CHAMBERLAIN NR 224 EXAM 1 – FUNDAMENTALS OF NURSING |
NEWEST 2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) WITH
EXPLANATIONS |ALREADY GRADED A+|
|LATEST UPDATE!!
EXAM OVERVIEW & TEST STRUCTURE
NR 224 Fundamentals of Nursing Exam 1 covers foundational nursing concepts
including:
- The Nursing Process (ADPIE)
- Critical Thinking and Clinical Decision Making
- Infection Prevention and Control / Transmission-Based Precautions
- PPE and Medical/Surgical Asepsis
- Vital Signs and Health Assessment
- Mobility, Body Mechanics, and Immobility Complications
- Patient Safety and Error Prevention
- Documentation (EMR/EHR, SOAP)
SECTION 1: THE NURSING PROCESS & CRITICAL THINKING (Questions 1–25)
QUESTION 1
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 different healthcare providers
ANSWER: C) To provide a structured approach to patient care
RATIONALE: The nursing process is a systematic framework for delivering
holistic, individualized, and effective patient-centered care[reference:2].
While it does aid communication and compliance, its primary purpose is to
guide nurses in assessing, diagnosing, planning, implementing, and
evaluating care in a structured, thoughtful manner.
QUESTION 2
1
,In which order will the nurse use the nursing process steps during the
clinical decision-making process?
A) Evaluating goals → Assessing patient needs → Planning priorities of care →
Determining nursing diagnosis → Implementing nursing interventions
B) Assessing patient needs → Determining nursing diagnosis → Planning
priorities of care → Implementing nursing interventions → Evaluating goals
C) Planning priorities of care → Assessing patient needs → Determining nursing
diagnosis → Implementing nursing interventions → Evaluating goals
D) Determining nursing diagnosis → Assessing patient needs → Planning
priorities of care → Implementing nursing interventions → Evaluating goals
ANSWER: B) Assessing → Diagnosis → Planning → Implementation → Evaluation
RATIONALE: The nursing process follows a specific order: Assessment (collect
data), Diagnosis (identify the problem), Planning (set goals and outcomes),
Implementation (take action), and Evaluation (determine if goals were
met)[reference:3].
This systematic approach ensures thorough and logical clinical reasoning.
QUESTION 3
Which patient scenario is most indicative of critical thinking by the nurse?
A) Offering pain-relief medication based solely on the healthcare 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 during the
previous shift
ANSWER: B) Asking the patient what pain-relief methods, pharmacological and
nonpharmacological, have worked in the past
RATIONALE: Critical thinking involves gathering comprehensive data,
considering patient preferences, and exploring options beyond standard
orders[reference:4]. This action individualizes care and demonstrates
thoughtful clinical reasoning rather than simply following orders or routines.
2
,QUESTION 4
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
ANSWER: D) 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[reference:5]. Refusing the assignment or
assuming care is the same would be unsafe and unprofessional.
QUESTION 5
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
ANSWER: B) Adapt the positioning technique to the situation
RATIONALE: Critical thinking involves adapting standardized procedures to meet
individual patient needs while maintaining safety and sterility[reference:6].
Rigidly following a textbook that could cause harm is not appropriate.
Postponing or deferring care without attempting an adaptation would delay
necessary treatment.
QUESTION 6
Completing a comprehensive database of patient information is done during
which phase of the nursing process?
A) Diagnosis
B) Planning
3
, C) Assessment
D) Implementation
ANSWER: C) Assessment
RATIONALE: The Assessment phase involves collecting comprehensive data about
the patient, including subjective (patient-reported) and objective
(observable/measurable) information[reference:7]. This data forms the
foundation for all subsequent phases of the nursing process.
QUESTION 7
After data collection and analysis to identify patient problems, what is the
next phase of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
ANSWER: B) Diagnosis
RATIONALE: The Diagnosis phase follows Assessment. During this phase, the
nurse
analyzes the collected data to identify actual or potential patient problems
and formulates nursing diagnoses[reference:8]. A nursing diagnosis is a
clinical judgment about the patient's response to health conditions.
QUESTION 8
Read the following nursing diagnosis: "Impaired gas exchange related to lack
of oxygen flow as evidenced by patient exhibiting shortness of breath and
nasal cannula out of patient's nose." Which part(s) identifies the defining
characteristic(s)?
