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NR 226 Exam 2 (2026) | Chamberlain University | 200+ Exam Questions & Correct Answers | Sleep, Fluid & Electrolyte Balance, Acid-Base Disorders & Nursing Interventions

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Prepare for NR 226 Exam 2 with this comprehensive study guide featuring 200+ exam-style questions and verified correct answers designed for Chamberlain University nursing students. This resource provides an in-depth review of the high-yield concepts tested in sleep physiology, sleep disorders, fluid and electrolyte balance, intravenous fluid therapy, acid-base regulation, arterial blood gas (ABG) interpretation, and nursing interventions. Organized in a structured question-and-answer format, this guide reinforces essential nursing knowledge, strengthens clinical reasoning, and prepares students for unit exams, ATI assessments, HESI examinations, NCLEX-style questions, and clinical competency evaluations. The study guide thoroughly reviews normal sleep physiology, circadian rhythms, NREM and REM sleep stages, sleep cycles, sleep deprivation, insomnia, sleep apnea, narcolepsy, hypersomnia, parasomnias, CPAP and BiPAP therapy, sleep assessment, sleep hygiene, bedtime routines, and evidence-based nursing interventions that promote restorative sleep. It also provides comprehensive coverage of fluid volume deficit (hypovolemia and dehydration), fluid volume excess (hypervolemia), intracellular and extracellular fluid compartments, first-, second-, and third-spacing, isotonic, hypotonic, and hypertonic IV solutions, osmosis, diffusion, filtration, active transport, electrolyte imbalances involving sodium and potassium, arterial blood gas interpretation, respiratory and metabolic acidosis and alkalosis, acid-base compensation, homeostasis, intake and output monitoring, laboratory interpretation, and patient-centered nursing interventions. The concise question-and-answer format makes this resource ideal for rapid review, classroom examinations, ATI Fundamentals, HESI testing, NCLEX preparation, and clinical practice. The content aligns with evidence-based nursing concepts presented in leading nursing references, including: Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. Fundamentals of Nursing. Elsevier. Hinkle, J. L., & Cheever, K. H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing. Wolters Kluwer. Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care. Elsevier. Infusion Nurses Society (INS). Infusion Therapy Standards of Practice. American Association of Critical-Care Nurses (AACN). AACN Essentials of Critical Care Nursing. Relevant Students: Chamberlain University NR 226 students Bachelor of Science in Nursing (BSN) students Associate Degree in Nursing (ADN) students Practical Nursing (PN/LPN/LVN) students Fundamentals of Nursing students Adult Health Nursing students Medical-Surgical Nursing students Gerontological Nursing students ATI Fundamentals students HESI Nursing students NCLEX-RN candidates Nursing students preparing for exams, clinical check-offs, and competency assessments Keywords: NR 226 Exam 2, NR226, Chamberlain University, sleep physiology, sleep disorders, sleep deprivation, circadian rhythm, REM sleep, NREM sleep, sleep cycle, insomnia, sleep apnea, obstructive sleep apnea, central sleep apnea, mixed sleep apnea, CPAP, BiPAP, narcolepsy, hypersomnia, parasomnias, sleep hygiene, sleep assessment, fluid and electrolyte balance, fluid volume deficit, hypovolemia, dehydration, fluid volume excess, hypervolemia, first spacing, second spacing, third spacing, intracellular fluid, extracellular fluid, osmosis, diffusion, filtration, active transport, isotonic solutions, hypotonic solutions, hypertonic solutions, IV fluids, sodium, hyponatremia, hypernatremia, potassium, electrolyte imbalance, acid-base balance, arterial blood gases, ABG interpretation, respiratory acidosis, respiratory alkalosis, metabolic acidosis, metabolic alkalosis, homeostasis, intake and output, nursing interventions, ATI preparation, HESI preparation, NCLEX preparation, nursing exam questions, nursing study guide

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NR 226 EXAM 2 sleep, fluid and
electrolytes 2026 Expert
Verifed Ace the Test



sleep - ANSWER ✔✔an altered state of consciousness where

perception of and reaction to environment is decreased


sleep deprivation - ANSWER ✔✔condition of not having enough

sleep, can be either chronic or acute


chronic sleep deprivation - ANSWER ✔✔restricted state can cause

fatigue, daytime sleepiness, clumsiness and weight gain, adversely

affects the brain and cognitive function


sleep pattern disturbance - ANSWER ✔✔due to decreased physical

activity, fear, anxiety, inability to assume usual sleep position, frequent

,assessments or treatments, unfamiliar environment, and discomfort

resulting from current illness/injury


circadian rhythms - ANSWER ✔✔biological clock, synchronized to

light-dark cycles, and cues in organisms environment, going to bed at

the same time every night


sleep regulation - ANSWER ✔✔regulated by a sequence of

physiological states integrated by CNS activity


stages of sleep - ANSWER ✔✔1,2,3,4 and REM


sleep cycle - ANSWER ✔✔once asleep a person passes through 4 to

5 sleep cycles


stage 1: NREM - ANSWER ✔✔lightest level of sleep, lasts a few

minutes, decreased physiological activity beginning with a gradual fall in

vital signs and metabolism, person easily aroused by sensory stimuli

such as noise, in person awakes, feels as though daydreaming has

occurred, reduction in a autonomic activities,


stage 2: NREM sleep - ANSWER ✔✔period of sound sleep,

relaxation progresses, arousal still easy, lasts 10 to 20 minutes, body

functions still slowing, at this stage, you might want to leave them

, sleeping, if it is possible try not to wake them up for vital sign checks or

other routine testing


stage 3: NREM - ANSWER ✔✔initial stages of deep sleep, sleeper

difficult to arouse and rarely moves, muscles completely relaxed, vital

signs decline but remain regular, lasts 15 to 30 minutes, hormonal

response includes secretion of growth hormone (especially in children in

stage 3 &4)


stage 4: NREM - ANSWER ✔✔deepest stage of sleep, very difficult

to arouse sleeper, if sleep loss has occurred, sleeper will spend

considerable portion of night in this stage, VS are significantly lower than

during waking hours, stage last approx. 15-30 minutes, sleepwalking

and enuresis sometimes occur


REM sleep - ANSWER ✔✔stage of vivid, full-color dreaming, first

occurs approx, 90 minutes after sleep has begun, thereafter occurs at

end of each NREM cycle, typified by autonomic response of rapidly

moving eyes, fluctuating heart and respiratory rates, and increased

fluctuating blood pressure, loss of skeletal muscle tone, responsible for

mental restoration, stage in which sleeper is most difficult to arouse,

duration of REM sleep increases with each cycle and averages 20

minutes



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