NUR 114 Exam 4 NCLEX Questions (Nursing Concepts)… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 4 NCLEX Questions (Nursing 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 4 NCLEX Questions (Nursing Concepts)… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient presents with a pH of 7.28, PaCO2 of 52 mmHg, and a HCO3 of 24 mEq/L. The
nurse identifies this as which acid-base imbalance?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Respiratory Alkalosis
D. Metabolic Alkalosis
Answer: A
Rationale: The pH is below 7.35 (acidosis) and the PaCO2 is elevated above 45 mmHg (respiratory
component), while the bicarbonate is normal. 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.
2. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which order should the
nurse prioritize?
A. Administering a dose of oral potassium
B. Initiating continuous ECG monitoring
C. Assessing for deep vein thrombosis
D. Encouraging a diet high in bananas
Answer: B
Rationale: Hyperkalemia (K > 5.0) can cause lethal cardiac dysrhythmias; therefore, cardiac
monitoring is the priority intervention. 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. 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 4 NCLEX Questions (Nursing Concepts)… 2026/2027 • Verified • Assured Grade A+
3. Which clinical manifestation should the nurse monitor for in a patient with a serum
sodium level of 122 mEq/L?
A. Extreme thirst and dry mouth
B. Increased bowel sounds
C. Confusion and seizures
D. Peaked T waves on ECG
Answer: C
Rationale: Hyponatremia leads to cellular swelling in the brain, causing neurological symptoms like
confusion, lethargy, and seizures. 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.
4. A patient is scheduled for surgery. The nurse knows that the ultimate responsibility for
obtaining informed consent lies with:
A. The registered nurse
B. The anesthesiologist
C. The surgical technician
D. The surgeon
Answer: D
Rationale: While the nurse may witness the signature, it is the surgeon’s legal responsibility to explain
the procedure, risks, and benefits. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 4 NCLEX Questions (Nursing 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 4 NCLEX Questions (Nursing Concepts)… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient presents with a pH of 7.28, PaCO2 of 52 mmHg, and a HCO3 of 24 mEq/L. The
nurse identifies this as which acid-base imbalance?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Respiratory Alkalosis
D. Metabolic Alkalosis
Answer: A
Rationale: The pH is below 7.35 (acidosis) and the PaCO2 is elevated above 45 mmHg (respiratory
component), while the bicarbonate is normal. 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.
2. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which order should the
nurse prioritize?
A. Administering a dose of oral potassium
B. Initiating continuous ECG monitoring
C. Assessing for deep vein thrombosis
D. Encouraging a diet high in bananas
Answer: B
Rationale: Hyperkalemia (K > 5.0) can cause lethal cardiac dysrhythmias; therefore, cardiac
monitoring is the priority intervention. 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. 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 4 NCLEX Questions (Nursing Concepts)… 2026/2027 • Verified • Assured Grade A+
3. Which clinical manifestation should the nurse monitor for in a patient with a serum
sodium level of 122 mEq/L?
A. Extreme thirst and dry mouth
B. Increased bowel sounds
C. Confusion and seizures
D. Peaked T waves on ECG
Answer: C
Rationale: Hyponatremia leads to cellular swelling in the brain, causing neurological symptoms like
confusion, lethargy, and seizures. 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.
4. A patient is scheduled for surgery. The nurse knows that the ultimate responsibility for
obtaining informed consent lies with:
A. The registered nurse
B. The anesthesiologist
C. The surgical technician
D. The surgeon
Answer: D
Rationale: While the nurse may witness the signature, it is the surgeon’s legal responsibility to explain
the procedure, risks, and benefits. 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 3
