1|Page
NUR114 FINAL EXAM LATEST UPDATE FOR
2025,2026 NEW
GRADED A+ GUARANTEED
PASS
Test-Taking Strategy: Focus on the subject, identifying the prescriptions that
need to be questioned and on the pathophysiology that occurs in sickle cell
disease. Recalling that fluids are an important component of the treatment plan
will assist in identifying that a fluid restriction prescription would need to be
questioned. Also, recalling the effects of meperidine will assist in identifying
that this prescription needs to be questioned.
The nurse is reviewing a plan of care for a client with an internal radiation
implant. Which intervention, if noted in the plan, indicates the need for revision
of the plan?
1. Wearing gloves when emptying the client's bedpan
2. Keeping all linens in the room until the implant is removed
3. Wearing a lead apron when providing direct care to the client
4. Placing the client in a semiprivate room at the end of the hallway - CORRECT
ANSWER-Answer: 4
Rationale: A private room with a private bath is essential if a client has an
internal radiation implant. This is necessary to prevent accidental exposure of
other clients to radiation. The remaining options identify accurate interventions
for a client with an internal radiation implant and protect the nurse from
exposure.
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Test-Taking Strategy: Note the strategic words, indicates the need for revision.
These words indicate a negative event query and the need to select the incorrect
nursing intervention. Remember that the client with an internal radiation implant
needs to be placed in a private room.
The nurse is reviewing the laboratory results of a client diagnosed with multiple
myeloma. Which would the nurse expect to note specifically in this disorder?
1. Increased calcium level
2. Increased white blood cells
3. Decreased blood urea nitrogen level
4. Decreased number of plasma cells in the bone marrow - CORRECT ANSWER-
Answer: 1
Rationale: Findings indicative of multiple myeloma are an increased number of
plasma cells in the bone marrow, anemia, hypercalcemia caused by the release
of calcium from the deteriorating bone tissue, and an elevated blood urea
nitrogen level. An increased white blood cell count may or may not be present
and is not related specifically to multiple myeloma.
Test-Taking Strategy: Focus on the subject, laboratory findings in multiple
myeloma. Noting the name of the disorder and recalling the pathophysiology of
the disease and that proliferation of plasma cells in the bone occurs will direct
you to the correct option.
,3|Page
The nurse is reviewing the primary health care provider's (PHCP's) prescriptions
for a client admitted for premature rupture of the membranes. Gestational age
of the fetus is determined to be 37 weeks. Which prescription would the nurse
question?
1. Monitor fetal heart rate continuously.
2. Monitor maternal vital signs frequently.
3. Perform a vaginal examination every shift.
4. Administer an antibiotic per prescription and per agency protocol. - CORRECT
ANSWER-Answer: 3
Rationale: Vaginal examinations should not be done routinely on a client with
premature rupture of the membranes because of the risk of infection. The nurse
would expect to monitor fetal heart rate, monitor maternal vital signs, and
administer an antibiotic.
Test-Taking Strategy: Note the word question. This word indicates the activity
that the nurse should not implement without clarification. Options 1, 2, and 4
are comparable or alike and are expected activities for the nurse to perform for
a client with premature rupture of the membranes. Performing a vaginal
examination every shift should not be done on a client with premature rupture
of the membranes because of the risk of infection, so the nurse would question
this prescription.
The nurse is reviewing the record of a child with increased intracranial pressure
from a head injury and notes that the child has exhibited signs of decerebrate
posturing. On assessment of the child, the nurse expects to note which
characteristic of this type of posturing? 1. Flaccid paralysis of all extremities
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2. Adduction of the arms at the shoulders
3. Rigid extension and pronation of the arms and legs
4. Abnormal flexion of the upper extremities and extension and adduction of
the lower extremities - CORRECT ANSWER-Answer: 3
Rationale: Decerebrate (extension) posturing is characterized by the rigid
extension and pronation of the arms and legs. Option 1 is incorrect. Options 2
and 4 describe decorticate (flexion) posturing.
Test-Taking Strategy: Focus on the subject, characteristics of decerebrate
(extension) posturing. Recalling the clinical manifestations associated with
decerebrate posturing will direct you to the correct option. Remember that
decerebrate posturing is characterized by the rigid extension and pronation of
the arms and legs.
The nurse is reviewing true and false labor signs with a multiparous client. The
nurse determines that the client understands the signs of true labor if the client
makes which statement?
1. "I won't be in labor until my baby drops."
2. "My contractions will be felt in my abdominal area."
3. "My contractions will not be as painful if I walk around."
