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NUR 114 EXAM 2 – NURSING FUNDAMENTALS 2026 NCLEX-
STYLE COMPLETE (300) CURRENT TESTING QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
NURSING
Prepare for the NUR 114 Exam 2 – Nursing Fundamentals with this comprehensive
NCLEX-style study resource designed to reinforce essential nursing fundamentals,
patient safety, infection prevention, medication administration, basic nursing skills,
clinical judgment, prioritization, communication, and evidence-based patient care.
This document helps you review key topics, assess your understanding, and identify
areas that may require additional study before the exam. Use it to strengthen your
foundational nursing knowledge and build confidence through focused, organized
preparation. An excellent companion for successful NUR 114 Exam 2 – Nursing
Fundamentals exam preparation.
MULTIPLE CHOICE.
1. A nurse is caring for a client who has just returned from surgery with a patient-
controlled analgesia (PCA) pump. Which assessment finding requires immediate
intervention?
A. The client reports pain 4/10
B. The client's respiratory rate is 8 breaths per minute
C. The client is sleeping quietly
D. The client has pressed the PCA button 3 times in the past hour
Answer: B
Rationale: A respiratory rate of 8 indicates opioid-induced respiratory depression, which
is life-threatening. Pain 4/10 is acceptable; sleeping quietly may be normal; pressing the
PCA button 3 times in an hour is not excessive.
2. A nurse is teaching a client with a new diagnosis of hypertension about lifestyle
modifications. Which statement by the client indicates a need for further teaching?
A. "I will limit my sodium intake to less than 2,300 mg per day."
B. "I will aim for 30 minutes of exercise most days of the week."
C. "I can continue smoking as long as I take my blood pressure medication."
D. "I will limit alcohol to one drink per day for women or two for men."
Answer: C
Rationale: Smoking increases blood pressure and cardiovascular risk. Medications do not
eliminate the need for smoking cessation.
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3. A client with diabetes has a blood glucose of 45 mg/dL and is unconscious. What
should the nurse do first?
A. Give 4 oz of orange juice orally
B. Administer glucagon 1 mg IM or subcutaneously
C. Insert an IV line and give 50% dextrose
D. Call the provider
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Answer: B
Rationale: Glucagon IM/SQ raises blood glucose in an unconscious client. Oral
administration is unsafe. IV dextrose requires IV access, which takes time.
4. A nurse is caring for a client with an indwelling urinary catheter. Which action is most
important to prevent catheter-associated urinary tract infection (CAUTI)?
A. Change the catheter every 24 hours
B. Irrigate the catheter daily with normal saline
C. Keep the drainage bag below the level of the bladder
D. Empty the drainage bag every 2 hours
Answer: C
Rationale: Keeping the drainage bag below bladder level prevents backflow of urine.
Routine catheter changes and irrigations increase infection risk.
5. A client with heart failure is prescribed furosemide 40 mg IV. Which laboratory value
should the nurse monitor most closely?
A. Hemoglobin
B. Potassium
C. Platelets
D. Calcium
Answer: B
Rationale: Furosemide (loop diuretic) causes potassium wasting → hypokalemia risk.
6. A nurse is assessing a client's surgical wound on post-operative day 2. Which finding
should be reported to the provider?
A. Serosanguineous drainage on the dressing
B. Edges well approximated
C. Greenish drainage with a foul odor
D. Mild tenderness to palpation
Answer: C
Rationale: Greenish, foul-smelling drainage indicates purulent drainage from infection.
Serosanguineous drainage and mild tenderness are expected.
7. A client with a new colostomy asks about pouch care. How often should the pouch be
changed?
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A. Every day
B. Every 3–7 days or when leaking
C. Every 12 hours
D. Twice per week only
Answer: B
Rationale: Pouches can last 3–7 days if the seal is intact. Frequent changes cause skin
breakdown.
8. A nurse is administering digoxin. The client's apical pulse is 52 bpm. What should the
nurse do?
A. Administer the medication as ordered
B. Hold the dose and notify the provider
C. Retake the pulse in 15 minutes
D. Give atropine before digoxin
Answer: B
Rationale: Digoxin is held for an apical pulse <60 bpm in adults (unless ordered
otherwise).
9. A client with a new tracheostomy has a pulse oximetry of 85% on room air. What
should the nurse do first?
A. Suction the tracheostomy
B. Apply oxygen at 2 L/min
C. Call a rapid response
D. Change the inner cannula
Answer: A
Rationale: Low SpO2 with a new tracheostomy is often due to a mucus plug. Suction first.
10. A nurse is caring for a client with a chest tube. The water seal chamber has continuous
bubbling. What should the nurse do?
A. Document as normal
B. Check for an air leak
C. Clamp the chest tube immediately
D. Increase suction pressure
Answer: B
Rationale: Continuous bubbling indicates an air leak. Clamping can cause tension
pneumothorax.
