NUR 114 Exam 3: Holistic Health Concepts - Advanc… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 3: Holistic Health Concepts - Advanced Study
Guide 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: Holistic Health Concepts - Advanc… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client with Type 1 Diabetes Mellitus presents with a blood glucose of 600 mg/dL,
Kussmaul respirations, and a fruity breath odor. Which acid-base imbalance does the nurse
anticipate?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: B
Rationale: Diabetic Ketoacidosis (DKA) results in the accumulation of ketones, which are acidic,
leading to metabolic acidosis. Kussmaul respirations are a compensatory mechanism to blow off CO2.
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. 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.
2. The nurse is caring for a patient who underwent a thyroidectomy 6 hours ago. The patient
reports numbness and tingling around the mouth. What should be the nurse’s immediate
action?
A. Encourage the patient to cough and deep breathe
B. Administer a dose of levothyroxine
C. Reassure the patient this is a normal post-op side effect
D. Check for Trousseau’s sign
Answer: D
Rationale: Numbness and tingling (paresthesia) are early signs of hypocalcemia, which can occur if
the parathyroid glands are accidentally damaged or removed during a thyroidectomy. Trousseau’s sign
helps confirm hypocalcemia. 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: Holistic Health Concepts - Advanc… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding in a patient with Chronic Kidney Disease (CKD) indicates the
need for immediate notification of the provider?
A. Serum creatinine of 2.5 mg/dL
B. Tall, peaked T-waves on the EKG
C. Urine output of 400 mL in 24 hours
D. indicates the need for immediate notification of the provider?
Answer: B
Rationale: Tall, peaked T-waves are a classic sign of hyperkalemia, which is a life- threatening
electrolyte imbalance common in CKD that can lead to cardiac arrest. 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. 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.
4. A patient with a history of Glaucoma is prescribed Timolol eye drops. Which medical
history finding would prompt the nurse to clarify this order?
A. Diabetes Mellitus
B. Rheumatoid Arthritis
C. Hypertension
D. Asthma
Answer: D
Rationale: Timolol is a non-selective beta-blocker. Even when administered topically in the eye, it can
have systemic effects and cause bronchospasm in patients with asthma or COPD. 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. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 3: Holistic Health Concepts - Advanced Study
Guide 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: Holistic Health Concepts - Advanc… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client with Type 1 Diabetes Mellitus presents with a blood glucose of 600 mg/dL,
Kussmaul respirations, and a fruity breath odor. Which acid-base imbalance does the nurse
anticipate?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: B
Rationale: Diabetic Ketoacidosis (DKA) results in the accumulation of ketones, which are acidic,
leading to metabolic acidosis. Kussmaul respirations are a compensatory mechanism to blow off CO2.
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. 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.
2. The nurse is caring for a patient who underwent a thyroidectomy 6 hours ago. The patient
reports numbness and tingling around the mouth. What should be the nurse’s immediate
action?
A. Encourage the patient to cough and deep breathe
B. Administer a dose of levothyroxine
C. Reassure the patient this is a normal post-op side effect
D. Check for Trousseau’s sign
Answer: D
Rationale: Numbness and tingling (paresthesia) are early signs of hypocalcemia, which can occur if
the parathyroid glands are accidentally damaged or removed during a thyroidectomy. Trousseau’s sign
helps confirm hypocalcemia. 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: Holistic Health Concepts - Advanc… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding in a patient with Chronic Kidney Disease (CKD) indicates the
need for immediate notification of the provider?
A. Serum creatinine of 2.5 mg/dL
B. Tall, peaked T-waves on the EKG
C. Urine output of 400 mL in 24 hours
D. indicates the need for immediate notification of the provider?
Answer: B
Rationale: Tall, peaked T-waves are a classic sign of hyperkalemia, which is a life- threatening
electrolyte imbalance common in CKD that can lead to cardiac arrest. 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. 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.
4. A patient with a history of Glaucoma is prescribed Timolol eye drops. Which medical
history finding would prompt the nurse to clarify this order?
A. Diabetes Mellitus
B. Rheumatoid Arthritis
C. Hypertension
D. Asthma
Answer: D
Rationale: Timolol is a non-selective beta-blocker. Even when administered topically in the eye, it can
have systemic effects and cause bronchospasm in patients with asthma or COPD. 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. 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.
Exam (Elaborations) • Detailed Rationales Page 3
