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NUR 114 EXAM 5 – 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 5 – 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 preparing to insert an indwelling urinary catheter for a female
client. Which action demonstrates proper sterile technique?
A. Open the sterile kit facing away from the body
B. Use sterile gloves and then open the inner wrap
C. Place the sterile drape with the shiny side up
D. Clean each labial fold with the same cotton ball
Answer: B
Rationale: Sterile gloves are required before handling sterile supplies.
Opening the inner wrap after gloving maintains sterility. Shiny side should
be down; each fold requires separate cotton ball.
2. A client with chronic obstructive pulmonary disease (COPD) has an
oxygen saturation of 88%. The nurse should first:
A. Increase oxygen to 4 L/min via nasal cannula
B. Encourage deep breathing and coughing
C. Place client in high Fowler’s position
D. Auscultate lung sounds
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Answer: C
Rationale: Positioning to maximize lung expansion is the first noninvasive
intervention. Increasing O2 without assessment can worsen CO2 retention.
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3. A nurse is calculating intake for a client with heart failure. The client
drank 240 mL of water, 120 mL of coffee, and ate 180 mL of ice chips. What is
the total intake?
A. 420 mL
B. 450 mL
C. 540 mL
D. 620 mL
Answer: B
Rationale: Ice chips counted as half volume (180 mL = 90 mL water). Total =
240 + 120 + 90 = 450 mL.
4. Which client is at highest risk for developing a pressure injury?
A. 35-year-old with a fractured tibia in a cast
B. 68-year-old with incontinence and immobility
C. 50-year-old with hypertension on a beta-blocker
D. 42-year-old with diabetes and normal skin turgor
Answer: B
Rationale: Incontinence (moisture) + immobility (pressure) + advanced age
are major risk factors.
5. A nurse delegates vital signs to an unlicensed assistive personnel (UAP).
Which client should the nurse assign to the UAP?
A. Client 1 hour post-cardiac catheterization
B. Client on a patient-controlled analgesia (PCA) pump
C. Client with stable vital signs and ambulatory
D. Client with new-onset confusion
Answer: C
Rationale: Stable, predictable clients are appropriate for UAP delegation.
Unstable or post-procedure clients require licensed nurse assessment.
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6. A client has a prescription for enoxaparin (Lovenox) subcutaneously.
Which technique is correct?
A. Aspirate before injection
B. Massage the site after injection
C. Inject into the deltoid muscle
D. Pinch skin fold and insert needle at 90 degrees
Answer: D
Rationale: Enoxaparin given subcutaneously into abdomen, 90-degree angle
with skin fold. No aspiration, no massage.
7. A nurse is teaching a client with a new colostomy. Which statement
indicates understanding?
A. “I will change the pouch every day.”
B. “I should eat more popcorn and nuts for fiber.”
C. “I will cut the wafer opening 1/8 inch larger than my stoma.”
D. “I can use soap and water to clean the stoma directly.”
Answer: C
Rationale: Allows for stoma swelling without skin contact. Daily changing
causes breakdown; popcorn/nuts risk blockage.
8. A client’s ABG results: pH 7.30, PaCO2 50 mm Hg, HCO3 24 mEq/L. The
nurse interprets this as:
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
NUR 114 EXAM 5 – 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 5 – 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 preparing to insert an indwelling urinary catheter for a female
client. Which action demonstrates proper sterile technique?
A. Open the sterile kit facing away from the body
B. Use sterile gloves and then open the inner wrap
C. Place the sterile drape with the shiny side up
D. Clean each labial fold with the same cotton ball
Answer: B
Rationale: Sterile gloves are required before handling sterile supplies.
Opening the inner wrap after gloving maintains sterility. Shiny side should
be down; each fold requires separate cotton ball.
2. A client with chronic obstructive pulmonary disease (COPD) has an
oxygen saturation of 88%. The nurse should first:
A. Increase oxygen to 4 L/min via nasal cannula
B. Encourage deep breathing and coughing
C. Place client in high Fowler’s position
D. Auscultate lung sounds
, Page 2 of 104
Answer: C
Rationale: Positioning to maximize lung expansion is the first noninvasive
intervention. Increasing O2 without assessment can worsen CO2 retention.
, Page 3 of 104
3. A nurse is calculating intake for a client with heart failure. The client
drank 240 mL of water, 120 mL of coffee, and ate 180 mL of ice chips. What is
the total intake?
A. 420 mL
B. 450 mL
C. 540 mL
D. 620 mL
Answer: B
Rationale: Ice chips counted as half volume (180 mL = 90 mL water). Total =
240 + 120 + 90 = 450 mL.
4. Which client is at highest risk for developing a pressure injury?
A. 35-year-old with a fractured tibia in a cast
B. 68-year-old with incontinence and immobility
C. 50-year-old with hypertension on a beta-blocker
D. 42-year-old with diabetes and normal skin turgor
Answer: B
Rationale: Incontinence (moisture) + immobility (pressure) + advanced age
are major risk factors.
5. A nurse delegates vital signs to an unlicensed assistive personnel (UAP).
Which client should the nurse assign to the UAP?
A. Client 1 hour post-cardiac catheterization
B. Client on a patient-controlled analgesia (PCA) pump
C. Client with stable vital signs and ambulatory
D. Client with new-onset confusion
Answer: C
Rationale: Stable, predictable clients are appropriate for UAP delegation.
Unstable or post-procedure clients require licensed nurse assessment.
, Page 4 of 104
6. A client has a prescription for enoxaparin (Lovenox) subcutaneously.
Which technique is correct?
A. Aspirate before injection
B. Massage the site after injection
C. Inject into the deltoid muscle
D. Pinch skin fold and insert needle at 90 degrees
Answer: D
Rationale: Enoxaparin given subcutaneously into abdomen, 90-degree angle
with skin fold. No aspiration, no massage.
7. A nurse is teaching a client with a new colostomy. Which statement
indicates understanding?
A. “I will change the pouch every day.”
B. “I should eat more popcorn and nuts for fiber.”
C. “I will cut the wafer opening 1/8 inch larger than my stoma.”
D. “I can use soap and water to clean the stoma directly.”
Answer: C
Rationale: Allows for stoma swelling without skin contact. Daily changing
causes breakdown; popcorn/nuts risk blockage.
8. A client’s ABG results: pH 7.30, PaCO2 50 mm Hg, HCO3 24 mEq/L. The
nurse interprets this as:
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
