NUR 114 Exam 3: Advanced Nursing Fundamentals and… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 3: Advanced Nursing Fundamentals and
NCLEX Preparation 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 3: Advanced Nursing Fundamentals and… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2
L/min via nasal cannula. The nurse notes the patient’s oxygen saturation is 89% and the
patient appears slightly short of breath but is talking in full sentences. What is the priority
nursing action?
A. Increase the oxygen flow rate to 4 L/min immediately.
B. Place the patient in a high-Fowler’s position.
C. Notify the healthcare provider for an arterial blood gas (ABG) order.
D. is receiving oxygen at 2 L/min via nasal cannula. The nurse notes the patient’s oxygen saturation
is 89% and the patient appears slightly short of breath but is talking in full sentences. What is the
priority nursing action?
Answer: B
Rationale: For COPD patients, a saturation of 88-92% is often acceptable. The first non- invasive
intervention for dyspnea is positioning to maximize chest expansion. Increasing oxygen too much can
suppress the hypoxic drive in some COPD patients. 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.
2. A nurse is reviewing the arterial blood gas (ABG) results for a patient: pH 7.30, PaCO2 55
mmHg, and HCO3 26 mEq/L. Which acid-base imbalance does the nurse identify?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Answer: D
Rationale: A pH below 7.35 indicates acidosis. An elevated PaCO2 (above 45 mmHg) indicates a
respiratory cause. Since the HCO3 is within the normal range, it is uncompensated respiratory
acidosis. 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. 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 Exam 3: Advanced Nursing Fundamentals and… 2026/2027 • Verified • Assured Grade A+
3. A patient is diagnosed with hypokalemia and is prescribed intravenous (IV) potassium
chloride. Which action by the nurse is essential for safety?
A. Administering the potassium via IV push over 2 minutes.
B. Placing the patient in a Trendelenburg position.
C. Restricting oral fluid intake during the infusion.
D. Ensuring the infusion rate does not exceed 10 mEq/hr in a peripheral line.
Answer: D
Rationale: Potassium is never given IV push as it can cause fatal cardiac arrest. It must be diluted and
infused slowly, typically not exceeding 10 mEq/hr via peripheral access or 20 mEq/hr via central
access with cardiac monitoring. 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.
4. The nurse observes a patient’s wound and notes the presence of thick, yellow-green
drainage. How should the nurse document this finding?
A. Serous drainage
B. Sanguineous drainage
C. Purulent drainage
D. Serosanguineous drainage
Answer: C
Rationale: Purulent drainage is thick, often malodorous, and varies in color (yellow, green, or brown),
indicating infection. Serous is clear, sanguineous is bloody, and serosanguineous is pink/watery. 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 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 3: Advanced Nursing Fundamentals and
NCLEX Preparation 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 3: Advanced Nursing Fundamentals and… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2
L/min via nasal cannula. The nurse notes the patient’s oxygen saturation is 89% and the
patient appears slightly short of breath but is talking in full sentences. What is the priority
nursing action?
A. Increase the oxygen flow rate to 4 L/min immediately.
B. Place the patient in a high-Fowler’s position.
C. Notify the healthcare provider for an arterial blood gas (ABG) order.
D. is receiving oxygen at 2 L/min via nasal cannula. The nurse notes the patient’s oxygen saturation
is 89% and the patient appears slightly short of breath but is talking in full sentences. What is the
priority nursing action?
Answer: B
Rationale: For COPD patients, a saturation of 88-92% is often acceptable. The first non- invasive
intervention for dyspnea is positioning to maximize chest expansion. Increasing oxygen too much can
suppress the hypoxic drive in some COPD patients. 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.
2. A nurse is reviewing the arterial blood gas (ABG) results for a patient: pH 7.30, PaCO2 55
mmHg, and HCO3 26 mEq/L. Which acid-base imbalance does the nurse identify?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Answer: D
Rationale: A pH below 7.35 indicates acidosis. An elevated PaCO2 (above 45 mmHg) indicates a
respiratory cause. Since the HCO3 is within the normal range, it is uncompensated respiratory
acidosis. 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. 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 Exam 3: Advanced Nursing Fundamentals and… 2026/2027 • Verified • Assured Grade A+
3. A patient is diagnosed with hypokalemia and is prescribed intravenous (IV) potassium
chloride. Which action by the nurse is essential for safety?
A. Administering the potassium via IV push over 2 minutes.
B. Placing the patient in a Trendelenburg position.
C. Restricting oral fluid intake during the infusion.
D. Ensuring the infusion rate does not exceed 10 mEq/hr in a peripheral line.
Answer: D
Rationale: Potassium is never given IV push as it can cause fatal cardiac arrest. It must be diluted and
infused slowly, typically not exceeding 10 mEq/hr via peripheral access or 20 mEq/hr via central
access with cardiac monitoring. 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.
4. The nurse observes a patient’s wound and notes the presence of thick, yellow-green
drainage. How should the nurse document this finding?
A. Serous drainage
B. Sanguineous drainage
C. Purulent drainage
D. Serosanguineous drainage
Answer: C
Rationale: Purulent drainage is thick, often malodorous, and varies in color (yellow, green, or brown),
indicating infection. Serous is clear, sanguineous is bloody, and serosanguineous is pink/watery. 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 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
