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NUR114 Final Exam 2026 Updated Version Questions And Correct
Verified Answers With Rationales
Test-Taking Strategy: Focus on the subject, the need to implement neutropenic
precautions. Recalling what neutropenic precautions involve and that the normal WBC
count is 5000 to 10,000 mm3 (5 to10 x 109/L) will direct you to the correct option.
The nurse is caring for a client with meningitis and implements which transmission-based
precaution for this client?
1. Private room or cohort client
2. Personal respiratory protection device
3. Private room with negative airflow pressure
4. Mask worn by staff when the client needs to leave the room - CORRECT ANSWER-
Answer:1
Rationale: Meningitis is transmitted by droplet infection. Precautions for this disease
include a private room or cohort client and use of a standard precaution mask. Private
negative airflow pressure rooms and personal respiratory protection devices are required
for clients with airborne disease such as tuberculosis. When appropriate, a mask must be
worn by the client and not the staff when the client leaves the room.
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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Test-Taking Strategy: Focus on the subject, the correct precaution needs for a client with
meningitis. Recalling that meningitis is transmitted by droplets will direct you to the correct
option.
The nurse is caring for four 1-day postpartum clients. Which client assessment
requires the need for follow-up?
1. The client with mild afterpains
2. The client with a pulse rate of 60 beats per minute
3. The client with colostrum discharge from both breasts/chest
4. The client with lochia that is red and has a foul-smelling odor - CORRECT ANSWER-
Answer:4
Rationale: Lochia, the discharge present after birth, is red for the first 1 to 3 days and
gradually decreases in amount. Normal lochia has a fleshy odor or an odor similar to
menstrual flow. Foul-smelling or purulent lochia usually indicates infection, and these findings
are not normal. The other options are normal findings for a 1-day postpartum client.
, Test-Taking Strategy: Note the strategic words, need for follow-up. These words indicate a
negative event query and the need to select the abnormal assessment finding. Note the
words foul-smelling in the correct option.
The nurse is closely monitoring the intake and output of an infant with heart failure who
is receiving diuretic therapy. The nurse would use which most appropriate method to
assess the urine output?
1. Weighing the diapers
2. Inserting a urinary catheter
3. Comparing intake with output
4. Measuring the amount of water added to formula - CORRECT
ANSWERAnswer:1
Rationale: Heart failure is the inability of the heart to pump a sufficient amount of blood to
meet the oxygen and metabolic needs of the body. The most appropriate method for
assessing urine output in an infant receiving diuretic
ZOTeaed
, therapy is to weigh the diapers. Comparing intake with output would not provide an
accurate measure of urine output. Measuring the amount of water added to formula is
unrelated to the amount of output. Although urinary catheter drainage is most accurate in
determining output, it is not the most appropriate method in an infant and places the
infant at risk for infection.
Test-Taking Strategy: Note the strategic words, most appropriate. Eliminate options 3 and
4 first because they are comparable or alike and will not provide an indication of urine
output. Noting the strategic words will direct you to the correct option from the remaining
options.
The nurse is collecting data during an admission assessment of a client who is pregnant with
twins. The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the
nurse that there is no history of any type of abortion or fetal demise. Using GTPAL, what
would the nurse document in the client's chart?
1.G=3,T=2,P=0,A=0,L=1
2.G=2,T=1,P=0,A=0,L=1
3.G=1,T=1,P=1,A=0,L=1
4.G=2,T=0,P=0,A=0,L=1-CORECTANSWER-AnSWer:2
Rationale: Pregnancy outcomes can be described with the acronym GTPAL. G is gravidity, the
number of pregnancies; T is term births, the number born at term (longer than 37 weeks); P
is preterm births, the number born before 37 weeks of gestation; A is abortions or
miscarriages, the number of abortions or miscarriages (included in gravida if before 20 weeks
of gestation; included in parity [number of births] if past 20 weeks of gestation); and L is the
number of current living children. A person who is pregnant with twins and has a child has a
SOTaaed
gravida of 2. Because the child was delivered at 38 weeks, the number of term
NUR114 Final Exam 2026 Updated Version Questions And Correct
Verified Answers With Rationales
Test-Taking Strategy: Focus on the subject, the need to implement neutropenic
precautions. Recalling what neutropenic precautions involve and that the normal WBC
count is 5000 to 10,000 mm3 (5 to10 x 109/L) will direct you to the correct option.
