NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027
OBJECTIVE ASSESSMENT - EXAM
NUR 114 Exams 1-5 & Final Exam - NGN Questions and
Case Scenarios (Guarantee Pass) 2026/2027
EDITION
200 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Fundamentals of Nursing Practice Health Assessment & Vital Signs
Patient Safety & Infection Control Nursing Process & Critical Thinking
Medication Administration & Calculations NGN Clinical Judgment & Case Scenarios
COVER PAGE - 1
, SECTION 1 | Fundamentals of Nursing Practice | Q1-Q42 | 2026/2027
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027
Q1 Question 1 of 200
A 67-year-old patient is admitted to the medical unit with dehydration. The nurse is preparing to
administer an intravenous fluid bolus and verifies the order. Which action demonstrates the nurse's
understanding of the rights of medication administration?
A. Verify the patient using two identifiers, check the order, and confirm the infusion rate
B. Administer the fluid immediately without checking the patient's wristband
C. Ask the family member to identify the patient instead of using the wristband
D. Begin the infusion and document after the fluid is completely administered
Correct Answer: A
Rationale:
The rights of medication administration include verifying the patient with two identifiers and confirming the order and rate
before infusion. Relying on family identification or skipping verification violates safety protocols, and documentation must
occur before, not after, the infusion is completed.
Q2 Question 2 of 200
An 84-year-old resident in a long-term care facility is bedbound after a hip fracture. The nurse develops
a plan to prevent skin breakdown. Which intervention should the nurse implement first?
A. Apply a heating pad to reddened areas to improve circulation
B. Reposition the patient every two hours using a schedule and skin assessment tool
C. Massage any reddened bony prominences to stimulate blood flow
D. Limit oral fluid intake to reduce incontinence episodes
Correct Answer: B
Rationale:
Repositioning every two hours with a skin assessment is the cornerstone of pressure injury prevention. Heating pads risk
thermal injury, massaging reddened areas damages fragile tissue, and restricting fluids worsens skin integrity and
dehydration.
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027 - 2026/2027 | Passing Score: 80% | Page 2 of 105
, Q3 Question 3 of 200
A nurse is caring for a 45-year-old patient who is NPO after surgery and complains of dry mouth.
Which intervention best demonstrates comfort-focused nursing care?
A. Provide ice chips only after the surgeon's verbal order is documented
B. Give small sips of water every hour despite the NPO status
C. Offer oral care with a sponge swab and water-based mouthwash every two hours
D. Apply petroleum jelly to the lips and reassess in eight hours
Correct Answer: C
Rationale:
Oral care with sponge swabs and water-based mouthwash maintains moisture without violating NPO status. Ice chips
require an order, sips of water break NPO protocol, and petroleum alone does not address intraoral dryness.
Q4 Question 4 of 200
A nurse is teaching a 50-year-old patient about a low-sodium diet after a heart failure diagnosis. Which
statement by the patient indicates effective teaching?
A. I will season my food with salt substitutes liberally because they are safe
B. I can eat unlimited amounts of pickles and olives as long as I avoid table salt
C. I only need to restrict sodium on days when I feel short of breath
D. I should avoid canned soups and processed meats because they contain hidden sodium
Correct Answer: D
Rationale:
Canned soups and processed meats contain high hidden sodium that worsens fluid retention in heart failure. Salt
substitutes often contain potassium that may interact with medications, pickles and olives are sodium-dense, and sodium
restriction must be daily rather than symptom-based.
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027 - 2026/2027 | Passing Score: 80% | Page 3 of 105
, Q5 Question 5 of 200
A nurse is caring for a 58-year-old patient with a colostomy who is learning to perform independent
ostomy care. Which teaching strategy best supports the patient's transition to self-care?
A. Use teach-back and encourage the patient to perform care with coaching, then independently
B. Perform all ostomy care for the patient until discharge to prevent errors
C. Have the patient observe the nurse for several days before attempting care
D. Provide written instructions only and allow the patient to manage alone
Correct Answer: A
Rationale:
Teach-back combined with progressive hands-on practice builds confidence and skill for independent ostomy care.
Performing all care prevents learning, observation alone delays skill acquisition, and written instructions without
supervision risk errors.
Q6 Question 6 of 200
A 39-year-old patient is admitted with pneumonia and reports difficulty sleeping due to a noisy hallway.
Which action by the nurse best demonstrates a patient-centered care environment?
A. Tell the patient that hospital noise is unavoidable and to use earplugs
B. Cluster nursing activities to minimize disruptions and close the patient's door
C. Restrict all visitors to reduce hallway traffic during the day
D. Administer a sedative as needed to help the patient sleep through noise
Correct Answer: B
Rationale:
Clustering care activities and closing the door reduce environmental disruption while preserving therapeutic rest.
Dismissing the concern, restricting visitors, or using sedatives fails to address the underlying environmental cause and
may harm the patient.
