NUR 114 Nursing Fundamentals Exam 3 - Advanced NC… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals Exam 3 - Advanced 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 Nursing Fundamentals Exam 3 - Advanced NC… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client is admitted with a serum potassium level of 6.2 mEq/L. Which electrocardiogram
(ECG) change should the nurse expect to observe?
A. Prominent U waves
B. ST-segment depression
C. Tall, peaked T waves
D. Prolonged PR interval
Answer: C
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) typically causes tall, peaked T waves, widened
QRS complexes, and flattened P waves. U waves are seen in hypokalemia. 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. 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 nurse is caring for a client with a history of chronic obstructive pulmonary disease
(COPD) who is receiving oxygen at 2 L/min via nasal cannula. The client’s ABG results are:
pH 7.30, PaCO2 52 mmHg, HCO3 30 mEq/L. How should the nurse interpret these findings?
A. Uncompensated respiratory acidosis
B. Partially compensated respiratory acidosis
C. Fully compensated respiratory acidosis
D. who is receiving oxygen at 2 L/min via nasal cannula. The client’s ABG results are: pH 7.30,
PaCO2 52 mmHg, HCO3 30 mEq/L. How should the nurse interpret these findings?
Answer: B
Rationale: The pH is low (acidosis), the PaCO2 is high (respiratory cause), and the HCO3 is elevated
(compensatory mechanism), but the pH has not returned to normal range, indicating partial
compensation. 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 2
, NUR 114 Nursing Fundamentals Exam 3 - Advanced NC… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding is the most specific indicator of fluid volume excess (FVE) in
an elderly client with heart failure?
A. Dependent pitting edema
B. Flattened neck veins
C. Increased skin turgor
D. Crackles auscultated in the lung bases
Answer: D
Rationale: While edema is common in FVE, crackles in the lungs (pulmonary edema) indicate a more
severe and specific progression of fluid overload into the respiratory system, requiring immediate
intervention. 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 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. A client has a serum calcium level of 7.2 mg/dL. Which clinical manifestation should the
nurse monitor for?
A. Constipation
B. Hyporeflexia
C. Positive Trousseau’s sign
D. Bone pain
Answer: C
Rationale: Hypocalcemia causes neuromuscular excitability. Trousseau’s sign (carpal spasm with BP
cuff inflation) and Chvostek’s sign are classic indicators. 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. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals Exam 3 - Advanced 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 Nursing Fundamentals Exam 3 - Advanced NC… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client is admitted with a serum potassium level of 6.2 mEq/L. Which electrocardiogram
(ECG) change should the nurse expect to observe?
A. Prominent U waves
B. ST-segment depression
C. Tall, peaked T waves
D. Prolonged PR interval
Answer: C
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) typically causes tall, peaked T waves, widened
QRS complexes, and flattened P waves. U waves are seen in hypokalemia. 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. 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 nurse is caring for a client with a history of chronic obstructive pulmonary disease
(COPD) who is receiving oxygen at 2 L/min via nasal cannula. The client’s ABG results are:
pH 7.30, PaCO2 52 mmHg, HCO3 30 mEq/L. How should the nurse interpret these findings?
A. Uncompensated respiratory acidosis
B. Partially compensated respiratory acidosis
C. Fully compensated respiratory acidosis
D. who is receiving oxygen at 2 L/min via nasal cannula. The client’s ABG results are: pH 7.30,
PaCO2 52 mmHg, HCO3 30 mEq/L. How should the nurse interpret these findings?
Answer: B
Rationale: The pH is low (acidosis), the PaCO2 is high (respiratory cause), and the HCO3 is elevated
(compensatory mechanism), but the pH has not returned to normal range, indicating partial
compensation. 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 2
, NUR 114 Nursing Fundamentals Exam 3 - Advanced NC… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding is the most specific indicator of fluid volume excess (FVE) in
an elderly client with heart failure?
A. Dependent pitting edema
B. Flattened neck veins
C. Increased skin turgor
D. Crackles auscultated in the lung bases
Answer: D
Rationale: While edema is common in FVE, crackles in the lungs (pulmonary edema) indicate a more
severe and specific progression of fluid overload into the respiratory system, requiring immediate
intervention. 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 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. A client has a serum calcium level of 7.2 mg/dL. Which clinical manifestation should the
nurse monitor for?
A. Constipation
B. Hyporeflexia
C. Positive Trousseau’s sign
D. Bone pain
Answer: C
Rationale: Hypocalcemia causes neuromuscular excitability. Trousseau’s sign (carpal spasm with BP
cuff inflation) and Chvostek’s sign are classic indicators. 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. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
