NUR 114 Comprehensive Fundamentals Final Exam 202… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Comprehensive Fundamentals Final Exam 2026/2027
UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 114 Comprehensive Fundamentals Final Exam 202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer to the client?
A. Vanilla pudding
B. Orange juice with pulp
C. Apple juice
D. Cream of mushroom soup
Answer: C
Rationale: Apple juice is considered a clear liquid because it is transparent and liquid at room
temperature. Pulp, dairy, and cream-based soups are not allowed. Knowing the reason behind the
correct answer makes it easier to rule out the wrong options quickly. Look for the choice that protects
the client and matches the priority need. This knowledge supports safe care and helps the nurse teach
the client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
2. A nurse is performing a primary assessment on a client who was involved in a motor
vehicle crash. Which of the following actions should the nurse take first?
A. Obtain a full set of vital signs
B. Assess the client’s level of consciousness
C. Inspect the client’s skin for lacerations
D. Establish patent airway while maintaining cervical spine stabilization
Answer: D
Rationale: Following the ABC priority framework, the airway is the first priority. Cervical spine
stabilization is critical in trauma to prevent further injury. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. This is important because the nurse must choose the
action that keeps the client safest while still meeting their basic needs. Always think about safety first
when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Comprehensive Fundamentals Final Exam 202… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer an intramuscular injection to an obese client. Which of
the following needles should the nurse select?
A. 25 gauge, 5/8 inch
B. 27 gauge, 0.5 inch
C. 18 gauge, 1 inch
D. 21 gauge, 1.5 inch
Answer: D
Rationale: For an IM injection in an obese client, a longer needle (at least 1.5 inches) is required to
ensure the medication reaches the muscle tissue rather than staying in the subcutaneous fat. Knowing
the reason behind the correct answer makes it easier to rule out the wrong options quickly. Look for
the choice that protects the client and matches the priority need. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
4. A client is experiencing metabolic acidosis. Which of the following laboratory values
should the nurse expect?
A. pH 7.28, HCO3 18 mEq/L
B. pH 7.50, HCO3 30 mEq/L
C. pH 7.30, PaCO2 55 mmHg
D. pH 7.48, PaCO2 30 mmHg
Answer: A
Rationale: Metabolic acidosis is characterized by a low pH (less than 7.35) and a low bicarbonate
(HCO3) level (less than 22 mEq/L). Remembering this point will help you decide the best nursing
action when similar questions appear on the exam. Link the answer to the client’s current condition and
risk level. Remembering this point will help you decide the best nursing action when similar questions
appear on the exam. Link the answer to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Comprehensive Fundamentals Final Exam 2026/2027
UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 114 Comprehensive Fundamentals Final Exam 202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer to the client?
A. Vanilla pudding
B. Orange juice with pulp
C. Apple juice
D. Cream of mushroom soup
Answer: C
Rationale: Apple juice is considered a clear liquid because it is transparent and liquid at room
temperature. Pulp, dairy, and cream-based soups are not allowed. Knowing the reason behind the
correct answer makes it easier to rule out the wrong options quickly. Look for the choice that protects
the client and matches the priority need. This knowledge supports safe care and helps the nurse teach
the client and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
2. A nurse is performing a primary assessment on a client who was involved in a motor
vehicle crash. Which of the following actions should the nurse take first?
A. Obtain a full set of vital signs
B. Assess the client’s level of consciousness
C. Inspect the client’s skin for lacerations
D. Establish patent airway while maintaining cervical spine stabilization
Answer: D
Rationale: Following the ABC priority framework, the airway is the first priority. Cervical spine
stabilization is critical in trauma to prevent further injury. This is important because the nurse must
choose the action that keeps the client safest while still meeting their basic needs. Always think about
safety first when answering these questions. This is important because the nurse must choose the
action that keeps the client safest while still meeting their basic needs. Always think about safety first
when answering these questions.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Comprehensive Fundamentals Final Exam 202… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer an intramuscular injection to an obese client. Which of
the following needles should the nurse select?
A. 25 gauge, 5/8 inch
B. 27 gauge, 0.5 inch
C. 18 gauge, 1 inch
D. 21 gauge, 1.5 inch
Answer: D
Rationale: For an IM injection in an obese client, a longer needle (at least 1.5 inches) is required to
ensure the medication reaches the muscle tissue rather than staying in the subcutaneous fat. Knowing
the reason behind the correct answer makes it easier to rule out the wrong options quickly. Look for
the choice that protects the client and matches the priority need. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client.
4. A client is experiencing metabolic acidosis. Which of the following laboratory values
should the nurse expect?
A. pH 7.28, HCO3 18 mEq/L
B. pH 7.50, HCO3 30 mEq/L
C. pH 7.30, PaCO2 55 mmHg
D. pH 7.48, PaCO2 30 mmHg
Answer: A
Rationale: Metabolic acidosis is characterized by a low pH (less than 7.35) and a low bicarbonate
(HCO3) level (less than 22 mEq/L). Remembering this point will help you decide the best nursing
action when similar questions appear on the exam. Link the answer to the client’s current condition and
risk level. Remembering this point will help you decide the best nursing action when similar questions
appear on the exam. Link the answer to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 3
