NUR 114 Final Exam NCLEX Practice - Nursing Conce… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam NCLEX Practice - 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 Final Exam NCLEX Practice - Nursing Conce… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is experiencing shortness of breath and has a
respiratory rate of 28/min. Which of the following actions should the nurse take first?
A. Notify the healthcare provider immediately.
B. Raise the head of the bed to a high-Fowler’s position.
C. Administer a prescribed bronchodilator.
D. Perform a complete head-to-toe physical assessment.
Answer: B
Rationale: According to the ABC (Airway, Breathing, Circulation) framework, the nurse should first
intervene to improve the client’s breathing. Raising the head of the bed facilitates lung expansion.
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.
2. A nurse is preparing to administer an oral medication to a client. Which of the following is
the most reliable method to confirm the client’s identity?
A. Ask the client’s roommate to confirm the client’s name.
B. Call the client by their name and see if they respond.
C. Ask the client to state their name and date of birth.
D. Check the client’s name on the medication administration record (MAR) and compare it to the
client’s identification band.
Answer: D
Rationale: The most reliable way to identify a client is to use at least two identifiers, such as
comparing the MAR to the ID band and asking the client to state their name/DOB. 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. This knowledge supports safe care and helps the
nurse teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Final Exam NCLEX Practice - Nursing Conce… 2026/2027 • Verified • Assured Grade A+
3. An older adult client is at risk for falls. Which of the following interventions should the
nurse include in the plan of care?
A. Keep all four side rails up at all times.
B. Encourage the client to use a walker only when they feel dizzy.
C. Place the client’s bed in the lowest position.
D. Maintain bright lighting in the room at night to prevent disorientation.
Answer: C
Rationale: Placing the bed in the lowest position reduces the risk of injury if the client attempts to get
out of bed. All four side rails are considered a restraint and can increase injury risk. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities. In practice, this guides the nurse to set priorities and protect the
client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. A nurse is providing care for a client who has a prescription for a clear liquid diet. Which
of the following food items is appropriate for this client?
A. Vanilla pudding
B. Low-fat yogurt
C. Orange juice with pulp
D. Chicken broth
Answer: D
Rationale: Clear liquids are those that are transparent and liquid at room temperature. Chicken broth
meets these criteria, while pudding, pulp, and yogurt do not. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam NCLEX Practice - 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 Final Exam NCLEX Practice - Nursing Conce… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is experiencing shortness of breath and has a
respiratory rate of 28/min. Which of the following actions should the nurse take first?
A. Notify the healthcare provider immediately.
B. Raise the head of the bed to a high-Fowler’s position.
C. Administer a prescribed bronchodilator.
D. Perform a complete head-to-toe physical assessment.
Answer: B
Rationale: According to the ABC (Airway, Breathing, Circulation) framework, the nurse should first
intervene to improve the client’s breathing. Raising the head of the bed facilitates lung expansion.
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.
2. A nurse is preparing to administer an oral medication to a client. Which of the following is
the most reliable method to confirm the client’s identity?
A. Ask the client’s roommate to confirm the client’s name.
B. Call the client by their name and see if they respond.
C. Ask the client to state their name and date of birth.
D. Check the client’s name on the medication administration record (MAR) and compare it to the
client’s identification band.
Answer: D
Rationale: The most reliable way to identify a client is to use at least two identifiers, such as
comparing the MAR to the ID band and asking the client to state their name/DOB. 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. This knowledge supports safe care and helps the
nurse teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Final Exam NCLEX Practice - Nursing Conce… 2026/2027 • Verified • Assured Grade A+
3. An older adult client is at risk for falls. Which of the following interventions should the
nurse include in the plan of care?
A. Keep all four side rails up at all times.
B. Encourage the client to use a walker only when they feel dizzy.
C. Place the client’s bed in the lowest position.
D. Maintain bright lighting in the room at night to prevent disorientation.
Answer: C
Rationale: Placing the bed in the lowest position reduces the risk of injury if the client attempts to get
out of bed. All four side rails are considered a restraint and can increase injury risk. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities. In practice, this guides the nurse to set priorities and protect the
client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. A nurse is providing care for a client who has a prescription for a clear liquid diet. Which
of the following food items is appropriate for this client?
A. Vanilla pudding
B. Low-fat yogurt
C. Orange juice with pulp
D. Chicken broth
Answer: D
Rationale: Clear liquids are those that are transparent and liquid at room temperature. Chicken broth
meets these criteria, while pudding, pulp, and yogurt do not. 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.
Exam (Elaborations) • Detailed Rationales Page 3
