NUR 114 Fundamentals of Nursing Exam 3 NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Fundamentals of Nursing Exam 3 NCLEX Prep
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 Fundamentals of Nursing Exam 3 NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is assessing a patient with a potassium level of 2.8 mEq/L. Which of the following
findings should the nurse prioritize for immediate intervention?
A. Hyperactive bowel sounds and abdominal cramping
B. Prominent U-waves and flattened T-waves on the ECG
C. Muscle twitching and positive Chvostek’s sign
D. Tall, peaked T-waves and widened QRS complex
Answer: B
Rationale: A potassium level of 2.8 mEq/L indicates severe hypokalemia, which can lead to
life-threatening arrhythmias. U-waves and flat T-waves are classic signs. Peaked T-waves indicate
hyperkalemia. 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.
2. A patient’s arterial blood gas (ABG) results are: pH 7.30, PaCO2 52 mmHg, and HCO3 26
mEq/L. How should the nurse interpret these findings?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Rationale: The pH is low (<7.35) indicating acidosis. The PaCO2 is high (>45 mmHg) indicating a
respiratory cause. The HCO3 is normal, meaning no compensation is occurring yet. 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. This is important because the nurse must choose
the action that keeps the client safest while still meeting their basic needs. Always think about safety
first when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Fundamentals of Nursing Exam 3 NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
3. The nurse is caring for a client who is 24 hours postoperative following abdominal
surgery. The client reports a ‘popping’ sensation and the nurse observes a loop of bowel
protruding through the incision. Which action should the nurse take first?
A. Call the surgeon to report the occurrence
B. Cover the protruding organ with sterile saline-soaked dressings
C. Ask the client to cough to see if more bowel protrudes
D. Place the client in a high-Fowler’s position
Answer: B
Rationale: This is an evisceration. The immediate priority is to protect the organ from drying out and
infection by covering it with sterile towels or dressings soaked in sterile normal saline. 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. A nurse is reviewing the laboratory results for a client with fluid volume deficit. Which
result should the nurse expect to find?
A. Hematocrit 55% and BUN 28 mg/dL
B. Hematocrit 38% and Urine Specific Gravity 1.005
C. Sodium 130 mEq/L and Potassium 3.5 mEq/L
D. BUN 10 mg/dL and Creatinine 0.8 mg/dL
Answer: A
Rationale: In fluid volume deficit (dehydration), hemoconcentration occurs, leading to elevated
hematocrit and elevated blood urea nitrogen (BUN) levels. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Fundamentals of Nursing Exam 3 NCLEX Prep
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 Fundamentals of Nursing Exam 3 NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is assessing a patient with a potassium level of 2.8 mEq/L. Which of the following
findings should the nurse prioritize for immediate intervention?
A. Hyperactive bowel sounds and abdominal cramping
B. Prominent U-waves and flattened T-waves on the ECG
C. Muscle twitching and positive Chvostek’s sign
D. Tall, peaked T-waves and widened QRS complex
Answer: B
Rationale: A potassium level of 2.8 mEq/L indicates severe hypokalemia, which can lead to
life-threatening arrhythmias. U-waves and flat T-waves are classic signs. Peaked T-waves indicate
hyperkalemia. 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.
2. A patient’s arterial blood gas (ABG) results are: pH 7.30, PaCO2 52 mmHg, and HCO3 26
mEq/L. How should the nurse interpret these findings?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Respiratory Acidosis
D. Metabolic Alkalosis
Answer: C
Rationale: The pH is low (<7.35) indicating acidosis. The PaCO2 is high (>45 mmHg) indicating a
respiratory cause. The HCO3 is normal, meaning no compensation is occurring yet. 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. This is important because the nurse must choose
the action that keeps the client safest while still meeting their basic needs. Always think about safety
first when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Fundamentals of Nursing Exam 3 NCLEX Prep… 2026/2027 • Verified • Assured Grade A+
3. The nurse is caring for a client who is 24 hours postoperative following abdominal
surgery. The client reports a ‘popping’ sensation and the nurse observes a loop of bowel
protruding through the incision. Which action should the nurse take first?
A. Call the surgeon to report the occurrence
B. Cover the protruding organ with sterile saline-soaked dressings
C. Ask the client to cough to see if more bowel protrudes
D. Place the client in a high-Fowler’s position
Answer: B
Rationale: This is an evisceration. The immediate priority is to protect the organ from drying out and
infection by covering it with sterile towels or dressings soaked in sterile normal saline. 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. A nurse is reviewing the laboratory results for a client with fluid volume deficit. Which
result should the nurse expect to find?
A. Hematocrit 55% and BUN 28 mg/dL
B. Hematocrit 38% and Urine Specific Gravity 1.005
C. Sodium 130 mEq/L and Potassium 3.5 mEq/L
D. BUN 10 mg/dL and Creatinine 0.8 mg/dL
Answer: A
Rationale: In fluid volume deficit (dehydration), hemoconcentration occurs, leading to elevated
hematocrit and elevated blood urea nitrogen (BUN) levels. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. 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.
Exam (Elaborations) • Detailed Rationales Page 3
