1
Chamberlain NR226 NR 226 Actual Exam
Questions and Answers with Rationales
2026/2027 | Fundamentals Exam 1 | Patient
Care Assessment | Pass Guarantee
Q001: A nurse is preparing to bathe a patient who is experiencing shortness of
breath. Which action should the nurse prioritize?
Options:
A. Complete the full bed bath quickly to minimize fatigue
B. Administer oxygen therapy before starting the bath
C. Postpone the bath and document patient’s respiratory status
D. Use cold water to stimulate circulation
(Correct Answer: C)
Q002: A patient on fall precautions attempts to get out of bed unassisted. The
nurse’s first action should be:
Options:
A. Scold the patient for not using the call light
B. Help the patient back to bed and re-educate on safety
C. Apply restraints to prevent future attempts
D. Document the incident and leave the room
(Correct Answer: B)
Q003: The nurse notes a blood pressure of 88/50 mmHg in a patient whose
baseline is 130/80 mmHg. Which action is most appropriate?
Options:
A. Recheck the BP in 1 hour
, 2
B. Have the patient stand to reassess
C. Immediately notify the provider
D. Increase IV fluid rate per protocol
(Correct Answer: C)
Q004: When performing hand hygiene, the nurse understands that the minimum
alcohol-based rub time is:
Options:
A. 10 seconds
B. 15 seconds
C. 20 seconds
D. 30 seconds
(Correct Answer: C)
Q005: A patient refuses morning medications. The nurse’s best response is:
Options:
A. "You must take these; it’s doctor’s orders"
B. Document refusal and inform the provider
C. Hide the meds in applesauce
D. Skip the dose and move on
(Correct Answer: B)
Q006: The nurse is documenting a wound assessment. Which notation follows
legal standards?
Options:
A. "Wound looks better"
B. "2 cm erythema, no drainage, patient denies pain"
C. "Small wound, healing well"
, 3
D. "Appears infected"
(Correct Answer: B)
Q007: A patient’s oxygen saturation drops from 97% to 90%. The nurse should:
Options:
A. Increase oxygen flow by 1 L/min
B. Re-position the patient and recheck
C. Call respiratory therapy immediately
D. Document and recheck in 30 minutes
(Correct Answer: B)
Q008: The nurse is preparing to administer an IM injection. The correct site for a
6-month-old is:
Options:
A. Dorsogluteal
B. Ventrogluteal
C. Vastus lateralis
D. Deltoid
(Correct Answer: C)
Q009: A patient complains of pain 8/10 after receiving morphine 30 minutes ago.
The nurse should:
Options:
A. Re-assess in 1 hour
B. Notify the provider
C. Give another dose
D. Check the 5 rights and re-evaluate
(Correct Answer: D)
Chamberlain NR226 NR 226 Actual Exam
Questions and Answers with Rationales
2026/2027 | Fundamentals Exam 1 | Patient
Care Assessment | Pass Guarantee
Q001: A nurse is preparing to bathe a patient who is experiencing shortness of
breath. Which action should the nurse prioritize?
Options:
A. Complete the full bed bath quickly to minimize fatigue
B. Administer oxygen therapy before starting the bath
C. Postpone the bath and document patient’s respiratory status
D. Use cold water to stimulate circulation
(Correct Answer: C)
Q002: A patient on fall precautions attempts to get out of bed unassisted. The
nurse’s first action should be:
Options:
A. Scold the patient for not using the call light
B. Help the patient back to bed and re-educate on safety
C. Apply restraints to prevent future attempts
D. Document the incident and leave the room
(Correct Answer: B)
Q003: The nurse notes a blood pressure of 88/50 mmHg in a patient whose
baseline is 130/80 mmHg. Which action is most appropriate?
Options:
A. Recheck the BP in 1 hour
, 2
B. Have the patient stand to reassess
C. Immediately notify the provider
D. Increase IV fluid rate per protocol
(Correct Answer: C)
Q004: When performing hand hygiene, the nurse understands that the minimum
alcohol-based rub time is:
Options:
A. 10 seconds
B. 15 seconds
C. 20 seconds
D. 30 seconds
(Correct Answer: C)
Q005: A patient refuses morning medications. The nurse’s best response is:
Options:
A. "You must take these; it’s doctor’s orders"
B. Document refusal and inform the provider
C. Hide the meds in applesauce
D. Skip the dose and move on
(Correct Answer: B)
Q006: The nurse is documenting a wound assessment. Which notation follows
legal standards?
Options:
A. "Wound looks better"
B. "2 cm erythema, no drainage, patient denies pain"
C. "Small wound, healing well"
, 3
D. "Appears infected"
(Correct Answer: B)
Q007: A patient’s oxygen saturation drops from 97% to 90%. The nurse should:
Options:
A. Increase oxygen flow by 1 L/min
B. Re-position the patient and recheck
C. Call respiratory therapy immediately
D. Document and recheck in 30 minutes
(Correct Answer: B)
Q008: The nurse is preparing to administer an IM injection. The correct site for a
6-month-old is:
Options:
A. Dorsogluteal
B. Ventrogluteal
C. Vastus lateralis
D. Deltoid
(Correct Answer: C)
Q009: A patient complains of pain 8/10 after receiving morphine 30 minutes ago.
The nurse should:
Options:
A. Re-assess in 1 hour
B. Notify the provider
C. Give another dose
D. Check the 5 rights and re-evaluate
(Correct Answer: D)
