NR 224 FUNDAMENTALS OF NURSING FINAL EXAM: FOUNDATIONS OF
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
INSTRUCTIONS
Select the single best answer for each question.
Each question has one correct answer and three plausible distractors.
This final exam is comprehensive and covers all topics from the course.
Questions focus on fundamental nursing concepts, vital signs, hygiene, mobility, infection control, safety,
medication administration, elimination, nutrition, oxygenation, and pain management.
SECTION I: COMPREHENSIVE NURSING FOUNDATIONS (Questions 1–6)
Q1 (NR224-Final-01). The nurse is using the nursing process to plan care for a patient. Which step of the
nursing process involves determining whether the patient's goals have been met?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: D
Rationale: Evaluation is the step of the nursing process that measures the effectiveness of interventions and
determines if goals have been met. Assessment (A) is data collection. Diagnosis (B) is identifying problems.
Planning (C) is developing goals.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Comprehension
, NR 224 FUNDAMENTALS OF NURSING FINAL EXAM: FOUNDATIONS OF
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
Q2 (NR224-Final-02). The nurse is prioritizing care for four patients. Which patient should the nurse assess
first?
A) A 68-year-old male with pneumonia who has a fever of 38.5°C (101.3°F)
B) A 72-year-old female with heart failure who has new-onset confusion and oxygen saturation of 88%
C) A 55-year-old male with diabetes who has a blood glucose of 180 mg/dL
D) A 45-year-old female post-appendectomy who reports pain of 6/10
Answer: B
Rationale: New-onset confusion with hypoxemia in a heart failure patient suggests possible worsening
respiratory status, hypoxia, or acute decompensation requiring immediate assessment. Fever (A), glucose 180
(C), and pain (D) are stable findings.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q3 (NR224-Final-03). The nurse is documenting patient care. Which statement reflects objective
documentation?
A) "Patient appears anxious and is grimacing."
B) "Patient states, 'I am in pain,' and is crying."
C) "Patient is in severe pain."
D) "Patient is uncooperative and difficult."
Answer: B
, NR 224 FUNDAMENTALS OF NURSING FINAL EXAM: FOUNDATIONS OF
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
Rationale: Objective documentation includes factual, observable, and measurable data. Option B includes the
patient's direct quote and observable behavior. Options A, C, and D contain subjective interpretations and
judgments.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Analysis
Q4 (NR224-Final-04). The nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A) Obtaining vital signs on a stable post-operative patient
B) Assessing a patient who reports chest pain
C) Administering oral medications to a stable patient
D) Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs can obtain vital signs on stable patients. Assessment (B), medication administration (C), and
teaching (D) are nursing responsibilities that cannot be delegated.
Reference: NCSBN. Delegation Guidelines. 2022.
Bloom Level: Application
Q5 (NR224-Final-05). The nurse is caring for a patient who is being discharged. The patient has low health
literacy. Which action by the nurse is most appropriate?
A) Use plain language, teach-back technique, and provide written materials at a low reading level
, NR 224 FUNDAMENTALS OF NURSING FINAL EXAM: FOUNDATIONS OF
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
B) Provide complex medical terminology to challenge the patient
C) Provide written materials only
D) Assume the patient understands and discharge them
Answer: A
Rationale: Low health literacy requires tailored education: plain language, teach-back (asking the patient to
explain in their own words), and low-reading-level materials. Option B is inappropriate. Option C does not
address literacy barriers. Option D is negligent.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Application
Q6 (NR224-Final-06). The nurse is caring for a patient who is confused and trying to remove their IV line.
Which action should the nurse take first?
A) Apply soft restraints after obtaining an order
B) Restrain the patient without an order
C) Ignore the patient's behavior
D) Tell the patient to stop removing the IV
Answer: A
Rationale: Restraints should only be used when necessary and with a provider's order. Option B is not legally
permitted. Option C is unsafe. Option D is not effective for a confused patient.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
INSTRUCTIONS
Select the single best answer for each question.
Each question has one correct answer and three plausible distractors.