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027 - 2026/2027 | Passing Score: 80% | Page 4 of 105
OBJECTIVE ASSESSMENT - EXAM
NUR 114 Exams 1-5 & Final Exam - NGN Questions and
Case Scenarios (Guarantee Pass) 2026/2027
EDITION
200 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Fundamentals of Nursing Practice Health Assessment & Vital Signs
Patient Safety & Infection Control Nursing Process & Critical Thinking
Medication Administration & Calculations NGN Clinical Judgment & Case Scenarios
COVER PAGE - 1
, SECTION 1 | Fundamentals of Nursing Practice | Q1-Q42 | 2026/2027
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027
Q1 Question 1 of 200
A 67-year-old patient is admitted to the medical unit with dehydration. The nurse is preparing to
administer an intravenous fluid bolus and verifies the order. Which action demonstrates the nurse's
understanding of the rights of medication administration?
A. Verify the patient using two identifiers, check the order, and confirm the infusion rate
B. Administer the fluid immediately without checking the patient's wristband
C. Ask the family member to identify the patient instead of using the wristband
D. Begin the infusion and document after the fluid is completely administered
Correct Answer: A
Rationale:
The rights of medication administration include verifying the patient with two identifiers and confirming the order and rate
before infusion. Relying on family identification or skipping verification violates safety protocols, and documentation must
occur before, not after, the infusion is completed.
Q2 Question 2 of 200
An 84-year-old resident in a long-term care facility is bedbound after a hip fracture. The nurse develops
a plan to prevent skin breakdown. Which intervention should the nurse implement first?
A. Apply a heating pad to reddened areas to improve circulation
B. Reposition the patient every two hours using a schedule and skin assessment tool
C. Massage any reddened bony prominences to stimulate blood flow
D. Limit oral fluid intake to reduce incontinence episodes
Correct Answer: B
Rationale:
Repositioning every two hours with a skin assessment is the cornerstone of pressure injury prevention. Heating pads risk
thermal injury, massaging reddened areas damages fragile tissue, and restricting fluids worsens skin integrity and
dehydration.
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027 - 2026/2027 | Passing Score: 80% | Page 2 of 105
, Q3 Question 3 of 200
A nurse is caring for a 45-year-old patient who is NPO after surgery and complains of dry mouth.
Which intervention best demonstrates comfort-focused nursing care?
A. Provide ice chips only after the surgeon's verbal order is documented
B. Give small sips of water every hour despite the NPO status
C. Offer oral care with a sponge swab and water-based mouthwash every two hours
D. Apply petroleum jelly to the lips and reassess in eight hours
Correct Answer: C
Rationale:
Oral care with sponge swabs and water-based mouthwash maintains moisture without violating NPO status. Ice chips
require an order, sips of water break NPO protocol, and petroleum alone does not address intraoral dryness.
Q4 Question 4 of 200
A nurse is teaching a 50-year-old patient about a low-sodium diet after a heart failure diagnosis. Which
statement by the patient indicates effective teaching?
A. I will season my food with salt substitutes liberally because they are safe
B. I can eat unlimited amounts of pickles and olives as long as I avoid table salt
C. I only need to restrict sodium on days when I feel short of breath
D. I should avoid canned soups and processed meats because they contain hidden sodium
Correct Answer: D
Rationale:
Canned soups and processed meats contain high hidden sodium that worsens fluid retention in heart failure. Salt
substitutes often contain potassium that may interact with medications, pickles and olives are sodium-dense, and sodium
restriction must be daily rather than symptom-based.
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027 - 2026/2027 | Passing Score: 80% | Page 3 of 105
, Q5 Question 5 of 200
A nurse is caring for a 58-year-old patient with a colostomy who is learning to perform independent
ostomy care. Which teaching strategy best supports the patient's transition to self-care?
A. Use teach-back and encourage the patient to perform care with coaching, then independently
B. Perform all ostomy care for the patient until discharge to prevent errors
C. Have the patient observe the nurse for several days before attempting care
D. Provide written instructions only and allow the patient to manage alone
Correct Answer: A
Rationale:
Teach-back combined with progressive hands-on practice builds confidence and skill for independent ostomy care.
Performing all care prevents learning, observation alone delays skill acquisition, and written instructions without
supervision risk errors.
Q6 Question 6 of 200
A 39-year-old patient is admitted with pneumonia and reports difficulty sleeping due to a noisy hallway.
Which action by the nurse best demonstrates a patient-centered care environment?
A. Tell the patient that hospital noise is unavoidable and to use earplugs
B. Cluster nursing activities to minimize disruptions and close the patient's door
C. Restrict all visitors to reduce hallway traffic during the day
D. Administer a sedative as needed to help the patient sleep through noise
Correct Answer: B
Rationale:
Clustering care activities and closing the door reduce environmental disruption while preserving therapeutic rest.
Dismissing the concern, restricting visitors, or using sedatives fails to address the underlying environmental cause and
may harm the patient.
NUR 114 Exams 1-5 & Final Exam - NGN Questions and Case Scenarios (Guarantee Pass) 2026/2027 - 2026/2027 | Passing Score: 80% | Page 4 of 105
