NUR 114 Nursing Fundamentals Exam 1 (NCLEX Prep) … 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals Exam 1 (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 Nursing Fundamentals Exam 1 (NCLEX Prep) … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is post-operative and reports sudden shortness of
breath and chest pain. Which of the following actions should the nurse take first?
A. Apply oxygen via nasal cannula
B. Notify the rapid response team
C. Perform a focused respiratory assessment
D. Elevate the head of the bed
Answer: D
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework and the nursing
process, elevating the head of the bed is a quick, independent nursing intervention that immediately
improves lung expansion (Breathing) before further assessment or notification. 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.
2. A nurse is preparing to administer a medication to a client. The client states, ‘I don’t want
to take that pill; it makes me feel sick.’ Which of the following responses should the nurse
provide?
A. ‘You must take it to get better.’
B. ‘Tell me more about how the medication makes you feel.’
C. ‘I will leave it here, and you can take it later.’
D. ‘It is the doctor’s order, so you have to take it.’
Answer: B
Rationale: This response uses therapeutic communication (an open-ended statement) to explore the
client’s concerns and respect their autonomy while gathering assessment data. 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. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Nursing Fundamentals Exam 1 (NCLEX Prep) … 2026/2027 • Verified • Assured Grade A+
3. Which of the following precautions should a nurse implement for a client who has a
diagnosis of Clostridioides difficile (C. diff)?
A. Use a private room and wear a gown and gloves
B. Perform hand hygiene with an alcohol-based rub
C. diff)?
D. Maintain a distance of at least 3 feet from the client
Answer: A
Rationale: C. diff requires contact precautions, which include a private room, gown, and gloves.
Alcohol-based rubs are ineffective against C. diff spores; soap and water must be used. 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. 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.
4. A nurse is providing discharge teaching for a client who has a new prescription for home
oxygen. Which of the following instructions should the nurse include?
A. ‘Ensure that all electrical equipment in the room is grounded.’
B. ‘Store oxygen tanks in a horizontal position.’
C. ‘Wear wool blankets to stay warm while using oxygen.’
D. ‘You can use petroleum jelly to moisturize your nose.’
Answer: A
Rationale: Oxygen supports combustion. Grounding electrical equipment prevents sparks. Petroleum
jelly and wool (synthetic/static-prone fabrics) are fire hazards. 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. 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 Fundamentals Exam 1 (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 Nursing Fundamentals Exam 1 (NCLEX Prep) … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a client who is post-operative and reports sudden shortness of
breath and chest pain. Which of the following actions should the nurse take first?
A. Apply oxygen via nasal cannula
B. Notify the rapid response team
C. Perform a focused respiratory assessment
D. Elevate the head of the bed
Answer: D
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework and the nursing
process, elevating the head of the bed is a quick, independent nursing intervention that immediately
improves lung expansion (Breathing) before further assessment or notification. 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.
2. A nurse is preparing to administer a medication to a client. The client states, ‘I don’t want
to take that pill; it makes me feel sick.’ Which of the following responses should the nurse
provide?
A. ‘You must take it to get better.’
B. ‘Tell me more about how the medication makes you feel.’
C. ‘I will leave it here, and you can take it later.’
D. ‘It is the doctor’s order, so you have to take it.’
Answer: B
Rationale: This response uses therapeutic communication (an open-ended statement) to explore the
client’s concerns and respect their autonomy while gathering assessment data. 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. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 114 Nursing Fundamentals Exam 1 (NCLEX Prep) … 2026/2027 • Verified • Assured Grade A+
3. Which of the following precautions should a nurse implement for a client who has a
diagnosis of Clostridioides difficile (C. diff)?
A. Use a private room and wear a gown and gloves
B. Perform hand hygiene with an alcohol-based rub
C. diff)?
D. Maintain a distance of at least 3 feet from the client
Answer: A
Rationale: C. diff requires contact precautions, which include a private room, gown, and gloves.
Alcohol-based rubs are ineffective against C. diff spores; soap and water must be used. 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. 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.
4. A nurse is providing discharge teaching for a client who has a new prescription for home
oxygen. Which of the following instructions should the nurse include?
A. ‘Ensure that all electrical equipment in the room is grounded.’
B. ‘Store oxygen tanks in a horizontal position.’
C. ‘Wear wool blankets to stay warm while using oxygen.’
D. ‘You can use petroleum jelly to moisturize your nose.’
Answer: A
Rationale: Oxygen supports combustion. Grounding electrical equipment prevents sparks. Petroleum
jelly and wool (synthetic/static-prone fabrics) are fire hazards. 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. 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
