NUR 114: Comprehensive Nursing Fundamentals Final… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114: Comprehensive Nursing Fundamentals Final Exam
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: Comprehensive Nursing Fundamentals Final… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient who has been diagnosed with a Clostridioides difficile (C.
diff) infection. Which of the following actions is the priority for the nurse to prevent the
spread of the pathogen?
A. Use an alcohol-based hand sanitizer before exiting the room.
B. Wear a mask and goggles when providing direct patient care.
C. diff) infection. Which of the following actions is the priority for the nurse to prevent the spread of the
pathogen?
D. Perform hand hygiene using soap and water after patient contact.
Answer: D
Rationale: C. diff spores are resistant to alcohol-based sanitizers; therefore, mechanical scrubbing
with soap and water is required to remove them from the hands. 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.
2. A patient is scheduled for an elective surgical procedure. The nurse notices the patient
appears anxious and states, ‘I am not sure I really want to do this.’ What is the nurse’s first
action?
A. Notify the surgeon that the patient has expressed doubts about the surgery.
B. Reassure the patient that the surgeon is highly skilled.
C. Ask the patient to sign the consent form quickly before the sedative is given.
D. Administer the preoperative medication as ordered to reduce anxiety.
Answer: A
Rationale: The nurse’s role in informed consent is to witness the signature. If the patient expresses
doubt or lack of understanding, the surgeon must be notified to provide further explanation. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114: Comprehensive Nursing Fundamentals Final… 2026/2027 • Verified • Assured Grade A+
3. Which ethical principle is being applied when a nurse supports a patient’s decision to
refuse chemotherapy despite the family’s wishes?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Beneficence
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions regarding their
healthcare, even if those decisions conflict with the opinions of others. 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.
4. The nurse is assessing a patient’s blood pressure and finds it to be 160/94 mmHg.
According to the current AHA guidelines, this reading is classified as:
A. Elevated
B. Stage 1 Hypertension
C. Stage 2 Hypertension
D. Hypertensive Crisis
Answer: C
Rationale: Stage 2 Hypertension is defined as a systolic pressure of at least 140 mmHg or a diastolic
pressure of at least 90 mmHg. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114: Comprehensive Nursing Fundamentals Final Exam
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: Comprehensive Nursing Fundamentals Final… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient who has been diagnosed with a Clostridioides difficile (C.
diff) infection. Which of the following actions is the priority for the nurse to prevent the
spread of the pathogen?
A. Use an alcohol-based hand sanitizer before exiting the room.
B. Wear a mask and goggles when providing direct patient care.
C. diff) infection. Which of the following actions is the priority for the nurse to prevent the spread of the
pathogen?
D. Perform hand hygiene using soap and water after patient contact.
Answer: D
Rationale: C. diff spores are resistant to alcohol-based sanitizers; therefore, mechanical scrubbing
with soap and water is required to remove them from the hands. 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.
2. A patient is scheduled for an elective surgical procedure. The nurse notices the patient
appears anxious and states, ‘I am not sure I really want to do this.’ What is the nurse’s first
action?
A. Notify the surgeon that the patient has expressed doubts about the surgery.
B. Reassure the patient that the surgeon is highly skilled.
C. Ask the patient to sign the consent form quickly before the sedative is given.
D. Administer the preoperative medication as ordered to reduce anxiety.
Answer: A
Rationale: The nurse’s role in informed consent is to witness the signature. If the patient expresses
doubt or lack of understanding, the surgeon must be notified to provide further explanation. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114: Comprehensive Nursing Fundamentals Final… 2026/2027 • Verified • Assured Grade A+
3. Which ethical principle is being applied when a nurse supports a patient’s decision to
refuse chemotherapy despite the family’s wishes?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Beneficence
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions regarding their
healthcare, even if those decisions conflict with the opinions of others. 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.
4. The nurse is assessing a patient’s blood pressure and finds it to be 160/94 mmHg.
According to the current AHA guidelines, this reading is classified as:
A. Elevated
B. Stage 1 Hypertension
C. Stage 2 Hypertension
D. Hypertensive Crisis
Answer: C
Rationale: Stage 2 Hypertension is defined as a systolic pressure of at least 140 mmHg or a diastolic
pressure of at least 90 mmHg. 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 3
