NR 224 FUNDAMENTALS OF NURSING FINAL EXAM COMPLETE PRACTICE TEST
BANK QUESTIONS AND ANSWERS | VERIFIED SOLUTIONS | CLINICAL REASONING
REVIEW | UPDATED 2026/2027 STUDY GUIDE
Examiner/Administrator: Chamberlain University College of Nursing
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
NR 224 FUNDAMENTALS OF NURSING FINAL EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
100+ MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Foundations of Professional Nursing
Patient Safety and Quality Care
Infection Prevention and Control
Health Assessment and Documentation
Basic Nursing Skills and Procedures
Medication Administration
Mobility, Hygiene, and Comfort
Nutrition and Elimination
Communication and Therapeutic Relationships
Clinical Judgment and Nursing Process
CHAMBERLAIN UNIVERSITY COLLEGE OF NURSING || ALIGNED WITH CURRENT
NURSING EDUCATION BLUEPRINTS || FUNDAMENTALS OF NURSING COMPETENCIES
|| PROFESSIONAL STUDY GUIDE || 100% VERIFIED | GRADED A+ || COMPREHENSIVE
EXAM PREPARATION || PREPARED FOR ACADEMIC & PROFESSIONAL NURSING
SUCCESS || PROFESSIONAL EXAMINATION USE
,Foundations of Professional Nursing (Questions 1–8)
Q1. A newly licensed nurse is caring for four clients. Which action best demonstrates
accountability in professional nursing practice?
A. Delegating all routine tasks to assistive personnel
B. Accepting responsibility for documenting an omitted medication dose and
reporting the error
C. Following physician orders without questioning discrepancies
D. Completing tasks before assessing patient priorities
Correct Answer: 🔴 B. Accepting responsibility for documenting an omitted
medication dose and reporting the error
Explanation: 🔹 Accountability requires nurses to acknowledge actions, errors, and
outcomes while taking appropriate corrective measures. Reporting and documenting
an omitted medication dose promotes patient safety and ethical practice. Option A
may be appropriate delegation but does not specifically demonstrate accountability.
Option C ignores the nurse’s duty to clarify questionable orders. Option D places
task completion above critical clinical judgment and patient-centered care.
Q2. A nurse uses the nursing process while developing a care plan. Which step occurs
immediately after collecting assessment data?
A. Evaluation
B. Planning
C. Diagnosis
D. Implementation
Correct Answer: 🔴 C. Diagnosis
Explanation: 🔹 After assessment data are collected, the nurse analyzes the
information to identify actual or potential health problems, leading to nursing
diagnoses. Planning follows diagnosis, implementation follows planning, and
evaluation occurs after interventions have been carried out.
,Q3. During a shift report, a nurse receives information that a patient has a do-not-
resuscitate order. Which ethical principle is primarily being respected?
A. Justice
B. Fidelity
C. Beneficence
D. Autonomy
Correct Answer: 🔴 D. Autonomy
Explanation: 🔹 Autonomy recognizes a patient's right to make decisions regarding
healthcare. A DNR order reflects the patient's wishes regarding resuscitation.
Beneficence focuses on doing good, fidelity involves keeping promises, and justice
concerns fairness in healthcare delivery.
Q4. Which statement by a nursing student reflects an understanding of evidence-
based practice?
A. "I perform procedures according to personal preference."
B. "I use only information obtained from coworkers."
C. "I combine current research, clinical expertise, and patient preferences."
D. "I follow traditions regardless of outcomes."
Correct Answer: 🔴 C. I combine current research, clinical expertise, and patient
preferences.
Explanation: 🔹 Evidence-based practice integrates the best available research
evidence, clinician expertise, and patient values to optimize outcomes. The other
options rely on subjective or outdated methods that do not support quality patient
care.
Q5. A nurse identifies a conflict between personal beliefs and a patient's treatment
decision. What is the most appropriate action?
, A. Refuse all care immediately
B. Persuade the patient to change the decision
C. Respect the patient's choice while ensuring appropriate care is provided
D. Discuss personal beliefs extensively with the patient
Correct Answer: 🔴 C. Respect the patient's choice while ensuring appropriate care
is provided
Explanation: 🔹 Professional nursing practice requires respect for patient autonomy
regardless of personal beliefs. Nurses must provide unbiased care and support
informed decision-making. Persuasion or refusal may violate ethical standards and
patient rights.
Q6. Which nursing action best demonstrates advocacy?
A. Completing documentation before speaking with the patient
B. Reporting a patient's concerns about treatment risks to the healthcare provider
C. Following orders without clarification
D. Avoiding difficult conversations with family members
Correct Answer: 🔴 B. Reporting a patient's concerns about treatment risks to the
healthcare provider
Explanation: 🔹 Advocacy involves protecting patient rights and ensuring concerns
are addressed. Communicating patient questions or concerns promotes informed
decision-making and patient-centered care. The remaining options fail to prioritize
the patient's interests.
Q7. A nurse discovers that a colleague documented care that was not provided.
Which action is most appropriate?
