NR 224 | Final Practice Examination Page 1
, NR 224 FINAL EXAM
Fundamentals - Skills
Chamberlain University
100-Question Original Practice Examination
2026/2027 Edition
1. Before entering a room to assess an alert patient, which action should the nurse perform to reduce transmission risk?
A) Put on sterile gloves for every interaction
B) Perform appropriate hand hygiene
C) Disinfect the patient's intact skin
D) Use an N95 respirator for every encounter
Correct Answer: Perform appropriate hand hygiene
Rationale: Hand hygiene is a foundational Standard Precaution before patient contact. Gloves and respirators depend on
anticipated exposure and transmission risks. Gloves do not substitute for cleaning hands, and routine assessment of intact skin
does not require sterile technique.
2. Following care for a patient with suspected Clostridioides difficile diarrhea, what hand-cleaning method is particularly
important?
A) Wipe hands with a dry towel
B) Rely exclusively on alcohol rub despite visible soil
C) Use only clean gloves without hand hygiene
D) Wash with soap and water when indicated by facility outbreak guidance
Correct Answer: Wash with soap and water when indicated by facility outbreak guidance
Rationale: C. difficile spores resist alcohol-based hand rubs more than many organisms. Soap-and-water washing mechanically
removes spores and is emphasized during outbreaks and after relevant care.
Gloves, environmental cleaning, and contact precautions remain essential.
3. While removing contaminated personal protective equipment, the nurse notices a glove torn during care. What
should happen before touching a clean supply?
A) Remove gloves safely and perform hand hygiene
B) Put a second glove over the torn glove
C) Rinse the torn glove and continue
NR 224 | Final Practice Examination Page 2
, D) Touch the clean supply to avoid delays
Correct Answer: Remove gloves safely and perform hand hygiene
Rationale: A torn glove compromises the barrier and may contaminate hands. Safe removal followed by hand hygiene prevents
transfer to clean items. Replacement gloves may be necessary for further exposure-prone care, but they are not a substitute for
hand hygiene.
4. During a sterile dressing change, a sterile gloved hand touches the bedrail. What is the best next step?
A) Spray the glove with disinfectant
B) Replace the contaminated glove before proceeding
C) Continue because the patient owns the bedrail
D) Ignore contact unless visible soil is present
Correct Answer: Replace the contaminated glove before proceeding
Rationale: The bedrail is not a sterile surface. Contact contaminates the sterile glove even if the rail appears clean. Preserving
asepsis requires replacing the glove and any affected supplies rather than trying to disinfect worn sterile gloves.
5. An opened sterile package lies below the nurse's waist while supplies are prepared.
How should the field be treated?
A) Move it above the waist and continue
B) Assume it remains sterile because nobody touched it
C) Cover it with a clean towel and use it
D) Consider it contaminated and prepare a new sterile setup
Correct Answer: Consider it contaminated and prepare a new sterile setup
Rationale: Items outside continuous visual control or below waist level are generally considered contaminated in sterile
technique. A new setup protects against introducing microorganisms into a wound. Apparent cleanliness does not establish
sterility.
6. When placing a sterile object on a draped sterile field, which portion is considered contaminated?
A) The outer one-inch border of the field
B) Every item placed by sterile forceps
C) The entire central working area
D) The inside of an unopened sterile package
NR 224 | Final Practice Examination Page 3
, Correct Answer: The outer one-inch border of the field
Rationale: The outer edge of a sterile field is considered nonsterile because safe opening cannot maintain sterility there. Supplies
belong in the central area. The exact technique follows organizational policy and the type of sterile procedure.
7. An inpatient requires airborne precautions for suspected pulmonary tuberculosis.
Which room and respiratory protection are appropriate?
A) Ordinary room with only clean gloves
B) Positive-pressure room and surgical cap
C) Airborne infection isolation room and fit-tested N95 or higher protection
D) No room controls if the patient wears a gown
Correct Answer: Airborne infection isolation room and fit-tested N95 or higher protection
Rationale: Tuberculosis can spread through airborne particles. Negative-pressure airborne infection isolation and appropriate
respirator use reduce exposure. A patient may wear a medical mask during essential transport, but this does not replace staff
respiratory protection.
8. A patient with influenza-like illness is placed on droplet precautions. Which practice is most relevant for close routine
care?
A) Place every patient in a positive-pressure room
B) Wear a medical mask according to droplet guidance
C) Use only a sterile surgical gown
D) Eliminate all hand hygiene
Correct Answer: Wear a medical mask according to droplet guidance
Rationale: Droplet precautions supplement Standard Precautions by protecting against respiratory droplets at close range. A
medical mask is commonly required on room entry or close contact under policy. Hand hygiene and other exposure-based
equipment are still necessary.
9. A nurse must enter the room of a patient with a draining multidrug-resistant wound under contact precautions. What
practice best limits spread?
