NR 224 FUNDAMENTALS OF NURSING PRACTICE
EXAM / CHAMBERLAIN UNIVERSITY COMPLETE
EXAM QUESTIONS AND VERIFIED ANSWERS | 2026–
2027 LATEST UPDATE | GUARANTEED PASS |
DETAILED RATIONALES | FULL STUDY GUIDE |
EXAM PREP | PRACTICE TEST | CERTIFICATION
PREPARATION
1. A nurse is preparing to administer morning medications. Which action best
demonstrates adherence to the nursing process?
A. Administering all medications before assessing the client
B. Reviewing the medication administration record after giving medications
C. Assessing the client before administering prescribed medications
D. Asking the nursing assistant to verify the medications
Correct Answer: C. Assessing the client before administering prescribed medications
Rationale: Assessment is the first step of the nursing process and helps identify factors that may
affect medication administration. Administering medications without assessment can
compromise safety. Reviewing records after administration does not replace pre-administration
assessment, and delegation of medication verification is inappropriate.
2. A nurse is caring for a client who reports pain rated 8 out of 10. What is the nurse's
priority action?
A. Document the pain score
B. Assess the characteristics of the pain
C. Notify the healthcare provider immediately
D. Reassure the client that treatment is available
Correct Answer: B. Assess the characteristics of the pain
Rationale: Comprehensive pain assessment includes location, quality, duration, intensity, and
aggravating factors. Additional assessment guides appropriate interventions. Documentation
and reassurance are important but occur after assessment.
3. A client refuses a scheduled blood draw. Which response by the nurse is most
appropriate?
A. "You must have this test completed."
B. "The provider ordered the test, so you should agree."
,C. "Tell me your concerns about the procedure."
D. "I'll document your refusal and leave."
Correct Answer: C. "Tell me your concerns about the procedure."
Rationale: Therapeutic communication encourages discussion and supports informed decision-
making. Clients have the right to refuse treatment. Exploring concerns may address
misunderstandings while respecting autonomy.
4. During hand hygiene education, which statement by a nursing student indicates
understanding?
A. Alcohol-based sanitizer is effective when hands are not visibly soiled.
B. Soap and water are unnecessary in healthcare settings.
C. Hand hygiene is required only before client contact.
D. Gloves eliminate the need for hand hygiene.
Correct Answer: A. Alcohol-based sanitizer is effective when hands are not visibly soiled.
Rationale: Alcohol-based hand rubs are recommended when hands are not visibly dirty. Soap
and water are required in certain situations, and hand hygiene remains necessary before and
after glove use and client contact.
5. A nurse identifies a pressure injury risk in an immobile client. Which intervention
should be implemented first?
A. Apply a heating pad to affected areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Massage reddened skin
Correct Answer: B. Reposition the client regularly
Rationale: Frequent repositioning reduces prolonged pressure and is a key prevention strategy.
Heating pads and massage may damage tissue, while fluid restriction can worsen skin integrity.
6. A nurse enters a client's room and finds the client unresponsive. What is the priority
action?
A. Obtain vital signs
B. Notify family members
C. Check responsiveness and activate emergency assistance
D. Document findings
Correct Answer: C. Check responsiveness and activate emergency assistance
, Rationale: Immediate assessment and activation of emergency response systems are priorities
when a client is unresponsive. Documentation and notification occur after emergency
interventions begin.
7. Which finding should the nurse recognize as objective data?
A. "I feel dizzy."
B. "My pain is getting worse."
C. Blood pressure of 150/90 mm Hg
D. "I am anxious about surgery."
Correct Answer: C. Blood pressure of 150/90 mm Hg
Rationale: Objective data are measurable and observable. Blood pressure is a quantifiable
assessment finding, whereas pain, dizziness, and anxiety are subjective reports.
8. A nurse is caring for a client from a cultural background unfamiliar to the nurse. What
is the best initial action?
A. Assume practices are similar to those of other clients
B. Ask the client about cultural preferences and healthcare beliefs
C. Avoid discussing cultural concerns
D. Follow the nurse's personal beliefs
Correct Answer: B. Ask the client about cultural preferences and healthcare beliefs
Rationale: Individualized, culturally competent care begins with assessing the client's values and
preferences rather than making assumptions.
9. Which action requires the nurse to obtain informed consent verification before
proceeding?
A. Measuring blood glucose
B. Administering oral medication
C. Assisting with ambulation
D. Preparing a client for surgery
Correct Answer: D. Preparing a client for surgery
Rationale: Surgical procedures require informed consent. While the provider obtains consent,
the nurse verifies that consent is present and properly completed.
10. A nurse observes a colleague documenting care that was not performed. What should
the nurse do first?
