NR 224 FUNDAMENTALS SKILLS | INDEPENDENT PRACTICE RESOURCE
NR 224 FUNDAMENTALS SKILLS
FINAL PRACTICE EXAM 2026–2027
50 ORIGINAL QUESTIONS • CORRECT ANSWERS • CONCISE RATIONALES
Patient-care skills • infection prevention • safety protocols • vital signs • hygiene • mobility and
positioning • basic medication administration • clinical judgment
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
ACADEMIC-INTEGRITY NOTICE
This document contains independently written practice questions. It is not the actual Chamberlain University NR 224 final
examination, a recalled test bank, or an assessment that has been graded or “100% verified.” Chamberlain University has not
sponsored or endorsed it. Use it only for legitimate study consistent with course and institutional academic-integrity rules.
PURPOSE
This set reviews foundational nursing skills using safety-focused exam-style application. Each item includes one best
answer and a rationale explaining clinical judgment, professional standards, and why the alternatives are less
appropriate.
Safety • Infection Control • Mobility • Hygiene • Medications | Page 1
, NR 224 FUNDAMENTALS SKILLS | INDEPENDENT PRACTICE RESOURCE
How to Use This Practice Exam
First pass: Cover the answer blocks and select one answer before reviewing the rationale.
Skills pass: Verbalize patient identification, explanation/consent, hand hygiene, equipment, positioning, technique,
reassessment, and documentation.
Priority pass: Identify when a routine task must stop because of airway, breathing, circulation, neurologic, fall,
aspiration, or medication risk.
Scope: This resource supports study but does not replace supervised laboratory validation, institutional policy, or
individualized patient care.
Practice-Set Blueprint
main Questions Count
ction Control & Safety 1–12 12
al Signs & Assessment 13–20 8
iene & Personal Care 21–27 7
bility, Transfers & Positioning 28–36 9
ic Medication Administration 37–45 9
ical Judgment & Documentation 46–50 5
Clinical note: Current faculty instruction, skills checklists, institutional policy, manufacturer instructions, scope of practice, and
patient-specific needs control if they differ from this independent review set.
Safety • Infection Control • Mobility • Hygiene • Medications | Page 2
, NR 224 FUNDAMENTALS SKILLS | INDEPENDENT PRACTICE RESOURCE
I. Infection Control & Safety Protocols
1. Which action is required before and after routine patient contact, even when gloves are worn?
A. Avoid touching the patient’s environment.
B. Wear sterile gloves for every interaction.
C. Administer prophylactic antibiotics.
D. Perform hand hygiene.
CORRECT ANSWER: D. Perform hand hygiene.
RATIONALE Hand hygiene is the foundation of standard precautions, and gloves do not replace it. Routine contact does not
require antibiotics or sterile gloves, and safe care often requires touching the environment with appropriate cleaning and
hygiene.
2. When is soap-and-water handwashing preferred over alcohol-based hand rub?
A. Never, because alcohol rub kills all spores reliably
B. When hands are visibly soiled or after care involving suspected/confirmed spore-forming organisms
according to policy
C. Only when the nurse’s hands feel cold
D. Before every blood pressure regardless of circumstances
CORRECT ANSWER: B. When hands are visibly soiled or after care involving suspected/confirmed spore-
forming organisms according to policy
RATIONALE Soap and water physically removes soil and spores more effectively in these situations. Temperature is
irrelevant, alcohol rub is appropriate for many routine indications, and it is not reliably sporicidal.
3. What is the correct principle of standard precautions?
A. Use them only when infection is already diagnosed.
B. Use the same gloves for multiple patients if no blood is visible.
C. Apply them to every patient based on anticipated exposure to blood, body fluids, nonintact skin, or mucous
membranes.
D. Replace hand hygiene with glove use.
CORRECT ANSWER: C. Apply them to every patient based on anticipated exposure to blood, body fluids,
nonintact skin, or mucous membranes.
RATIONALE Standard precautions assume potentially infectious exposure may be unrecognized. Reusing gloves and
omitting hand hygiene permit transmission.
4. Which protection is required when entering the room of a patient with suspected pulmonary
tuberculosis?
A. Sterile gloves only
B. A fit-tested N95 or higher-level respirator and airborne-infection isolation practices
C. A standard surgical mask only with no room precautions
D. No PPE if the patient is not coughing
CORRECT ANSWER: B. A fit-tested N95 or higher-level respirator and airborne-infection isolation
practices
RATIONALE Tuberculosis is transmitted by airborne particles, requiring respiratory protection and appropriate room
controls. A surgical mask or gloves alone do not provide the required inhalation protection.
