NR-224\ NR 224 Fundamentals – Skills Midterm
Practice Exam VERSION 1 2025 ACCURATE REAL
EXAM QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. Which action is most appropriate when applying sterile gloves?
A. Touch the outside of the glove with a bare hand
B. Hold hands below waist level once gloved
C. Only touch the inside of the glove cuff with a bare hand
D. Put both gloves on simultaneously
Rationale: Only the inside of the glove cuff should be touched with a bare hand
to maintain sterility of the outer glove surface.
2. What is the correct sequence for removing PPE (personal protective
equipment)?
A. Gown, gloves, goggles, mask
B. Gloves, goggles, gown, mask
,C. Mask, gloves, gown, goggles
D. Goggles, gloves, mask, gown
Rationale: This order minimizes contamination: gloves (most contaminated),
then goggles, gown, and lastly the mask.
3. When performing hand hygiene with soap and water, what is the minimum
time hands should be scrubbed?
A. 10 seconds
B. 20 seconds
C. 45 seconds
D. 60 seconds
Rationale: Scrubbing for at least 20 seconds ensures removal of most transient
microorganisms.
4. What is the most accurate method to verify placement of a nasogastric (NG)
tube?
A. Injecting air and listening with a stethoscope
B. Observing for gastric aspirate
C. Checking patient’s verbal report
D. Chest x-ray confirmation
Rationale: The gold standard for NG tube placement is a radiographic (x-ray)
confirmation.
,5. Which action best reduces the risk of a catheter-associated urinary tract
infection (CAUTI)?
A. Using clean gloves when inserting the catheter
B. Inserting catheter for convenience
C. Maintaining a closed drainage system
D. Disconnecting tubing to empty the bag
Rationale: A closed drainage system prevents bacteria from entering and
causing infection.
6. Which technique promotes patient safety when transferring from bed to
wheelchair?
A. Place wheelchair directly in front of the bed
B. Use a draw sheet
C. Lock wheelchair brakes before transfer
D. Have patient push themselves up
Rationale: Locking the wheelchair ensures stability during the transfer process.
7. The nurse notes redness over a bony prominence. What is the first action?
A. Apply heat to the area
B. Reposition the patient
C. Massage the reddened area
D. Document as a Stage 2 pressure injury
, Rationale: Repositioning relieves pressure and promotes tissue perfusion;
massage is contraindicated.
8. What position should the unconscious patient be placed in for oral care?
A. Supine
B. Prone
C. High Fowler’s
D. Side-lying
Rationale: Side-lying position prevents aspiration during oral care.
9. Which method is best to prevent falls in hospitalized patients?
A. Use of a bed alarm system
B. Daily exercise
C. Keep bed in high position
D. Encourage use of the bathroom unassisted
Rationale: Bed alarms alert staff when at-risk patients attempt to get up
unsupervised.
10. What is the purpose of using a sequential compression device (SCD)?
A. Improve bowel function
B. Decrease swelling from lymphedema
C. Prevent deep vein thrombosis (DVT)
D. Promote wound healing
Practice Exam VERSION 1 2025 ACCURATE REAL
EXAM QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. Which action is most appropriate when applying sterile gloves?
A. Touch the outside of the glove with a bare hand
B. Hold hands below waist level once gloved
C. Only touch the inside of the glove cuff with a bare hand
D. Put both gloves on simultaneously
Rationale: Only the inside of the glove cuff should be touched with a bare hand
to maintain sterility of the outer glove surface.
2. What is the correct sequence for removing PPE (personal protective
equipment)?
A. Gown, gloves, goggles, mask
B. Gloves, goggles, gown, mask
,C. Mask, gloves, gown, goggles
D. Goggles, gloves, mask, gown
Rationale: This order minimizes contamination: gloves (most contaminated),
then goggles, gown, and lastly the mask.
3. When performing hand hygiene with soap and water, what is the minimum
time hands should be scrubbed?
A. 10 seconds
B. 20 seconds
C. 45 seconds
D. 60 seconds
Rationale: Scrubbing for at least 20 seconds ensures removal of most transient
microorganisms.
4. What is the most accurate method to verify placement of a nasogastric (NG)
tube?
A. Injecting air and listening with a stethoscope
B. Observing for gastric aspirate
C. Checking patient’s verbal report
D. Chest x-ray confirmation
Rationale: The gold standard for NG tube placement is a radiographic (x-ray)
confirmation.
,5. Which action best reduces the risk of a catheter-associated urinary tract
infection (CAUTI)?
A. Using clean gloves when inserting the catheter
B. Inserting catheter for convenience
C. Maintaining a closed drainage system
D. Disconnecting tubing to empty the bag
Rationale: A closed drainage system prevents bacteria from entering and
causing infection.
6. Which technique promotes patient safety when transferring from bed to
wheelchair?
A. Place wheelchair directly in front of the bed
B. Use a draw sheet
C. Lock wheelchair brakes before transfer
D. Have patient push themselves up
Rationale: Locking the wheelchair ensures stability during the transfer process.
7. The nurse notes redness over a bony prominence. What is the first action?
A. Apply heat to the area
B. Reposition the patient
C. Massage the reddened area
D. Document as a Stage 2 pressure injury
, Rationale: Repositioning relieves pressure and promotes tissue perfusion;
massage is contraindicated.
8. What position should the unconscious patient be placed in for oral care?
A. Supine
B. Prone
C. High Fowler’s
D. Side-lying
Rationale: Side-lying position prevents aspiration during oral care.
9. Which method is best to prevent falls in hospitalized patients?
A. Use of a bed alarm system
B. Daily exercise
C. Keep bed in high position
D. Encourage use of the bathroom unassisted
Rationale: Bed alarms alert staff when at-risk patients attempt to get up
unsupervised.
10. What is the purpose of using a sequential compression device (SCD)?
A. Improve bowel function
B. Decrease swelling from lymphedema
C. Prevent deep vein thrombosis (DVT)
D. Promote wound healing
