NUR 114 Nursing Fundamentals Advanced Comprehensi… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals Advanced Comprehensive
Exam 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 Fundamentals Advanced Comprehensi… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is scheduled for an elective surgical procedure. The
client states, ‘I am not sure I want to go through with this anymore.’ Which of the following is
the most appropriate nursing action?
A. Inform the client that the surgeon has already been paid for the procedure.
B. Explain the risks of not having the surgery to the client immediately.
C. Notify the surgeon and document the client’s statement in the medical record.
D. Ask the client’s family to convince the client to proceed.
Answer: C
Rationale: Clients have the right to refuse treatment at any time. The nurse must act as an advocate
by notifying the provider and documenting the refusal. 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 assessing a client who has a serum potassium level of 3.2 mEq/L. Which of the
following findings should the nurse expect?
A. Muscle weakness and leg cramps
B. Tall, peaked T waves on ECG
C. Hyperactive bowel sounds
D. Trousseau’s sign
Answer: A
Rationale: Hypokalemia (low potassium) typically causes muscle weakness, fatigue, and leg cramps.
Peaked T waves are associated with hyperkalemia. 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 2
, NUR 114 Nursing Fundamentals Advanced Comprehensi… 2026/2027 • Verified • Assured Grade A+
3. When performing a physical assessment on a client with a suspected bowel obstruction,
in which order should the nurse perform the following techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Palpation, Percussion, Auscultation, Inspection
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Rationale: For abdominal assessments, the correct sequence is Inspection followed by Auscultation to
avoid altering bowel sounds through palpation and percussion. 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. 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 client is diagnosed with Clostridioides difficile (C. diff). Which of the following
precautions should the nurse implement?
A. Airborne precautions with an N95 respirator
B. Standard precautions with alcohol-based hand rub only
C. diff). Which of the following precautions should the nurse implement?
D. Contact precautions and handwashing with soap and water
Answer: D
Rationale: C. diff requires contact precautions. Alcohol-based rubs do not kill C. diff spores; therefore,
soap and water are mandatory for hand hygiene. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals Advanced Comprehensive
Exam 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 Fundamentals Advanced Comprehensi… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is scheduled for an elective surgical procedure. The
client states, ‘I am not sure I want to go through with this anymore.’ Which of the following is
the most appropriate nursing action?
A. Inform the client that the surgeon has already been paid for the procedure.
B. Explain the risks of not having the surgery to the client immediately.
C. Notify the surgeon and document the client’s statement in the medical record.
D. Ask the client’s family to convince the client to proceed.
Answer: C
Rationale: Clients have the right to refuse treatment at any time. The nurse must act as an advocate
by notifying the provider and documenting the refusal. 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 assessing a client who has a serum potassium level of 3.2 mEq/L. Which of the
following findings should the nurse expect?
A. Muscle weakness and leg cramps
B. Tall, peaked T waves on ECG
C. Hyperactive bowel sounds
D. Trousseau’s sign
Answer: A
Rationale: Hypokalemia (low potassium) typically causes muscle weakness, fatigue, and leg cramps.
Peaked T waves are associated with hyperkalemia. 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 2
, NUR 114 Nursing Fundamentals Advanced Comprehensi… 2026/2027 • Verified • Assured Grade A+
3. When performing a physical assessment on a client with a suspected bowel obstruction,
in which order should the nurse perform the following techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Palpation, Percussion, Auscultation, Inspection
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Rationale: For abdominal assessments, the correct sequence is Inspection followed by Auscultation to
avoid altering bowel sounds through palpation and percussion. 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. 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 client is diagnosed with Clostridioides difficile (C. diff). Which of the following
precautions should the nurse implement?
A. Airborne precautions with an N95 respirator
B. Standard precautions with alcohol-based hand rub only
C. diff). Which of the following precautions should the nurse implement?
D. Contact precautions and handwashing with soap and water
Answer: D
Rationale: C. diff requires contact precautions. Alcohol-based rubs do not kill C. diff spores; therefore,
soap and water are mandatory for hand hygiene. 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.
Exam (Elaborations) • Detailed Rationales Page 3
