This comprehensive Fundamentals of Nursing exam preparation guide features 275+ premium multiple-choice questions with detailed rationales, distractor analyses, and A+ graded solutions. Perfect for nursing students preparing for NR 224, Fundamentals of Nursing examinations, NCLEX-RN, and clinical rotations.
Topics Covered:
The Nursing Process & Critical Thinking
ADPIE Framework (Assessment, Diagnosis, Planning, Implementation, Evaluation)
Clinical Judgment, Critical Thinking, Prioritization
SMART Goals, Nursing Diagnoses (Actual, Risk, Health Promotion)
Delegation, Assignment, Scope of Practice
Subjective vs. Objective Data Collection
Health Assessment & Physical Examination
Head-to-Toe Assessment Techniques (Inspection, Palpation, Percussion, Auscultation)
Abdominal Assessment Sequence (Inspect, Auscultate, Percuss, Palpate)
Cranial Nerve Assessment, Neurological Evaluation
Skin Assessment (Color, Turgor, Lesions), Mucous Membranes
Musculoskeletal Assessment, Range of Motion, Gait
Cardiovascular & Respiratory Assessment (Heart Sounds, Lung Sounds)
Peripheral Vascular Assessment (Pulses, Capillary Refill, JVD)
Vital Signs & Pain Assessment
Temperature (Oral, Axillary, Tympanic, Rectal), Pulse, Respiration, Blood Pressure
Hypertension Staging (Normal, Elevated, Stage 1, Stage 2)
Pulse Oximetry (SpO2), Factors Affecting Accuracy
Pain Assessment (Numeric Rating Scale, FLACC, PAINAD, Wong-Baker FACES)
Pain Management, Opioid Administration, Reassessment
Orthostatic Hypotension Assessment
Patient Safety & Fall Prevention
Fall Risk Assessment (Morse Fall Scale)
Fall Prevention Interventions (Bed Alarms, Call Lights, Room Assignment)
Restraint Use, Assessment, Documentation
Fire Safety (RACE, PASS), Emergency Response
Medication Safety, Error Prevention
Home Safety, Environmental Modifications
Infection Prevention & Control
Hand Hygiene (Soap & Water vs. Alcohol-Based Hand Rub)
Standard Precautions, Transmission-Based Precautions (Contact, Droplet, Airborne)
Personal Protective Equipment (PPE) Donning & Doffing
Sterile Technique, Sterile Field Maintenance
Healthcare-Associated Infections (HAI), CAUTI, CLABSI, VAP
Isolation Precautions (MRSA, C. diff, TB, Influenza)
Mobility & Body Mechanics
Patient Transfers (Gait Belt, Mechanical Lift, Assistive Devices)
Proper Body Mechanics, Back Safety
Range of Motion (ROM) Exercises (Active, Passive, Isometric)
Complications of Immobility (DVT, Pressure Injuries, Muscle Atrophy, Constipation)
Ambulation Aids (Cane, Walker, Crutches), Gait Patterns
Pressure Injury Prevention, Repositioning
Tissue Integrity & Wound Care
Pressure Injury Staging (Stage 1-4, Unstageable, Deep Tissue)
Wound Assessment (Size, Depth, Drainage, Odor, Surrounding Skin)
Types of Drainage (Serous, Sanguineous, Serosanguineous, Purulent)
Wound Healing (Primary, Secondary, Tertiary Intention)
Wound Complications (Infection, Dehiscence, Evisceration)
Wound Dressings (Transparent, Hydrocolloid, Alginate, Foam)
Braden Scale for Pressure Injury Risk Assessment
Oxygenation & Respiratory Function
Oxygen Delivery Devices (Nasal Cannula, Simple Mask, Partial Rebreather, Nonrebreather, Venturi Mask)
Oxygen Flow Rates & FiO2 Delivery
Pulse Oximetry, Hypoxia Signs (Early & Late)
Incentive Spirometry, Deep Breathing & Coughing
Oxygen Safety, Humidification, Skin Assessment
Carbon Dioxide Retention, Oxygen Toxicity
Elimination: Urinary & Bowel Care
Urinary Catheterization (Female & Male), Sterile Technique
Catheter-Associated Urinary Tract Infection (CAUTI) Prevention
Urinary Retention, Bladder Scanner, Post-Void Residual
Constipation, Diarrhea, Fecal Impaction
Enema Administration (Positioning, Solution Temperature)
Ostomy Care (Stoma Assessment, Pouch Change)
Incontinence Management, Skin Care
Nutrition, Fluid Balance & Hygiene
Fluid Balance, Intake & Output Calculation
Dehydration Signs (Skin Turgor, Mucous Membranes, Urine Output)
Fluid Overload Signs (Edema, Crackles, Weight Gain)
Enteral Nutrition (NG Tube, Feeding Administration, Residual Checks)
Total Parenteral Nutrition (TPN), Blood Glucose Monitoring
NPO Status, Oral Care, Patient Hygiene
Blood Transfusion Administration, Transfusion Reaction Signs
Medication Administration & Dosage Calculation
Rights of Medication Administration (Right Patient, Medication, Dose, Route, Time, Documentation, Reason)
Medication Safety Checks (Three Checks, Two Patient Identifiers)
Routes of Administration (Oral, IM, Subcutaneous, Intradermal, IV, Otic, Ophthalmic)
Needle Selection (Gauge, Length), Injection Angles
Medication Documentation, Error Reporting
Controlled Substances, High-Alert Medications
Dosage Calculations, IV Drip Rates
Legal/Ethical Issues, Documentation & Communication
Informed Consent, Patient Rights, Advance Directives
Confidentiality, HIPAA, Breach of Privacy
Medication Refusal, Patient Autonomy
Documentation Standards (Objective, Factual, Timely)
SBAR Communication, Handoff Reporting
Therapeutic Communication Techniques (Open-Ended Questions, Active Listening)
Cultural Competence, Patient Advocacy
Each question includes:
Correct answers with evidence-based rationales
In-depth distractor analysis explaining why alternatives are incorrect
Curriculum-aligned content updated for
Comprehensive coverage of all major fundamentals of nursing topics
Updated for academic year with verified solutions. A+ guaranteed! Ideal for Chamberlain University nursing students, NR 224, NCLEX-RN preparation, and fundamentals of nursing exams.
