NR 224 EXAM 1 (CHAMBERLAIN UNIVERSITY) 300
ACTUAL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALE LATEST UPDATE ALREADY
GRADED A+ ASSURED PASS
300 questions in this comprehensive NR 224 Exam 1 bank for Chamberlain
University's Fundamentals of Nursing course. Each question is completely
unique, covering foundational nursing concepts including the nursing process
(assessment, diagnosis, planning, implementation, evaluation), critical
thinking, clinical decision-making, infection control, medical and surgical
asepsis, standard and transmission-based precautions, personal protective
equipment, hand hygiene, vital signs assessment, pain management,
medication administration (intradermal, subcutaneous, intramuscular,
intravenous), urinary catheterization, nasogastric tube placement and
verification, enteral feeding, wound care and pressure injury staging, patient
positioning, fall prevention, and therapeutic communication. No content is
repeated across the 300 items.
Question 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 patient care will be the same as on the other units
D) Asking for an orientation to the unit
Correct Answer: D
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. This is an example of professional accountability and patient
safety .
Question 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 Answer: B
Rationale: Critical thinking involves adapting standardized procedures to meet
individual patient needs while maintaining safety and sterility. Rigidly following a
textbook if it could cause harm is not appropriate .
Question 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 Answer: B, D, C, E, A
Rationale: The nursing process is a systematic method: Assessment (collect data),
Diagnosis (identify problem), Planning (set goals), Implementation (take action),
and Evaluation (determine outcomes). This order ensures logical progression of
care .
Question 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 have worked in the past
C) Explaining self-reporting of severe pain is not consistent with the minor
procedure performed
D) Administering pain-relief medication according to what was given last shift
Correct Answer: B
,Rationale: This action gathers comprehensive data, considers patient preferences,
and explores options beyond the standard order. This is a hallmark of critical
thinking and individualized care .
Question 5
What is the primary purpose of the nursing process?
A) To implement standardized procedures
B) To ensure compliance with hospital policies
C) To provide a structured approach to patient care
D) To facilitate communication between healthcare providers
Correct Answer: C
Rationale: The nursing process is a systematic framework for delivering holistic,
individualized, and effective patient-centered care. It provides structure for clinical
decision-making .
Question 6
When performing hand hygiene using an alcohol-based hand rub, how long should
the nurse rub hands together until they are dry?
A) 5 seconds
B) 10 seconds
C) 15 seconds
D) 20 seconds
Correct Answer: D
Rationale: The CDC recommends rubbing hands with an alcohol-based hand rub
for at least 20 seconds until the hands are completely dry to effectively kill germs.
This ensures adequate antimicrobial action .
Question 7
A nurse is reviewing hand hygiene techniques with assistive personnel. Which
instructions should the nurse include? Select all that apply.
A) Apply 3 to 5 mL of liquid soap to dry hands
B) Wash hands with soap and water for at least 15 seconds
C) Rinse hands with hot water
D) Use a clean paper towel to turn off hand faucets
E) Allow hands to air dry after washing
Correct Answer: B, D
, Rationale: Handwashing for at least 15 seconds removes transient flora. Using a
clean paper towel to turn off faucets prevents recontamination. Hot water can
damage skin, and air drying is not recommended .
Question 8
What is the appropriate angle for inserting an intramuscular injection needle?
A) 15 degrees
B) 30 degrees
C) 45 degrees
D) 90 degrees
Correct Answer: D
Rationale: Intramuscular injections require a 90-degree angle to ensure the
medication is delivered deep into the muscle tissue for proper absorption.
Subcutaneous injections use a 45 to 90-degree angle depending on tissue .
Question 9
The nurse has prepared a sterile field for assisting with a chest tube insertion.
Which events should the nurse recognize as contaminating the sterile field? Select
all that apply.
A) The provider drops a sterile instrument onto the near side of the sterile field
B) The nurse moistens a cotton ball with sterile normal saline and places it on the
sterile field
C) The procedure is delayed 1 hour because the provider receives an emergency
call
D) The nurse turns to speak to someone who enters through the door behind the
nurse
Correct Answer: B, C, D
Rationale: Placing a moistened cotton ball on the field creates a wick for
contamination. A delayed procedure risks contamination. Turning away from the
sterile field breaks sterility. The 1-inch border is considered contaminated .
Question 10
When applying a sterile dressing to a wound, what is the most important step to
maintain sterility?
