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Galen NUR 242 Exam 2 (Latest 2026/2027 Update) | Medical-Surgical Nursing: Fluid & Electrolytes Balance | Comprehensive Study Guide | Exam Questions & Answers | Grade A+

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This document contains a comprehensive exam review for Galen NUR 242 Exam 2, covering essential medical-surgical nursing concepts commonly tested in nursing programs. Topics include fluid and electrolyte balance, including regulation of intake and output, osmosis, diffusion, and active transport in clinical contexts. It also includes fluid volume imbalances such as dehydration, fluid overload, edema, and third-spacing, with emphasis on assessment findings, laboratory values, and priority nursing interventions. Electrolyte disturbances are covered, including sodium, potassium, calcium, magnesium, and chloride imbalances, with associated cardiac, neuromuscular, and renal manifestations. Additional content includes IV therapy management, acid-base balance basics, patient safety considerations, and monitoring for complications in acute care settings. The material also emphasizes clinical judgment frameworks such as ABCs and Maslow’s hierarchy for prioritization of care. The content is designed to strengthen medical-surgical nursing knowledge, improve clinical reasoning, and support exam readiness using structured, high-yield review content aligned with the 2026/2027 curriculum. Keywords: NUR 242 exam 2 fluid and electrolytes dehydration fluid overload edema third spacing sodium potassium calcium magnesium chloride IV therapy acid base balance electrolyte imbalance medical surgical clinical judgment ABCs Maslow hierarchy practice questions exam prep verified answers

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Galen NUR 242 Medical-Surgical Nursing Exam 2: (Latest 2026/2027 Update)
Fluid & Electrolyte Imbalances, Acid-Base Disorders | Verified Q&A | A+
Guarantee | 100% Correct
Comprehensive Review for Fluid Overload, Dehydration, Electrolyte Imbalances (Ca, K, Mg, Na), Metabolic and
Respiratory Acidosis/Alkalosis



SUBJECT COURSE FOCUS

Medical-Surgical Nursing NUR 242 Exam 2 Fluids, Electrolytes, ABGs



Question 1

What are the causes of fluid overload?

A. Excessive fluid replacement, kidney failure (late phase), heart failure

B. Long term corticosteroid therapy, SIADH, psychiatric disorders with polydipsia, water intoxication

C. Both A and B

D. Dehydration, vomiting, diarrhea

CORRECT ANSWER

C. Both A and B


RATIONALE

• Fluid overload results from excessive intake, decreased excretion (renal failure), or fluid retention (HF,
SIADH, corticosteroids).

, Question 2

What are signs and symptoms of fluid overload?

A. Tachycardia, bounding pulse, hypertension, JVD, weight gain

B. Increased shallow respirations, SOB, crackles lung sounds

C. Pitting edema, pale cool skin, LOC changes, headache, muscle weakness

D. All of the above

CORRECT ANSWER

D. All of the above


RATIONALE

• Fluid overload affects multiple systems: cardiovascular (tachycardia, JVD), respiratory (crackles), skin
(edema), and neuromuscular (LOC changes).




Question 3

What is the goal of fluid overload interventions?

A. Reduce excess body fluids and promote desired elimination

B. Increase fluid intake

C. Promote sodium retention

D. Decrease urine output

CORRECT ANSWER

A. Reduce excess body fluids and promote desired elimination


RATIONALE

• Interventions include diuretics, fluid restriction, sodium restriction, and monitoring I/O to reduce fluid
overload.

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Uploaded on
May 18, 2026
Number of pages
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