EXAM / CHAMBERLAIN UNIVERSITY COMPLETE
EXAM QUESTIONS AND VERIFIED ANSWERS | 2026–
2027 LATEST UPDATE | GUARANTEED PASS |
DETAILED RATIONALES | FULL STUDY GUIDE |
EXAM PREP | PRACTICE TEST | CERTIFICATION
PREPARATION
1. A nurse is preparing to administer morning medications. Which action best
demonstrates adherence to the nursing process?
A. Administering all medications before assessing the client
B. Reviewing the medication administration record after giving medications
C. Assessing the client before administering prescribed medications
D. Asking the nursing assistant to verify the medications
Correct Answer: C. Assessing the client before administering prescribed medications
Rationale: Assessment is the first step of the nursing process and helps identify factors that may
affect medication administration. Administering medications without assessment can
compromise safety. Reviewing records after administration does not replace pre-administration
assessment, and delegation of medication verification is inappropriate.
2. A nurse is caring for a client who reports pain rated 8 out of 10. What is the nurse's
priority action?
A. Document the pain score
B. Assess the characteristics of the pain
C. Notify the healthcare provider immediately
D. Reassure the client that treatment is available
Correct Answer: B. Assess the characteristics of the pain
Rationale: Comprehensive pain assessment includes location, quality, duration, intensity, and
aggravating factors. Additional assessment guides appropriate interventions. Documentation
and reassurance are important but occur after assessment.
3. A client refuses a scheduled blood draw. Which response by the nurse is most
appropriate?
A. "You must have this test completed."
B. "The provider ordered the test, so you should agree."
,C. "Tell me your concerns about the procedure."
D. "I'll document your refusal and leave."
Correct Answer: C. "Tell me your concerns about the procedure."
Rationale: Therapeutic communication encourages discussion and supports informed decision-
making. Clients have the right to refuse treatment. Exploring concerns may address
misunderstandings while respecting autonomy.
4. During hand hygiene education, which statement by a nursing student indicates
understanding?
A. Alcohol-based sanitizer is effective when hands are not visibly soiled.
B. Soap and water are unnecessary in healthcare settings.
C. Hand hygiene is required only before client contact.
D. Gloves eliminate the need for hand hygiene.
Correct Answer: A. Alcohol-based sanitizer is effective when hands are not visibly soiled.
Rationale: Alcohol-based hand rubs are recommended when hands are not visibly dirty. Soap
and water are required in certain situations, and hand hygiene remains necessary before and
after glove use and client contact.
5. A nurse identifies a pressure injury risk in an immobile client. Which intervention
should be implemented first?
A. Apply a heating pad to affected areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Massage reddened skin
Correct Answer: B. Reposition the client regularly
Rationale: Frequent repositioning reduces prolonged pressure and is a key prevention strategy.
Heating pads and massage may damage tissue, while fluid restriction can worsen skin integrity.
6. A nurse enters a client's room and finds the client unresponsive. What is the priority
action?
A. Obtain vital signs
B. Notify family members
C. Check responsiveness and activate emergency assistance
D. Document findings
Correct Answer: C. Check responsiveness and activate emergency assistance
, Rationale: Immediate assessment and activation of emergency response systems are priorities
when a client is unresponsive. Documentation and notification occur after emergency
interventions begin.
7. Which finding should the nurse recognize as objective data?
A. "I feel dizzy."
B. "My pain is getting worse."
C. Blood pressure of 150/90 mm Hg
D. "I am anxious about surgery."
Correct Answer: C. Blood pressure of 150/90 mm Hg
Rationale: Objective data are measurable and observable. Blood pressure is a quantifiable
assessment finding, whereas pain, dizziness, and anxiety are subjective reports.
8. A nurse is caring for a client from a cultural background unfamiliar to the nurse. What
is the best initial action?
A. Assume practices are similar to those of other clients
B. Ask the client about cultural preferences and healthcare beliefs
C. Avoid discussing cultural concerns
D. Follow the nurse's personal beliefs
Correct Answer: B. Ask the client about cultural preferences and healthcare beliefs
Rationale: Individualized, culturally competent care begins with assessing the client's values and
preferences rather than making assumptions.
9. Which action requires the nurse to obtain informed consent verification before
proceeding?
A. Measuring blood glucose
B. Administering oral medication
C. Assisting with ambulation
D. Preparing a client for surgery
Correct Answer: D. Preparing a client for surgery
Rationale: Surgical procedures require informed consent. While the provider obtains consent,
the nurse verifies that consent is present and properly completed.
10. A nurse observes a colleague documenting care that was not performed. What should
the nurse do first?