NUR 114 EXAM 2 – NURSING FUNDAMENTALS 2026 NCLEX-
STYLE COMPLETE (300) CURRENT TESTING QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
NURSING
Prepare for the NUR 114 Exam 2 – Nursing Fundamentals with this comprehensive
NCLEX-style study resource designed to reinforce essential nursing fundamentals,
patient safety, infection prevention, medication administration, basic nursing skills,
clinical judgment, prioritization, communication, and evidence-based patient care.
This document helps you review key topics, assess your understanding, and identify
areas that may require additional study before the exam. Use it to strengthen your
foundational nursing knowledge and build confidence through focused, organized
preparation. An excellent companion for successful NUR 114 Exam 2 – Nursing
Fundamentals exam preparation.
MULTIPLE CHOICE.
1. A nurse is caring for a client who has just returned from surgery with a patient-
controlled analgesia (PCA) pump. Which assessment finding requires immediate
intervention?
A. The client reports pain 4/10
B. The client's respiratory rate is 8 breaths per minute
C. The client is sleeping quietly
D. The client has pressed the PCA button 3 times in the past hour
Answer: B
Rationale: A respiratory rate of 8 indicates opioid-induced respiratory depression, which
is life-threatening. Pain 4/10 is acceptable; sleeping quietly may be normal; pressing the
PCA button 3 times in an hour is not excessive.
2. A nurse is teaching a client with a new diagnosis of hypertension about lifestyle
modifications. Which statement by the client indicates a need for further teaching?
A. "I will limit my sodium intake to less than 2,300 mg per day."
B. "I will aim for 30 minutes of exercise most days of the week."
C. "I can continue smoking as long as I take my blood pressure medication."
D. "I will limit alcohol to one drink per day for women or two for men."
Answer: C
Rationale: Smoking increases blood pressure and cardiovascular risk. Medications do not
eliminate the need for smoking cessation.
, Page 2 of 81
3. A client with diabetes has a blood glucose of 45 mg/dL and is unconscious. What
should the nurse do first?
A. Give 4 oz of orange juice orally
B. Administer glucagon 1 mg IM or subcutaneously
C. Insert an IV line and give 50% dextrose
D. Call the provider
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Answer: B
Rationale: Glucagon IM/SQ raises blood glucose in an unconscious client. Oral
administration is unsafe. IV dextrose requires IV access, which takes time.
4. A nurse is caring for a client with an indwelling urinary catheter. Which action is most
important to prevent catheter-associated urinary tract infection (CAUTI)?
A. Change the catheter every 24 hours
B. Irrigate the catheter daily with normal saline
C. Keep the drainage bag below the level of the bladder
D. Empty the drainage bag every 2 hours
Answer: C
Rationale: Keeping the drainage bag below bladder level prevents backflow of urine.
Routine catheter changes and irrigations increase infection risk.
5. A client with heart failure is prescribed furosemide 40 mg IV. Which laboratory value
should the nurse monitor most closely?
A. Hemoglobin
B. Potassium
C. Platelets
D. Calcium
Answer: B
Rationale: Furosemide (loop diuretic) causes potassium wasting → hypokalemia risk.
6. A nurse is assessing a client's surgical wound on post-operative day 2. Which finding
should be reported to the provider?
A. Serosanguineous drainage on the dressing
B. Edges well approximated
C. Greenish drainage with a foul odor
D. Mild tenderness to palpation
Answer: C
Rationale: Greenish, foul-smelling drainage indicates purulent drainage from infection.
Serosanguineous drainage and mild tenderness are expected.
7. A client with a new colostomy asks about pouch care. How often should the pouch be
changed?
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A. Every day
B. Every 3–7 days or when leaking
C. Every 12 hours
D. Twice per week only
Answer: B
Rationale: Pouches can last 3–7 days if the seal is intact. Frequent changes cause skin
breakdown.
8. A nurse is administering digoxin. The client's apical pulse is 52 bpm. What should the
nurse do?
A. Administer the medication as ordered
B. Hold the dose and notify the provider
C. Retake the pulse in 15 minutes
D. Give atropine before digoxin
Answer: B
Rationale: Digoxin is held for an apical pulse <60 bpm in adults (unless ordered
otherwise).
9. A client with a new tracheostomy has a pulse oximetry of 85% on room air. What
should the nurse do first?
A. Suction the tracheostomy
B. Apply oxygen at 2 L/min
C. Call a rapid response
D. Change the inner cannula
Answer: A
Rationale: Low SpO2 with a new tracheostomy is often due to a mucus plug. Suction first.
10. A nurse is caring for a client with a chest tube. The water seal chamber has continuous
bubbling. What should the nurse do?
A. Document as normal
B. Check for an air leak
C. Clamp the chest tube immediately
D. Increase suction pressure
Answer: B
Rationale: Continuous bubbling indicates an air leak. Clamping can cause tension
pneumothorax.
