NR-224 | Exam 3 Practice Examination Page 1
, NR 224 Exam 1-3 | Fundamentals – Skills | Chamberlain | Q & A |
2026/2027 Edition
NR-224 EXAM 1
FUNDAMENTALS - SKILLS
CHAMBERLAIN UNIVERSITY
100-Question Original Practice Examination
2026/2027 Edition
1. The nurse enters a room after removing visibly soiled gloves. What action is most appropriatebefore
touching clean supplies?
A) Put on a second pair of gloves immediately
B) Wash hands with soap and water
C) Use a paper towel to wipe the gloves
D) Apply lotion without cleaning hands
Correct Answer: Wash hands with soap and water
Rationale: Gloves do not replace hand hygiene. Visible soil warrants soap and water, with friction and thorough rinsing.
Replacing gloves without cleaning hands can transfer organisms to the new gloves or the environment.
2. A client has sudden shortness of breath during routine vital-sign collection. What should the nursedo
first?
A) Finish recording the temperature
B) Ask the client to wait until rounds
C) Obtain a complete dietary history
D) Assess airway, breathing, and oxygenation
Correct Answer: Assess airway, breathing, and oxygenation
Rationale: Unexpected breathing difficulty requires immediate assessment using airway and breathing priorities. Routine
measurements and history can follow stabilization. Delaying assessment risks overlooking an urgent change in respiratory status.
3. After gathering several observations, a nurse groups the findings to identify a patient problem.
Which nursing-process phase is illustrated?
NR-224 | Exam 3 Practice Examination Page 2
, A) Analysis and nursing diagnosis
B) Planning discharge supplies
C) Implementing a treatment
D) Evaluating a completed intervention
Correct Answer: Analysis and nursing diagnosis
Rationale: Analysis organizes assessment cues into meaningful patterns and supports a nursing diagnosis. Implementation
involves performing interventions, while evaluation judges the response after an intervention has occurred.
4. A pulse oximeter reads 87% on a client with cold fingers but no distress. What is the best
initialresponse?
A) Document severe hypoxemia without reassessment
B) Check probe placement and peripheral perfusion while assessing the client
C) Increase oxygen without an order or protocol
D) Discard the monitor as inaccurate
Correct Answer: Check probe placement and peripheral perfusion while assessing the client
Rationale: Pulse oximetry can be distorted by poor perfusion, motion, and probe fit. Assess the patient and validate the signal
promptly; a low number must never be dismissed without clinical evaluation.
5. While preparing an occupied bed, the nurse notices the client is near the edge. Which actionprevents
a fall?
A) Turn away to retrieve linens
B) Raise the bed to maximum height
C) Leave the client unattended while linens are changed
D) Reposition the client safely and maintain appropriate side-rail support
Correct Answer: Reposition the client safely and maintain appropriate side-rail support
Rationale: An occupied-bed procedure requires continuous awareness of the patient's position and safe support. High bed
positions and unattended movement increase fall risk, especially during turning.
6. Before a hands-on skill, a client asks why it is needed. What response best supports
informedparticipation?
A) Explain the purpose in understandable terms and invite questions
B) Say the procedure is mandatory and begin
C) Ask a roommate to explain it
NR-224 | Exam 3 Practice Examination Page 3
, D) Avoid discussing discomfort to prevent worry
Correct Answer: Explain the purpose in understandable terms and invite questions
Rationale: Patient-centered care includes an accessible explanation, opportunity for questions, and attention to the person's
preferences. A procedure should not be presented as compulsory when consent or refusal is relevant.
7. The nurse observes a new change in a client's mental status. Which documentation is most useful?
A) Write that the client is acting strangely
B) Wait until shift end and estimate the details
C) Record objective behaviors, time, and associated assessment findings
D) Document a medical diagnosis without assessment
Correct Answer: Record objective behaviors, time, and associated assessment findings
Rationale: Objective, timely descriptions allow other clinicians to interpret changes and trend data. Vague labels and
unsupported diagnoses hide clinically useful details and can lead to inappropriate conclusions.
8. A student touches the outside of a used isolation gown while removing it. What is the
appropriateresponse?
A) Continue because gown surfaces are always clean
B) Perform hand hygiene and correct the removal sequence
C) Shake the gown before disposal
D) Place the used gown on a clean supply cart
Correct Answer: Perform hand hygiene and correct the removal sequence
Rationale: The contaminated exterior of protective equipment can transfer organisms to hands or clothing. Correct doffing and
immediate hand hygiene reduce cross-contamination during removal.
9. When prioritizing four clients, which finding needs the quickest follow-up?
A) Mild chronic knee discomfort
B) A routine request for extra pillows
C) New stridor after a procedure
D) A stable appetite change over months
Correct Answer: New stridor after a procedure
Rationale: Stridor can signal upper-airway obstruction and demands urgent assessment. Stable comfort needs matter but rank
below an acute threat to ventilation.
