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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 GUIDELINES | WITH DETAILED RATI

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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.

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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

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