NUR 114 Exam 3 NCLEX Practice Questions 2026/2027… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 3 NCLEX Practice Questions 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 3 NCLEX Practice Questions 2026/2027… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is
receiving oxygen at 2 L/min via nasal cannula. The client’s SpO2 is 89%. Which action
should the nurse take first?
A. Increase the oxygen flow rate to 4 L/min.
B. Switch the client to a non-rebreather mask.
C. Place the client in a high-Fowler’s position.
D. who is receiving oxygen at 2 L/min via nasal cannula. The client’s SpO2 is 89%. Which action
should the nurse take first?
Answer: D
Rationale: For a client with COPD, an SpO2 between 88-92% is often the target range. Raising
oxygen too high can suppress the hypoxic drive to breathe. Exam questions often test whether you can
pick the most practical and safe choice for the client in real situations. Focus on what the nurse can
actually do right now. 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.
2. Which clinical manifestation should the nurse expect to find in a client diagnosed with
right-sided heart failure?
A. Peripheral edema and jugular venous distention
B. Pulmonary crackles and wheezing
C. Paroxysmal nocturnal dyspnea
D. Pink, frothy sputum
Answer: A
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral edema, JVD,
and hepatomegaly, whereas pulmonary symptoms indicate left-sided failure. 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. 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 3 NCLEX Practice Questions 2026/2027… 2026/2027 • Verified • Assured Grade A+
3. A client’s arterial blood gas (ABG) results are: pH 7.32, PaCO2 50 mmHg, and HCO3 24
mEq/L. The nurse interprets these results as:
A. Respiratory acidosis
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
Answer: A
Rationale: The pH is low (acidosis), and the PaCO2 is high (respiratory cause). The HCO3 is normal,
indicating no compensation yet. 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. 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.
4. The nurse is monitoring a client receiving Digoxin. Which laboratory result should the
nurse report to the provider immediately?
A. Sodium level of 140 mEq/L
B. Potassium level of 3.0 mEq/L
C. Digoxin level of 1.2 ng/mL
D. Magnesium level of 2.0 mEq/L
Answer: B
Rationale: Hypokalemia (potassium < 3.5 mEq/L) significantly increases the risk of Digoxin toxicity,
even if the Digoxin level is within the therapeutic range. This knowledge supports safe care and helps
the nurse teach the client and family clearly and simply. Clear teaching improves cooperation and
reduces anxiety. Clear understanding of this concept improves both test performance and everyday
clinical judgment. Practice applying it to short case scenarios to lock the idea in place.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 3 NCLEX Practice Questions 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 3 NCLEX Practice Questions 2026/2027… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is
receiving oxygen at 2 L/min via nasal cannula. The client’s SpO2 is 89%. Which action
should the nurse take first?
A. Increase the oxygen flow rate to 4 L/min.
B. Switch the client to a non-rebreather mask.
C. Place the client in a high-Fowler’s position.
D. who is receiving oxygen at 2 L/min via nasal cannula. The client’s SpO2 is 89%. Which action
should the nurse take first?
Answer: D
Rationale: For a client with COPD, an SpO2 between 88-92% is often the target range. Raising
oxygen too high can suppress the hypoxic drive to breathe. Exam questions often test whether you can
pick the most practical and safe choice for the client in real situations. Focus on what the nurse can
actually do right now. 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.
2. Which clinical manifestation should the nurse expect to find in a client diagnosed with
right-sided heart failure?
A. Peripheral edema and jugular venous distention
B. Pulmonary crackles and wheezing
C. Paroxysmal nocturnal dyspnea
D. Pink, frothy sputum
Answer: A
Rationale: Right-sided heart failure causes systemic congestion, leading to peripheral edema, JVD,
and hepatomegaly, whereas pulmonary symptoms indicate left-sided failure. 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. 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 3 NCLEX Practice Questions 2026/2027… 2026/2027 • Verified • Assured Grade A+
3. A client’s arterial blood gas (ABG) results are: pH 7.32, PaCO2 50 mmHg, and HCO3 24
mEq/L. The nurse interprets these results as:
A. Respiratory acidosis
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
Answer: A
Rationale: The pH is low (acidosis), and the PaCO2 is high (respiratory cause). The HCO3 is normal,
indicating no compensation yet. 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. 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.
4. The nurse is monitoring a client receiving Digoxin. Which laboratory result should the
nurse report to the provider immediately?
A. Sodium level of 140 mEq/L
B. Potassium level of 3.0 mEq/L
C. Digoxin level of 1.2 ng/mL
D. Magnesium level of 2.0 mEq/L
Answer: B
Rationale: Hypokalemia (potassium < 3.5 mEq/L) significantly increases the risk of Digoxin toxicity,
even if the Digoxin level is within the therapeutic range. This knowledge supports safe care and helps
the nurse teach the client and family clearly and simply. Clear teaching improves cooperation and
reduces anxiety. Clear understanding of this concept improves both test performance and everyday
clinical judgment. Practice applying it to short case scenarios to lock the idea in place.
Exam (Elaborations) • Detailed Rationales Page 3
