NR-224 | Exam 1 | Original Practice Examination Page 1
, NR-224 EXAM 1
FUNDAMENTALS - SKILLS
CHAMBERLAIN UNIVERSITY
100-Question Original Practice Examination
2026/2027 Edition
1. The nurse enters a room after removing visibly soiled gloves. What action is most
appropriatebefore touching clean supplies?
A) Put on a second pair of gloves immediately
B) Wash hands with soap and water
C) Use a paper towel to wipe the gloves
D) Apply lotion without cleaning hands
Correct Answer: Wash hands with soap and water
Rationale: Gloves do not replace hand hygiene. Visible soil warrants soap and water, with friction and thorough
rinsing. Replacing gloves without cleaning hands can transfer organisms to the new gloves or the environment.
2. A client has sudden shortness of breath during routine vital-sign collection. What should the
nursedo first?
A) Finish recording the temperature
B) Ask the client to wait until rounds
C) Obtain a complete dietary history
D) Assess airway, breathing, and oxygenation
Correct Answer: Assess airway, breathing, and oxygenation
Rationale: Unexpected breathing difficulty requires immediate assessment using airway and breathing priorities.
Routine measurements and history can follow stabilization. Delaying assessment risks overlooking an urgent change
in respiratory status.
3. After gathering several observations, a nurse groups the findings to identify a patient problem.
Which nursing-process phase is illustrated?
A) Analysis and nursing diagnosis
B) Planning discharge supplies
C) Implementing a treatment
D) Evaluating a completed intervention
Correct Answer: Analysis and nursing diagnosis
Rationale: Analysis organizes assessment cues into meaningful patterns and supports a nursing diagnosis.
Implementation involves performing interventions, while evaluation judges the response after an intervention has
occurred.
4. A pulse oximeter reads 87% on a client with cold fingers but no distress. What is the best
initialresponse?
NR-224 | Exam 1 | Original Practice Examination Page 2
, A) Document severe hypoxemia without reassessment
B) Check probe placement and peripheral perfusion while assessing the client
C) Increase oxygen without an order or protocol
D) Discard the monitor as inaccurate
Correct Answer: Check probe placement and peripheral perfusion while assessing the client
Rationale: Pulse oximetry can be distorted by poor perfusion, motion, and probe fit. Assess the patient and validate
the signal promptly; a low number must never be dismissed without clinical evaluation.
5. While preparing an occupied bed, the nurse notices the client is near the edge. Which
actionprevents a fall?
A) Turn away to retrieve linens
B) Raise the bed to maximum height
C) Leave the client unattended while linens are changed
D) Reposition the client safely and maintain appropriate side-rail support
Correct Answer: Reposition the client safely and maintain appropriate side-rail support
Rationale: An occupied-bed procedure requires continuous awareness of the patient's position and safe support.
High bed positions and unattended movement increase fall risk, especially during turning.
6. Before a hands-on skill, a client asks why it is needed. What response best supports
informedparticipation?
A) Explain the purpose in understandable terms and invite questions
B) Say the procedure is mandatory and begin
C) Ask a roommate to explain it
D) Avoid discussing discomfort to prevent worry
Correct Answer: Explain the purpose in understandable terms and invite questions
Rationale: Patient-centered care includes an accessible explanation, opportunity for questions, and attention to the
person's preferences. A procedure should not be presented as compulsory when consent or refusal is relevant.
7. The nurse observes a new change in a client's mental status. Which documentation is most useful?
A) Write that the client is acting strangely
B) Wait until shift end and estimate the details
C) Record objective behaviors, time, and associated assessment findings
D) Document a medical diagnosis without assessment
Correct Answer: Record objective behaviors, time, and associated assessment findings
Rationale: Objective, timely descriptions allow other clinicians to interpret changes and trend data. Vague labels and
unsupported diagnoses hide clinically useful details and can lead to inappropriate conclusions.
8. A student touches the outside of a used isolation gown while removing it. What is the
appropriateresponse?
