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NUR114 FINAL EXAM 2026 Edition Actual Questions And Correct
Detailed Answers
Test-Taking Strategy: Focus on the subject, identifying the prescriptions that need to be
questioned and on the pathophysiology that occurs in sickle cell disease.Recalling that
fluids are an important component of the treatment plan will assist in identifying that a
fluid restriction prescription would need to be questioned. Also, recalling the effects of
meperidine will assist in identifying that this prescription needs to be questioned.
The nurse is reviewing a plan of care for a client with an internal radiation implant. Which
intervention, if noted in the plan, indicates the need for revision of the plan?
1.Wearing gloves when emptying the client's bedpan
2. Keeping all linens in the room until the implant is removed
3.Wearing a lead apron when providing direct care to the client
4. Placing the client in a semiprivate room at the end of the hallway-CORRECT ANSWER-
Answer:4
Rationale: A private room with a private bath is essential if a client has an internal radiation
implant. This is necessary to prevent accidental exposure of other clients to radiation. The
remaining options identify accurate interventions for a client with an internal radiation
implant and protect the nurse from exposure.
Test-Taking Strategy: Note the strategic words, indicates the need for revision.
These words indicate a negative event query and the need to select the incorrect
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nursing intervention. Remember that the client with an internal radiation implant needs
to be placed in a private room.
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which
would the nurse expect to note specifically in this disorder?
1. Increased calcium level
2. Increased white blood cells
3.Decreased blood urea nitrogen level
4. Decreased number of plasma cells in the bone marrow-CORRECT ANSWER-
Answer:1
Rationale: Findings indicative of multiple myeloma are an increased number of plasma cells in
the bone marrow, anemia, hypercalcemia caused by the release of calcium from the
deteriorating bone tissue, and an elevated blood urea nitrogen level.An increased white blood
cell count may or may not be present and is not related specifically to multiple myeloma.
Test-Taking Strategy:Focus on the subject, laboratory findings in multiple myeloma.Noting the
name of the disorder and recalling the pathophysiology of the disease and that proliferation of
plasma cells in the bone occurs will direct you to the correct option.
The nurse is reviewing the primary health care provider's (PHCP's) prescriptions for a client
admitted for premature rupture of the membranes. Gestational age of the fetus is determined
to be 37 weeks. Which prescription would the nurse question?
1.Monitor fetal heart rate continuously.
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2. Monitor maternal vital signs frequently.
3. Perform a vaginal examination every shift.
4.Administer an antibiotic per prescription and per agency protocol.-CORRECT ANSWER-
Answer:3
Rationale:Vaginal examinations should not be done routinely on a client with premature
rupture of the membranes because of the risk of infection. The nurse would expect to monitor
fetal heart rate, monitor maternal vital signs,and administer an antibiotic.
Test-Taking Strategy:Note the word question. This word indicates the activity
that the nurse should not implement without clarification. Options 1, 2, and 4are comparable
or alike and are expected activities for the nurse to perform for a client with premature rupture
of the membranes. Performing a vaginal examination every shift should not be done on a client
with premature rupture
of the membranes because of the risk of infection, so the nurse would question
this prescription.
The nurse is reviewing the record of a child with increased intracranial pressure from a head
injury and notes that the child has exhibited signs of decerebrate posturing. On assessment of
the child, the nurse expects to note which characteristic of this type of posturing? 1. Flaccid
paralysis of all extremities
2. Adduction of the arms at the shoulders
3.Rigid extension and pronation of the arms and legs
4.Abnormal flexion of the upper extremities and extension and adduction of the lower
extremities-CORRECT ANSWER-Answer:3
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Rationale: Decerebrate (extension) posturing is characterized by the rigid extension and
pronation of the arms and legs. Option 1 is incorrect.Options 2and 4 describe decorticate
(flexion) posturing.
Test-Taking Strategy: Focus on the subject,characteristics of decerebrate (extension)
posturing. Recalling the clinical manifestations associated with decerebrate posturing will
direct you to the correct option. Remember that decerebrate posturing is characterized by the
rigid extension and pronation of the arms and legs.
The nurse is reviewing true and false labor signs with a multiparous client. The nurse determines
that the client understands the signs of true labor if the client makes which statement?
1. "I won't be in labor until my baby drops."
2. "My contractions will be felt in my abdominal area."
3. "My contractions will not be as painful if I walk around."
4. "My contractions will last longer and be more intense."-CORRECT
ANSWERAnswer:4
Rationale: True labor is present when contractions increase in duration and intensity.Lightening
or dropping leads to engagement (presenting part reaches the level of the ischial spine) and
occurs when the fetus descends into the pelvis about 2 weeks before delivery. Contractions felt
in the abdominal area and contractions that ease with walking are signs of false labor.
Test-Taking Strategy: Focus on the subject, the signs oftrue labor.Noting the word true in the
question and its relationship to the words increase in duration and intensity in the correct option
will direct you to this option.
