NUR 114 Exam 2 NCLEX Mastery Quiz 2026/2027 UPDATE 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 2 NCLEX Mastery Quiz 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 Exam 2 NCLEX Mastery Quiz 2026/2027 UPDATE 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client is admitted with a serum sodium level of 125 mEq/L. Which nursing intervention is
the highest priority for this patient?
A. Encourage increased oral fluid intake
B. Monitor for signs of hyperkalemia
C. Administer a rapid bolus of 0.9% Normal Saline
D. Implement seizure precautions
Answer: D
Rationale: Severe hyponatremia (below 135 mEq/L, especially below 125) puts the client at high risk
for cerebral edema and seizures. Seizure precautions are a safety priority. Rapidly increasing sodium
can cause osmotic demyelination syndrome, so fluids are typically restricted or replaced slowly. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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.
2. The nurse notes a client’s ABG results: pH 7.30, PaCO2 52 mmHg, and HCO3 24 mEq/L.
Which clinical condition most likely caused these results?
A. Hyperventilation due to anxiety
B. Diabetic Ketoacidosis (DKA)
C. Chronic Obstructive Pulmonary Disease (COPD)
D. D. Excessive nasogastric suctioning
Answer: C
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory), indicating respiratory
acidosis. COPD leads to CO2 retention and hypoventilation, which is the primary cause of respiratory
acidosis. 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. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 2 NCLEX Mastery Quiz 2026/2027 UPDATE 2026/2027 • Verified • Assured Grade A+
3. A patient with hyperkalemia is prescribed Sodium Polystyrene Sulfonate (Kayexalate).
What is the nurse’s priority assessment before administration?
A. Checking for a gag reflex
B. Monitoring the client’s blood glucose level
C. Assessing bowel sounds and gastric motility
D. Evaluating deep tendon reflexes
Answer: C
Rationale: Kayexalate should not be given to patients with ileus or decreased bowel motility because
it can cause intestinal necrosis if not excreted. Assessing bowel function is critical before
administration. 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. 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.
4. Which electrolyte imbalance should the nurse monitor for in a patient receiving high
doses of Furosemide (Lasix)?
A. Hyperkalemia
B. Hypercalcemia
C. Hypernatremia
D. Hypokalemia
Answer: D
Rationale: Furosemide is a loop diuretic that promotes the excretion of potassium in the urine, leading
to hypokalemia. Nurses must monitor potassium levels and assess for signs of muscle weakness or
arrhythmias. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities. Exam questions often test whether you can
pick the most practical and safe choice for the client in real situations. Focus on what the nurse can
actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 2 NCLEX Mastery Quiz 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 Exam 2 NCLEX Mastery Quiz 2026/2027 UPDATE 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A client is admitted with a serum sodium level of 125 mEq/L. Which nursing intervention is
the highest priority for this patient?
A. Encourage increased oral fluid intake
B. Monitor for signs of hyperkalemia
C. Administer a rapid bolus of 0.9% Normal Saline
D. Implement seizure precautions
Answer: D
Rationale: Severe hyponatremia (below 135 mEq/L, especially below 125) puts the client at high risk
for cerebral edema and seizures. Seizure precautions are a safety priority. Rapidly increasing sodium
can cause osmotic demyelination syndrome, so fluids are typically restricted or replaced slowly. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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.
2. The nurse notes a client’s ABG results: pH 7.30, PaCO2 52 mmHg, and HCO3 24 mEq/L.
Which clinical condition most likely caused these results?
A. Hyperventilation due to anxiety
B. Diabetic Ketoacidosis (DKA)
C. Chronic Obstructive Pulmonary Disease (COPD)
D. D. Excessive nasogastric suctioning
Answer: C
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory), indicating respiratory
acidosis. COPD leads to CO2 retention and hypoventilation, which is the primary cause of respiratory
acidosis. 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. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 2 NCLEX Mastery Quiz 2026/2027 UPDATE 2026/2027 • Verified • Assured Grade A+
3. A patient with hyperkalemia is prescribed Sodium Polystyrene Sulfonate (Kayexalate).
What is the nurse’s priority assessment before administration?
A. Checking for a gag reflex
B. Monitoring the client’s blood glucose level
C. Assessing bowel sounds and gastric motility
D. Evaluating deep tendon reflexes
Answer: C
Rationale: Kayexalate should not be given to patients with ileus or decreased bowel motility because
it can cause intestinal necrosis if not excreted. Assessing bowel function is critical before
administration. 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. 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.
4. Which electrolyte imbalance should the nurse monitor for in a patient receiving high
doses of Furosemide (Lasix)?
A. Hyperkalemia
B. Hypercalcemia
C. Hypernatremia
D. Hypokalemia
Answer: D
Rationale: Furosemide is a loop diuretic that promotes the excretion of potassium in the urine, leading
to hypokalemia. Nurses must monitor potassium levels and assess for signs of muscle weakness or
arrhythmias. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities. Exam questions often test whether you can
pick the most practical and safe choice for the client in real situations. Focus on what the nurse can
actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
