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NR 224/ NR224 Fundamentals of Nursing Exam 1 (Latest 2026/2027 Update) | Complete Exam Questions with Verified Answers and Detailed Rationales | Nursing Process, Vital Signs | A+ Graded | Chamberlain

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INSTANT PDF DOWNLOAD - This is the comprehensive Exam 1 study guide for NR 224 Fundamentals of Nursing Skills at Chamberlain University (Latest 2026/2027 Update), featuring verified exam questions with correct answers and detailed rationales covering all core fundamentals content. Nursing Process & Critical Thinking – ADPIE (Assessment, Diagnosis, Planning, Implementation, Evaluation) as the framework for clinical decision-making . Assessment is the first step (collecting subjective/objective data). Nursing diagnosis identifies patient problems. Planning includes SMART goals. Implementation is performing nursing interventions. Evaluation measures goal achievement. Basic critical thinking is task-oriented. Complex critical thinking involves analyzing situations with less reliance on experts. Vital Signs & Pain Assessment – Normal ranges: temperature 96.8-100.4°F (oral), pulse 60-100 bpm, respirations 12-20/min, blood pressure 120/80 mmHg, SpO2 95-100%. Pain is the fifth vital sign. PQRST pain assessment (Provocation, Quality, Region/Radiation, Severity, Time). COLDSPA (Character, Onset, Location, Duration, Severity, Pattern, Associated factors). Infection Control – Hand hygiene is single most effective infection prevention measure. Standard precautions apply to all patients regardless of diagnosis. Transmission-based precautions (contact, droplet, airborne) for specific pathogens. PPE donning sequence: gown, mask, goggles, gloves. Doffing sequence: gloves, goggles, gown, mask. Medical asepsis (clean technique) reduces microorganisms. Surgical asepsis (sterile technique) eliminates all microorganisms. Documentation & Legal/Ethical Principles – SOAP notes (Subjective, Objective, Assessment, Plan). Incident reports for medication errors/unexpected events. Ethical principles: autonomy (patient self-determination), beneficence (do good), nonmaleficence (do no harm), justice (fairness), fidelity (keep promises), veracity (truthfulness). Informed consent requires nurse as witness only (not responsible for explaining procedure). Advance directives include living will and durable power of attorney for healthcare. HIPAA protects patient health information confidentiality. Patient Safety – Fall prevention: bed alarm, call light within reach, nonskid footwear, bed in low position, side rails up. Restraints require physician order, never for convenience, remove every 2 hours for ROM and skin assessment, two fingers between restraint and skin. Seizure precautions: padded side rails, oxygen/suction at bedside. Fire safety: RACE (Rescue, Alert, Contain, Extinguish), PASS (Pull, Aim, Squeeze, Sweep). INSTANT DIGITAL DOWNLOAD (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime. Trusted by Chamberlain nursing students for Exam 1 success. 100% satisfaction guarantee. Vertical Keywords / Tags NR224 Exam 1 Chamberlain NR 224 Fundamentals Exam 1 Nursing Process ADPIE Assessment Diagnosis Planning Implementation Evaluation Assessment First Step Nursing Process SMART Goals Specific Measurable Attainable Realistic Timely Basic Critical Thinking Task Oriented Complex Critical Thinking Analyzing Less Reliance Experts Normal Temperature Oral 96.8 100.4 Degrees Fahrenheit Normal Pulse 60 to 100 Beats Per Minute Normal Respirations 12 to 20 Breaths Per Minute Normal Blood Pressure Less Than 120 Over Less Than 80 Normal SpO2 95 to 100 Percent Pain Assessment PQRST Provocation Quality Region Severity Time Pain Assessment COLDSPA Character Onset Location Duration Severity Pattern Associated Hand Hygiene Most Effective Infection Prevention Standard Precautions All Patients Contact Precautions Gown Gloves Droplet Precautions Mask Airborne Precautions N95 Respirator Negative Airflow PPE Donning Sequence Gown Mask Goggles Gloves PPE Doffing Sequence Gloves Goggles Gown Mask Medical Asepsis Clean Technique Surgical Asepsis Sterile Technique SOAP Notes Subjective Objective Assessment Plan Incident Report Medication Error Documentation Autonomy Patient Self Determination Beneficence Do Good Nonmaleficence Do No Harm Justice Fairness Fidelity Keep Promises Veracity Truthfulness Informed Consent Nurse Witness Only Advance Directives Living Will Durable Power of Attorney HIPAA Confidentiality Protected Health Information Fall Prevention Bed Alarm Call Light Nonskid Footwear Restraints Physician Order Required Remove Every 2 Hours Seizure Precautions Padded Side Rails Oxygen Suction Fire Safety RACE Rescue Alert Contain Extinguish Fire Extinguisher PASS Pull Aim Squeeze Swe

