NUR 114 Fundamentals of Nursing Final Exam Prepar… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Fundamentals of Nursing Final Exam Preparatory
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 Fundamentals of Nursing Final Exam Prepar… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is post-operative and reports sudden shortness of
breath and chest pain. Which of the following actions should the nurse take first?
A. Assess the client’s vital signs and oxygen saturation.
B. Elevate the head of the bed to a high-Fowler’s position.
C. Administer the PRN pain medication.
D. Notify the rapid response team.
Answer: B
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework, the first action for
a client in respiratory distress is to promote lung expansion by positioning the client in a high-Fowler’s
position before further assessment or notification. 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.
2. A nurse is preparing to administer an intramuscular injection to an obese client. Which of
the following sites is the most appropriate to ensure the medication reaches the muscle?
A. Dorsogluteal
B. Deltoid
C. Ventrogluteal
D. Vastus lateralis
Answer: C
Rationale: The ventrogluteal site is the safest and most preferred site for IM injections in adults,
including obese patients, because it lacks major nerves and blood vessels and has a thick muscle
layer. 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. 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 Final Exam Prepar… 2026/2027 • Verified • Assured Grade A+
3. While assessing a client’s surgical wound, the nurse notes that the edges are separated
and the underlying viscera are protruding. Which of the following actions is the nurse’s
priority?
A. Apply a sterile dressing moistened with normal saline.
B. Attempt to push the protruding organs back into the abdomen.
C. Place the client in a prone position.
D. Instruct the client to cough to clear secretions.
Answer: A
Rationale: Evisceration is a medical emergency. The priority is to protect the exposed organs by
covering them with sterile, saline-soaked dressings to keep them moist and prevent infection.
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. 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.
4. A nurse is teaching a client about a low-sodium diet. Which of the following food choices
by the client indicates an understanding of the teaching?
A. Canned vegetable soup
B. Smoked turkey slices
C. Cottage cheese
D. Fresh orange slices
Answer: D
Rationale: Fresh fruits like oranges are naturally low in sodium. Canned soups, processed meats, and
dairy products like cottage cheese typically contain high levels of added sodium. 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. 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 Fundamentals of Nursing Final Exam Preparatory
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 Fundamentals of Nursing Final Exam Prepar… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is post-operative and reports sudden shortness of
breath and chest pain. Which of the following actions should the nurse take first?
A. Assess the client’s vital signs and oxygen saturation.
B. Elevate the head of the bed to a high-Fowler’s position.
C. Administer the PRN pain medication.
D. Notify the rapid response team.
Answer: B
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework, the first action for
a client in respiratory distress is to promote lung expansion by positioning the client in a high-Fowler’s
position before further assessment or notification. 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.
2. A nurse is preparing to administer an intramuscular injection to an obese client. Which of
the following sites is the most appropriate to ensure the medication reaches the muscle?
A. Dorsogluteal
B. Deltoid
C. Ventrogluteal
D. Vastus lateralis
Answer: C
Rationale: The ventrogluteal site is the safest and most preferred site for IM injections in adults,
including obese patients, because it lacks major nerves and blood vessels and has a thick muscle
layer. 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. 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 Final Exam Prepar… 2026/2027 • Verified • Assured Grade A+
3. While assessing a client’s surgical wound, the nurse notes that the edges are separated
and the underlying viscera are protruding. Which of the following actions is the nurse’s
priority?
A. Apply a sterile dressing moistened with normal saline.
B. Attempt to push the protruding organs back into the abdomen.
C. Place the client in a prone position.
D. Instruct the client to cough to clear secretions.
Answer: A
Rationale: Evisceration is a medical emergency. The priority is to protect the exposed organs by
covering them with sterile, saline-soaked dressings to keep them moist and prevent infection.
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. 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.
4. A nurse is teaching a client about a low-sodium diet. Which of the following food choices
by the client indicates an understanding of the teaching?
A. Canned vegetable soup
B. Smoked turkey slices
C. Cottage cheese
D. Fresh orange slices
Answer: D
Rationale: Fresh fruits like oranges are naturally low in sodium. Canned soups, processed meats, and
dairy products like cottage cheese typically contain high levels of added sodium. 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. 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
