NR 224 Fundamentals Skills Exam 2 Actual
2026/2027 – 100% Verified | Detailed Rationales
Pass Guaranteed – A+ Graded
Content Area Overview
This actual examination reflects the essential nursing skills knowledge required for success on the
Chamberlain University NR 224 Exam 2. The exam focuses on mobility and body mechanics, tissue
integrity and wound care, oxygenation and respiratory management, elimination, perfusion, and
medication administration. Questions are structured to assess recall of key concepts, application of
nursing skills to patient scenarios, and analysis of patient conditions requiring clinical judgment. This
authentic question bank serves as a comprehensive resource for foundational nursing students
demonstrating mastery of fundamental nursing skills content for the 2026/2027 academic year.
Section 1: Mobility & Body Mechanics (8 Questions)
Q1. A nurse is preparing to transfer a patient from the bed to a wheelchair. Which action demonstrates
proper body mechanics?
A. The nurse bends at the waist to lift the patient
B. The nurse keeps feet apart, bends at the knees, and uses leg muscles to lift
C. The nurse twists at the trunk while holding the patient
D. The nurse stands on tiptoes to gain leverage
B. The nurse keeps feet apart, bends at the knees, and uses leg muscles to lift [CORRECT]
The best answer is B. Proper body mechanics require a wide base of support, bending at the knees (not
the waist), keeping the back straight, and using the large muscles of the legs to do the lifting. This
protects the nurse from back injury. Bending at the waist (A), twisting (C), and standing on tiptoes (D) all
increase the risk of musculoskeletal injury and violate fundamental principles of safe patient handling.
Correct Answer: B
,Q2. A patient is learning to use a walker after hip replacement surgery. Which gait pattern is most
appropriate for this patient?
A. Swing-through gait
B. Two-point gait
C. Four-point gait
D. Swing-to gait
D. Swing-to gait [CORRECT]
The best answer is D. The swing-to gait is most appropriate for patients with lower extremity weakness
or after hip replacement because the patient advances both legs to the walker rather than past it,
reducing the risk of hip flexion beyond safe limits and providing greater stability. Swing-through (A)
advances legs past the walker and requires more strength and balance. Two-point (B) and four-point (C)
gaits are used with canes or crutches, not typically with walkers post-hip surgery.
Correct Answer: D
Q3. A patient who has been on bed rest for 5 days stands up and reports feeling dizzy. The nurse checks
orthostatic vital signs and finds the blood pressure dropped from 142/88 mmHg supine to 118/74 mmHg
standing within 3 minutes. Which conclusion is most accurate?
A. The blood pressure change is within normal limits
B. The patient has orthostatic hypotension requiring intervention
C. The patient is experiencing anxiety, not a physiological problem
D. The blood pressure drop is expected and requires no action
B. The patient has orthostatic hypotension requiring intervention [CORRECT]
The best answer is B. Orthostatic hypotension is defined as a drop in systolic BP of ≥20 mmHg or
diastolic BP of ≥10 mmHg within 3 minutes of standing. This patient's systolic dropped 24 mmHg and
diastolic dropped 14 mmHg, meeting criteria. This is a significant finding in a patient on prolonged bed
rest and requires interventions such as gradual position changes, compression stockings, and increased
fluid intake. Dismissing it as normal or anxiety would be unsafe.
Correct Answer: B
Q4. A nurse is performing passive range of motion (ROM) exercises on an immobilized patient. Which
statement best describes the purpose of passive ROM?
A. To increase muscle strength through resistance
B. To maintain joint flexibility and prevent contractures when the patient cannot move independently
, C. To improve cardiovascular endurance
D. To build bone density through weight-bearing activity
B. To maintain joint flexibility and prevent contractures when the patient cannot move independently
[CORRECT]
The best answer is B. Passive ROM is performed by the nurse or therapist without patient effort to
maintain joint mobility, prevent contractures, and preserve flexibility in patients who are unable to
move on their own. It does not increase strength (A)—that requires active or resistive exercise.
Cardiovascular endurance (C) and bone density (D) require active, weight-bearing activities that passive
ROM cannot provide.
Correct Answer: B
Q5. A patient has been on strict bed rest for 10 days following spinal surgery. Which complication is the
nurse most concerned about regarding the cardiovascular system?
A. Hypertension
B. Orthostatic hypotension and thrombus formation
C. Tachycardia at rest
D. Increased cardiac output
B. Orthostatic hypotension and thrombus formation [CORRECT]
The best answer is B. Prolonged immobility causes venous stasis, hypercoagulability, and decreased
muscle pump action, all of which increase the risk of deep vein thrombosis. Additionally, deconditioning
of the cardiovascular system leads to orthostatic hypotension when the patient eventually stands.
Hypertension (A), resting tachycardia (C), and increased cardiac output (D) are not typical cardiovascular
complications of immobility.
Correct Answer: B
Q6. A nurse is positioning a patient in Fowler's position. Which description is most accurate?
