NUR 114 Final Exam - Fundamentals of Nursing NCLE… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam - Fundamentals of Nursing NCLEX
Mastery 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 Final Exam - Fundamentals of Nursing NCLE… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient who has been diagnosed with a terminal illness. The
patient’s family asks the nurse not to tell the patient the diagnosis. Which ethical principle is
most challenged in this situation?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own decisions and be fully informed
about their health status. Withholding a diagnosis violates this right. This knowledge supports safe
care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety. 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 clinical manifestation should the nurse prioritize as the earliest sign of hypoxemia
in an older adult patient?
A. Cyanosis
B. Bradypnea
C. Restlessness
D. Clubbing of the fingers
Answer: C
Rationale: Restlessness, agitation, and confusion are early signs of hypoxia due to the brain’s
sensitivity to declining oxygen levels. Cyanosis is a late sign. This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety. 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 2
, NUR 114 Final Exam - Fundamentals of Nursing NCLE… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer a medication via a nasogastric (NG) tube. What is the
priority nursing action before administration?
A. Verify the tube placement using a bedside X-ray
B. Check the gastric pH and residual volume
C. Flush the tube with 30 mL of sterile water
D. Auscultate for bowel sounds in all four quadrants
Answer: B
Rationale: Before using an NG tube for medication or feeding, the nurse must verify placement.
Checking pH is the standard bedside method, though X-ray is the gold standard for initial placement. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities. 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.
4. When performing a physical assessment, which technique should the nurse use first
when examining the abdomen?
A. Palpation
B. Percussion
C. Inspection
D. Auscultation
Answer: C
Rationale: The correct order for abdominal assessment is Inspection, Auscultation, Percussion, and
Palpation to avoid altering bowel sounds. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam - Fundamentals of Nursing NCLEX
Mastery 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 Final Exam - Fundamentals of Nursing NCLE… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient who has been diagnosed with a terminal illness. The
patient’s family asks the nurse not to tell the patient the diagnosis. Which ethical principle is
most challenged in this situation?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own decisions and be fully informed
about their health status. Withholding a diagnosis violates this right. This knowledge supports safe
care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety. 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 clinical manifestation should the nurse prioritize as the earliest sign of hypoxemia
in an older adult patient?
A. Cyanosis
B. Bradypnea
C. Restlessness
D. Clubbing of the fingers
Answer: C
Rationale: Restlessness, agitation, and confusion are early signs of hypoxia due to the brain’s
sensitivity to declining oxygen levels. Cyanosis is a late sign. This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety. 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 2
, NUR 114 Final Exam - Fundamentals of Nursing NCLE… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer a medication via a nasogastric (NG) tube. What is the
priority nursing action before administration?
A. Verify the tube placement using a bedside X-ray
B. Check the gastric pH and residual volume
C. Flush the tube with 30 mL of sterile water
D. Auscultate for bowel sounds in all four quadrants
Answer: B
Rationale: Before using an NG tube for medication or feeding, the nurse must verify placement.
Checking pH is the standard bedside method, though X-ray is the gold standard for initial placement. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities. 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.
4. When performing a physical assessment, which technique should the nurse use first
when examining the abdomen?
A. Palpation
B. Percussion
C. Inspection
D. Auscultation
Answer: C
Rationale: The correct order for abdominal assessment is Inspection, Auscultation, Percussion, and
Palpation to avoid altering bowel sounds. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. 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 3
