NUR 114 Final Exam: Nursing Fundamentals NCLEX Pr… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam: 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 Final Exam: Nursing Fundamentals NCLEX Pr… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is experiencing hypovolemic shock. Which of the
following physiological responses should the nurse expect?
A. Decreased heart rate and decreased blood pressure
B. Increased heart rate and increased peripheral resistance
C. Increased urinary output and bradycardia
D. Decreased respiratory rate and vasodilation
Answer: B
Rationale: In hypovolemic shock, the body attempts to maintain cardiac output and perfusion to vital
organs by increasing the heart rate (tachycardia) and increasing peripheral vascular resistance
through vasoconstriction. 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. When performing a physical assessment, which technique should the nurse use first
when assessing the abdomen?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation
Answer: B
Rationale: For an abdominal assessment, the sequence is Inspection, Auscultation, Percussion, and
then Palpation. Palpation and percussion can alter bowel sounds and should be done last. 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 2
, NUR 114 Final Exam: Nursing Fundamentals NCLEX Pr… 2026/2027 • Verified • Assured Grade A+
3. A client is diagnosed with Clostridioides difficile (C. diff). Which infection control
precaution must the nurse implement?
A. Droplet precautions
B. Airborne precautions
C. diff). Which infection control precaution must the nurse implement?
D. Contact precautions
Answer: D
Rationale: C. diff is transmitted via direct or indirect contact with contaminated surfaces or feces.
Contact precautions, including gloves and gowns, are required. Handwashing with soap and water is
necessary because alcohol-based rubs do not kill C. diff spores. 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. 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.
4. A nurse is providing discharge teaching to a client with a new prescription for warfarin.
Which food should the nurse instruct the client to maintain a consistent intake of?
A. Red meats
B. Dark green leafy vegetables
C. Citrus fruits
D. Dairy products
Answer: B
Rationale: Warfarin is a vitamin K antagonist. Dark green leafy vegetables are high in vitamin K. Large
fluctuations in vitamin K intake can interfere with the effectiveness of warfarin therapy. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Final Exam: 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 Final Exam: Nursing Fundamentals NCLEX Pr… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is experiencing hypovolemic shock. Which of the
following physiological responses should the nurse expect?
A. Decreased heart rate and decreased blood pressure
B. Increased heart rate and increased peripheral resistance
C. Increased urinary output and bradycardia
D. Decreased respiratory rate and vasodilation
Answer: B
Rationale: In hypovolemic shock, the body attempts to maintain cardiac output and perfusion to vital
organs by increasing the heart rate (tachycardia) and increasing peripheral vascular resistance
through vasoconstriction. 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. When performing a physical assessment, which technique should the nurse use first
when assessing the abdomen?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation
Answer: B
Rationale: For an abdominal assessment, the sequence is Inspection, Auscultation, Percussion, and
then Palpation. Palpation and percussion can alter bowel sounds and should be done last. 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 2
, NUR 114 Final Exam: Nursing Fundamentals NCLEX Pr… 2026/2027 • Verified • Assured Grade A+
3. A client is diagnosed with Clostridioides difficile (C. diff). Which infection control
precaution must the nurse implement?
A. Droplet precautions
B. Airborne precautions
C. diff). Which infection control precaution must the nurse implement?
D. Contact precautions
Answer: D
Rationale: C. diff is transmitted via direct or indirect contact with contaminated surfaces or feces.
Contact precautions, including gloves and gowns, are required. Handwashing with soap and water is
necessary because alcohol-based rubs do not kill C. diff spores. 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. 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.
4. A nurse is providing discharge teaching to a client with a new prescription for warfarin.
Which food should the nurse instruct the client to maintain a consistent intake of?
A. Red meats
B. Dark green leafy vegetables
C. Citrus fruits
D. Dairy products
Answer: B
Rationale: Warfarin is a vitamin K antagonist. Dark green leafy vegetables are high in vitamin K. Large
fluctuations in vitamin K intake can interfere with the effectiveness of warfarin therapy. 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.
Exam (Elaborations) • Detailed Rationales Page 3
