NR 224 FUNDAMENTALS – SKILLS COMPREHENSIVE
EXAMINATION – CHAMBERLAIN COLLEGE OF
NURSING
QUESTIONS 1–150
1. Which action should the nurse perform first when entering a
patient's room?
A. Begin the physical assessment
B. Verify the patient's identity
C. Administer prescribed medications
D. Document the patient's condition
Answer: B. Verify the patient's identity
Rationale: Correct patient identification is essential before providing
care, administering medications, collecting specimens, or performing
procedures.
2. Which identifiers are appropriate for confirming a patient's
identity?
A. Room number and diagnosis
B. Name and room number
C. Name and date of birth
D. Diagnosis and physician's name
Answer: C. Name and date of birth
Rationale: Two approved patient identifiers, such as name and date of
birth, should be used. Room number should not be used as an identifier.
3. What is the most effective method for preventing healthcare-
associated infections?
A. Wearing a mask for every patient
B. Performing hand hygiene
,C. Using sterile gloves for all procedures
D. Giving antibiotics routinely
Answer: B. Performing hand hygiene
Rationale: Proper hand hygiene is one of the most important measures
for preventing transmission of infection.
4. When should the nurse perform hand hygiene?
A. Only after patient contact
B. Before and after patient contact
C. Only when hands appear dirty
D. At the end of the shift only
Answer: B. Before and after patient contact
Rationale: Hand hygiene should be performed at appropriate points
before and after patient contact and according to the procedure being
performed.
5. Which situation requires soap and water rather than alcohol-
based hand sanitizer?
A. Hands are visibly soiled
B. Before taking a blood pressure
C. After touching intact skin
D. Before entering a patient's room
Answer: A. Hands are visibly soiled
Rationale: Soap and water should be used when hands are visibly dirty
or contaminated and in certain specific infectious situations.
6. Which personal protective equipment is appropriate when a
procedure may cause contact with blood?
A. Gloves
B. Shoe covers only
,C. Hair cover only
D. No protection
Answer: A. Gloves
Rationale: Gloves protect the nurse's hands from contact with blood and
other potentially infectious materials.
7. Which precaution is appropriate for a patient with suspected
tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective isolation only
Answer: C. Airborne precautions
Rationale: Tuberculosis is transmitted through airborne particles and
requires appropriate airborne infection-control measures.
8. Which type of mask is generally required for airborne
precautions?
A. Surgical mask only
B. Fit-tested respirator
C. Cloth mask
D. Face shield only
Answer: B. Fit-tested respirator
Rationale: A properly fitted respirator such as an N95 or equivalent is
used for airborne precautions when indicated.
9. Which disease commonly requires droplet precautions?
A. Influenza
B. Tuberculosis
, C. Measles
D. Chickenpox
Answer: A. Influenza
Rationale: Influenza is primarily transmitted through respiratory
droplets and generally requires droplet precautions in addition to
standard precautions.
10. Which disease commonly requires contact precautions?
A. Clostridioides difficile infection
B. Pulmonary tuberculosis
C. Measles
D. Varicella
Answer: A. Clostridioides difficile infection
Rationale: C. difficile requires contact precautions, with soap-and-water
hand hygiene especially important because alcohol-based products do
not reliably eliminate spores.
11. What is the purpose of sterile technique?
A. Reduce patient anxiety
B. Prevent introduction of microorganisms into a sterile area
C. Improve patient comfort
D. Reduce medication costs
Answer: B. Prevent introduction of microorganisms into a sterile area
Rationale: Sterile technique maintains an area free from
microorganisms during procedures that require sterility.
12. Which action contaminates a sterile field?
A. Keeping sterile items above waist level
B. Touching sterile supplies with sterile gloves
EXAMINATION – CHAMBERLAIN COLLEGE OF
NURSING
QUESTIONS 1–150
1. Which action should the nurse perform first when entering a
patient's room?
A. Begin the physical assessment
B. Verify the patient's identity
C. Administer prescribed medications
D. Document the patient's condition
Answer: B. Verify the patient's identity
Rationale: Correct patient identification is essential before providing
care, administering medications, collecting specimens, or performing
procedures.
2. Which identifiers are appropriate for confirming a patient's
identity?
A. Room number and diagnosis
B. Name and room number
C. Name and date of birth
D. Diagnosis and physician's name
Answer: C. Name and date of birth
Rationale: Two approved patient identifiers, such as name and date of
birth, should be used. Room number should not be used as an identifier.
3. What is the most effective method for preventing healthcare-
associated infections?
A. Wearing a mask for every patient
B. Performing hand hygiene
,C. Using sterile gloves for all procedures
D. Giving antibiotics routinely
Answer: B. Performing hand hygiene
Rationale: Proper hand hygiene is one of the most important measures
for preventing transmission of infection.
4. When should the nurse perform hand hygiene?
A. Only after patient contact
B. Before and after patient contact
C. Only when hands appear dirty
D. At the end of the shift only
Answer: B. Before and after patient contact
Rationale: Hand hygiene should be performed at appropriate points
before and after patient contact and according to the procedure being
performed.
5. Which situation requires soap and water rather than alcohol-
based hand sanitizer?
A. Hands are visibly soiled
B. Before taking a blood pressure
C. After touching intact skin
D. Before entering a patient's room
Answer: A. Hands are visibly soiled
Rationale: Soap and water should be used when hands are visibly dirty
or contaminated and in certain specific infectious situations.
6. Which personal protective equipment is appropriate when a
procedure may cause contact with blood?
A. Gloves
B. Shoe covers only
,C. Hair cover only
D. No protection
Answer: A. Gloves
Rationale: Gloves protect the nurse's hands from contact with blood and
other potentially infectious materials.
7. Which precaution is appropriate for a patient with suspected
tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective isolation only
Answer: C. Airborne precautions
Rationale: Tuberculosis is transmitted through airborne particles and
requires appropriate airborne infection-control measures.
8. Which type of mask is generally required for airborne
precautions?
A. Surgical mask only
B. Fit-tested respirator
C. Cloth mask
D. Face shield only
Answer: B. Fit-tested respirator
Rationale: A properly fitted respirator such as an N95 or equivalent is
used for airborne precautions when indicated.
9. Which disease commonly requires droplet precautions?
A. Influenza
B. Tuberculosis
, C. Measles
D. Chickenpox
Answer: A. Influenza
Rationale: Influenza is primarily transmitted through respiratory
droplets and generally requires droplet precautions in addition to
standard precautions.
10. Which disease commonly requires contact precautions?
A. Clostridioides difficile infection
B. Pulmonary tuberculosis
C. Measles
D. Varicella
Answer: A. Clostridioides difficile infection
Rationale: C. difficile requires contact precautions, with soap-and-water
hand hygiene especially important because alcohol-based products do
not reliably eliminate spores.
11. What is the purpose of sterile technique?
A. Reduce patient anxiety
B. Prevent introduction of microorganisms into a sterile area
C. Improve patient comfort
D. Reduce medication costs
Answer: B. Prevent introduction of microorganisms into a sterile area
Rationale: Sterile technique maintains an area free from
microorganisms during procedures that require sterility.
12. Which action contaminates a sterile field?
A. Keeping sterile items above waist level
B. Touching sterile supplies with sterile gloves
