NUR 114 Comprehensive Nursing Finals Study Guide … 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Comprehensive Nursing Finals Study Guide
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 Nursing Finals Study Guide … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which clinical
manifestation is the most critical for the nurse to monitor?
A. Increased bowel sounds and diarrhea
B. Positive Chvostek’s sign
C. Cardiac dysrhythmias and flattened T waves
D. Hyperactive deep tendon reflexes
Answer: C
Rationale: Hypokalemia (potassium < 3.5 mEq/L) affects cardiac conduction, leading to dysrhythmias
and specific EKG changes like flattened T waves or U waves. Chvostek’s sign is associated with
hypocalcemia. In practice, this guides the nurse to set priorities and protect the client from harm.
Safety, nutrition, and clear communication are frequent priorities. 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. Which ethical principle is being applied when a nurse ensures a patient has been provided
all necessary information to make an autonomous decision regarding surgery?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Veracity
Answer: D
Rationale: Veracity refers to the duty to tell the truth and provide comprehensive information. While
this supports autonomy, the act of being truthful and transparent is specifically veracity. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Comprehensive Nursing Finals Study Guide … 2026/2027 • Verified • Assured Grade A+
3. During a physical assessment, the nurse notes a deep crater-like wound on the sacrum
that extends into the subcutaneous tissue but does not expose muscle or bone. How should
this be staged?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
Answer: C
Rationale: Stage III pressure injuries involve full-thickness skin loss with damage to subcutaneous
tissue, but muscle, tendon, and bone are not exposed. Clear understanding of this concept improves
both test performance and everyday clinical judgment. Practice applying it to short case scenarios to
lock the idea in place. Clear understanding of this concept improves both test performance and
everyday clinical judgment. Practice applying it to short case scenarios to lock the idea in place.
4. When assessing a patient’s abdomen, in what order should the nurse perform the physical
examination techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: A
Rationale: For the abdominal assessment, auscultation is performed before percussion and palpation
to prevent altering bowel sounds by manual manipulation. 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. 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 Nursing Finals Study Guide
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 Nursing Finals Study Guide … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which clinical
manifestation is the most critical for the nurse to monitor?
A. Increased bowel sounds and diarrhea
B. Positive Chvostek’s sign
C. Cardiac dysrhythmias and flattened T waves
D. Hyperactive deep tendon reflexes
Answer: C
Rationale: Hypokalemia (potassium < 3.5 mEq/L) affects cardiac conduction, leading to dysrhythmias
and specific EKG changes like flattened T waves or U waves. Chvostek’s sign is associated with
hypocalcemia. In practice, this guides the nurse to set priorities and protect the client from harm.
Safety, nutrition, and clear communication are frequent priorities. 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. Which ethical principle is being applied when a nurse ensures a patient has been provided
all necessary information to make an autonomous decision regarding surgery?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Veracity
Answer: D
Rationale: Veracity refers to the duty to tell the truth and provide comprehensive information. While
this supports autonomy, the act of being truthful and transparent is specifically veracity. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Comprehensive Nursing Finals Study Guide … 2026/2027 • Verified • Assured Grade A+
3. During a physical assessment, the nurse notes a deep crater-like wound on the sacrum
that extends into the subcutaneous tissue but does not expose muscle or bone. How should
this be staged?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
Answer: C
Rationale: Stage III pressure injuries involve full-thickness skin loss with damage to subcutaneous
tissue, but muscle, tendon, and bone are not exposed. Clear understanding of this concept improves
both test performance and everyday clinical judgment. Practice applying it to short case scenarios to
lock the idea in place. Clear understanding of this concept improves both test performance and
everyday clinical judgment. Practice applying it to short case scenarios to lock the idea in place.
4. When assessing a patient’s abdomen, in what order should the nurse perform the physical
examination techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: A
Rationale: For the abdominal assessment, auscultation is performed before percussion and palpation
to prevent altering bowel sounds by manual manipulation. 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. 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