This final exam is comprehensive and covers all topics from the course.
Questions focus on fundamental nursing concepts, vital signs, hygiene, mobility, infection control, safety,
medication administration, elimination, nutrition, oxygenation, and pain management.
SECTION I: COMPREHENSIVE NURSING FOUNDATIONS (Questions 1–6)
Q1 (NR224-Final-01). The nurse is using the nursing process to plan care for a patient. Which step of the
nursing process involves determining whether the patient's goals have been met?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: D
Rationale: Evaluation is the step of the nursing process that measures the effectiveness of interventions and
determines if goals have been met. Assessment (A) is data collection. Diagnosis (B) is identifying problems.
Planning (C) is developing goals.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Comprehension
, NR 224 FUNDAMENTALS OF NURSING FINAL EXAM: FOUNDATIONS OF
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
Q2 (NR224-Final-02). The nurse is prioritizing care for four patients. Which patient should the nurse assess
first?
A) A 68-year-old male with pneumonia who has a fever of 38.5°C (101.3°F)
B) A 72-year-old female with heart failure who has new-onset confusion and oxygen saturation of 88%
C) A 55-year-old male with diabetes who has a blood glucose of 180 mg/dL
D) A 45-year-old female post-appendectomy who reports pain of 6/10
Answer: B
Rationale: New-onset confusion with hypoxemia in a heart failure patient suggests possible worsening
respiratory status, hypoxia, or acute decompensation requiring immediate assessment. Fever (A), glucose 180
(C), and pain (D) are stable findings.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Evaluation
Q3 (NR224-Final-03). The nurse is documenting patient care. Which statement reflects objective
documentation?
A) "Patient appears anxious and is grimacing."
B) "Patient states, 'I am in pain,' and is crying."
C) "Patient is in severe pain."
D) "Patient is uncooperative and difficult."
Answer: B
, NR 224 FUNDAMENTALS OF NURSING FINAL EXAM: FOUNDATIONS OF
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
Rationale: Objective documentation includes factual, observable, and measurable data. Option B includes the
patient's direct quote and observable behavior. Options A, C, and D contain subjective interpretations and
judgments.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Analysis
Q4 (NR224-Final-04). The nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A) Obtaining vital signs on a stable post-operative patient
B) Assessing a patient who reports chest pain
C) Administering oral medications to a stable patient
D) Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs can obtain vital signs on stable patients. Assessment (B), medication administration (C), and
teaching (D) are nursing responsibilities that cannot be delegated.
Reference: NCSBN. Delegation Guidelines. 2022.
Bloom Level: Application
Q5 (NR224-Final-05). The nurse is caring for a patient who is being discharged. The patient has low health
literacy. Which action by the nurse is most appropriate?
A) Use plain language, teach-back technique, and provide written materials at a low reading level
, NR 224 FUNDAMENTALS OF NURSING FINAL EXAM: FOUNDATIONS OF
NURSING: FUNDAMENTAL SKILLS AND CONCEPTS 2026/2027 | CHAMBERLAIN |
50 QUESTIONS | VERIFIED ANSWERS | MULTIPLE-CHOICE – GRADED A+
B) Provide complex medical terminology to challenge the patient
C) Provide written materials only
D) Assume the patient understands and discharge them
Answer: A
Rationale: Low health literacy requires tailored education: plain language, teach-back (asking the patient to
explain in their own words), and low-reading-level materials. Option B is inappropriate. Option C does not
address literacy barriers. Option D is negligent.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
Bloom Level: Application
Q6 (NR224-Final-06). The nurse is caring for a patient who is confused and trying to remove their IV line.
Which action should the nurse take first?
A) Apply soft restraints after obtaining an order
B) Restrain the patient without an order
C) Ignore the patient's behavior
D) Tell the patient to stop removing the IV
Answer: A
Rationale: Restraints should only be used when necessary and with a provider's order. Option B is not legally
permitted. Option C is unsafe. Option D is not effective for a confused patient.
Reference: Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 11th ed. Elsevier; 2023.
