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NUR 114 EXAM 4 – NURSING FUNDAMENTALS 2026 NCLEX-
STYLE COMPLETE (300) CURRENT TESTING QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
NUR
Prepare for the NUR 114 Exam 4 – Nursing Fundamentals with this comprehensive
NCLEX-style study resource designed to reinforce essential nursing fundamentals,
patient-centered care, clinical judgment, medication safety, nursing interventions,
prioritization, communication, documentation, and evidence-based nursing
practice. 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 3 – Nursing Fundamentals exam preparation.
MULTIPLE CHOICE.
1. A nurse is caring for a client who has a nasogastric (NG) tube set to
continuous suction. Which finding indicates the tube may be displaced?
A. Gastric pH of 4
B. Client reports nausea
C. Absence of gastric drainage for 2 hours
D. Bowel sounds present in all four quadrants
Answer: C
Rationale: Absence of drainage with continuous suction suggests tube
displacement or blockage. Gastric pH ≤4 is normal. Nausea alone is not
specific.
2. A client with chronic kidney disease (CKD) has a potassium level of 6.1
mEq/L. Which intervention should the nurse implement first?
A. Encourage bananas and oranges
B. Prepare for dialysis or potassium-lowering medication
C. Restrict oral fluids to 500 mL/day
D. Administer a potassium supplement
Answer: B
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Rationale: Hyperkalemia >6.0 is life-threatening (cardiac arrest risk).
Immediate treatment required.
3. A nurse is teaching a client about a clear liquid diet. Which item is
allowed?
A. Cream of wheat
B. Orange juice with pulp
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C. Chicken broth
D. Milkshake
Answer: C
Rationale: Clear liquids include broth, clear juice (no pulp), gelatin, water,
tea, coffee. No dairy or solids.
4. A client is 2 hours post-operative from abdominal surgery. Which finding
should the nurse report to the provider immediately?
A. Pain rated 5/10
B. Serosanguineous drainage on dressing
C. Heart rate 110 bpm and blood pressure 90/60 mm Hg
D. Urine output 40 mL in the past hour
Answer: C
Rationale: Tachycardia + hypotension may indicate hemorrhage or shock.
Report immediately.
5. A nurse is caring for a client with a new colostomy. Which statement by
the client indicates a need for further teaching?
A. “I will cut the wafer opening 1/8 inch larger than my stoma.”
B. “I can shower with my pouch on or off.”
C. “I will change my pouch every day to prevent infection.”
D. “My stoma should be pink and moist.”
Answer: C
Rationale: Pouches should be changed every 3–7 days or when leaking. Daily
changes cause skin breakdown.
6. A client with a history of falls is taking lorazepam (Ativan) for anxiety.
Which instruction is most important?
A. Take with food
B. Avoid alcohol and rise slowly from sitting
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C. Take in the morning
D. Double the dose if anxious
Answer: B
Rationale: Lorazepam causes sedation and orthostatic hypotension → fall
risk. Avoid alcohol; rise slowly. Never double dose.
7. A nurse is assessing a client’s IV site. Which finding suggests infiltration?
A. Redness and warmth along the vein
B. Edema, pallor, and coolness around the site
C. Purulent drainage at insertion site
D. Blood return on flush
Answer: B
Rationale: Infiltration = fluid leaking into tissue → swelling, pallor, coolness.
Redness/warmth = phlebitis.
8. A client with heart failure has a prescription for a 2-gram sodium diet.
Which food choice is appropriate?
A. Canned chicken noodle soup
B. Deli turkey sandwich
C. Fresh baked salmon with lemon
D. Frozen lasagna
Answer: C
Rationale: Fresh salmon is naturally low in sodium. Canned, deli, and frozen
foods are high in sodium.
