NUR 114 Exam 5: Advanced Nursing Fundamentals & N… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Exam 5: Advanced Nursing Fundamentals & NCLEX
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 Fundamentals & N… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which of the following
electrocardiogram (ECG) changes is the nurse most likely to observe?
A. Tall, peaked T waves
B. Prominent U waves
C. ST-segment depression
D. Inverted T waves
Answer: A
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on an ECG as tall, peaked T
waves, widened QRS complexes, and prolonged PR intervals. U waves are associated with
hypokalemia. 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. 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 7.30, PaCO2 55 mmHg, and HCO3 26
mEq/L. How should the nurse interpret these findings?
A. Metabolic acidosis
B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis
Answer: B
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mmHg indicates a respiratory
cause. Since the bicarbonate is within the normal range, this is uncompensated respiratory acidosis. 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 2
, NUR 114 Exam 5: Advanced Nursing Fundamentals & N… 2026/2027 • Verified • Assured Grade A+
3. Which task is most appropriate for the Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Performing an initial skin assessment on a new admission
B. Calculating the intake and output (I&O;) for a client with heart failure
C. Assisting a stable client with ambulation for the first time post-operatively
D. Providing discharge instructions regarding wound care
Answer: B
Rationale: UAPs can perform routine tasks such as measuring and recording intake and output.
Assessments, initial post-op ambulation (due to instability risk), and teaching are responsibilities of the
RN. 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.
4. A nurse is preparing to administer a blood transfusion. Which IV solution should be used
to prime the tubing?
A. Lactated Ringer’s
B. 0.9% Sodium Chloride
C. 0.45% Sodium Chloride
D. Dextrose 5% in Water
Answer: B
Rationale: 0.9% Sodium Chloride (Normal Saline) is the only compatible solution to be used with
blood products. Others can cause hemolysis or clotting. 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 5: Advanced Nursing Fundamentals & NCLEX
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 Fundamentals & N… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which of the following
electrocardiogram (ECG) changes is the nurse most likely to observe?
A. Tall, peaked T waves
B. Prominent U waves
C. ST-segment depression
D. Inverted T waves
Answer: A
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) typically manifests on an ECG as tall, peaked T
waves, widened QRS complexes, and prolonged PR intervals. U waves are associated with
hypokalemia. 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. 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 7.30, PaCO2 55 mmHg, and HCO3 26
mEq/L. How should the nurse interpret these findings?
A. Metabolic acidosis
B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis
Answer: B
Rationale: A pH below 7.35 indicates acidosis. A PaCO2 above 45 mmHg indicates a respiratory
cause. Since the bicarbonate is within the normal range, this is uncompensated respiratory acidosis. 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 2
, NUR 114 Exam 5: Advanced Nursing Fundamentals & N… 2026/2027 • Verified • Assured Grade A+
3. Which task is most appropriate for the Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Performing an initial skin assessment on a new admission
B. Calculating the intake and output (I&O;) for a client with heart failure
C. Assisting a stable client with ambulation for the first time post-operatively
D. Providing discharge instructions regarding wound care
Answer: B
Rationale: UAPs can perform routine tasks such as measuring and recording intake and output.
Assessments, initial post-op ambulation (due to instability risk), and teaching are responsibilities of the
RN. 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.
4. A nurse is preparing to administer a blood transfusion. Which IV solution should be used
to prime the tubing?
A. Lactated Ringer’s
B. 0.9% Sodium Chloride
C. 0.45% Sodium Chloride
D. Dextrose 5% in Water
Answer: B
Rationale: 0.9% Sodium Chloride (Normal Saline) is the only compatible solution to be used with
blood products. Others can cause hemolysis or clotting. 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
