NUR 114 Exam 2: Holistic Health Concepts 2026/202… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 2: Holistic Health Concepts 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: Holistic Health Concepts 2026/202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient presents with a serum potassium level of 6.2 mEq/L. Which electrocardiogram
(ECG) change should the nurse monitor for most closely?
A. Prominent U waves
B. Tall, peaked T waves
C. ST-segment depression
D. Shortened PR interval
Answer: B
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on an ECG as tall, peaked T
waves. U waves and ST depression are associated with hypokalemia. 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. 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. A nurse is caring for a patient with metabolic alkalosis. Which arterial blood gas (ABG)
result is consistent with this diagnosis?
A. pH 7.48, PaCO2 40, HCO3 30
B. pH 7.30, PaCO2 50, HCO3 28
C. pH 7.32, PaCO2 35, HCO3 18
D. pH 7.50, PaCO2 30, HCO3 22
Answer: A
Rationale: Metabolic alkalosis is characterized by a high pH (>7.45) and a high bicarbonate level (>26
mEq/L). Option B reflects these values. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 2: Holistic Health Concepts 2026/202… 2026/2027 • Verified • Assured Grade A+
3. During the preoperative assessment, a patient reports a family history of high fever and
muscle rigidity during surgery. The nurse should immediately prepare for the potential of:
A. Malignant hyperthermia
B. Anaphylactic shock
C. Hypovolemic shock
D. Neuroleptic malignant syndrome
Answer: A
Rationale: Malignant hyperthermia is a life-threatening, inherited muscle disorder triggered by certain
anesthetic agents, characterized by hypercapnia, muscle rigidity, and hyperpyrexia. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities. 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. Which intravenous fluid should the nurse anticipate administering to a patient
experiencing cellular dehydration?
A. 0.9% Normal Saline
B. 0.45% Sodium Chloride
C. Lactated Ringer’s
D. 5% Dextrose in 0.9% Normal Saline
Answer: B
Rationale: 0.45% Sodium Chloride is a hypotonic solution, which shifts fluid from the intravascular
space into the cells, treating cellular dehydration. 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. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 2: Holistic Health Concepts 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: Holistic Health Concepts 2026/202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient presents with a serum potassium level of 6.2 mEq/L. Which electrocardiogram
(ECG) change should the nurse monitor for most closely?
A. Prominent U waves
B. Tall, peaked T waves
C. ST-segment depression
D. Shortened PR interval
Answer: B
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on an ECG as tall, peaked T
waves. U waves and ST depression are associated with hypokalemia. 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. 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. A nurse is caring for a patient with metabolic alkalosis. Which arterial blood gas (ABG)
result is consistent with this diagnosis?
A. pH 7.48, PaCO2 40, HCO3 30
B. pH 7.30, PaCO2 50, HCO3 28
C. pH 7.32, PaCO2 35, HCO3 18
D. pH 7.50, PaCO2 30, HCO3 22
Answer: A
Rationale: Metabolic alkalosis is characterized by a high pH (>7.45) and a high bicarbonate level (>26
mEq/L). Option B reflects these values. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Exam 2: Holistic Health Concepts 2026/202… 2026/2027 • Verified • Assured Grade A+
3. During the preoperative assessment, a patient reports a family history of high fever and
muscle rigidity during surgery. The nurse should immediately prepare for the potential of:
A. Malignant hyperthermia
B. Anaphylactic shock
C. Hypovolemic shock
D. Neuroleptic malignant syndrome
Answer: A
Rationale: Malignant hyperthermia is a life-threatening, inherited muscle disorder triggered by certain
anesthetic agents, characterized by hypercapnia, muscle rigidity, and hyperpyrexia. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities. 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. Which intravenous fluid should the nurse anticipate administering to a patient
experiencing cellular dehydration?
A. 0.9% Normal Saline
B. 0.45% Sodium Chloride
C. Lactated Ringer’s
D. 5% Dextrose in 0.9% Normal Saline
Answer: B
Rationale: 0.45% Sodium Chloride is a hypotonic solution, which shifts fluid from the intravascular
space into the cells, treating cellular dehydration. 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. 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 3