Safety • Infection Control • Mobility • Hygiene • Medications | Page 3
NR 224 FUNDAMENTALS SKILLS
FINAL PRACTICE EXAM 2026–2027
50 ORIGINAL QUESTIONS • CORRECT ANSWERS • CONCISE RATIONALES
Patient-care skills • infection prevention • safety protocols • vital signs • hygiene • mobility and
positioning • basic medication administration • clinical judgment
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
ACADEMIC-INTEGRITY NOTICE
This document contains independently written practice questions. It is not the actual Chamberlain University NR 224 final
examination, a recalled test bank, or an assessment that has been graded or “100% verified.” Chamberlain University has not
sponsored or endorsed it. Use it only for legitimate study consistent with course and institutional academic-integrity rules.
PURPOSE
This set reviews foundational nursing skills using safety-focused exam-style application. Each item includes one best
answer and a rationale explaining clinical judgment, professional standards, and why the alternatives are less
appropriate.
Safety • Infection Control • Mobility • Hygiene • Medications | Page 1
, NR 224 FUNDAMENTALS SKILLS | INDEPENDENT PRACTICE RESOURCE
How to Use This Practice Exam
First pass: Cover the answer blocks and select one answer before reviewing the rationale.
Skills pass: Verbalize patient identification, explanation/consent, hand hygiene, equipment, positioning, technique,
reassessment, and documentation.
Priority pass: Identify when a routine task must stop because of airway, breathing, circulation, neurologic, fall,
aspiration, or medication risk.
Scope: This resource supports study but does not replace supervised laboratory validation, institutional policy, or
individualized patient care.
Practice-Set Blueprint
main Questions Count
ction Control & Safety 1–12 12
al Signs & Assessment 13–20 8
iene & Personal Care 21–27 7
bility, Transfers & Positioning 28–36 9
ic Medication Administration 37–45 9
ical Judgment & Documentation 46–50 5
Clinical note: Current faculty instruction, skills checklists, institutional policy, manufacturer instructions, scope of practice, and
patient-specific needs control if they differ from this independent review set.
Safety • Infection Control • Mobility • Hygiene • Medications | Page 2
, NR 224 FUNDAMENTALS SKILLS | INDEPENDENT PRACTICE RESOURCE
I. Infection Control & Safety Protocols
1. Which action is required before and after routine patient contact, even when gloves are worn?
A. Avoid touching the patient’s environment.
B. Wear sterile gloves for every interaction.
C. Administer prophylactic antibiotics.
D. Perform hand hygiene.
CORRECT ANSWER: D. Perform hand hygiene.
RATIONALE Hand hygiene is the foundation of standard precautions, and gloves do not replace it. Routine contact does not
require antibiotics or sterile gloves, and safe care often requires touching the environment with appropriate cleaning and
hygiene.
2. When is soap-and-water handwashing preferred over alcohol-based hand rub?
A. Never, because alcohol rub kills all spores reliably
B. When hands are visibly soiled or after care involving suspected/confirmed spore-forming organisms
according to policy
C. Only when the nurse’s hands feel cold
D. Before every blood pressure regardless of circumstances
CORRECT ANSWER: B. When hands are visibly soiled or after care involving suspected/confirmed spore-
forming organisms according to policy
RATIONALE Soap and water physically removes soil and spores more effectively in these situations. Temperature is
irrelevant, alcohol rub is appropriate for many routine indications, and it is not reliably sporicidal.
3. What is the correct principle of standard precautions?
A. Use them only when infection is already diagnosed.
B. Use the same gloves for multiple patients if no blood is visible.
C. Apply them to every patient based on anticipated exposure to blood, body fluids, nonintact skin, or mucous
membranes.
D. Replace hand hygiene with glove use.
CORRECT ANSWER: C. Apply them to every patient based on anticipated exposure to blood, body fluids,
nonintact skin, or mucous membranes.
RATIONALE Standard precautions assume potentially infectious exposure may be unrecognized. Reusing gloves and
omitting hand hygiene permit transmission.
4. Which protection is required when entering the room of a patient with suspected pulmonary
tuberculosis?
A. Sterile gloves only
B. A fit-tested N95 or higher-level respirator and airborne-infection isolation practices
C. A standard surgical mask only with no room precautions
D. No PPE if the patient is not coughing
CORRECT ANSWER: B. A fit-tested N95 or higher-level respirator and airborne-infection isolation
practices
RATIONALE Tuberculosis is transmitted by airborne particles, requiring respiratory protection and appropriate room
controls. A surgical mask or gloves alone do not provide the required inhalation protection.
Safety • Infection Control • Mobility • Hygiene • Medications | Page 3