4. "My contractions will last longer and be more intense." - CORRECT
ANSWERAnswer: 4
Rationale: True labor is present when contractions increase in duration and
intensity. Lightening or dropping leads to engagement (presenting part reaches
NUR114 FINAL EXAM LATEST UPDATE FOR
2025,2026 NEW
GRADED A+ GUARANTEED
PASS
Test-Taking Strategy: Focus on the subject, identifying the prescriptions that
need to be questioned and on the pathophysiology that occurs in sickle cell
disease. Recalling that fluids are an important component of the treatment plan
will assist in identifying that a fluid restriction prescription would need to be
questioned. Also, recalling the effects of meperidine will assist in identifying
that this prescription needs to be questioned.
The nurse is reviewing a plan of care for a client with an internal radiation
implant. Which intervention, if noted in the plan, indicates the need for revision
of the plan?
1. Wearing gloves when emptying the client's bedpan
2. Keeping all linens in the room until the implant is removed
3. Wearing a lead apron when providing direct care to the client
4. Placing the client in a semiprivate room at the end of the hallway - CORRECT
ANSWER-Answer: 4
Rationale: A private room with a private bath is essential if a client has an
internal radiation implant. This is necessary to prevent accidental exposure of
other clients to radiation. The remaining options identify accurate interventions
for a client with an internal radiation implant and protect the nurse from
exposure.
,2|Page
Test-Taking Strategy: Note the strategic words, indicates the need for revision.
These words indicate a negative event query and the need to select the incorrect
nursing intervention. Remember that the client with an internal radiation implant
needs to be placed in a private room.
The nurse is reviewing the laboratory results of a client diagnosed with multiple
myeloma. Which would the nurse expect to note specifically in this disorder?
1. Increased calcium level
2. Increased white blood cells
3. Decreased blood urea nitrogen level
4. Decreased number of plasma cells in the bone marrow - CORRECT ANSWER-
Answer: 1
Rationale: Findings indicative of multiple myeloma are an increased number of
plasma cells in the bone marrow, anemia, hypercalcemia caused by the release
of calcium from the deteriorating bone tissue, and an elevated blood urea
nitrogen level. An increased white blood cell count may or may not be present
and is not related specifically to multiple myeloma.
Test-Taking Strategy: Focus on the subject, laboratory findings in multiple
myeloma. Noting the name of the disorder and recalling the pathophysiology of
the disease and that proliferation of plasma cells in the bone occurs will direct
you to the correct option.
,3|Page
The nurse is reviewing the primary health care provider's (PHCP's) prescriptions
for a client admitted for premature rupture of the membranes. Gestational age
of the fetus is determined to be 37 weeks. Which prescription would the nurse
question?
1. Monitor fetal heart rate continuously.
2. Monitor maternal vital signs frequently.
3. Perform a vaginal examination every shift.
4. Administer an antibiotic per prescription and per agency protocol. - CORRECT
ANSWER-Answer: 3
Rationale: Vaginal examinations should not be done routinely on a client with
premature rupture of the membranes because of the risk of infection. The nurse
would expect to monitor fetal heart rate, monitor maternal vital signs, and
administer an antibiotic.
Test-Taking Strategy: Note the word question. This word indicates the activity
that the nurse should not implement without clarification. Options 1, 2, and 4
are comparable or alike and are expected activities for the nurse to perform for
a client with premature rupture of the membranes. Performing a vaginal
examination every shift should not be done on a client with premature rupture
of the membranes because of the risk of infection, so the nurse would question
this prescription.
The nurse is reviewing the record of a child with increased intracranial pressure
from a head injury and notes that the child has exhibited signs of decerebrate
posturing. On assessment of the child, the nurse expects to note which
characteristic of this type of posturing? 1. Flaccid paralysis of all extremities
, 4|Page
2. Adduction of the arms at the shoulders
3. Rigid extension and pronation of the arms and legs
4. Abnormal flexion of the upper extremities and extension and adduction of
the lower extremities - CORRECT ANSWER-Answer: 3
Rationale: Decerebrate (extension) posturing is characterized by the rigid
extension and pronation of the arms and legs. Option 1 is incorrect. Options 2
and 4 describe decorticate (flexion) posturing.
Test-Taking Strategy: Focus on the subject, characteristics of decerebrate
(extension) posturing. Recalling the clinical manifestations associated with
decerebrate posturing will direct you to the correct option. Remember that
decerebrate posturing is characterized by the rigid extension and pronation of
the arms and legs.
The nurse is reviewing true and false labor signs with a multiparous client. The
nurse determines that the client understands the signs of true labor if the client
makes which statement?
1. "I won't be in labor until my baby drops."
2. "My contractions will be felt in my abdominal area."
3. "My contractions will not be as painful if I walk around."
4. "My contractions will last longer and be more intense." - CORRECT
ANSWERAnswer: 4
Rationale: True labor is present when contractions increase in duration and
intensity. Lightening or dropping leads to engagement (presenting part reaches