NUR114 FINAL EXAM 2026 Edition Actual Questions And Correct
Detailed Answers
Test-Taking Strategy: Focus on the subject, identifying the prescriptions that need to be
questioned and on the pathophysiology that occurs in sickle cell disease.Recalling that
fluids are an important component of the treatment plan will assist in identifying that a
fluid restriction prescription would need to be questioned. Also, recalling the effects of
meperidine will assist in identifying that this prescription needs to be questioned.
The nurse is reviewing a plan of care for a client with an internal radiation implant. Which
intervention, if noted in the plan, indicates the need for revision of the plan?
1.Wearing gloves when emptying the client's bedpan
2. Keeping all linens in the room until the implant is removed
3.Wearing a lead apron when providing direct care to the client
4. Placing the client in a semiprivate room at the end of the hallway-CORRECT ANSWER-
Answer:4
Rationale: A private room with a private bath is essential if a client has an internal radiation
implant. This is necessary to prevent accidental exposure of other clients to radiation. The
remaining options identify accurate interventions for a client with an internal radiation
implant and protect the nurse from exposure.
Test-Taking Strategy: Note the strategic words, indicates the need for revision.
These words indicate a negative event query and the need to select the incorrect
,2|Page
nursing intervention. Remember that the client with an internal radiation implant needs
to be placed in a private room.
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which
would the nurse expect to note specifically in this disorder?
1. Increased calcium level
2. Increased white blood cells
3.Decreased blood urea nitrogen level
4. Decreased number of plasma cells in the bone marrow-CORRECT ANSWER-
Answer:1
Rationale: Findings indicative of multiple myeloma are an increased number of plasma cells in
the bone marrow, anemia, hypercalcemia caused by the release of calcium from the
deteriorating bone tissue, and an elevated blood urea nitrogen level.An increased white blood
cell count may or may not be present and is not related specifically to multiple myeloma.
Test-Taking Strategy:Focus on the subject, laboratory findings in multiple myeloma.Noting the
name of the disorder and recalling the pathophysiology of the disease and that proliferation of
plasma cells in the bone occurs will direct you to the correct option.
The nurse is reviewing the primary health care provider's (PHCP's) prescriptions for a client
admitted for premature rupture of the membranes. Gestational age of the fetus is determined
to be 37 weeks. Which prescription would the nurse question?
1.Monitor fetal heart rate continuously.
,3|Page
2. Monitor maternal vital signs frequently.
3. Perform a vaginal examination every shift.
4.Administer an antibiotic per prescription and per agency protocol.-CORRECT ANSWER-
Answer:3
Rationale:Vaginal examinations should not be done routinely on a client with premature
rupture of the membranes because of the risk of infection. The nurse would expect to monitor
fetal heart rate, monitor maternal vital signs,and administer an antibiotic.
Test-Taking Strategy:Note the word question. This word indicates the activity
that the nurse should not implement without clarification. Options 1, 2, and 4are comparable
or alike and are expected activities for the nurse to perform for a client with premature rupture
of the membranes. Performing a vaginal examination every shift should not be done on a client
with premature rupture
of the membranes because of the risk of infection, so the nurse would question
this prescription.
The nurse is reviewing the record of a child with increased intracranial pressure from a head
injury and notes that the child has exhibited signs of decerebrate posturing. On assessment of
the child, the nurse expects to note which characteristic of this type of posturing? 1. Flaccid
paralysis of all extremities
2. Adduction of the arms at the shoulders
3.Rigid extension and pronation of the arms and legs
4.Abnormal flexion of the upper extremities and extension and adduction of the lower
extremities-CORRECT ANSWER-Answer:3
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Rationale: Decerebrate (extension) posturing is characterized by the rigid extension and
pronation of the arms and legs. Option 1 is incorrect.Options 2and 4 describe decorticate
(flexion) posturing.
Test-Taking Strategy: Focus on the subject,characteristics of decerebrate (extension)
posturing. Recalling the clinical manifestations associated with decerebrate posturing will
direct you to the correct option. Remember that decerebrate posturing is characterized by the
rigid extension and pronation of the arms and legs.
The nurse is reviewing true and false labor signs with a multiparous client. The nurse determines
that the client understands the signs of true labor if the client makes which statement?
1. "I won't be in labor until my baby drops."
2. "My contractions will be felt in my abdominal area."
3. "My contractions will not be as painful if I walk around."
4. "My contractions will last longer and be more intense."-CORRECT
ANSWERAnswer:4
Rationale: True labor is present when contractions increase in duration and intensity.Lightening
or dropping leads to engagement (presenting part reaches the level of the ischial spine) and
occurs when the fetus descends into the pelvis about 2 weeks before delivery. Contractions felt
in the abdominal area and contractions that ease with walking are signs of false labor.
Test-Taking Strategy: Focus on the subject, the signs oftrue labor.Noting the word true in the
question and its relationship to the words increase in duration and intensity in the correct option
will direct you to this option.
