to make iron? Answer: Ferritin

  1. ECF imbalances (saline imbalances)
  2. Body fluid imbalances (water imbalance)

Question:

What are causes of fluid deficit? Answer: Anything that causes removal of Na-containing fluid from the body like GI excretion (vomit, diarrhea, etc), renal excretion (adrenal insufficiency, extensive diuretic use, etc), and hemorrhage, massive sweat, etc. (p. 535)

Question:

I have very yellow urine, ↓ skin turgor, dry mucus membranes, hard stools, soft sunken eyeballs, longitudinal furrows in the tongue, no tears or sweat. I also have: Answer:

  • sudden weight loss
  • oliguria
  • syncope
  • dizziness
  • lightheadedness
  • postural blood pressure ↓ with increased HR
  • flat neck veins when supine
  • prolonged cap refill and vein filling time. What do I have? Volume deficit

Question:

What are causes of fluid excess? Answer: Addition or retention of saline (salt water in the same concentration as normal plasma). Like excessive IV infusion and/or renal retention of Na/H2O.

Question:

I have sudden weight gain, edema, bounding pulse, neck vein distention, crackles, dyspnea, orthopnea, frothy sputum from pulmonary edema. What do I have? Answer: Fluid excess

Question:

What are causes of hyponatremia? Answer:

  1. gain of more water than salt (dilutional hyponatremia)
  • excess ADH, excess D5W, tap water enemas, etc
  1. loss of more salt than water (depletional hyponatremia)

Question:

What do I have? Answer: Hyponatremia

Question:

What are causes of hypernatremia? Answer:

  1. gain of more salt than water
  • tube feeding, overuse of salt tabs, no access to water, hypertonic IV solutions, etc
  1. loss of more water than salt
  • diabetes insipidus, tube feeding, prolonged diarrhea and vomit (bc you are not losing Na+, you lose K+), etc

Question:

I have nonspecific CNS dysfunction. Like:

Answer:

  • confusion
  • lethargy
  • seizures
  • coma
  • thirst
  • oliguria

Question:

What do I have? Answer: Hypernatremia

Question:

What are causes of hypokalemia? Answer:

  1. decreased intake

Question:

What are causes of hyperkalemia? Answer:

  1. increased K+ intake
  • rapid K+ infusion, large transfusion of stored blood, etc
  1. shift of K+ from cells to ECF
  • acidosis, low insulin, cytotoxic drugs, etc
  1. decreased K+ excretion
  • low urine, certain diuretics, adrenal insufficiency, etc

Question:

I have an elevated T wave on ECG, intestinal cramping, muscle weakness, flaccid paralysis, and possible cardiac arrest. What do I have? Answer: Hyperkalemia

Question:

What are causes of hypocalcemia? Answer:

  1. decreased Ca intake or absorption
  • diet, CKD, chronic diarrhea, low absorption
  1. decreased bioavailability
  • hypoparathyroidism, excess phosphate intake
  1. Steatorrhea and pancreatitis

Question:

I have positive Chvostek and Trousseau sign , prolonged QT interval (*harder for muscle to relax), laryngospasm, tingling of extremities, fatigue, tetany, cramps, hypERactive reflexes. What do I have? Answer: Hypocalcemia

Question:

What are causes of hypercalcemia? Answer:

  • hyperparathyroidism
  • immobility
  • thiazide diuretics