NR224 Fundamentals Skills Final Exam Review
2025/2026
EXAM STATISTICS AT A GLANCE
● 90 multiple-choice questions
● 12 SATA (select-all-that-apply)
● 10 Prioritization / Clinical-Judgment items
● 8 Recent EBP / Safety updates (2025-2026)
● 6 Cultural-competence scenarios
● 5 Medication-administration basics
● 125 Total scored points (SATA = 0.5 pt each option)
I. BASIC NURSING ASSESSMENT SKILLS (20 MCQ)
1. Question – Vital Signs (2025 AHA update)
You count 18 pulsations in 15 s at the apex; rhythm is irregular. Next action?
A. Record HR 72 regular
B. Auscultate apical pulse full 60 s
C. Obtain ECG machine
D. Check BP bilaterally
Answer: B – irregular rhythms require 60-s count per 2025 AHA fundamentals.
Rationale: Counting <60 s underestimates beats when irregular; evidence shows
15 % error.
, 2. SATA – Pain Assessment
Which behaviors suggest acute pain in a non-verbal older adult? (Select 3)
● ★ Furrowed brow
● ★ Increased RR 26
● ★ Rubbing both knees
● ★ BP 88/52
● ★ Closed eyes with rapid eye-movement
Answer: 1,2,3 – autonomic & motor indicators per 2025 Geriatric Pain
Scale.
Rationale: Hypotension usually late sign; REM sleep not pain-specific.
[… 18 more: physical assessment techniques, nutrition, mobility, skin …]
II. SAFETY & INFECTION CONTROL (18 MCQ)
20. Question – Isolation
Patient rule-out C. auris in wound. Which PPE sequence is correct?
A. gown → mask → goggles → gloves
B. mask → gown → gloves → goggles
C. goggles → gown → mask → gloves
D. gloves first, then goggles
Answer: A – 2025 CDC Contact-Droplet plus Enhanced Barrier keeps gown before
gloves.
Rationale: C. auris transmits via contact; mucous-membrane protection precedes
glove don.
21. Prioritization – Fall Risk
Four patients need assistance; who do you ambulate first?
2025/2026
EXAM STATISTICS AT A GLANCE
● 90 multiple-choice questions
● 12 SATA (select-all-that-apply)
● 10 Prioritization / Clinical-Judgment items
● 8 Recent EBP / Safety updates (2025-2026)
● 6 Cultural-competence scenarios
● 5 Medication-administration basics
● 125 Total scored points (SATA = 0.5 pt each option)
I. BASIC NURSING ASSESSMENT SKILLS (20 MCQ)
1. Question – Vital Signs (2025 AHA update)
You count 18 pulsations in 15 s at the apex; rhythm is irregular. Next action?
A. Record HR 72 regular
B. Auscultate apical pulse full 60 s
C. Obtain ECG machine
D. Check BP bilaterally
Answer: B – irregular rhythms require 60-s count per 2025 AHA fundamentals.
Rationale: Counting <60 s underestimates beats when irregular; evidence shows
15 % error.
, 2. SATA – Pain Assessment
Which behaviors suggest acute pain in a non-verbal older adult? (Select 3)
● ★ Furrowed brow
● ★ Increased RR 26
● ★ Rubbing both knees
● ★ BP 88/52
● ★ Closed eyes with rapid eye-movement
Answer: 1,2,3 – autonomic & motor indicators per 2025 Geriatric Pain
Scale.
Rationale: Hypotension usually late sign; REM sleep not pain-specific.
[… 18 more: physical assessment techniques, nutrition, mobility, skin …]
II. SAFETY & INFECTION CONTROL (18 MCQ)
20. Question – Isolation
Patient rule-out C. auris in wound. Which PPE sequence is correct?
A. gown → mask → goggles → gloves
B. mask → gown → gloves → goggles
C. goggles → gown → mask → gloves
D. gloves first, then goggles
Answer: A – 2025 CDC Contact-Droplet plus Enhanced Barrier keeps gown before
gloves.
Rationale: C. auris transmits via contact; mucous-membrane protection precedes
glove don.
21. Prioritization – Fall Risk
Four patients need assistance; who do you ambulate first?
