QUESTIONS AND ANSWERS 100

CCRN practice General1 EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025) What is the affect of ADH on urine formation?

• Retention of sodium & water, excretion of potassium
• Excretion of sodium & water, excretion of potassium
• Retention of water, concentration of urine
• Excretion of water, dilution of urine - Correct Answers

✅C. Retention of water, concentration of urine The releasing stimulus for ADH is normally?

• Decreased serum wall myocardial infarction
• Increased serum osmolarity (dehydrated)
• An elevated circulatory cortisol level
• Increased serum potassium levels - Correct Answers

✅B. Increased serum osmolarity (dehydrated)

The normal serum osmolarity is within the range of:

• 145-155 mOs./L
• 200-250 mOs./L
• 275-295 mOs./L
• 325-375 mOs./L - Correct Answers ✅C. 275-295 mOs./L

> 295 = dehydrated < 275 = dilute/fluid overload 1 / 4

CCRN practice General1 EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025) The syndrome of inappropriate antidiuretic hormone (SIADH)

is manifested clinically as a:

• Hyperosmolar state
• Low output state
• Myxedema state
• Water intoxication state - Correct Answers ✅D. Water

intoxication state because the body holds onto lots of water leading to dilutional hyponatremia In addition to its affect on body water equilibrium, ADH is also

a:

• Vasopressor
• Cardiotonic
• Beta stimulator
• Carbonic anhydrase inhibitor - Correct Answers ✅A.

Vasopressor The symptomatology you would assess in the patient with

SIADH results from:

• Elevated K+ levels 2 / 4

CCRN practice General1 EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025)

• Water intoxication
• Increased serum osmolality
• Precipitating factors of SIADH - Correct Answers ✅B.

Water intoxication

The "cardinal sign" of inappropriate ADH secretion is:

• Dilutional hyponatremia
• Urinary output of 10 L per day
• Hypotension
• Systemic edema - Correct Answers ✅A. Dilutional

hyponatremia Which of the following laboratory findings would be present in a patient with SIADH?

• Low serum sodium
• Serum osmolality of 350
• Urine specific gravity of 1.003
• Decreased urine osmolarity - Correct Answers ✅A. Low

serum sodium

The patient with SIADH may present with:

• Increased urinary output
• Seizures 3 / 4

CCRN practice General1 EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025)

• Hypertension
• Increased potassium levels - Correct Answers ✅B.

Seizures Which of the following patients would be likely to develop DI?

• An elderly person receiving thiazides
• A young woman with severe pneumonia
• A 50 y/o man with esophageal varices on Pitressin
• A head trauma patient with a skull fracture - Correct

Answers ✅D. A head trauma patient with a skull fracture During your assessment, which of the following findings would be present in a patient with DI?

• Serum osmolality of 250
• Serum sodium level of 165
• Urinary output of less than 600 cc in 24 hours
• Urine specific gravity of 1.025 - Correct Answers ✅B.

Serum sodium level of 165

The nurse understands a major complication of DI is:

• Hypovolemic shock
• Seizures
• Congestive heart failure
• / 4