A) Touch only the edges of the dressing
B) Use sterile gloves
C) Avoid touching the inside of the dressing
D) Clean the wound before applying the dressing
ACTUAL QUESTIONS AND CORRECT ANSWERS
WITH RATIONALE LATEST UPDATE ALREADY
GRADED A+ ASSURED PASS
300 questions in this comprehensive NR 224 Exam 1 bank for Chamberlain
University's Fundamentals of Nursing course. Each question is completely
unique, covering foundational nursing concepts including the nursing process
(assessment, diagnosis, planning, implementation, evaluation), critical
thinking, clinical decision-making, infection control, medical and surgical
asepsis, standard and transmission-based precautions, personal protective
equipment, hand hygiene, vital signs assessment, pain management,
medication administration (intradermal, subcutaneous, intramuscular,
intravenous), urinary catheterization, nasogastric tube placement and
verification, enteral feeding, wound care and pressure injury staging, patient
positioning, fall prevention, and therapeutic communication. No content is
repeated across the 300 items.
Question 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 patient care will be the same as on the other units
D) Asking for an orientation to the unit
Correct Answer: D
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. This is an example of professional accountability and patient
safety .
Question 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 Answer: B
Rationale: Critical thinking involves adapting standardized procedures to meet
individual patient needs while maintaining safety and sterility. Rigidly following a
textbook if it could cause harm is not appropriate .
Question 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 Answer: B, D, C, E, A
Rationale: The nursing process is a systematic method: Assessment (collect data),
Diagnosis (identify problem), Planning (set goals), Implementation (take action),
and Evaluation (determine outcomes). This order ensures logical progression of
care .
Question 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 have worked in the past
C) Explaining self-reporting of severe pain is not consistent with the minor
procedure performed
D) Administering pain-relief medication according to what was given last shift
Correct Answer: B
,Rationale: This action gathers comprehensive data, considers patient preferences,
and explores options beyond the standard order. This is a hallmark of critical
thinking and individualized care .
Question 5
What is the primary purpose of the nursing process?
A) To implement standardized procedures
B) To ensure compliance with hospital policies
C) To provide a structured approach to patient care
D) To facilitate communication between healthcare providers
Correct Answer: C
Rationale: The nursing process is a systematic framework for delivering holistic,
individualized, and effective patient-centered care. It provides structure for clinical
decision-making .
Question 6
When performing hand hygiene using an alcohol-based hand rub, how long should
the nurse rub hands together until they are dry?
A) 5 seconds
B) 10 seconds
C) 15 seconds
D) 20 seconds
Correct Answer: D
Rationale: The CDC recommends rubbing hands with an alcohol-based hand rub
for at least 20 seconds until the hands are completely dry to effectively kill germs.
This ensures adequate antimicrobial action .
Question 7
A nurse is reviewing hand hygiene techniques with assistive personnel. Which
instructions should the nurse include? Select all that apply.
A) Apply 3 to 5 mL of liquid soap to dry hands
B) Wash hands with soap and water for at least 15 seconds
C) Rinse hands with hot water
D) Use a clean paper towel to turn off hand faucets
E) Allow hands to air dry after washing
Correct Answer: B, D
, Rationale: Handwashing for at least 15 seconds removes transient flora. Using a
clean paper towel to turn off faucets prevents recontamination. Hot water can
damage skin, and air drying is not recommended .
Question 8
What is the appropriate angle for inserting an intramuscular injection needle?
A) 15 degrees
B) 30 degrees
C) 45 degrees
D) 90 degrees
Correct Answer: D
Rationale: Intramuscular injections require a 90-degree angle to ensure the
medication is delivered deep into the muscle tissue for proper absorption.
Subcutaneous injections use a 45 to 90-degree angle depending on tissue .
Question 9
The nurse has prepared a sterile field for assisting with a chest tube insertion.
Which events should the nurse recognize as contaminating the sterile field? Select
all that apply.
A) The provider drops a sterile instrument onto the near side of the sterile field
B) The nurse moistens a cotton ball with sterile normal saline and places it on the
sterile field
C) The procedure is delayed 1 hour because the provider receives an emergency
call
D) The nurse turns to speak to someone who enters through the door behind the
nurse
Correct Answer: B, C, D
Rationale: Placing a moistened cotton ball on the field creates a wick for
contamination. A delayed procedure risks contamination. Turning away from the
sterile field breaks sterility. The 1-inch border is considered contaminated .
Question 10
When applying a sterile dressing to a wound, what is the most important step to
maintain sterility?
A) Touch only the edges of the dressing
B) Use sterile gloves
C) Avoid touching the inside of the dressing
D) Clean the wound before applying the dressing
