NUR 114 Exam 3 (PDF) | (2026) NCLEX Questions
| Nursing Fundamentals
1. A nurse is preparing to transfer a patient from the bed
to a chair. Which action ensures proper body mechanics?
a) Bending at the waist to lift the patient
b) Keeping feet close together for stability
c) Positioning the chair at a 90-degree angle to the bed
d) Using a gait belt and pivoting on the foot farthest from
the chair
Answer: d) Using a gait belt and pivoting on the foot
farthest from the chair
Rationale: Proper body mechanics include maintaining a
wide base of support, using a gait belt, and pivoting on
the foot farthest from the destination to protect the nurse’s
back. Bending at the waist increases injury risk.
2. A patient has been on bed rest for 3 days. Which
complication is the nurse most concerned about preventing?
1
,a) Urinary retention
b) Constipation
c) Deep vein thrombosis (DVT)
d) Pressure injury
Answer: c) Deep vein thrombosis (DVT)
Rationale: Immobility increases venous stasis and risk of
DVT. While pressure injuries are a concern, DVT can lead
to pulmonary embolism, making it a higher immediate
priority.
3. The nurse is applying wrist restraints to a confused
patient. Which action is correct?
a) Tie the restraints to the side rail
b) Apply restraints tightly to prevent movement
c) Tie a quick-release knot to the bed frame
d) Leave restraints on for 8 hours before checking
Answer: c) Tie a quick-release knot to the bed frame
Rationale: Restraints must be tied to a movable part of
2
,the bed frame (not side rails) using a quick-release knot
for emergency removal. They must be released every 2
hours for skin checks and range of motion.
4. A patient uses a cane. The nurse observes the patient
place the cane 2 inches in front of the stronger leg. What
is the correct response?
a) Praise the patient for correct technique
b) Instruct the patient to move the cane with the weaker
leg
c) Tell the patient to hold the cane on the stronger side
d) Move the cane 12 inches forward for more stability
Answer: b) Instruct the patient to move the cane with the
weaker leg
Rationale: The cane is held on the stronger side. Advance
cane and weaker leg together, then move stronger leg
forward. Placing cane in front of stronger leg is incorrect.
3
, 5. A nurse is assessing a patient’s fall risk. Which finding
places the patient at highest risk?
a) Age 65 years
b) Taking antihypertensive medication
c) History of urinary incontinence
d) Using bifocal glasses
Answer: b) Taking antihypertensive medication
Rationale: Antihypertensives can cause orthostatic
hypotension, dizziness, and falls. Age, incontinence, and
bifocals are risks, but medication-induced hypotension is a
high-priority modifiable risk.
6. A postoperative patient needs to be logrolled. Which
action by the nursing assistant requires immediate
intervention?
a) Placing a pillow between the patient’s knees
b) Turning the patient’s head and shoulders first, then hips
4
| Nursing Fundamentals
1. A nurse is preparing to transfer a patient from the bed
to a chair. Which action ensures proper body mechanics?
a) Bending at the waist to lift the patient
b) Keeping feet close together for stability
c) Positioning the chair at a 90-degree angle to the bed
d) Using a gait belt and pivoting on the foot farthest from
the chair
Answer: d) Using a gait belt and pivoting on the foot
farthest from the chair
Rationale: Proper body mechanics include maintaining a
wide base of support, using a gait belt, and pivoting on
the foot farthest from the destination to protect the nurse’s
back. Bending at the waist increases injury risk.
2. A patient has been on bed rest for 3 days. Which
complication is the nurse most concerned about preventing?
1
,a) Urinary retention
b) Constipation
c) Deep vein thrombosis (DVT)
d) Pressure injury
Answer: c) Deep vein thrombosis (DVT)
Rationale: Immobility increases venous stasis and risk of
DVT. While pressure injuries are a concern, DVT can lead
to pulmonary embolism, making it a higher immediate
priority.
3. The nurse is applying wrist restraints to a confused
patient. Which action is correct?
a) Tie the restraints to the side rail
b) Apply restraints tightly to prevent movement
c) Tie a quick-release knot to the bed frame
d) Leave restraints on for 8 hours before checking
Answer: c) Tie a quick-release knot to the bed frame
Rationale: Restraints must be tied to a movable part of
2
,the bed frame (not side rails) using a quick-release knot
for emergency removal. They must be released every 2
hours for skin checks and range of motion.
4. A patient uses a cane. The nurse observes the patient
place the cane 2 inches in front of the stronger leg. What
is the correct response?
a) Praise the patient for correct technique
b) Instruct the patient to move the cane with the weaker
leg
c) Tell the patient to hold the cane on the stronger side
d) Move the cane 12 inches forward for more stability
Answer: b) Instruct the patient to move the cane with the
weaker leg
Rationale: The cane is held on the stronger side. Advance
cane and weaker leg together, then move stronger leg
forward. Placing cane in front of stronger leg is incorrect.
3
, 5. A nurse is assessing a patient’s fall risk. Which finding
places the patient at highest risk?
a) Age 65 years
b) Taking antihypertensive medication
c) History of urinary incontinence
d) Using bifocal glasses
Answer: b) Taking antihypertensive medication
Rationale: Antihypertensives can cause orthostatic
hypotension, dizziness, and falls. Age, incontinence, and
bifocals are risks, but medication-induced hypotension is a
high-priority modifiable risk.
6. A postoperative patient needs to be logrolled. Which
action by the nursing assistant requires immediate
intervention?
a) Placing a pillow between the patient’s knees
b) Turning the patient’s head and shoulders first, then hips
4
