NUR 114 Exam 5: NCLEX Fundamentals Nursing 2026/2… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 5: NCLEX Fundamentals Nursing 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: NCLEX Fundamentals Nursing 2026/2… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client is admitted with a potassium level of 6.2 mEq/L. Which of the following is the
priority nursing intervention?
A. Administer a potassium-wasting diuretic.
B. Monitor the client’s intake and output.
C. Initiate continuous cardiac monitoring.
D. Instruct the client to avoid high-potassium foods.
Answer: C
Rationale: A potassium level of 6.2 indicates hyperkalemia, which poses a significant risk for
life-threatening cardiac dysrhythmias. Cardiac monitoring is the priority to detect changes like peaked
T-waves. 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. 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.
2. A nurse is caring for a patient experiencing respiratory acidosis. Which arterial blood gas
(ABG) result is consistent with this diagnosis?
A. pH 7.30, PaCO2 52 mmHg, HCO3 24 mEq/L
B. pH 7.48, PaCO2 30 mmHg, HCO3 22 mEq/L
C. pH 7.32, PaCO2 38 mmHg, HCO3 18 mEq/L
D. pH 7.50, PaCO2 40 mmHg, HCO3 32 mEq/L
Answer: A
Rationale: Respiratory acidosis is characterized by a low pH (less than 7.35) and an elevated PaCO2
(greater than 45 mmHg). Option A fits these criteria. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 5: NCLEX Fundamentals Nursing 2026/2… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding is considered an early sign of hypoxia in a client with a history
of COPD?
A. Cyanosis of the mucous membranes.
B. Bradypnea and hypotension.
C. Restlessness and tachycardia.
D. Clubbing of the fingernails.
Answer: C
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia as the body attempts to
compensate for low oxygen levels. Cyanosis and clubbing are late signs. 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. A client is 24 hours post-abdominal surgery. The nurse notes the client’s wound has
eviscerated. What is the immediate nursing action?
A. Apply a dry sterile dressing and call the surgeon.
B. Gently push the organs back into the abdominal cavity.
C. Cover the protruding organs with sterile towels moistened with sterile normal saline.
D. Place the client in a high-Fowler’s position to relieve pressure.
Answer: C
Rationale: Evisceration is a medical emergency. The nurse must protect the organs from drying and
infection by using sterile, saline-soaked dressings while preparing for emergency surgery. 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. This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 5: NCLEX Fundamentals Nursing 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: NCLEX Fundamentals Nursing 2026/2… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client is admitted with a potassium level of 6.2 mEq/L. Which of the following is the
priority nursing intervention?
A. Administer a potassium-wasting diuretic.
B. Monitor the client’s intake and output.
C. Initiate continuous cardiac monitoring.
D. Instruct the client to avoid high-potassium foods.
Answer: C
Rationale: A potassium level of 6.2 indicates hyperkalemia, which poses a significant risk for
life-threatening cardiac dysrhythmias. Cardiac monitoring is the priority to detect changes like peaked
T-waves. 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. 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.
2. A nurse is caring for a patient experiencing respiratory acidosis. Which arterial blood gas
(ABG) result is consistent with this diagnosis?
A. pH 7.30, PaCO2 52 mmHg, HCO3 24 mEq/L
B. pH 7.48, PaCO2 30 mmHg, HCO3 22 mEq/L
C. pH 7.32, PaCO2 38 mmHg, HCO3 18 mEq/L
D. pH 7.50, PaCO2 40 mmHg, HCO3 32 mEq/L
Answer: A
Rationale: Respiratory acidosis is characterized by a low pH (less than 7.35) and an elevated PaCO2
(greater than 45 mmHg). Option A fits these criteria. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 5: NCLEX Fundamentals Nursing 2026/2… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding is considered an early sign of hypoxia in a client with a history
of COPD?
A. Cyanosis of the mucous membranes.
B. Bradypnea and hypotension.
C. Restlessness and tachycardia.
D. Clubbing of the fingernails.
Answer: C
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia as the body attempts to
compensate for low oxygen levels. Cyanosis and clubbing are late signs. 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. A client is 24 hours post-abdominal surgery. The nurse notes the client’s wound has
eviscerated. What is the immediate nursing action?
A. Apply a dry sterile dressing and call the surgeon.
B. Gently push the organs back into the abdominal cavity.
C. Cover the protruding organs with sterile towels moistened with sterile normal saline.
D. Place the client in a high-Fowler’s position to relieve pressure.
Answer: C
Rationale: Evisceration is a medical emergency. The nurse must protect the organs from drying and
infection by using sterile, saline-soaked dressings while preparing for emergency surgery. 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. This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety.
Exam (Elaborations) • Detailed Rationales Page 3