Content preview
Page 1 of 238
NR 224 FUNDAMENTALS OF NURSING
COMPREHENSIVE EXAM SUCCESSFUL A+
SOLUTIONS GUARANTEED | COMPLETE 250+
MULTIPLE-CHOICE QUESTIONS & ANSWERS
ALREADY GRADED A+ | 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST 2026-2027
GUIDELINES | WITH DETAILED RATIONALES &
DISTRACTOR ANALYSIS
# TABLE OF CONTENTS
| Section | Topic | Questions
|---------|-------|-----------|------|
| 1 | The Nursing Process & Critical Thinking | Q1-Q20 |
| 2 | Health Assessment & Physical Examination | Q21-Q45 |
| 3 | Vital Signs & Pain Assessment | Q46-Q70 |
| 4 | Safety & Fall Prevention | Q71-Q95 |
| 5 | Infection Prevention & Control | Q96-Q120 |
| 6 | Mobility & Body Mechanics | Q121-Q145 |
| 7 | Tissue Integrity & Wound Care | Q146-Q170 |
| 8 | Oxygenation & Respiratory Function | Q171-Q195 |
| 9 | Elimination: Urinary & Bowel Care | Q196-Q220 |
| 10 | Nutrition, Fluid Balance & Hygiene | Q221-Q245 |
| 11 | Medication Administration & Dosage Calculation | Q246-Q260 |
| 12 | Legal/Ethical Issues, Documentation & Communication | Q261-Q275 |
,Page 2 of 238
# SECTION 1: THE NURSING PROCESS & CRITICAL THINKING
## QUESTION 1
A nurse is caring for a patient who is postoperative day 2 following abdominal surgery. The
patient reports increasing abdominal pain and nausea. The nurse assesses the patient's vital signs,
inspects the surgical incision, and reviews the medication administration record. Which step of
the nursing process is the nurse demonstrating?
A) Planning
B) Implementation
C) Assessment
D) Evaluation
**Correct Answer: C) Assessment**
**Rationale:** Assessment is the first step of the nursing process and involves collecting
subjective and objective data about the patient's health status. The nurse is gathering data through
patient reports (subjective: pain, nausea), vital signs, and physical inspection (objective: incision
assessment). This data collection is essential before any nursing diagnosis, planning, or
intervention can occur.
**Distractor analysis:**
- **A) Planning:** Incorrect. Planning occurs after assessment and diagnosis and involves
setting goals and interventions. The nurse is not yet developing a care plan.
- **B) Implementation:** Incorrect. Implementation is the action phase where nursing
interventions are carried out. The nurse is gathering data, not implementing care.
- **D) Evaluation:** Incorrect. Evaluation occurs after interventions to determine if goals were
met. No interventions have been implemented yet in this scenario.
---
,Page 3 of 238
## QUESTION 2
A registered nurse is delegating tasks to a licensed practical nurse (LPN) and a nursing assistant.
Which task is most appropriate for the RN to delegate to the LPN?
A) Ambulating a patient with a gait belt
B) Collecting a urine specimen
C) Administering an oral medication
D) Performing a comprehensive admission assessment
**Correct Answer: C) Administering an oral medication**
**Rationale:** The LPN scope of practice includes administering oral medications. The RN is
responsible for comprehensive assessment, while the LPN can perform focused assessments and
data collection. The nursing assistant can assist with ambulation and specimen collection under
supervision.
**Distractor analysis:**
- **A) Ambulating a patient with a gait belt:** Incorrect. This is within the scope of a nursing
assistant with proper training and does not require LPN-level education.
- **B) Collecting a urine specimen:** Incorrect. This is a basic task that can be delegated to a
nursing assistant.
- **D) Performing a comprehensive admission assessment:** Incorrect. Comprehensive
assessments are the responsibility of the RN and cannot be delegated.
---
## QUESTION 3
, Page 4 of 238
A nurse is developing a care plan for a patient with diabetes. The nurse writes the goal: "Patient
will demonstrate correct insulin self-administration technique before discharge." This goal is an
example of which type of goal?
A) Nurse-initiated goal
B) Provider-initiated goal
C) Collaborative goal
D) SMART goal
**Correct Answer: D) SMART goal**
**Rationale:** SMART goals are Specific, Measurable, Achievable, Realistic, and Time-limited.
This goal specifies the behavior (demonstrate insulin self-administration), is measurable (correct
technique), is achievable, realistic for the patient's condition, and has a time frame (before
discharge).
**Distractor analysis:**
- **A) Nurse-initiated goal:** Incorrect. While nurses do initiate goals, the term "nurse-
initiated" typically refers to interventions. The key feature here is the SMART format.
- **B) Provider-initiated goal:** Incorrect. Goals are not categorized as provider-initiated;
rather, interventions are.
- **C) Collaborative goal:** Incorrect. Collaborative goals involve multiple disciplines. This
goal focuses specifically on nursing education and patient self-care.
---
## QUESTION 4