NUR 114 Nursing Concepts Final Exam Prep 2026/202… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Concepts Final Exam 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 Nursing Concepts Final Exam Prep 2026/202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is experiencing dyspnea and has an oxygen saturation
of 88% on room air. Which action should the nurse take first?
A. Administer oxygen via nasal cannula.
B. Place the client in high-Fowler’s position.
C. Notify the primary healthcare provider.
D. Encourage the client to use an incentive spirometer.
Answer: B
Rationale: According to the ABC (Airway-Breathing-Circulation) framework, the first action is to
improve the client’s ability to breathe. Positioning the client in high-Fowler’s allows for maximum chest
expansion and is the fastest non-invasive intervention. 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 intramuscular injection to a client. Which of the
following is the most important factor in determining the needle length?
A. The volume of the medication being injected.
B. The client’s muscle mass and adipose tissue.
C. The viscosity of the medication.
D. The site selected for the injection.
Answer: B
Rationale: Needle length must be sufficient to reach the muscle layer, which depends on the amount
of subcutaneous fat covering the muscle at the chosen site. 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. 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 Nursing Concepts Final Exam Prep 2026/202… 2026/2027 • Verified • Assured Grade A+
3. A client is diagnosed with a Clostridium difficile (C. diff) infection. Which infection control
measure should the nurse implement?
A. Wear a mask when entering the client’s room.
B. Use soap and water for hand hygiene after contact.
C. diff) infection. Which infection control measure should the nurse implement?
D. Ensure the client is in a negative-pressure room.
Answer: B
Rationale: C. diff spores are resistant to alcohol-based sanitizers. Mechanical friction with soap and
water is necessary to remove the spores from the hands. 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.
4. Which task can the RN safely delegate to an unlicensed assistive personnel (UAP)?
A. Evaluating a client’s response to pain medication.
B. Providing discharge instructions to a stable client.
C. Assessing the surgical site of a client who just returned from surgery.
D. Measuring the intake and output of a client with heart failure.
Answer: D
Rationale: Standard nursing tasks like measuring intake and output on stable clients are within the
UAP’s scope. Assessment, teaching, and evaluation require professional nursing judgment and cannot
be delegated. 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. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Concepts Final Exam 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 Nursing Concepts Final Exam Prep 2026/202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is experiencing dyspnea and has an oxygen saturation
of 88% on room air. Which action should the nurse take first?
A. Administer oxygen via nasal cannula.
B. Place the client in high-Fowler’s position.
C. Notify the primary healthcare provider.
D. Encourage the client to use an incentive spirometer.
Answer: B
Rationale: According to the ABC (Airway-Breathing-Circulation) framework, the first action is to
improve the client’s ability to breathe. Positioning the client in high-Fowler’s allows for maximum chest
expansion and is the fastest non-invasive intervention. 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 intramuscular injection to a client. Which of the
following is the most important factor in determining the needle length?
A. The volume of the medication being injected.
B. The client’s muscle mass and adipose tissue.
C. The viscosity of the medication.
D. The site selected for the injection.
Answer: B
Rationale: Needle length must be sufficient to reach the muscle layer, which depends on the amount
of subcutaneous fat covering the muscle at the chosen site. 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. 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 Nursing Concepts Final Exam Prep 2026/202… 2026/2027 • Verified • Assured Grade A+
3. A client is diagnosed with a Clostridium difficile (C. diff) infection. Which infection control
measure should the nurse implement?
A. Wear a mask when entering the client’s room.
B. Use soap and water for hand hygiene after contact.
C. diff) infection. Which infection control measure should the nurse implement?
D. Ensure the client is in a negative-pressure room.
Answer: B
Rationale: C. diff spores are resistant to alcohol-based sanitizers. Mechanical friction with soap and
water is necessary to remove the spores from the hands. 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.
4. Which task can the RN safely delegate to an unlicensed assistive personnel (UAP)?
A. Evaluating a client’s response to pain medication.
B. Providing discharge instructions to a stable client.
C. Assessing the surgical site of a client who just returned from surgery.
D. Measuring the intake and output of a client with heart failure.
Answer: D
Rationale: Standard nursing tasks like measuring intake and output on stable clients are within the
UAP’s scope. Assessment, teaching, and evaluation require professional nursing judgment and cannot
be delegated. 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. In practice, this
guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
