NR 224 Fundamentals Skills Final Exam Weeks
6-7 ACTUAL EXAM 2026/2027 | Complete
Exam-Style Questions | Verified Q&A | Pass
Guaranteed - A+ Graded
Content Area Overview
This actual examination reflects the fundamental nursing skills knowledge required for success on the
NR 224 Final Exam at Chamberlain University. The exam is designed to evaluate the student's
understanding of infection control, medication administration, wound care, catheterization, nutrition,
oxygenation, and patient safety in the clinical setting. Questions are structured to assess recall of key
procedural concepts, application of nursing interventions to clinical scenarios, and analysis of complex
patient presentations requiring prioritization and clinical judgment. This authentic question bank serves
as a comprehensive resource for nursing students demonstrating mastery of fundamental nursing skills
content for the 2026/2027 academic year.
Section I: Infection Control and Asepsis (8 Questions)
Q1. A nurse is preparing to insert a urinary catheter using sterile technique. The sterile field becomes
contaminated when the nurse's non-sterile glove touches the inner surface of the sterile drape. Which
action is most appropriate?
A. Continue the procedure since the contamination is minimal
B. Stop the procedure, discard all contaminated supplies, and restart with a new sterile kit
C. Wipe the contaminated area with an alcohol swab and continue
D. Ask the patient to hold their breath while finishing quickly
B. Stop the procedure, discard all contaminated supplies, and restart with a new sterile kit [CORRECT]
The best answer is B. Once a sterile field is contaminated, it cannot be made sterile again. Any break in
sterile technique requires discarding all contaminated items and starting over with new sterile supplies.
This protects the patient from healthcare-associated infections and maintains the integrity of the aseptic
procedure. This aligns with NR 224 principles and evidence-based nursing practice for sterile technique.
,Correct Answer: B
Q2. A patient is on Contact Precautions for methicillin-resistant Staphylococcus aureus (MRSA) in a
wound. The nurse is preparing to administer oral medications. Which personal protective equipment is
required?
A. N95 respirator and gown
B. Gown and gloves
C. Goggles and face shield only
D. No PPE is needed for medication administration
B. Gown and gloves [CORRECT]
The best answer is B. Contact Precautions require a gown and gloves for any contact with the patient or
the patient's environment. An N95 respirator is required for Airborne Precautions, and goggles/face
shields are for Droplet Precautions or procedures with splash risk. Oral medication administration does
not require additional PPE beyond gown and gloves for Contact Precautions. This matches the nursing
principle that PPE selection is based on the mode of pathogen transmission.
Correct Answer: B
Q3. A nurse is performing hand hygiene using soap and water. Which technique is most effective?
A. Apply soap, rub hands together for 10 seconds, rinse, and dry
B. Wet hands, apply soap, lather all surfaces including backs of hands, between fingers, and under nails
for at least 20 seconds, rinse, and dry thoroughly
C. Use hot water and scrub vigorously for 5 seconds
D. Rinse hands under running water without soap
B. Wet hands, apply soap, lather all surfaces including backs of hands, between fingers, and under
nails for at least 20 seconds, rinse, and dry thoroughly [CORRECT]
The best answer is B. Proper hand hygiene with soap and water requires wetting hands first, applying
soap, creating lather over all hand surfaces (palms, backs, between fingers, under nails) for at least 20
seconds, rinsing thoroughly, and drying with a clean towel or air dryer. Friction and adequate time are
essential for mechanical removal of microorganisms. This aligns with CDC hand hygiene guidelines and
NR 224 principles for infection prevention.
Correct Answer: B
, Q4. A nurse is preparing to change a sterile dressing on a central line insertion site. Which action
maintains sterile technique?
A. Opening the sterile dressing package by pulling the tabs toward the body
B. Placing the sterile supplies on the patient's bedspread after the bed has been made
C. Keeping hands above the waist level and within the visual field once sterile gloves are donned
D. Turning away from the sterile field to cough
C. Keeping hands above the waist level and within the visual field once sterile gloves are donned
[CORRECT]
The best answer is C. Sterile fields and gloved hands must be kept within the visual field and above waist
level to prevent contamination from non-sterile surfaces. Turning away from the field, reaching over the
field, or dropping hands below waist level violates sterile technique. Sterile supplies should be placed on
a clean, dry surface, not directly on the patient's bed. This matches the nursing principle that sterile
technique requires constant vigilance and proper positioning.
Correct Answer: C
Q5. A patient with Clostridioides difficile infection requires a bedpan. Which hand hygiene method is
most appropriate after removing gloves?
A. Alcohol-based hand rub
B. Soap and water
C. Either alcohol-based hand rub or soap and water
D. No hand hygiene is needed since gloves were worn
B. Soap and water [CORRECT]
The best answer is B. C. difficile spores are not killed by alcohol-based hand sanitizers. Soap and water
with mechanical friction are required to physically remove the spores from hands. This is a specific
exception to the general preference for alcohol-based hand rub. The nurse should also wear gloves
when handling the bedpan and perform hand hygiene after glove removal. This aligns with CDC
guidelines for C. difficile infection control.
Correct Answer: B
Q6. A nurse is donning personal protective equipment to enter a room with a patient on Droplet
Precautions. Which is the correct sequence?
