NUR 114 Nursing Fundamentals - NCLEX Exam 3 2026/… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals - NCLEX Exam 3 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 Nursing Fundamentals - NCLEX Exam 3 2026/… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with chronic kidney disease presents with a potassium level of 6.2 mEq/L. Which
of the following is the priority nursing action?
A. Administer sodium polystyrene sulfonate as ordered.
B. Encourage the patient to increase fluid intake.
C. Initiate continuous cardiac monitoring.
D. Recheck the potassium level in 4 hours.
Answer: C
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) can cause life-threatening cardiac arrhythmias.
While administering medication is important, the priority is to monitor the patient’s heart rhythm for
changes like peaked T waves or widened QRS complexes. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. 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 client’s arterial blood gas (ABG) results are: pH 7.31, PaCO2 52 mmHg, and HCO3 26
mEq/L. How should the nurse interpret these findings?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: A
Rationale: A pH below 7.35 indicates acidosis. The PaCO2 is elevated (>45 mmHg), which points to a
respiratory cause. The HCO3 is within normal range, indicating no compensation yet. 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. 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 Nursing Fundamentals - NCLEX Exam 3 2026/… 2026/2027 • Verified • Assured Grade A+
3. A nurse is caring for a patient receiving Total Parenteral Nutrition (TPN). The TPN bag is
empty, and the new bag has not arrived from the pharmacy. Which solution should the nurse
hang?
A. 0.9% Normal Saline
B. Lactated Ringer’s
C. 10% Dextrose in Water
D. 5% Dextrose in Water
Answer: C
Rationale: TPN contains high concentrations of dextrose. If stopped abruptly, the patient is at risk for
rebound hypoglycemia. 10% Dextrose (D10W) is used to maintain blood glucose levels until the next
TPN bag is available. 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. 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.
4. Which clinical manifestation is a hallmark sign of hypocalcemia?
A. Negative Chvostek’s sign
B. Shortened QT interval
C. Trousseau’s sign
D. Hyporeflexia
Answer: C
Rationale: Trousseau’s sign (carpal spasm induced by inflating a BP cuff) and Chvostek’s sign (facial
twitching) are classic indicators of neuromuscular irritability caused by low calcium levels. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals - NCLEX Exam 3 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 Nursing Fundamentals - NCLEX Exam 3 2026/… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with chronic kidney disease presents with a potassium level of 6.2 mEq/L. Which
of the following is the priority nursing action?
A. Administer sodium polystyrene sulfonate as ordered.
B. Encourage the patient to increase fluid intake.
C. Initiate continuous cardiac monitoring.
D. Recheck the potassium level in 4 hours.
Answer: C
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) can cause life-threatening cardiac arrhythmias.
While administering medication is important, the priority is to monitor the patient’s heart rhythm for
changes like peaked T waves or widened QRS complexes. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. 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 client’s arterial blood gas (ABG) results are: pH 7.31, PaCO2 52 mmHg, and HCO3 26
mEq/L. How should the nurse interpret these findings?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: A
Rationale: A pH below 7.35 indicates acidosis. The PaCO2 is elevated (>45 mmHg), which points to a
respiratory cause. The HCO3 is within normal range, indicating no compensation yet. 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. 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 Nursing Fundamentals - NCLEX Exam 3 2026/… 2026/2027 • Verified • Assured Grade A+
3. A nurse is caring for a patient receiving Total Parenteral Nutrition (TPN). The TPN bag is
empty, and the new bag has not arrived from the pharmacy. Which solution should the nurse
hang?
A. 0.9% Normal Saline
B. Lactated Ringer’s
C. 10% Dextrose in Water
D. 5% Dextrose in Water
Answer: C
Rationale: TPN contains high concentrations of dextrose. If stopped abruptly, the patient is at risk for
rebound hypoglycemia. 10% Dextrose (D10W) is used to maintain blood glucose levels until the next
TPN bag is available. 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. 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.
4. Which clinical manifestation is a hallmark sign of hypocalcemia?
A. Negative Chvostek’s sign
B. Shortened QT interval
C. Trousseau’s sign
D. Hyporeflexia
Answer: C
Rationale: Trousseau’s sign (carpal spasm induced by inflating a BP cuff) and Chvostek’s sign (facial
twitching) are classic indicators of neuromuscular irritability caused by low calcium levels. 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 3
