NR 224 Fundamentals Skills Exam 1 Actual 2026/2027 – 100% Verified | Complete 200 Questions Detailed and Correct Answers Rationales – Pass Guaranteed

NR 224 Fundamentals Skills Exam 1
Actual 2026/2027 – 100% Verified |
Complete 200 Questions Detailed and
Correct Answers Rationales – Pass
Guaranteed

1. A nurse is pulled from the surgical unit to work on the oncology
unit. Which action by the nurse displays humility and responsibility?

 a. Refusing the assignment.
 b. Admitting a lack of knowledge and going home.
 c. Assuming that patient care will be the same as on the other units.
 d. Asking for an orientation to the unit.

CORRECT ANSWERd. Asking for an orientation to the unit.
Rationale: Requesting an orientation demonstrates humility by
acknowledging a lack of familiarity with the new unit and responsibility by
seeking to provide safe, competent care .

2. While caring for a hospitalized older-adult female post-hip surgery,
the nurse is faced with the task of inserting an indwelling urinary
catheter, which involves rotating the hip into a contraindicated
position. Which action should the nurse take?

 a. Follow the textbook procedure with the contraindicated position.
 b. Adapt the positioning technique to the situation.
 c. Postpone catheter insertion until the next shift.
 d. Notify the health care provider for a urologist consult.

, CORRECT ANSWERb. Adapt the positioning technique to the situation.
Rationale: Critical thinking involves adapting standardized procedures to
meet individual patient needs while maintaining safety and sterility, not
rigidly following a textbook if it could cause harm .

3. In which order will the nurse use the nursing process steps during
the clinical decision-making process?

 a. Evaluating goals
 b. Assessing patient needs
 c. Planning priorities of care
 d. Determining nursing diagnosis
 e. Implementing nursing interventions

CORRECT ANSWERb, d, c, e, a (Assessing, Diagnosis, Planning,
Implementation, Evaluation)
Rationale: The nursing process is a systematic method: Assessment (collect
data), Diagnosis (identify problem), Planning (set goals), Implementation
(take action), and Evaluation (determine outcomes) .

4. Which patient scenario of a surgical patient in pain is most
indicative of critical thinking?

 a. Offering pain-relief medication based on the health care provider's
orders.
 b. Asking the patient what pain-relief methods, pharmacological and
nonpharmacological, have worked in the past.
 c. Explaining to the patient that self-reporting of severe pain is not
consistent with the minor procedure that was performed.
 d. Administering pain-relief medication according to what was given last
shift.

CORRECT ANSWERb. Asking the patient what pain-relief methods,
pharmacological and nonpharmacological, have worked in the past.
Rationale: This action gathers comprehensive data, considers patient

, preferences, and explores options beyond the standard order, which is a
hallmark of critical thinking and individualized care .




Safety & Infection Control

5. A patient is at risk for falls. Which nursing intervention is most
appropriate to include in the care plan?

 a. Keep the bed in the lowest position with wheels locked.
 b. Encourage the patient to ambulate independently.
 c. Place all four side rails up.
 d. Dim the lights to promote sleep.

CORRECT ANSWERa. Keep the bed in the lowest position with wheels
locked.
Rationale: Keeping the bed low and wheels locked reduces fall risk. Side
rails should not be used as restraints. Adequate lighting is important;
dimming lights increases fall risk .

6. A patient is diagnosed with tuberculosis (TB). Which type of
precautions should the nurse implement?

 a. Contact precautions
 b. Droplet precautions
 c. Airborne precautions
 d. Standard precautions only

CORRECT ANSWERc. Airborne precautions
Rationale: TB requires airborne precautions which include a negative
pressure room and an N95 respirator .

7. A patient has influenza. Which type of precautions should the nurse
implement?

,  a. Contact precautions
 b. Droplet precautions
 c. Airborne precautions
 d. Standard precautions only

CORRECT ANSWERb. Droplet precautions
Rationale: Influenza is transmitted via droplets and requires droplet
precautions (surgical mask within 3 feet, private room or cohorting) .

8. The nurse is preparing to don PPE before entering a patient's room
on contact precautions. Which sequence is correct?

 a. Gown, mask, goggles, gloves
 b. Mask, gown, goggles, gloves
 c. Goggles, mask, gown, gloves
 d. Gloves, gown, mask, goggles

CORRECT ANSWERa. Gown, mask, goggles, gloves
Rationale: The correct donning sequence is: gown first, then mask, then
goggles/face shield, then gloves. This ensures proper coverage and
containment .

9. A nurse accidentally sustains a needlestick injury. What is the
priority action?

 a. Complete an incident report
 b. Wash the area with soap and water
 c. Report to the supervisor
 d. Obtain blood for testing

CORRECT ANSWERb. Wash the area with soap and water
Rationale: Immediate first aid includes washing the needlestick site with
soap and water. For mucous membrane exposure, flush with copious water.
Then report for evaluation .

10. A nurse is reviewing hand hygiene techniques. Which instruction
should the nurse include? (Select all that apply)