NR 224: Fundamentals of Nursing Final Prep (Weeks 1–7) 2026
|Chamberlain
1. A nurse is performing a physical assessment on a client. Which technique
should the nurse use first when assessing the abdomen?
A. Palpation
B. Percussion
C. Inspection
D. Auscultation
Answer: C
Rationale: In abdominal assessment, the correct order is Inspection, Auscultation,
Percussion, and Palpation to avoid altering bowel sounds.
2. Which phase of the nursing process involves the nurse determining if the
client’s goals and outcomes were met?
A. Assessment
B. Implementation
C. Planning
D. Evaluation
Answer: D
Rationale: Evaluation is the final step of the nursing process where the nurse compares
the client’s current status with the goals and outcomes defined in the planning phase.
,3. A nurse is preparing to administer an IM injection to an adult client in the
ventrogluteal site. Which is the correct needle length for this site?
A. 1 to 1.5 inches
B. 5/8 inch
C. 2 to 3 inches
D. 0.5 inch
Answer: A
Rationale: For an adult IM injection in the ventrogluteal or vastus lateralis muscle, a 1 to
1.5-inch needle is standard to ensure medication reaches the muscle tissue.
4. A client is diagnosed with Tuberculosis (TB). Which type of precautions should
the nurse implement?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Protective environment
Answer: B
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring airborne precautions, including an N95 respirator and a negative-pressure room.
5. When using the RACE acronym for fire safety, what does the letter ‘C’ stand
for?
A. Call 911
B. Check for smoke
C. Carry patients out
D. Contain the fire
Answer: D
Rationale: RACE stands for Rescue, Alarm, Contain (by closing doors/windows), and
Extinguish/Evacuate.
, 6. Which ethical principle refers to the nurse’s obligation to do no harm to the
client?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: B
Rationale: Nonmaleficence is the ethical duty to avoid causing harm to others.
7. A nurse is assessing a client’s radial pulse and finds it to be irregular. What
should the nurse’s next action be?
A. Document the finding and recheck in 4 hours
B. Notify the provider immediately
C. Wait 15 minutes and retake the radial pulse
D. Assess the apical pulse for 1 full minute
Answer: D
Rationale: If a peripheral pulse is irregular, the nurse should assess the apical pulse for 60
seconds to obtain a more accurate heart rate and rhythm.
8. A client has a localized area of intact skin with non-blanchable redness over a
bony prominence. How should the nurse stage this pressure injury?
A. Stage 3
B. Stage 2
C. Stage 1
D. Unstageable
Answer: C
Rationale: Stage 1 pressure injuries are characterized by intact skin with non-blanchable
redness, usually over a bony prominence.
|Chamberlain
1. A nurse is performing a physical assessment on a client. Which technique
should the nurse use first when assessing the abdomen?
A. Palpation
B. Percussion
C. Inspection
D. Auscultation
Answer: C
Rationale: In abdominal assessment, the correct order is Inspection, Auscultation,
Percussion, and Palpation to avoid altering bowel sounds.
2. Which phase of the nursing process involves the nurse determining if the
client’s goals and outcomes were met?
A. Assessment
B. Implementation
C. Planning
D. Evaluation
Answer: D
Rationale: Evaluation is the final step of the nursing process where the nurse compares
the client’s current status with the goals and outcomes defined in the planning phase.
,3. A nurse is preparing to administer an IM injection to an adult client in the
ventrogluteal site. Which is the correct needle length for this site?
A. 1 to 1.5 inches
B. 5/8 inch
C. 2 to 3 inches
D. 0.5 inch
Answer: A
Rationale: For an adult IM injection in the ventrogluteal or vastus lateralis muscle, a 1 to
1.5-inch needle is standard to ensure medication reaches the muscle tissue.
4. A client is diagnosed with Tuberculosis (TB). Which type of precautions should
the nurse implement?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Protective environment
Answer: B
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring airborne precautions, including an N95 respirator and a negative-pressure room.
5. When using the RACE acronym for fire safety, what does the letter ‘C’ stand
for?
A. Call 911
B. Check for smoke
C. Carry patients out
D. Contain the fire
Answer: D
Rationale: RACE stands for Rescue, Alarm, Contain (by closing doors/windows), and
Extinguish/Evacuate.
, 6. Which ethical principle refers to the nurse’s obligation to do no harm to the
client?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: B
Rationale: Nonmaleficence is the ethical duty to avoid causing harm to others.
7. A nurse is assessing a client’s radial pulse and finds it to be irregular. What
should the nurse’s next action be?
A. Document the finding and recheck in 4 hours
B. Notify the provider immediately
C. Wait 15 minutes and retake the radial pulse
D. Assess the apical pulse for 1 full minute
Answer: D
Rationale: If a peripheral pulse is irregular, the nurse should assess the apical pulse for 60
seconds to obtain a more accurate heart rate and rhythm.
8. A client has a localized area of intact skin with non-blanchable redness over a
bony prominence. How should the nurse stage this pressure injury?
A. Stage 3
B. Stage 2
C. Stage 1
D. Unstageable
Answer: C
Rationale: Stage 1 pressure injuries are characterized by intact skin with non-blanchable
redness, usually over a bony prominence.
