NUR 114 Exam 2: Nursing Fundamentals & NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 2: Nursing Fundamentals & NCLEX Prep
2026/2027 UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 114 Exam 2: Nursing Fundamentals & NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which of the following
clinical manifestations should the nurse expect to observe?
A. Tall, peaked T-waves on EKG
B. Prominent U-waves and muscle weakness
C. Hyperactive bowel sounds and diarrhea
D. Trousseau’s sign and positive Chvostek’s sign
Answer: B
Rationale: Hypokalemia (potassium < 3.5 mEq/L) is characterized by muscle weakness, cardiac
dysrhythmias like prominent U-waves, and decreased gastrointestinal motility. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client.
2. When interpreting Arterial Blood Gas (ABG) results, a nurse finds: pH 7.30, PaCO2 55
mmHg, and HCO3 26 mEq/L. Which condition is the patient experiencing?
A. Respiratory Alkalosis
B. Respiratory Acidosis
C. Metabolic Acidosis
D. Metabolic Alkalosis
Answer: B
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mmHg indicates a respiratory
cause, making this Respiratory Acidosis. Knowing the reason behind the correct answer makes it
easier to rule out the wrong options quickly. Look for the choice that protects the client and matches
the priority need. Knowing the reason behind the correct answer makes it easier to rule out the wrong
options quickly. Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 2: Nursing Fundamentals & NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
3. A client has a pressure injury that presents as full-thickness skin loss with visible
subcutaneous fat, but no bone or muscle is exposed. How should the nurse stage this
injury?
A. Stage 2
B. Stage 4
C. Unstageable
D. Stage 3
Answer: D
Rationale: Stage 3 pressure injuries involve full-thickness skin loss where adipose (fat) is visible, but
fascia, muscle, tendon, ligament, or bone are not exposed. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. A nurse is preparing to administer an intramuscular (IM) injection to an obese patient.
Which site and needle length are most appropriate?
A. Deltoid, 5/8 inch needle
B. Ventrogluteal, 1.5 to 3 inch needle
C. Vastus lateralis, 1 inch needle
D. Dorsogluteal, 1 inch needle
Answer: B
Rationale: The ventrogluteal site is preferred for IM injections in adults, and obese patients require
longer needles (up to 3 inches) to ensure the medication reaches the muscle tissue. Remembering this
point will help you decide the best nursing action when similar questions appear on the exam. Link the
answer to the client’s current condition and risk level. This is important because the nurse must choose
the action that keeps the client safest while still meeting their basic needs. Always think about safety
first when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 2: Nursing Fundamentals & NCLEX Prep
2026/2027 UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 114 Exam 2: Nursing Fundamentals & NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which of the following
clinical manifestations should the nurse expect to observe?
A. Tall, peaked T-waves on EKG
B. Prominent U-waves and muscle weakness
C. Hyperactive bowel sounds and diarrhea
D. Trousseau’s sign and positive Chvostek’s sign
Answer: B
Rationale: Hypokalemia (potassium < 3.5 mEq/L) is characterized by muscle weakness, cardiac
dysrhythmias like prominent U-waves, and decreased gastrointestinal motility. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions. Understanding this helps the
nurse notice early warning signs and act before the problem gets worse. Early action often prevents
bigger complications for the client.
2. When interpreting Arterial Blood Gas (ABG) results, a nurse finds: pH 7.30, PaCO2 55
mmHg, and HCO3 26 mEq/L. Which condition is the patient experiencing?
A. Respiratory Alkalosis
B. Respiratory Acidosis
C. Metabolic Acidosis
D. Metabolic Alkalosis
Answer: B
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mmHg indicates a respiratory
cause, making this Respiratory Acidosis. Knowing the reason behind the correct answer makes it
easier to rule out the wrong options quickly. Look for the choice that protects the client and matches
the priority need. Knowing the reason behind the correct answer makes it easier to rule out the wrong
options quickly. Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 2: Nursing Fundamentals & NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
3. A client has a pressure injury that presents as full-thickness skin loss with visible
subcutaneous fat, but no bone or muscle is exposed. How should the nurse stage this
injury?
A. Stage 2
B. Stage 4
C. Unstageable
D. Stage 3
Answer: D
Rationale: Stage 3 pressure injuries involve full-thickness skin loss where adipose (fat) is visible, but
fascia, muscle, tendon, ligament, or bone are not exposed. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. A nurse is preparing to administer an intramuscular (IM) injection to an obese patient.
Which site and needle length are most appropriate?
A. Deltoid, 5/8 inch needle
B. Ventrogluteal, 1.5 to 3 inch needle
C. Vastus lateralis, 1 inch needle
D. Dorsogluteal, 1 inch needle
Answer: B
Rationale: The ventrogluteal site is preferred for IM injections in adults, and obese patients require
longer needles (up to 3 inches) to ensure the medication reaches the muscle tissue. Remembering this
point will help you decide the best nursing action when similar questions appear on the exam. Link the
answer to the client’s current condition and risk level. This is important because the nurse must choose
the action that keeps the client safest while still meeting their basic needs. Always think about safety
first when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 3
