NR-224\ NR 224 Fundamentals – Skills Final
Practice Exam VERSION 2 2025 ACCURATE
REAL EXAM QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. Which site is most appropriate for administering a 0.5 mL intramuscular
injection to an infant?
A. Deltoid
B. Vastus lateralis
C. Dorsogluteal
D. Abdomen
Rationale: The vastus lateralis is the preferred site for IM injections in infants
due to adequate muscle development and low risk of injury to nerves or blood
vessels.
2. What is the correct angle to insert a subcutaneous injection needle?
,A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 30 degrees
Rationale: A 45-degree angle is appropriate for most subcutaneous injections,
though a 90-degree angle can be used with shorter needles or more
subcutaneous tissue.
3. Which action best reduces the risk of catheter-associated urinary tract
infection (CAUTI)?
A. Irrigating the catheter every shift
B. Maintaining a closed drainage system
C. Applying antibiotic ointment to the meatus
D. Changing the catheter daily
Rationale: Maintaining a closed drainage system minimizes the introduction of
pathogens, reducing the risk of CAUTI.
4. When should a nurse perform hand hygiene during patient care?
A. Only after contact with blood
B. Only after removing gloves
C. Before and after any patient contact
D. Only when entering isolation rooms
,Rationale: Hand hygiene should be performed before and after any patient
interaction to prevent the spread of infection.
5. Which technique is correct for donning sterile gloves?
A. Touch the outside of the glove with your bare hand
B. Touch only the inside cuff with your bare hand
C. Pull gloves on using the outside edge
D. Use sterile forceps to don gloves
Rationale: Touching only the inside of the cuff ensures the outside remains
sterile during the donning process.
6. A patient is on aspiration precautions. Which intervention is appropriate?
A. Provide thin liquids only
B. Keep patient upright during and after meals
C. Encourage large bites
D. Feed patient lying in bed
Rationale: Keeping the patient upright reduces the risk of aspiration by
promoting proper swallowing and digestion.
7. Which nursing action is correct when applying a condom catheter?
A. Shave the perineal area
B. Leave a 1–2 inch space between the penis tip and catheter
, C. Apply adhesive tape around the shaft
D. Pull catheter tightly to secure
Rationale: A 1–2 inch space prevents pressure and irritation at the urethral
meatus.
8. What is the first step in removing PPE after leaving an isolation room?
A. Remove mask
B. Remove gloves
C. Remove gloves
D. Wash hands
Rationale: Gloves are typically the most contaminated and should be removed
first to prevent the spread of pathogens.
9. How often should IV tubing be changed for continuous infusions?
A. Every 72 hours
B. Every 12 hours
C. Every 96 hours
D. Only when contaminated
Rationale: CDC guidelines recommend changing IV tubing no more frequently
than every 96 hours for continuous infusions unless contamination occurs.
10. A nurse documents a pressure ulcer with exposed bone. What stage is it?
Practice Exam VERSION 2 2025 ACCURATE
REAL EXAM QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. Which site is most appropriate for administering a 0.5 mL intramuscular
injection to an infant?
A. Deltoid
B. Vastus lateralis
C. Dorsogluteal
D. Abdomen
Rationale: The vastus lateralis is the preferred site for IM injections in infants
due to adequate muscle development and low risk of injury to nerves or blood
vessels.
2. What is the correct angle to insert a subcutaneous injection needle?
,A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 30 degrees
Rationale: A 45-degree angle is appropriate for most subcutaneous injections,
though a 90-degree angle can be used with shorter needles or more
subcutaneous tissue.
3. Which action best reduces the risk of catheter-associated urinary tract
infection (CAUTI)?
A. Irrigating the catheter every shift
B. Maintaining a closed drainage system
C. Applying antibiotic ointment to the meatus
D. Changing the catheter daily
Rationale: Maintaining a closed drainage system minimizes the introduction of
pathogens, reducing the risk of CAUTI.
4. When should a nurse perform hand hygiene during patient care?
A. Only after contact with blood
B. Only after removing gloves
C. Before and after any patient contact
D. Only when entering isolation rooms
,Rationale: Hand hygiene should be performed before and after any patient
interaction to prevent the spread of infection.
5. Which technique is correct for donning sterile gloves?
A. Touch the outside of the glove with your bare hand
B. Touch only the inside cuff with your bare hand
C. Pull gloves on using the outside edge
D. Use sterile forceps to don gloves
Rationale: Touching only the inside of the cuff ensures the outside remains
sterile during the donning process.
6. A patient is on aspiration precautions. Which intervention is appropriate?
A. Provide thin liquids only
B. Keep patient upright during and after meals
C. Encourage large bites
D. Feed patient lying in bed
Rationale: Keeping the patient upright reduces the risk of aspiration by
promoting proper swallowing and digestion.
7. Which nursing action is correct when applying a condom catheter?
A. Shave the perineal area
B. Leave a 1–2 inch space between the penis tip and catheter
, C. Apply adhesive tape around the shaft
D. Pull catheter tightly to secure
Rationale: A 1–2 inch space prevents pressure and irritation at the urethral
meatus.
8. What is the first step in removing PPE after leaving an isolation room?
A. Remove mask
B. Remove gloves
C. Remove gloves
D. Wash hands
Rationale: Gloves are typically the most contaminated and should be removed
first to prevent the spread of pathogens.
9. How often should IV tubing be changed for continuous infusions?
A. Every 72 hours
B. Every 12 hours
C. Every 96 hours
D. Only when contaminated
Rationale: CDC guidelines recommend changing IV tubing no more frequently
than every 96 hours for continuous infusions unless contamination occurs.
10. A nurse documents a pressure ulcer with exposed bone. What stage is it?
