NUR 114 Exam 5 Nursing Concepts Comprehensive Qui… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 5 Nursing Concepts Comprehensive Quiz
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 5 Nursing Concepts Comprehensive Qui… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is assigned to four clients. Which client should the nurse assess first?
A. A client with a history of heart failure reporting a 2-pound weight gain in 24 hours.
B. A client with chronic obstructive pulmonary disease (COPD) having an oxygen saturation of 91%
on room air.
C. A client receiving IV antibiotics for pneumonia who reports a new onset of itching and hives.
D. having an oxygen saturation of 91% on room air.
Answer: C
Rationale: A new onset of itching and hives after IV antibiotic administration indicates a potential
anaphylactic reaction, which is an airway and systemic priority. The calf pain (C) suggests a DVT,
which is urgent but secondary to an immediate allergic reaction. Weight gain (A) and stable COPD
saturation (B) are chronic issues. 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.
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.
2. Which task is most appropriate for the RN to delegate to an unlicensed assistive
personnel (UAP)?
A. Assisting a client with a new diagnosis of stroke to eat for the first time.
B. Measuring the output of a Jackson-Pratt drain and recording it in the chart.
C. Instructing a client on the use of an incentive spirometer after surgery.
D. Checking the residual volume of a client receiving continuous enteral feedings.
Answer: B
Rationale: UAPs can perform routine tasks like measuring and recording output. Feeding a new
stroke client (A) requires assessment for dysphagia. Teaching (C) and gastric residual
checks/assessment (D) are the responsibility of the licensed nurse. 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 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 (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 5 Nursing Concepts Comprehensive Qui… 2026/2027 • Verified • Assured Grade A+
3. A client with Diabetes Insipidus (DI) is receiving desmopressin. Which finding indicates
the medication is effective?
A. Increased serum sodium levels.
B. Decreased urine output and increased specific gravity.
C. Decreased urine specific gravity.
D. Increased blood glucose levels.
Answer: B
Rationale: Desmopressin is an antidiuretic hormone replacement. Success is indicated by the kidneys
reabsorbing water, leading to decreased urine volume and higher concentration (increased specific
gravity). 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 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.
4. The nurse is caring for a client with Syndrome of Inappropriate Antidiuretic Hormone
(SIADH). Which order should the nurse question?
A. Daily weights and strict intake/output.
B. Fluid restriction of 800 mL per day.
C. Frequent neurological checks.
D. Administration of 0.45% Sodium Chloride IV at 100 mL/hr.
Answer: D
Rationale: SIADH involves excessive water retention leading to dilutional hyponatremia. Infusing
hypotonic fluids like 0.45% NaCl will worsen the hyponatremia and cerebral edema. Hypertonic or
isotonic fluids are preferred if fluids are given at all. 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. 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 5 Nursing Concepts Comprehensive Quiz
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 5 Nursing Concepts Comprehensive Qui… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is assigned to four clients. Which client should the nurse assess first?
A. A client with a history of heart failure reporting a 2-pound weight gain in 24 hours.
B. A client with chronic obstructive pulmonary disease (COPD) having an oxygen saturation of 91%
on room air.
C. A client receiving IV antibiotics for pneumonia who reports a new onset of itching and hives.
D. having an oxygen saturation of 91% on room air.
Answer: C
Rationale: A new onset of itching and hives after IV antibiotic administration indicates a potential
anaphylactic reaction, which is an airway and systemic priority. The calf pain (C) suggests a DVT,
which is urgent but secondary to an immediate allergic reaction. Weight gain (A) and stable COPD
saturation (B) are chronic issues. 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.
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.
2. Which task is most appropriate for the RN to delegate to an unlicensed assistive
personnel (UAP)?
A. Assisting a client with a new diagnosis of stroke to eat for the first time.
B. Measuring the output of a Jackson-Pratt drain and recording it in the chart.
C. Instructing a client on the use of an incentive spirometer after surgery.
D. Checking the residual volume of a client receiving continuous enteral feedings.
Answer: B
Rationale: UAPs can perform routine tasks like measuring and recording output. Feeding a new
stroke client (A) requires assessment for dysphagia. Teaching (C) and gastric residual
checks/assessment (D) are the responsibility of the licensed nurse. 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 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 (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 5 Nursing Concepts Comprehensive Qui… 2026/2027 • Verified • Assured Grade A+
3. A client with Diabetes Insipidus (DI) is receiving desmopressin. Which finding indicates
the medication is effective?
A. Increased serum sodium levels.
B. Decreased urine output and increased specific gravity.
C. Decreased urine specific gravity.
D. Increased blood glucose levels.
Answer: B
Rationale: Desmopressin is an antidiuretic hormone replacement. Success is indicated by the kidneys
reabsorbing water, leading to decreased urine volume and higher concentration (increased specific
gravity). 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 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.
4. The nurse is caring for a client with Syndrome of Inappropriate Antidiuretic Hormone
(SIADH). Which order should the nurse question?
A. Daily weights and strict intake/output.
B. Fluid restriction of 800 mL per day.
C. Frequent neurological checks.
D. Administration of 0.45% Sodium Chloride IV at 100 mL/hr.
Answer: D
Rationale: SIADH involves excessive water retention leading to dilutional hyponatremia. Infusing
hypotonic fluids like 0.45% NaCl will worsen the hyponatremia and cerebral edema. Hypertonic or
isotonic fluids are preferred if fluids are given at all. 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. 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