A. The patient is lying flat on their back with legs elevated
B. The head of the bed is elevated 45–60 degrees
C. The patient is lying on their side with the head flat
D. The head of the bed is lowered and the foot is elevated
B. The head of the bed is elevated 45–60 degrees [CORRECT]
The best answer is B. Fowler's position involves elevating the head of the bed 45–60 degrees, which
promotes lung expansion, reduces abdominal pressure on the diaphragm, and is useful for patients with
2026/2027 – 100% Verified | Detailed Rationales
Pass Guaranteed – A+ Graded
Content Area Overview
This actual examination reflects the essential nursing skills knowledge required for success on the
Chamberlain University NR 224 Exam 2. The exam focuses on mobility and body mechanics, tissue
integrity and wound care, oxygenation and respiratory management, elimination, perfusion, and
medication administration. Questions are structured to assess recall of key concepts, application of
nursing skills to patient scenarios, and analysis of patient conditions requiring clinical judgment. This
authentic question bank serves as a comprehensive resource for foundational nursing students
demonstrating mastery of fundamental nursing skills content for the 2026/2027 academic year.
Section 1: Mobility & Body Mechanics (8 Questions)
Q1. A nurse is preparing to transfer a patient from the bed to a wheelchair. Which action demonstrates
proper body mechanics?
A. The nurse bends at the waist to lift the patient
B. The nurse keeps feet apart, bends at the knees, and uses leg muscles to lift
C. The nurse twists at the trunk while holding the patient
D. The nurse stands on tiptoes to gain leverage
B. The nurse keeps feet apart, bends at the knees, and uses leg muscles to lift [CORRECT]
The best answer is B. Proper body mechanics require a wide base of support, bending at the knees (not
the waist), keeping the back straight, and using the large muscles of the legs to do the lifting. This
protects the nurse from back injury. Bending at the waist (A), twisting (C), and standing on tiptoes (D) all
increase the risk of musculoskeletal injury and violate fundamental principles of safe patient handling.
Correct Answer: B
,Q2. A patient is learning to use a walker after hip replacement surgery. Which gait pattern is most
appropriate for this patient?
A. Swing-through gait
B. Two-point gait
C. Four-point gait
D. Swing-to gait
D. Swing-to gait [CORRECT]
The best answer is D. The swing-to gait is most appropriate for patients with lower extremity weakness
or after hip replacement because the patient advances both legs to the walker rather than past it,
reducing the risk of hip flexion beyond safe limits and providing greater stability. Swing-through (A)
advances legs past the walker and requires more strength and balance. Two-point (B) and four-point (C)
gaits are used with canes or crutches, not typically with walkers post-hip surgery.
Correct Answer: D
Q3. A patient who has been on bed rest for 5 days stands up and reports feeling dizzy. The nurse checks
orthostatic vital signs and finds the blood pressure dropped from 142/88 mmHg supine to 118/74 mmHg
standing within 3 minutes. Which conclusion is most accurate?
A. The blood pressure change is within normal limits
B. The patient has orthostatic hypotension requiring intervention
C. The patient is experiencing anxiety, not a physiological problem
D. The blood pressure drop is expected and requires no action
B. The patient has orthostatic hypotension requiring intervention [CORRECT]
The best answer is B. Orthostatic hypotension is defined as a drop in systolic BP of ≥20 mmHg or
diastolic BP of ≥10 mmHg within 3 minutes of standing. This patient's systolic dropped 24 mmHg and
diastolic dropped 14 mmHg, meeting criteria. This is a significant finding in a patient on prolonged bed
rest and requires interventions such as gradual position changes, compression stockings, and increased
fluid intake. Dismissing it as normal or anxiety would be unsafe.
Correct Answer: B
Q4. A nurse is performing passive range of motion (ROM) exercises on an immobilized patient. Which
statement best describes the purpose of passive ROM?
A. To increase muscle strength through resistance
B. To maintain joint flexibility and prevent contractures when the patient cannot move independently
, C. To improve cardiovascular endurance
D. To build bone density through weight-bearing activity
B. To maintain joint flexibility and prevent contractures when the patient cannot move independently
[CORRECT]
The best answer is B. Passive ROM is performed by the nurse or therapist without patient effort to
maintain joint mobility, prevent contractures, and preserve flexibility in patients who are unable to
move on their own. It does not increase strength (A)—that requires active or resistive exercise.
Cardiovascular endurance (C) and bone density (D) require active, weight-bearing activities that passive
ROM cannot provide.
Correct Answer: B
Q5. A patient has been on strict bed rest for 10 days following spinal surgery. Which complication is the
nurse most concerned about regarding the cardiovascular system?
A. Hypertension
B. Orthostatic hypotension and thrombus formation
C. Tachycardia at rest
D. Increased cardiac output
B. Orthostatic hypotension and thrombus formation [CORRECT]
The best answer is B. Prolonged immobility causes venous stasis, hypercoagulability, and decreased
muscle pump action, all of which increase the risk of deep vein thrombosis. Additionally, deconditioning
of the cardiovascular system leads to orthostatic hypotension when the patient eventually stands.
Hypertension (A), resting tachycardia (C), and increased cardiac output (D) are not typical cardiovascular
complications of immobility.
Correct Answer: B
Q6. A nurse is positioning a patient in Fowler's position. Which description is most accurate?
A. The patient is lying flat on their back with legs elevated
B. The head of the bed is elevated 45–60 degrees
C. The patient is lying on their side with the head flat
D. The head of the bed is lowered and the foot is elevated
B. The head of the bed is elevated 45–60 degrees [CORRECT]
The best answer is B. Fowler's position involves elevating the head of the bed 45–60 degrees, which
promotes lung expansion, reduces abdominal pressure on the diaphragm, and is useful for patients with
