NUR 114 Nursing Fundamentals Exam 2 - 2026 NCLEX … 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 114 Nursing Fundamentals Exam 2 - 2026 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 2 - 2026 NCLEX … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which of the following
assessment findings is the priority?
A. Cardiac dysrhythmias on the monitor
B. Hyperactive bowel sounds
C. Muscle weakness in the lower extremities
D. Increased urinary output
Answer: A
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) is life-threatening due to its effect on cardiac
conduction. Cardiac monitoring and assessing for dysrhythmias is the immediate priority to prevent
cardiac arrest. 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
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.
2. Which arterial blood gas (ABG) result should the nurse identify as indicative of
uncompensated respiratory acidosis?
A. pH 7.50, PaCO2 30 mmHg, HCO3 22 mEq/L
B. pH 7.30, PaCO2 52 mmHg, HCO3 24 mEq/L
C. pH 7.35, PaCO2 48 mmHg, HCO3 28 mEq/L
D. pH 7.32, PaCO2 38 mmHg, HCO3 18 mEq/L
Answer: B
Rationale: Respiratory acidosis is characterized by a low pH (<7.35) and a high PaCO2 (>45 mmHg).
In the uncompensated state, the HCO3 remains within the normal range (22- 26 mEq/L). This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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 Exam 2 - 2026 NCLEX … 2026/2027 • Verified • Assured Grade A+
3. A nurse is documenting a pressure injury that involves full-thickness skin loss with visible
adipose tissue and epibole (rolled wound edges), but no exposed bone or muscle. How
should this be staged?
A. Stage 2
B. Unstageable
C. Stage 4
D. Stage 3
Answer: D
Rationale: Stage 3 pressure injuries involve full-thickness skin loss where adipose (fat) is visible, and
ulcer edges may be rolled (epibole). Stage 4 involves exposed bone, tendon, or muscle. 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. This knowledge supports safe
care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety.
4. A client is scheduled for elective surgery. Who is legally responsible for obtaining the
patient’s informed consent?
A. The nurse manager
B. The surgeon performing the procedure
C. The perioperative nurse
D. The hospital administrator
Answer: B
Rationale: The provider performing the procedure is legally responsible for explaining the risks,
benefits, and alternatives to obtain informed consent. The nurse’s role is to witness the signature.
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. 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 Nursing Fundamentals Exam 2 - 2026 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 2 - 2026 NCLEX … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is caring for a patient with a potassium level of 6.2 mEq/L. Which of the following
assessment findings is the priority?
A. Cardiac dysrhythmias on the monitor
B. Hyperactive bowel sounds
C. Muscle weakness in the lower extremities
D. Increased urinary output
Answer: A
Rationale: Hyperkalemia (potassium > 5.0 mEq/L) is life-threatening due to its effect on cardiac
conduction. Cardiac monitoring and assessing for dysrhythmias is the immediate priority to prevent
cardiac arrest. 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
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.
2. Which arterial blood gas (ABG) result should the nurse identify as indicative of
uncompensated respiratory acidosis?
A. pH 7.50, PaCO2 30 mmHg, HCO3 22 mEq/L
B. pH 7.30, PaCO2 52 mmHg, HCO3 24 mEq/L
C. pH 7.35, PaCO2 48 mmHg, HCO3 28 mEq/L
D. pH 7.32, PaCO2 38 mmHg, HCO3 18 mEq/L
Answer: B
Rationale: Respiratory acidosis is characterized by a low pH (<7.35) and a high PaCO2 (>45 mmHg).
In the uncompensated state, the HCO3 remains within the normal range (22- 26 mEq/L). This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. 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 Exam 2 - 2026 NCLEX … 2026/2027 • Verified • Assured Grade A+
3. A nurse is documenting a pressure injury that involves full-thickness skin loss with visible
adipose tissue and epibole (rolled wound edges), but no exposed bone or muscle. How
should this be staged?
A. Stage 2
B. Unstageable
C. Stage 4
D. Stage 3
Answer: D
Rationale: Stage 3 pressure injuries involve full-thickness skin loss where adipose (fat) is visible, and
ulcer edges may be rolled (epibole). Stage 4 involves exposed bone, tendon, or muscle. 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. This knowledge supports safe
care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety.
4. A client is scheduled for elective surgery. Who is legally responsible for obtaining the
patient’s informed consent?
A. The nurse manager
B. The surgeon performing the procedure
C. The perioperative nurse
D. The hospital administrator
Answer: B
Rationale: The provider performing the procedure is legally responsible for explaining the risks,
benefits, and alternatives to obtain informed consent. The nurse’s role is to witness the signature.
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. 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