A) Impaired gas exchange
B) Related to lack of oxygen flow
C) Shortness of breath and nasal cannula out of nose
D) As evidenced by
ANSWER: C) Shortness of breath and nasal cannula out of nose
4
NEWEST 2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) WITH
EXPLANATIONS |ALREADY GRADED A+|
|LATEST UPDATE!!
EXAM OVERVIEW & TEST STRUCTURE
NR 224 Fundamentals of Nursing Exam 1 covers foundational nursing concepts
including:
- The Nursing Process (ADPIE)
- Critical Thinking and Clinical Decision Making
- Infection Prevention and Control / Transmission-Based Precautions
- PPE and Medical/Surgical Asepsis
- Vital Signs and Health Assessment
- Mobility, Body Mechanics, and Immobility Complications
- Patient Safety and Error Prevention
- Documentation (EMR/EHR, SOAP)
SECTION 1: THE NURSING PROCESS & CRITICAL THINKING (Questions 1–25)
QUESTION 1
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 different healthcare providers
ANSWER: C) To provide a structured approach to patient care
RATIONALE: The nursing process is a systematic framework for delivering
holistic, individualized, and effective patient-centered care[reference:2].
While it does aid communication and compliance, its primary purpose is to
guide nurses in assessing, diagnosing, planning, implementing, and
evaluating care in a structured, thoughtful manner.
QUESTION 2
1
,In which order will the nurse use the nursing process steps during the
clinical decision-making process?
A) Evaluating goals → Assessing patient needs → Planning priorities of care →
Determining nursing diagnosis → Implementing nursing interventions
B) Assessing patient needs → Determining nursing diagnosis → Planning
priorities of care → Implementing nursing interventions → Evaluating goals
C) Planning priorities of care → Assessing patient needs → Determining nursing
diagnosis → Implementing nursing interventions → Evaluating goals
D) Determining nursing diagnosis → Assessing patient needs → Planning
priorities of care → Implementing nursing interventions → Evaluating goals
ANSWER: B) Assessing → Diagnosis → Planning → Implementation → Evaluation
RATIONALE: The nursing process follows a specific order: Assessment (collect
data), Diagnosis (identify the problem), Planning (set goals and outcomes),
Implementation (take action), and Evaluation (determine if goals were
met)[reference:3].
This systematic approach ensures thorough and logical clinical reasoning.
QUESTION 3
Which patient scenario is most indicative of critical thinking by the nurse?
A) Offering pain-relief medication based solely on the healthcare 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 during the
previous shift
ANSWER: B) Asking the patient what pain-relief methods, pharmacological and
nonpharmacological, have worked in the past
RATIONALE: Critical thinking involves gathering comprehensive data,
considering patient preferences, and exploring options beyond standard
orders[reference:4]. This action individualizes care and demonstrates
thoughtful clinical reasoning rather than simply following orders or routines.
2
,QUESTION 4
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
ANSWER: D) 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[reference:5]. Refusing the assignment or
assuming care is the same would be unsafe and unprofessional.
QUESTION 5
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
ANSWER: B) Adapt the positioning technique to the situation
RATIONALE: Critical thinking involves adapting standardized procedures to meet
individual patient needs while maintaining safety and sterility[reference:6].
Rigidly following a textbook that could cause harm is not appropriate.
Postponing or deferring care without attempting an adaptation would delay
necessary treatment.
QUESTION 6
Completing a comprehensive database of patient information is done during
which phase of the nursing process?
A) Diagnosis
B) Planning
3
, C) Assessment
D) Implementation
ANSWER: C) Assessment
RATIONALE: The Assessment phase involves collecting comprehensive data about
the patient, including subjective (patient-reported) and objective
(observable/measurable) information[reference:7]. This data forms the
foundation for all subsequent phases of the nursing process.
QUESTION 7
After data collection and analysis to identify patient problems, what is the
next phase of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
ANSWER: B) Diagnosis
RATIONALE: The Diagnosis phase follows Assessment. During this phase, the
nurse
analyzes the collected data to identify actual or potential patient problems
and formulates nursing diagnoses[reference:8]. A nursing diagnosis is a
clinical judgment about the patient's response to health conditions.
QUESTION 8
Read the following nursing diagnosis: "Impaired gas exchange related to lack
of oxygen flow as evidenced by patient exhibiting shortness of breath and
nasal cannula out of patient's nose." Which part(s) identifies the defining
characteristic(s)?
A) Impaired gas exchange
B) Related to lack of oxygen flow
C) Shortness of breath and nasal cannula out of nose
D) As evidenced by
ANSWER: C) Shortness of breath and nasal cannula out of nose
4
