NUR 114 Fundamentals of Nursing Comprehensive Stu… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Fundamentals of Nursing Comprehensive Study
Guide 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 Fundamentals of Nursing Comprehensive Stu… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who refuses a prescribed blood transfusion due to religious
beliefs. The nurse supports this decision even though it may impact the client’s health.
Which ethical principle is the nurse demonstrating?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A
Rationale: Autonomy refers to the right of the client to make their own decisions about their medical
care, even if those decisions are not in their best clinical interest. 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. 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.
2. When assessing a client’s blood pressure, the nurse notes the first Korotkoff sound at 140
mmHg and the disappearance of sounds at 90 mmHg. The client’s pulse pressure is:
A. 50 mmHg
B. 230 mmHg
C. 115 mmHg
D. 90 mmHg
Answer: A
Rationale: Pulse pressure is calculated by subtracting the diastolic pressure from the systolic pressure
(140 - 90 = 50). 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
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 Fundamentals of Nursing Comprehensive Stu… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer an intramuscular injection to an obese client. Which
angle of insertion should the nurse use?
A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 60 degrees
Answer: C
Rationale: Intramuscular injections are administered at a 90-degree angle to ensure the medication
reaches the muscle tissue, regardless of the client’s body mass. 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.
4. Which of the following findings is an early clinical manifestation of hypoxia?
A. Cyanosis
B. Restlessness
C. Bradycardia
D. Bradypnea
Answer: B
Rationale: Restlessness, anxiety, and agitation are early signs of hypoxia as the brain is sensitive to
decreased oxygen levels. Cyanosis is a late sign. 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 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Fundamentals of Nursing Comprehensive Study
Guide 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 Fundamentals of Nursing Comprehensive Stu… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who refuses a prescribed blood transfusion due to religious
beliefs. The nurse supports this decision even though it may impact the client’s health.
Which ethical principle is the nurse demonstrating?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A
Rationale: Autonomy refers to the right of the client to make their own decisions about their medical
care, even if those decisions are not in their best clinical interest. 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. 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.
2. When assessing a client’s blood pressure, the nurse notes the first Korotkoff sound at 140
mmHg and the disappearance of sounds at 90 mmHg. The client’s pulse pressure is:
A. 50 mmHg
B. 230 mmHg
C. 115 mmHg
D. 90 mmHg
Answer: A
Rationale: Pulse pressure is calculated by subtracting the diastolic pressure from the systolic pressure
(140 - 90 = 50). 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
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 Fundamentals of Nursing Comprehensive Stu… 2026/2027 • Verified • Assured Grade A+
3. A nurse is preparing to administer an intramuscular injection to an obese client. Which
angle of insertion should the nurse use?
A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 60 degrees
Answer: C
Rationale: Intramuscular injections are administered at a 90-degree angle to ensure the medication
reaches the muscle tissue, regardless of the client’s body mass. 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.
4. Which of the following findings is an early clinical manifestation of hypoxia?
A. Cyanosis
B. Restlessness
C. Bradycardia
D. Bradypnea
Answer: B
Rationale: Restlessness, anxiety, and agitation are early signs of hypoxia as the brain is sensitive to
decreased oxygen levels. Cyanosis is a late sign. 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 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 3