A. Ignore the situation
B. Alter the record personally
C. Follow institutional reporting procedures
D. Delete the documentation
BANK QUESTIONS AND ANSWERS | VERIFIED SOLUTIONS | CLINICAL REASONING
REVIEW | UPDATED 2026/2027 STUDY GUIDE
Examiner/Administrator: Chamberlain University College of Nursing
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
NR 224 FUNDAMENTALS OF NURSING FINAL EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
100+ MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Foundations of Professional Nursing
Patient Safety and Quality Care
Infection Prevention and Control
Health Assessment and Documentation
Basic Nursing Skills and Procedures
Medication Administration
Mobility, Hygiene, and Comfort
Nutrition and Elimination
Communication and Therapeutic Relationships
Clinical Judgment and Nursing Process
CHAMBERLAIN UNIVERSITY COLLEGE OF NURSING || ALIGNED WITH CURRENT
NURSING EDUCATION BLUEPRINTS || FUNDAMENTALS OF NURSING COMPETENCIES
|| PROFESSIONAL STUDY GUIDE || 100% VERIFIED | GRADED A+ || COMPREHENSIVE
EXAM PREPARATION || PREPARED FOR ACADEMIC & PROFESSIONAL NURSING
SUCCESS || PROFESSIONAL EXAMINATION USE
,Foundations of Professional Nursing (Questions 1–8)
Q1. A newly licensed nurse is caring for four clients. Which action best demonstrates
accountability in professional nursing practice?
A. Delegating all routine tasks to assistive personnel
B. Accepting responsibility for documenting an omitted medication dose and
reporting the error
C. Following physician orders without questioning discrepancies
D. Completing tasks before assessing patient priorities
Correct Answer: 🔴 B. Accepting responsibility for documenting an omitted
medication dose and reporting the error
Explanation: 🔹 Accountability requires nurses to acknowledge actions, errors, and
outcomes while taking appropriate corrective measures. Reporting and documenting
an omitted medication dose promotes patient safety and ethical practice. Option A
may be appropriate delegation but does not specifically demonstrate accountability.
Option C ignores the nurse’s duty to clarify questionable orders. Option D places
task completion above critical clinical judgment and patient-centered care.
Q2. A nurse uses the nursing process while developing a care plan. Which step occurs
immediately after collecting assessment data?
A. Evaluation
B. Planning
C. Diagnosis
D. Implementation
Correct Answer: 🔴 C. Diagnosis
Explanation: 🔹 After assessment data are collected, the nurse analyzes the
information to identify actual or potential health problems, leading to nursing
diagnoses. Planning follows diagnosis, implementation follows planning, and
evaluation occurs after interventions have been carried out.
,Q3. During a shift report, a nurse receives information that a patient has a do-not-
resuscitate order. Which ethical principle is primarily being respected?
A. Justice
B. Fidelity
C. Beneficence
D. Autonomy
Correct Answer: 🔴 D. Autonomy
Explanation: 🔹 Autonomy recognizes a patient's right to make decisions regarding
healthcare. A DNR order reflects the patient's wishes regarding resuscitation.
Beneficence focuses on doing good, fidelity involves keeping promises, and justice
concerns fairness in healthcare delivery.
Q4. Which statement by a nursing student reflects an understanding of evidence-
based practice?
A. "I perform procedures according to personal preference."
B. "I use only information obtained from coworkers."
C. "I combine current research, clinical expertise, and patient preferences."
D. "I follow traditions regardless of outcomes."
Correct Answer: 🔴 C. I combine current research, clinical expertise, and patient
preferences.
Explanation: 🔹 Evidence-based practice integrates the best available research
evidence, clinician expertise, and patient values to optimize outcomes. The other
options rely on subjective or outdated methods that do not support quality patient
care.
Q5. A nurse identifies a conflict between personal beliefs and a patient's treatment
decision. What is the most appropriate action?
, A. Refuse all care immediately
B. Persuade the patient to change the decision
C. Respect the patient's choice while ensuring appropriate care is provided
D. Discuss personal beliefs extensively with the patient
Correct Answer: 🔴 C. Respect the patient's choice while ensuring appropriate care
is provided
Explanation: 🔹 Professional nursing practice requires respect for patient autonomy
regardless of personal beliefs. Nurses must provide unbiased care and support
informed decision-making. Persuasion or refusal may violate ethical standards and
patient rights.
Q6. Which nursing action best demonstrates advocacy?
A. Completing documentation before speaking with the patient
B. Reporting a patient's concerns about treatment risks to the healthcare provider
C. Following orders without clarification
D. Avoiding difficult conversations with family members
Correct Answer: 🔴 B. Reporting a patient's concerns about treatment risks to the
healthcare provider
Explanation: 🔹 Advocacy involves protecting patient rights and ensuring concerns
are addressed. Communicating patient questions or concerns promotes informed
decision-making and patient-centered care. The remaining options fail to prioritize
the patient's interests.
Q7. A nurse discovers that a colleague documented care that was not provided.
Which action is most appropriate?
A. Ignore the situation
B. Alter the record personally
C. Follow institutional reporting procedures
D. Delete the documentation