9. A nurse is suctioning a client’s tracheostomy. Which action is correct?
A. Apply suction while inserting the catheter
B. Suction for 20–30 seconds each pass
C. Hyperoxygenate before and between suction passes
D. Use the same catheter for multiple passes
NUR 114 EXAM 4 – NURSING FUNDAMENTALS 2026 NCLEX-
STYLE COMPLETE (300) CURRENT TESTING QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
NUR
Prepare for the NUR 114 Exam 4 – Nursing Fundamentals with this comprehensive
NCLEX-style study resource designed to reinforce essential nursing fundamentals,
patient-centered care, clinical judgment, medication safety, nursing interventions,
prioritization, communication, documentation, and evidence-based nursing
practice. 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 3 – Nursing Fundamentals exam preparation.
MULTIPLE CHOICE.
1. A nurse is caring for a client who has a nasogastric (NG) tube set to
continuous suction. Which finding indicates the tube may be displaced?
A. Gastric pH of 4
B. Client reports nausea
C. Absence of gastric drainage for 2 hours
D. Bowel sounds present in all four quadrants
Answer: C
Rationale: Absence of drainage with continuous suction suggests tube
displacement or blockage. Gastric pH ≤4 is normal. Nausea alone is not
specific.
2. A client with chronic kidney disease (CKD) has a potassium level of 6.1
mEq/L. Which intervention should the nurse implement first?
A. Encourage bananas and oranges
B. Prepare for dialysis or potassium-lowering medication
C. Restrict oral fluids to 500 mL/day
D. Administer a potassium supplement
Answer: B
, Page 2 of 97
Rationale: Hyperkalemia >6.0 is life-threatening (cardiac arrest risk).
Immediate treatment required.
3. A nurse is teaching a client about a clear liquid diet. Which item is
allowed?
A. Cream of wheat
B. Orange juice with pulp
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C. Chicken broth
D. Milkshake
Answer: C
Rationale: Clear liquids include broth, clear juice (no pulp), gelatin, water,
tea, coffee. No dairy or solids.
4. A client is 2 hours post-operative from abdominal surgery. Which finding
should the nurse report to the provider immediately?
A. Pain rated 5/10
B. Serosanguineous drainage on dressing
C. Heart rate 110 bpm and blood pressure 90/60 mm Hg
D. Urine output 40 mL in the past hour
Answer: C
Rationale: Tachycardia + hypotension may indicate hemorrhage or shock.
Report immediately.
5. A nurse is caring for a client with a new colostomy. Which statement by
the client indicates a need for further teaching?
A. “I will cut the wafer opening 1/8 inch larger than my stoma.”
B. “I can shower with my pouch on or off.”
C. “I will change my pouch every day to prevent infection.”
D. “My stoma should be pink and moist.”
Answer: C
Rationale: Pouches should be changed every 3–7 days or when leaking. Daily
changes cause skin breakdown.
6. A client with a history of falls is taking lorazepam (Ativan) for anxiety.
Which instruction is most important?
A. Take with food
B. Avoid alcohol and rise slowly from sitting
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C. Take in the morning
D. Double the dose if anxious
Answer: B
Rationale: Lorazepam causes sedation and orthostatic hypotension → fall
risk. Avoid alcohol; rise slowly. Never double dose.
7. A nurse is assessing a client’s IV site. Which finding suggests infiltration?
A. Redness and warmth along the vein
B. Edema, pallor, and coolness around the site
C. Purulent drainage at insertion site
D. Blood return on flush
Answer: B
Rationale: Infiltration = fluid leaking into tissue → swelling, pallor, coolness.
Redness/warmth = phlebitis.
8. A client with heart failure has a prescription for a 2-gram sodium diet.
Which food choice is appropriate?
A. Canned chicken noodle soup
B. Deli turkey sandwich
C. Fresh baked salmon with lemon
D. Frozen lasagna
Answer: C
Rationale: Fresh salmon is naturally low in sodium. Canned, deli, and frozen
foods are high in sodium.
9. A nurse is suctioning a client’s tracheostomy. Which action is correct?
A. Apply suction while inserting the catheter
B. Suction for 20–30 seconds each pass
C. Hyperoxygenate before and between suction passes
D. Use the same catheter for multiple passes
