NUR 114 – FINAL EXAM 2026 NURSING FUNDAMENTALS
COMPLETE (300) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
NURSING
Prepare for the NUR 114 Final Exam – Nursing Fundamentals with this
comprehensive NCLEX-style study resource designed to reinforce
essential nursing fundamentals, patient safety, infection prevention,
health assessment, medication administration, clinical judgment,
communication, prioritization, nursing interventions, 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 final exam. Use it to strengthen your foundational nursing knowledge
and build confidence through focused, organized preparation. An excellent
companion for successful NUR 114 Final Exam – Nursing Fundamentals
preparation.
MULTIPLE CHOICE.
Section 1: Foundations of Nursing & Patient Safety
(Questions 1–50)
1. The primary goal of nursing is to?
A. Diagnose medical conditions
B. Promote health, prevent illness, and alleviate suffering
C. Prescribe medications
D. Perform surgery
Rationale: Nursing focuses on holistic patient care, not medical diagnosis.
2. Which patient is at highest risk for falls?
A. Young adult postoperative patient
B. Elderly patient with history of falls, taking antihypertensives
C. Middle-aged patient with diabetes
D. Adolescent with sprained ankle
Rationale: Elderly + fall history + medications causing orthostasis = high risk.
3. The "five rights" of medication administration include?
A. Right room, right bed, right tray, right time, right patient
B. Right patient, right drug, right dose, right route, right time
C. Right doctor, right nurse, right pharmacy, right dose, right time
D. Right diagnosis, right treatment, right outcome, right dose, right route
, Page 2 of 55
Rationale: Five rights ensure safe medication administration.
4. A patient is on fall precautions. Which intervention is most appropriate?
A. Keep bed rails up on all four sides
B. Place call light within reach, non-slip socks, bed alarm
C. Restrain the patient
D. Leave patient alone
Rationale: Least restrictive interventions first; restraints last resort.
, Page 3 of 55
5. The nurse identifies a patient's IV site is red, warm, and tender. This indicates?
A. Infiltration
B. Phlebitis
C. Extravasation
D. Air embolism
Rationale: Redness, warmth, tenderness = phlebitis (inflammation).
6. Which finding indicates IV infiltration?
A. Redness along vein
B. Swelling, coolness, pallor at site
C. Shortness of breath
D. Fever
Rationale: Infiltration = fluid into surrounding tissue; swelling, coolness.
7. The most important intervention to prevent healthcare-associated infections is?
A. Wearing gloves
B. Hand hygiene
C. Wearing a mask
D. Sterile technique
Rationale: Hand hygiene is #1 infection prevention measure.
8. A patient is on contact precautions for MRSA. Which PPE is required?
A. Mask
B. Gown and gloves
C. N95 respirator
D. Eye protection only
Rationale: Contact precautions = gown + gloves.
9. A patient is on airborne precautions for tuberculosis. Which PPE is required?
A. Surgical mask
B. N95 respirator
C. Gown only
D. Gloves only
*Rationale: Airborne precautions = N95 (or PAPR) + negative pressure room.*
10. A patient is on droplet precautions for influenza. Which PPE is required?
A. N95 respirator
B. Surgical mask
C. Gown only
D. No PPE
*Rationale: Droplet precautions = surgical mask within 3 feet.*
, Page 4 of 55
11. The correct order for donning PPE is?
A. Gloves, gown, mask, eye protection
B. Gown, mask, eye protection, gloves
C. Mask, gloves, gown, eye protection
D. Eye protection, gown, mask, gloves
Rationale: Gown first, then mask, eye protection, then gloves.
12. The correct order for doffing (removing) PPE is?
A. Gloves, gown, eye protection, mask
B. Gloves, gown, eye protection, mask
C. Mask, gown, gloves, eye protection
D. Gown, gloves, mask, eye protection
Rationale: Remove most contaminated first (gloves, gown, eye, mask).
13. Which is an example of a never event?
A. Patient fall with no injury
B. Wrong-site surgery
C. Medication error corrected before harm
D. Delay in discharge
Rationale: Never events are serious, preventable, and reportable.
14. A patient has a pressure injury on the sacrum. Which is the most important
intervention?
A. Massage the area
B. Reposition every 2 hours
C. Use a donut ring
D. Keep patient supine
Rationale: Repositioning relieves pressure; donut rings are contraindicated.
15. The Braden Scale assesses?
A. Fall risk
B. Pressure injury risk
C. Pain level
D. Nutritional status
Rationale: Braden Scale predicts pressure ulcer risk.
16. A Morse Fall Scale score of 60 indicates?
A. Low fall risk
B. High fall risk
C. No risk