NUR 114 Exam 5: Advanced Nursing Concepts Prep 20… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 5: Advanced Nursing Concepts Prep 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 5: Advanced Nursing Concepts Prep 20… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which of the following
is the priority intervention?
A. Encourage the consumption of bananas and orange juice.
B. Monitor for tall, peaked T-waves on the ECG.
C. Administer a potassium-sparing diuretic as ordered.
D. Assess for Chvostek’s sign.
Answer: B
Rationale: A potassium level of 6.2 mEq/L indicates hyperkalemia. The priority is monitoring for
cardiac dysrhythmias, which are typically manifested as tall, peaked T- waves. 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.
2. A client’s arterial blood gas (ABG) results are: pH 7.28, PaCO2 55 mm Hg, and HCO3 24
mEq/L. How should the nurse interpret these findings?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: A
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory component), indicating
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. 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 5: Advanced Nursing Concepts Prep 20… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding is most characteristic of a client experiencing hypocalcemia?
A. Hyperactive bowel sounds and diarrhea
B. Constipation and kidney stones
C. Positive Trousseau’s and Chvostek’s signs
D. Bilateral muscle weakness and diminished reflexes
Answer: C
Rationale: Hypocalcemia increases neuromuscular excitability, leading to positive Trousseau’s (carpal
spasm) and Chvostek’s (facial twitching) signs. 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. 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. During the preoperative phase, a patient expresses fear about not waking up from
anesthesia. What is the nurse’s best response?
A. ‘Can you tell me more about what specifically concerns you?’
B. ‘Don’t worry, the anesthesiologist is very experienced.’
C. ‘I will give you some medication to help you relax.’
D. ‘That is a very rare occurrence in modern surgery.’
Answer: A
Rationale: Therapeutic communication involves exploring the patient’s feelings and providing an
open-ended opportunity for them to express concerns. 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. 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 Exam 5: Advanced Nursing Concepts Prep 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 5: Advanced Nursing Concepts Prep 20… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which of the following
is the priority intervention?
A. Encourage the consumption of bananas and orange juice.
B. Monitor for tall, peaked T-waves on the ECG.
C. Administer a potassium-sparing diuretic as ordered.
D. Assess for Chvostek’s sign.
Answer: B
Rationale: A potassium level of 6.2 mEq/L indicates hyperkalemia. The priority is monitoring for
cardiac dysrhythmias, which are typically manifested as tall, peaked T- waves. 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.
2. A client’s arterial blood gas (ABG) results are: pH 7.28, PaCO2 55 mm Hg, and HCO3 24
mEq/L. How should the nurse interpret these findings?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: A
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory component), indicating
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. 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 5: Advanced Nursing Concepts Prep 20… 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding is most characteristic of a client experiencing hypocalcemia?
A. Hyperactive bowel sounds and diarrhea
B. Constipation and kidney stones
C. Positive Trousseau’s and Chvostek’s signs
D. Bilateral muscle weakness and diminished reflexes
Answer: C
Rationale: Hypocalcemia increases neuromuscular excitability, leading to positive Trousseau’s (carpal
spasm) and Chvostek’s (facial twitching) signs. 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. 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. During the preoperative phase, a patient expresses fear about not waking up from
anesthesia. What is the nurse’s best response?
A. ‘Can you tell me more about what specifically concerns you?’
B. ‘Don’t worry, the anesthesiologist is very experienced.’
C. ‘I will give you some medication to help you relax.’
D. ‘That is a very rare occurrence in modern surgery.’
Answer: A
Rationale: Therapeutic communication involves exploring the patient’s feelings and providing an
open-ended opportunity for them to express concerns. 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. 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
