NUR 114 Final Exam Study Guide: Holistic Health C… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam Study Guide: Holistic Health Concepts
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 Study Guide: Holistic Health C… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient presents with a serum potassium level of 6.2 mEq/L. Which cardiac monitoring
finding is the nurse most likely to observe?
A. Prominent U waves
B. ST-segment depression
C. Prolonged QT interval
D. Tall, peaked T waves
Answer: D
Rationale: Hyperkalemia (K+ > 5.0) causes tall, peaked T waves and a widened QRS complex. U
waves are typical of hypokalemia. 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
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. Which electrolyte imbalance is most associated with a positive Chvostek’s sign?
A. Hypermagnesemia
B. Hyperkalemia
C. Hypocalcemia
D. Hyponatremia
Answer: C
Rationale: Hypocalcemia increases neuromuscular excitability, leading to Chvostek’s sign (facial
twitching) and Trousseau’s sign (carpal spasm). 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. 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 2
, NUR 114 Final Exam Study Guide: Holistic Health C… 2026/2027 • Verified • Assured Grade A+
3. A patient’s ABG results are: pH 7.28, PaCO2 50 mmHg, and HCO3 25 mEq/L. How should
the nurse interpret these findings?
A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Metabolic Acidosis
Answer: A
Rationale: The pH is low (<7.35) indicating acidosis, and the PaCO2 is high (>45), indicating a
respiratory cause. 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. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
4. Which action is the priority for a nurse when a patient’s Total Parenteral Nutrition (TPN)
bag runs out before the next bag arrives?
A. Flush the line with Normal Saline and wait
B. Cap the central line to prevent air embolism
C. Slow the infusion rate to the lowest possible setting
D. Hang a bag of 10% Dextrose in Water (D10W)
Answer: D
Rationale: TPN has high glucose content. Sudden cessation can lead to rebound hypoglycemia;
D10W maintains blood glucose levels until the new TPN bag is available. 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. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam Study Guide: Holistic Health Concepts
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 Study Guide: Holistic Health C… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient presents with a serum potassium level of 6.2 mEq/L. Which cardiac monitoring
finding is the nurse most likely to observe?
A. Prominent U waves
B. ST-segment depression
C. Prolonged QT interval
D. Tall, peaked T waves
Answer: D
Rationale: Hyperkalemia (K+ > 5.0) causes tall, peaked T waves and a widened QRS complex. U
waves are typical of hypokalemia. 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
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. Which electrolyte imbalance is most associated with a positive Chvostek’s sign?
A. Hypermagnesemia
B. Hyperkalemia
C. Hypocalcemia
D. Hyponatremia
Answer: C
Rationale: Hypocalcemia increases neuromuscular excitability, leading to Chvostek’s sign (facial
twitching) and Trousseau’s sign (carpal spasm). 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. 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 2
, NUR 114 Final Exam Study Guide: Holistic Health C… 2026/2027 • Verified • Assured Grade A+
3. A patient’s ABG results are: pH 7.28, PaCO2 50 mmHg, and HCO3 25 mEq/L. How should
the nurse interpret these findings?
A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Metabolic Acidosis
Answer: A
Rationale: The pH is low (<7.35) indicating acidosis, and the PaCO2 is high (>45), indicating a
respiratory cause. 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. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
4. Which action is the priority for a nurse when a patient’s Total Parenteral Nutrition (TPN)
bag runs out before the next bag arrives?
A. Flush the line with Normal Saline and wait
B. Cap the central line to prevent air embolism
C. Slow the infusion rate to the lowest possible setting
D. Hang a bag of 10% Dextrose in Water (D10W)
Answer: D
Rationale: TPN has high glucose content. Sudden cessation can lead to rebound hypoglycemia;
D10W maintains blood glucose levels until the new TPN bag is available. 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. 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 3
