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NURS 2300 Final Exam Guide (2025/2026) | 200+ Verified Q&A | Fluid & Electrolyte Balance, Urinary Elimination, Reproductive Health, Stress & Coping, Mental Health

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This NURS 2300 Final Exam 2025/2026 study guide provides over 200 exam-aligned questions and correct answers, comprehensively covering high-yield nursing concepts tested in the final exam. It’s an essential companion for nursing students preparing to succeed in both clinical and theoretical areas of professional practice. This document thoroughly integrates systems-based content with NCLEX-style reasoning, making it highly practical for course success and licensing prep. Included topics and systems: Fluid & Electrolyte Balance: Regulation of extracellular fluid, osmolarity, and electrolyte levels Imbalances: Hyper/hyponatremia, hyper/hypokalemia, calcium and magnesium disturbances Risk factors (age, illness), lab values, diagnostic tests Clinical symptoms and nursing interventions Urinary Elimination: Types of incontinence (stress, urge, overactive, functional, mixed, transient) Urinary retention and elimination patterns Lifespan considerations (infants to elderly) Diagnostic tests: UA, CT, MRI, bladder scans, and observation tests Reproductive Health: Populations at risk: Adolescents, elderly, low-income, high-risk pregnancies Lab tests: Pregnancy testing, maternal assays, STD screening Primary and secondary prevention strategies Sexuality: Populations at risk: LGBTQ+, adolescents, disabled populations 5 Ps of sexual health history Diagnostic and preventive screenings Stress & Coping: General Adaptation Syndrome (GAS), coping models Cognitive/primary/secondary appraisal Short- and long-term physiological responses Maladaptive vs. adaptive strategies Mental Health: Risk factors for mental illness (age, trauma, family history) Signs of affective instability and mental health emergencies Disorders: Major depressive disorder, persistent depressive disorder, adjustment disorder Key nutrients affecting mental health: Vitamin B, D, Omega-3, melatonin Professional Nursing Values: Integrity, advocacy, humility, compassion, courage, and flourishing Delegation & Nursing Practice: 5 rights of delegation and differentiation from assignment Tasks not delegable to LPNs or UAPs NCLEX-based decision logic for delegation This guide bridges foundational knowledge and test-ready content for comprehensive success in NURS 2300, while supporting NCLEX prep, capstone projects, and critical reasoning in clinical placements. It is especially effective for accelerated nursing programs and hybrid learning models. Relevant for: Courses: NURS 2300, Foundations of Nursing, Adult Health, Health Assessment, Maternal Health, Psychiatric Nursing Students: BSN, ADN, LVN-to-RN bridge students, accelerated pre-licensure nursing programs, NCLEX-RN candidates Keywords: fluid balance, electrolyte imbalance, hypernatremia, hypokalemia, urinary incontinence, reproductive health, safe sex, prenatal screening, stress and coping, GAS, mental health disorders, major depression, NCLEX delegation, 5 rights of delegation, nursing values, compassion in nursing, patient advocacy, vitamin D and mental health, hypocalcemia, urinary retention, final exam nursing, NURS 2300 review, nursing test prep, care coordination, magnesium imbalance

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Uploaded on
September 9, 2025
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Written in
2025/2026
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NURS 2300 Final Exam 2025/2026 Exam
Questions and Correct Answers | New
Update



What is the concept of fluid and electrolyte balance? - 🧠 ANSWER

✔✔Regulating the extracellular fluid volume (in blood vessels), body fluid

osmolarity (sodium concentrations), and plasma concentrations of

electrolytes

What are the different types of fluid/electrolyte imbalances? (input vs

output) - 🧠 ANSWER ✔✔Adequate output but deficient intake or absorption

of fluid/nutrients (not consuming enough fluids leads to hypernatremia due

to increased electrolyte concentrations)

,Increased urinary output that is not balanced with an increased intake

(diarrhea increasing output of fluids/electrolytes, causing an ECV deficit

and osmolarity/electrolyte imbalances)




Output significantly less than excessive fluid intake (rapid IV fluid

administration, eating sodium and drinking excessive water that can lead to

excessive fluid volume before the kidneys can excrete the excess fluid and

salt)




Decreased output not balanced by a decreased intake (oliguria more likely

to develop excessive fluid volume and excessive electrolyte concentrations

unless intake is adjusted appropriately)

Populations at risk for disrupted fluid/electrolyte balance (Old vs Young) - 🧠

ANSWER ✔✔Infants are at a greater risk of developing fluid/electrolyte

imbalances due to:

-Increased metabolic rate

-Immature kidneys

-Rapid respiratory rate

,-Proportionally greater body/surface area than adults




The elderly are at an increased risk of fluid/electrolyte imbalances due to:

-Diminished thirst sensation

-Kidneys are less responsive to antidiuretic hormones to manage water

concentrations

-Impaired ability to conserve water`

What are some symptoms or red flags that would indicate a fluid/electrolyte

imbalance? - 🧠 ANSWER ✔✔The patient reports a history of:


-Vomiting

-Diarrhea

-Kidney/Heart/Liver failure

-Unexplained nausea, fatigue, dizziness, shortness of breath, muscle

cramping, edema, or sudden changes in weight

What diagnostic tests (lab values or other) that could be used to determine

a fluid and electrolyte imbalance? - 🧠 ANSWER ✔✔Any direct




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, measurement of serum levels, including the following results from a Basic

Metabolic Panel:

-Sodium

-Potassium

-Calcium

-Magnesium




An EKG can also be utilized to detect any cardiac dysrhythmias from hyper

or hypokalemia

What clinical or collaborative interventions would be used to treat disrupted

fluid and electrolyte balances? - 🧠 ANSWER ✔✔Most treatment strategies

are specific to the underlying cause but often include:

-Water replacement therapy (oral or intravenous fluids)

-Electrolyte supplementation (sodium, potassium, magnesium, and

calcium)

-Diuretics to treat excessive fluid volume

-Monitoring fluid intake and output

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