A) Touch hallway surfaces with contaminated gloves
B) Carry shared equipment between rooms without disinfection
C) Use gown and gloves as indicated and dedicate equipment when feasible
D) Wear a mask only and omit gloves
NR 224 | Final Practice Examination Page 4
, NR 224 FINAL EXAM
Fundamentals - Skills
Chamberlain University
100-Question Original Practice Examination
2026/2027 Edition
1. Before entering a room to assess an alert patient, which action should the nurse perform to reduce transmission risk?
A) Put on sterile gloves for every interaction
B) Perform appropriate hand hygiene
C) Disinfect the patient's intact skin
D) Use an N95 respirator for every encounter
Correct Answer: Perform appropriate hand hygiene
Rationale: Hand hygiene is a foundational Standard Precaution before patient contact. Gloves and respirators depend on
anticipated exposure and transmission risks. Gloves do not substitute for cleaning hands, and routine assessment of intact skin
does not require sterile technique.
2. Following care for a patient with suspected Clostridioides difficile diarrhea, what hand-cleaning method is particularly
important?
A) Wipe hands with a dry towel
B) Rely exclusively on alcohol rub despite visible soil
C) Use only clean gloves without hand hygiene
D) Wash with soap and water when indicated by facility outbreak guidance
Correct Answer: Wash with soap and water when indicated by facility outbreak guidance
Rationale: C. difficile spores resist alcohol-based hand rubs more than many organisms. Soap-and-water washing mechanically
removes spores and is emphasized during outbreaks and after relevant care.
Gloves, environmental cleaning, and contact precautions remain essential.
3. While removing contaminated personal protective equipment, the nurse notices a glove torn during care. What
should happen before touching a clean supply?
A) Remove gloves safely and perform hand hygiene
B) Put a second glove over the torn glove
C) Rinse the torn glove and continue
NR 224 | Final Practice Examination Page 2
, D) Touch the clean supply to avoid delays
Correct Answer: Remove gloves safely and perform hand hygiene
Rationale: A torn glove compromises the barrier and may contaminate hands. Safe removal followed by hand hygiene prevents
transfer to clean items. Replacement gloves may be necessary for further exposure-prone care, but they are not a substitute for
hand hygiene.
4. During a sterile dressing change, a sterile gloved hand touches the bedrail. What is the best next step?
A) Spray the glove with disinfectant
B) Replace the contaminated glove before proceeding
C) Continue because the patient owns the bedrail
D) Ignore contact unless visible soil is present
Correct Answer: Replace the contaminated glove before proceeding
Rationale: The bedrail is not a sterile surface. Contact contaminates the sterile glove even if the rail appears clean. Preserving
asepsis requires replacing the glove and any affected supplies rather than trying to disinfect worn sterile gloves.
5. An opened sterile package lies below the nurse's waist while supplies are prepared.
How should the field be treated?
A) Move it above the waist and continue
B) Assume it remains sterile because nobody touched it
C) Cover it with a clean towel and use it
D) Consider it contaminated and prepare a new sterile setup
Correct Answer: Consider it contaminated and prepare a new sterile setup
Rationale: Items outside continuous visual control or below waist level are generally considered contaminated in sterile
technique. A new setup protects against introducing microorganisms into a wound. Apparent cleanliness does not establish
sterility.
6. When placing a sterile object on a draped sterile field, which portion is considered contaminated?
A) The outer one-inch border of the field
B) Every item placed by sterile forceps
C) The entire central working area
D) The inside of an unopened sterile package
NR 224 | Final Practice Examination Page 3
, Correct Answer: The outer one-inch border of the field
Rationale: The outer edge of a sterile field is considered nonsterile because safe opening cannot maintain sterility there. Supplies
belong in the central area. The exact technique follows organizational policy and the type of sterile procedure.
7. An inpatient requires airborne precautions for suspected pulmonary tuberculosis.
Which room and respiratory protection are appropriate?
A) Ordinary room with only clean gloves
B) Positive-pressure room and surgical cap
C) Airborne infection isolation room and fit-tested N95 or higher protection
D) No room controls if the patient wears a gown
Correct Answer: Airborne infection isolation room and fit-tested N95 or higher protection
Rationale: Tuberculosis can spread through airborne particles. Negative-pressure airborne infection isolation and appropriate
respirator use reduce exposure. A patient may wear a medical mask during essential transport, but this does not replace staff
respiratory protection.
8. A patient with influenza-like illness is placed on droplet precautions. Which practice is most relevant for close routine
care?
A) Place every patient in a positive-pressure room
B) Wear a medical mask according to droplet guidance
C) Use only a sterile surgical gown
D) Eliminate all hand hygiene
Correct Answer: Wear a medical mask according to droplet guidance
Rationale: Droplet precautions supplement Standard Precautions by protecting against respiratory droplets at close range. A
medical mask is commonly required on room entry or close contact under policy. Hand hygiene and other exposure-based
equipment are still necessary.
9. A nurse must enter the room of a patient with a draining multidrug-resistant wound under contact precautions. What
practice best limits spread?
A) Touch hallway surfaces with contaminated gloves
B) Carry shared equipment between rooms without disinfection
C) Use gown and gloves as indicated and dedicate equipment when feasible
D) Wear a mask only and omit gloves
NR 224 | Final Practice Examination Page 4