A) Continue because gown surfaces are always clean
NR-224 | Exam 1 | Original Practice Examination Page 3
, NR-224 EXAM 1
FUNDAMENTALS - SKILLS
CHAMBERLAIN UNIVERSITY
100-Question Original Practice Examination
2026/2027 Edition
1. The nurse enters a room after removing visibly soiled gloves. What action is most
appropriatebefore touching clean supplies?
A) Put on a second pair of gloves immediately
B) Wash hands with soap and water
C) Use a paper towel to wipe the gloves
D) Apply lotion without cleaning hands
Correct Answer: Wash hands with soap and water
Rationale: Gloves do not replace hand hygiene. Visible soil warrants soap and water, with friction and thorough
rinsing. Replacing gloves without cleaning hands can transfer organisms to the new gloves or the environment.
2. A client has sudden shortness of breath during routine vital-sign collection. What should the
nursedo first?
A) Finish recording the temperature
B) Ask the client to wait until rounds
C) Obtain a complete dietary history
D) Assess airway, breathing, and oxygenation
Correct Answer: Assess airway, breathing, and oxygenation
Rationale: Unexpected breathing difficulty requires immediate assessment using airway and breathing priorities.
Routine measurements and history can follow stabilization. Delaying assessment risks overlooking an urgent change
in respiratory status.
3. After gathering several observations, a nurse groups the findings to identify a patient problem.
Which nursing-process phase is illustrated?
A) Analysis and nursing diagnosis
B) Planning discharge supplies
C) Implementing a treatment
D) Evaluating a completed intervention
Correct Answer: Analysis and nursing diagnosis
Rationale: Analysis organizes assessment cues into meaningful patterns and supports a nursing diagnosis.
Implementation involves performing interventions, while evaluation judges the response after an intervention has
occurred.
4. A pulse oximeter reads 87% on a client with cold fingers but no distress. What is the best
initialresponse?
NR-224 | Exam 1 | Original Practice Examination Page 2
, A) Document severe hypoxemia without reassessment
B) Check probe placement and peripheral perfusion while assessing the client
C) Increase oxygen without an order or protocol
D) Discard the monitor as inaccurate
Correct Answer: Check probe placement and peripheral perfusion while assessing the client
Rationale: Pulse oximetry can be distorted by poor perfusion, motion, and probe fit. Assess the patient and validate
the signal promptly; a low number must never be dismissed without clinical evaluation.
5. While preparing an occupied bed, the nurse notices the client is near the edge. Which
actionprevents a fall?
A) Turn away to retrieve linens
B) Raise the bed to maximum height
C) Leave the client unattended while linens are changed
D) Reposition the client safely and maintain appropriate side-rail support
Correct Answer: Reposition the client safely and maintain appropriate side-rail support
Rationale: An occupied-bed procedure requires continuous awareness of the patient's position and safe support.
High bed positions and unattended movement increase fall risk, especially during turning.
6. Before a hands-on skill, a client asks why it is needed. What response best supports
informedparticipation?
A) Explain the purpose in understandable terms and invite questions
B) Say the procedure is mandatory and begin
C) Ask a roommate to explain it
D) Avoid discussing discomfort to prevent worry
Correct Answer: Explain the purpose in understandable terms and invite questions
Rationale: Patient-centered care includes an accessible explanation, opportunity for questions, and attention to the
person's preferences. A procedure should not be presented as compulsory when consent or refusal is relevant.
7. The nurse observes a new change in a client's mental status. Which documentation is most useful?
A) Write that the client is acting strangely
B) Wait until shift end and estimate the details
C) Record objective behaviors, time, and associated assessment findings
D) Document a medical diagnosis without assessment
Correct Answer: Record objective behaviors, time, and associated assessment findings
Rationale: Objective, timely descriptions allow other clinicians to interpret changes and trend data. Vague labels and
unsupported diagnoses hide clinically useful details and can lead to inappropriate conclusions.
8. A student touches the outside of a used isolation gown while removing it. What is the
appropriateresponse?
A) Continue because gown surfaces are always clean
NR-224 | Exam 1 | Original Practice Examination Page 3
