Chamberlain University NR 224 Fundamentals Skills Exam
1 – Complete Study Guide & 150 Exam Practice Questions
with Rationales (2026/2027)
1. A nurse is preparing to administer medications to four patients. Which action best
demonstrates adherence to the first of the Six Rights of Medication Administration?
A. Comparing the medication label with the MAR after administration
B. Verifying the patient's identity using two approved identifiers before giving the
medication
C. Asking the patient to state the medication's purpose
D. Checking the patient's allergies after the medication is given
Answer: B
Rationale: Correct patient identification is the first and one of the most important medication
rights. The nurse should use at least two approved identifiers, such as the patient's full
name and date of birth, before administering any medication.
2. A newly admitted patient is at increased risk for falls because of generalized
weakness and dizziness. Which nursing intervention should be implemented first?
A. Encourage the patient to walk independently.
,B. Keep all side rails raised continuously.
C. Perform a fall-risk assessment and initiate appropriate safety precautions.
D. Restrict all patient activity.
Answer: C
Rationale: Fall prevention begins with assessing the patient's risk and implementing
individualized interventions such as bed alarms, non-slip footwear, and frequent rounding.
3. A nurse removes gloves after providing wound care. Which action should occur
immediately afterward?
A. Put on a clean pair of gloves.
B. Document the procedure.
C. Perform hand hygiene.
D. Clean the patient's bedside table.
Answer: C
Rationale: Hand hygiene must always be performed after removing gloves because
microorganisms may contaminate the hands during glove removal.
4. Which statement by a nurse best reflects therapeutic communication?
,A. "Everything will be okay."
B. "You shouldn't feel that way."
C. "Tell me more about what concerns you the most."
D. "I know exactly how you feel."
Answer: C
Rationale: Open-ended questions encourage patients to express feelings and provide
valuable assessment information while promoting trust.
5. A nurse enters a patient's room to assess respiratory status. Which assessment
should be completed before touching the patient?
A. Auscultate lung sounds.
B. Measure oxygen saturation.
C. Observe respiratory rate, depth, and effort.
D. Palpate chest expansion.
Answer: C
Rationale: Observation should always precede palpation, percussion, and auscultation
during a physical assessment.
, 6. Which nursing action best demonstrates patient-centered care?
A. Making decisions without consulting the patient
B. Following physician orders without question
C. Including the patient when developing the plan of care
D. Asking family members to make all healthcare decisions
Answer: C
Rationale: Patient-centered care emphasizes collaboration, shared decision-making, and
respect for patient preferences.
7. Which intervention is appropriate when caring for a patient under Contact
Precautions?
A. Wear only a surgical mask.
B. Wear gloves and a gown when entering the room.
C. Use an N95 respirator only.
D. Wear sterile gloves for all interactions.
Answer: B
Rationale: Contact precautions require gloves and gowns to prevent transmission of
organisms spread by direct or indirect contact.
1 – Complete Study Guide & 150 Exam Practice Questions
with Rationales (2026/2027)
1. A nurse is preparing to administer medications to four patients. Which action best
demonstrates adherence to the first of the Six Rights of Medication Administration?
A. Comparing the medication label with the MAR after administration
B. Verifying the patient's identity using two approved identifiers before giving the
medication
C. Asking the patient to state the medication's purpose
D. Checking the patient's allergies after the medication is given
Answer: B
Rationale: Correct patient identification is the first and one of the most important medication
rights. The nurse should use at least two approved identifiers, such as the patient's full
name and date of birth, before administering any medication.
2. A newly admitted patient is at increased risk for falls because of generalized
weakness and dizziness. Which nursing intervention should be implemented first?
A. Encourage the patient to walk independently.
,B. Keep all side rails raised continuously.
C. Perform a fall-risk assessment and initiate appropriate safety precautions.
D. Restrict all patient activity.
Answer: C
Rationale: Fall prevention begins with assessing the patient's risk and implementing
individualized interventions such as bed alarms, non-slip footwear, and frequent rounding.
3. A nurse removes gloves after providing wound care. Which action should occur
immediately afterward?
A. Put on a clean pair of gloves.
B. Document the procedure.
C. Perform hand hygiene.
D. Clean the patient's bedside table.
Answer: C
Rationale: Hand hygiene must always be performed after removing gloves because
microorganisms may contaminate the hands during glove removal.
4. Which statement by a nurse best reflects therapeutic communication?
,A. "Everything will be okay."
B. "You shouldn't feel that way."
C. "Tell me more about what concerns you the most."
D. "I know exactly how you feel."
Answer: C
Rationale: Open-ended questions encourage patients to express feelings and provide
valuable assessment information while promoting trust.
5. A nurse enters a patient's room to assess respiratory status. Which assessment
should be completed before touching the patient?
A. Auscultate lung sounds.
B. Measure oxygen saturation.
C. Observe respiratory rate, depth, and effort.
D. Palpate chest expansion.
Answer: C
Rationale: Observation should always precede palpation, percussion, and auscultation
during a physical assessment.
, 6. Which nursing action best demonstrates patient-centered care?
A. Making decisions without consulting the patient
B. Following physician orders without question
C. Including the patient when developing the plan of care
D. Asking family members to make all healthcare decisions
Answer: C
Rationale: Patient-centered care emphasizes collaboration, shared decision-making, and
respect for patient preferences.
7. Which intervention is appropriate when caring for a patient under Contact
Precautions?
A. Wear only a surgical mask.
B. Wear gloves and a gown when entering the room.
C. Use an N95 respirator only.
D. Wear sterile gloves for all interactions.
Answer: B
Rationale: Contact precautions require gloves and gowns to prevent transmission of
organisms spread by direct or indirect contact.