The nurse is caring for a client with meningitis and implements which transmission-based
precaution for this client?
1. Private room or cohort client
2. Personal respiratory protection device
3. Private room with negative airflow pressure
4. Mask worn by staff when the client needs to leave the room - CORRECT ANSWER-
Answer:1
Rationale: Meningitis is transmitted by droplet infection. Precautions for this disease
include a private room or cohort client and use of a standard precaution mask. Private
negative airflow pressure rooms and personal respiratory protection devices are required
for clients with airborne disease such as tuberculosis. When appropriate, a mask must be
worn by the client and not the staff when the client leaves the room.
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
,101|Page
Test-Taking Strategy: Focus on the subject, the correct precaution needs for a client with
meningitis. Recalling that meningitis is transmitted by droplets will direct you to the correct
option.
The nurse is caring for four 1-day postpartum clients. Which client assessment
requires the need for follow-up?
1. The client with mild afterpains
2. The client with a pulse rate of 60 beats per minute
3. The client with colostrum discharge from both breasts/chest
4. The client with lochia that is red and has a foul-smelling odor - CORRECT ANSWER-
Answer:4
Rationale: Lochia, the discharge present after birth, is red for the first 1 to 3 days and
gradually decreases in amount. Normal lochia has a fleshy odor or an odor similar to
menstrual flow. Foul-smelling or purulent lochia usually indicates infection, and these findings
are not normal. The other options are normal findings for a 1-day postpartum client.
, Test-Taking Strategy: Note the strategic words, need for follow-up. These words indicate a
negative event query and the need to select the abnormal assessment finding. Note the
words foul-smelling in the correct option.
The nurse is closely monitoring the intake and output of an infant with heart failure who
is receiving diuretic therapy. The nurse would use which most appropriate method to
assess the urine output?
1. Weighing the diapers
2. Inserting a urinary catheter
3. Comparing intake with output
4. Measuring the amount of water added to formula - CORRECT
ANSWERAnswer:1
Rationale: Heart failure is the inability of the heart to pump a sufficient amount of blood to
meet the oxygen and metabolic needs of the body. The most appropriate method for
assessing urine output in an infant receiving diuretic
ZOTeaed
, therapy is to weigh the diapers. Comparing intake with output would not provide an
accurate measure of urine output. Measuring the amount of water added to formula is
unrelated to the amount of output. Although urinary catheter drainage is most accurate in
determining output, it is not the most appropriate method in an infant and places the
infant at risk for infection.
Test-Taking Strategy: Note the strategic words, most appropriate. Eliminate options 3 and
4 first because they are comparable or alike and will not provide an indication of urine
output. Noting the strategic words will direct you to the correct option from the remaining
options.
The nurse is collecting data during an admission assessment of a client who is pregnant with
twins. The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the
nurse that there is no history of any type of abortion or fetal demise. Using GTPAL, what
would the nurse document in the client's chart?
1.G=3,T=2,P=0,A=0,L=1
2.G=2,T=1,P=0,A=0,L=1
3.G=1,T=1,P=1,A=0,L=1
4.G=2,T=0,P=0,A=0,L=1-CORECTANSWER-AnSWer:2
Rationale: Pregnancy outcomes can be described with the acronym GTPAL. G is gravidity, the
number of pregnancies; T is term births, the number born at term (longer than 37 weeks); P
is preterm births, the number born before 37 weeks of gestation; A is abortions or
miscarriages, the number of abortions or miscarriages (included in gravida if before 20 weeks
of gestation; included in parity [number of births] if past 20 weeks of gestation); and L is the
number of current living children. A person who is pregnant with twins and has a child has a
SOTaaed
gravida of 2. Because the child was delivered at 38 weeks, the number of term