A. Gown, mask, goggles, gloves
B. Mask, gown, goggles, gloves
6-7 ACTUAL EXAM 2026/2027 | Complete
Exam-Style Questions | Verified Q&A | Pass
Guaranteed - A+ Graded
Content Area Overview
This actual examination reflects the fundamental nursing skills knowledge required for success on the
NR 224 Final Exam at Chamberlain University. The exam is designed to evaluate the student's
understanding of infection control, medication administration, wound care, catheterization, nutrition,
oxygenation, and patient safety in the clinical setting. Questions are structured to assess recall of key
procedural concepts, application of nursing interventions to clinical scenarios, and analysis of complex
patient presentations requiring prioritization and clinical judgment. This authentic question bank serves
as a comprehensive resource for nursing students demonstrating mastery of fundamental nursing skills
content for the 2026/2027 academic year.
Section I: Infection Control and Asepsis (8 Questions)
Q1. A nurse is preparing to insert a urinary catheter using sterile technique. The sterile field becomes
contaminated when the nurse's non-sterile glove touches the inner surface of the sterile drape. Which
action is most appropriate?
A. Continue the procedure since the contamination is minimal
B. Stop the procedure, discard all contaminated supplies, and restart with a new sterile kit
C. Wipe the contaminated area with an alcohol swab and continue
D. Ask the patient to hold their breath while finishing quickly
B. Stop the procedure, discard all contaminated supplies, and restart with a new sterile kit [CORRECT]
The best answer is B. Once a sterile field is contaminated, it cannot be made sterile again. Any break in
sterile technique requires discarding all contaminated items and starting over with new sterile supplies.
This protects the patient from healthcare-associated infections and maintains the integrity of the aseptic
procedure. This aligns with NR 224 principles and evidence-based nursing practice for sterile technique.
,Correct Answer: B
Q2. A patient is on Contact Precautions for methicillin-resistant Staphylococcus aureus (MRSA) in a
wound. The nurse is preparing to administer oral medications. Which personal protective equipment is
required?
A. N95 respirator and gown
B. Gown and gloves
C. Goggles and face shield only
D. No PPE is needed for medication administration
B. Gown and gloves [CORRECT]
The best answer is B. Contact Precautions require a gown and gloves for any contact with the patient or
the patient's environment. An N95 respirator is required for Airborne Precautions, and goggles/face
shields are for Droplet Precautions or procedures with splash risk. Oral medication administration does
not require additional PPE beyond gown and gloves for Contact Precautions. This matches the nursing
principle that PPE selection is based on the mode of pathogen transmission.
Correct Answer: B
Q3. A nurse is performing hand hygiene using soap and water. Which technique is most effective?
A. Apply soap, rub hands together for 10 seconds, rinse, and dry
B. Wet hands, apply soap, lather all surfaces including backs of hands, between fingers, and under nails
for at least 20 seconds, rinse, and dry thoroughly
C. Use hot water and scrub vigorously for 5 seconds
D. Rinse hands under running water without soap
B. Wet hands, apply soap, lather all surfaces including backs of hands, between fingers, and under
nails for at least 20 seconds, rinse, and dry thoroughly [CORRECT]
The best answer is B. Proper hand hygiene with soap and water requires wetting hands first, applying
soap, creating lather over all hand surfaces (palms, backs, between fingers, under nails) for at least 20
seconds, rinsing thoroughly, and drying with a clean towel or air dryer. Friction and adequate time are
essential for mechanical removal of microorganisms. This aligns with CDC hand hygiene guidelines and
NR 224 principles for infection prevention.
Correct Answer: B
, Q4. A nurse is preparing to change a sterile dressing on a central line insertion site. Which action
maintains sterile technique?
A. Opening the sterile dressing package by pulling the tabs toward the body
B. Placing the sterile supplies on the patient's bedspread after the bed has been made
C. Keeping hands above the waist level and within the visual field once sterile gloves are donned
D. Turning away from the sterile field to cough
C. Keeping hands above the waist level and within the visual field once sterile gloves are donned
[CORRECT]
The best answer is C. Sterile fields and gloved hands must be kept within the visual field and above waist
level to prevent contamination from non-sterile surfaces. Turning away from the field, reaching over the
field, or dropping hands below waist level violates sterile technique. Sterile supplies should be placed on
a clean, dry surface, not directly on the patient's bed. This matches the nursing principle that sterile
technique requires constant vigilance and proper positioning.
Correct Answer: C
Q5. A patient with Clostridioides difficile infection requires a bedpan. Which hand hygiene method is
most appropriate after removing gloves?
A. Alcohol-based hand rub
B. Soap and water
C. Either alcohol-based hand rub or soap and water
D. No hand hygiene is needed since gloves were worn
B. Soap and water [CORRECT]
The best answer is B. C. difficile spores are not killed by alcohol-based hand sanitizers. Soap and water
with mechanical friction are required to physically remove the spores from hands. This is a specific
exception to the general preference for alcohol-based hand rub. The nurse should also wear gloves
when handling the bedpan and perform hand hygiene after glove removal. This aligns with CDC
guidelines for C. difficile infection control.
Correct Answer: B
Q6. A nurse is donning personal protective equipment to enter a room with a patient on Droplet
Precautions. Which is the correct sequence?
A. Gown, mask, goggles, gloves
B. Mask, gown, goggles, gloves