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Nursing Fundamentals




1 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS




Nursing Fundamentals — Exam 1
I N F E C T I O N CO N T R O L , V I TA L S I G N S , H YG I E N E , M O B I L I TY, N U R S I N G P R O C E SS & T H E O R I E S

INSTITUTION Nursing Fundamentals Program COURSE CODE NURS 101 — Fundamentals
PROGRAM Associate / Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE Exam 1 — Nursing Fundamentals TOTAL QUESTIONS 75+ Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer


EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers asepsis, vital signs, hygiene, mobility, nursing process, theories, and professional standards.


COMPREHENSIVE FUNDAMENTALS EXAMINATION Questions 1 – 75+

1. Aerobic bacteria require _____ for survival, while anaerobic bacteria thrive in _____ oxygen environments.
A. No oxygen; high.
B. Oxygen; little to no.
C. Carbon dioxide; high.
D. Nitrogen; moderate.
CORRECT ANSWER B — Aerobic bacteria require oxygen; anaerobic bacteria thrive in little to no oxygen and cause deep
infections.
RATIONALE Anaerobes typically cause infection deep within the pleural cavity, joints, or deep sinus tracts where oxygen is
minimal.


2. Medical asepsis differs from surgical asepsis in that medical asepsis:
A. Eliminates all microorganisms including spores.
B. Reduces the transfer of organisms through hand hygiene and environmental cleanliness.
C. Is only used in the operating room.
D. Requires sterile gown and gloves.
CORRECT ANSWER B — Medical asepsis (clean technique) reduces organisms; surgical asepsis (sterile technique)
eliminates ALL microorganisms.
RATIONALE Medical asepsis includes hand hygiene and environmental cleaning. Surgical asepsis is used for invasive
procedures.

, 3. The chain of infection includes all of the following EXCEPT:
A. Infectious agent/pathogen.
B. Reservoir and portal of exit.
C. Antibiotic therapy.
D. Mode of transmission and susceptible host.
CORRECT ANSWER C — Antibiotic therapy is a treatment, not a link in the chain of infection.

RATIONALE The six links are: infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible
host. Breaking any link prevents infection.


4. Standard Precautions require:
A. N95 respirator for all patients.
B. Hand hygiene and appropriate PPE for all patients regardless of diagnosis.
C. Sterile gown and gloves for all patient contact.
D. Contact precautions only.
CORRECT ANSWER B — Standard Precautions apply to ALL patients: hand hygiene and PPE based on anticipated
exposure.
RATIONALE Standard Precautions are the foundation of infection prevention, used for every patient encounter.


5. A localized infection causes:
A. Fever and body-wide malaise.
B. Pain, tenderness, warmth, and redness at the wound site.
C. Enlarged lymph nodes throughout the body.
D. Nausea and vomiting only.
CORRECT ANSWER B — Localized infections produce symptoms confined to one area: pain, tenderness, warmth, redness.

RATIONALE Systemic infections affect the entire body with fever, fatigue, nausea, and lymph node enlargement.


6. The correct order for donning PPE is:
A. Gloves, gown, mask, eyewear.
B. Gown, mask/respirator, eyewear, gloves.
C. Mask, gloves, gown, eyewear.
D. Eyewear, gloves, mask, gown.
CORRECT ANSWER B — Gown first, then mask or respirator, then eyewear, and gloves last.

RATIONALE Doffing is reverse: gloves, goggles, gown, mask. Proper sequence minimizes self-contamination.


7. A sterile field has a _____ border that is considered contaminated.
A. 0.5 inch.
B. 1 inch.
C. 2 inches.
D. 3 inches.
CORRECT ANSWER B — The outer 1-inch margin of a sterile field is considered non-sterile.

RATIONALE Sterile items must be placed within this boundary. Never turn your back on a sterile field or leave it
unattended.

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