NR-224 | Exam 3 Practice Examination Page 4
, NR 224 Exam 1-3 | Fundamentals – Skills | Chamberlain | Q & A |
2026/2027 Edition
NR-224 EXAM 1
FUNDAMENTALS - SKILLS
CHAMBERLAIN UNIVERSITY
100-Question Original Practice Examination
2026/2027 Edition
1. The nurse enters a room after removing visibly soiled gloves. What action is most appropriatebefore
touching clean supplies?
A) Put on a second pair of gloves immediately
B) Wash hands with soap and water
C) Use a paper towel to wipe the gloves
D) Apply lotion without cleaning hands
Correct Answer: Wash hands with soap and water
Rationale: Gloves do not replace hand hygiene. Visible soil warrants soap and water, with friction and thorough rinsing.
Replacing gloves without cleaning hands can transfer organisms to the new gloves or the environment.
2. A client has sudden shortness of breath during routine vital-sign collection. What should the nursedo
first?
A) Finish recording the temperature
B) Ask the client to wait until rounds
C) Obtain a complete dietary history
D) Assess airway, breathing, and oxygenation
Correct Answer: Assess airway, breathing, and oxygenation
Rationale: Unexpected breathing difficulty requires immediate assessment using airway and breathing priorities. Routine
measurements and history can follow stabilization. Delaying assessment risks overlooking an urgent change in respiratory status.
3. After gathering several observations, a nurse groups the findings to identify a patient problem.
Which nursing-process phase is illustrated?
NR-224 | Exam 3 Practice Examination Page 2
, A) Analysis and nursing diagnosis
B) Planning discharge supplies
C) Implementing a treatment
D) Evaluating a completed intervention
Correct Answer: Analysis and nursing diagnosis
Rationale: Analysis organizes assessment cues into meaningful patterns and supports a nursing diagnosis. Implementation
involves performing interventions, while evaluation judges the response after an intervention has occurred.
4. A pulse oximeter reads 87% on a client with cold fingers but no distress. What is the best
initialresponse?
A) Document severe hypoxemia without reassessment
B) Check probe placement and peripheral perfusion while assessing the client
C) Increase oxygen without an order or protocol
D) Discard the monitor as inaccurate
Correct Answer: Check probe placement and peripheral perfusion while assessing the client
Rationale: Pulse oximetry can be distorted by poor perfusion, motion, and probe fit. Assess the patient and validate the signal
promptly; a low number must never be dismissed without clinical evaluation.
5. While preparing an occupied bed, the nurse notices the client is near the edge. Which actionprevents
a fall?
A) Turn away to retrieve linens
B) Raise the bed to maximum height
C) Leave the client unattended while linens are changed
D) Reposition the client safely and maintain appropriate side-rail support
Correct Answer: Reposition the client safely and maintain appropriate side-rail support
Rationale: An occupied-bed procedure requires continuous awareness of the patient's position and safe support. High bed
positions and unattended movement increase fall risk, especially during turning.
6. Before a hands-on skill, a client asks why it is needed. What response best supports
informedparticipation?
A) Explain the purpose in understandable terms and invite questions
B) Say the procedure is mandatory and begin
C) Ask a roommate to explain it
NR-224 | Exam 3 Practice Examination Page 3
, D) Avoid discussing discomfort to prevent worry
Correct Answer: Explain the purpose in understandable terms and invite questions
Rationale: Patient-centered care includes an accessible explanation, opportunity for questions, and attention to the person's
preferences. A procedure should not be presented as compulsory when consent or refusal is relevant.
7. The nurse observes a new change in a client's mental status. Which documentation is most useful?
A) Write that the client is acting strangely
B) Wait until shift end and estimate the details
C) Record objective behaviors, time, and associated assessment findings
D) Document a medical diagnosis without assessment
Correct Answer: Record objective behaviors, time, and associated assessment findings
Rationale: Objective, timely descriptions allow other clinicians to interpret changes and trend data. Vague labels and
unsupported diagnoses hide clinically useful details and can lead to inappropriate conclusions.
8. A student touches the outside of a used isolation gown while removing it. What is the
appropriateresponse?
A) Continue because gown surfaces are always clean
B) Perform hand hygiene and correct the removal sequence
C) Shake the gown before disposal
D) Place the used gown on a clean supply cart
Correct Answer: Perform hand hygiene and correct the removal sequence
Rationale: The contaminated exterior of protective equipment can transfer organisms to hands or clothing. Correct doffing and
immediate hand hygiene reduce cross-contamination during removal.
9. When prioritizing four clients, which finding needs the quickest follow-up?
A) Mild chronic knee discomfort
B) A routine request for extra pillows
C) New stridor after a procedure
D) A stable appetite change over months
Correct Answer: New stridor after a procedure
Rationale: Stridor can signal upper-airway obstruction and demands urgent assessment. Stable comfort needs matter but rank
below an acute threat to ventilation.
NR-224 | Exam 3 Practice Examination Page 4
