Chamberlain College of Nursing | NR 224 Fundamentals – Skills
NR 224 Fundamentals Skills Final
Comprehensive Examination 2026/2027
| Verified Questions
Chamberlain College of Nursing | NR 224 Fundamentals – Skills | University-Level Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain College of Nursing | NR 224 Fundamentals – Skills
Final Comprehensive Examination Actual Exam | Academic Year 2026/2027
NR 224 Fundamentals Skills Final Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This Final Comprehensive Examination contains 100 verified questions designed for university-level
nursing students enrolled in NR 224 Fundamentals – Skills at Chamberlain College of Nursing. The
questions are distributed equally across four core domains: Infection Control and Safety (25 questions),
Vital Signs and Physical Assessment Skills (25 questions), Medication Administration and Injection Skills
(25 questions), and Basic Care, Mobility, and Elimination Skills (25 questions). All content is original and
constructed to reinforce the official NR 224 Final Comprehensive Examination course objectives for
actual exam readiness and clinical proficiency, aligned to the 2026/2027 academic year. Each item
emphasizes safe skill performance, infection prevention, accurate assessment, and client-centered
fundamental nursing care drawn from foundational nursing skills methodology.
ACTUAL QUESTIONS
Domain 1: Infection Control and Safety
Question 1. Which action is the single most effective method for preventing the
transmission of infection in the healthcare setting?
A. Wearing a gown for every client interaction
B. Using sterile gloves for all procedures
C. Performing hand hygiene before and after client contact and after contact with potentially
contaminated surfaces
D. Administering prophylactic antibiotics to all clients
Correct Answer: C
Rationale: Hand hygiene is the cornerstone of infection prevention. Proper handwashing or use of
alcohol-based hand rub before and after contact interrupts the transmission of pathogens more
effectively than any other single measure.
Question 2. When is the use of an alcohol-based hand rub contraindicated and soap-and-
water handwashing required?
A. When hands are visibly soiled or after contact with Clostridium difficile or norovirus
B. Before entering any client room
C. After removing clean gloves
D. Before preparing oral medications
Correct Answer: A
Rationale: Alcohol-based hand rubs are ineffective against spore-forming organisms such as C. difficile
and against norovirus when hands are heavily soiled. Visible soil or known exposure to these pathogens
requires soap-and-water washing.
Question 3. Which personal protective equipment (PPE) sequence is correct when
removing contaminated items?
A. Gloves, gown, goggles, mask
B. Gown, gloves, mask, goggles
C. Mask first, then gloves
D. Gloves first, then gown, then eye protection, then mask or respirator
Correct Answer: D
Rationale: The recommended removal order begins with the most contaminated item (gloves), followed
by gown, eye protection, and finally the mask or respirator, minimizing the chance of self-
contamination.
NR 224 Fundamentals Skills Final Comprehensive Examination 2026/2027 | Verified Questions
, Question 4. A client is placed on contact precautions for vancomycin-resistant
Enterococcus. Which PPE is required upon room entry?
A. N95 respirator only
B. Gown and gloves
C. Surgical mask and eye protection only
D. No PPE if contact is brief
Correct Answer: B
Rationale: Contact precautions require gown and gloves for all interactions that may involve contact
with the client or the client’s environment to prevent transmission of organisms spread by direct or
indirect contact.
Question 5. Which statement correctly describes the purpose of standard precautions?
A. They are used for all clients regardless of diagnosis to protect against blood and body-fluid
exposure
B. They apply only to clients with known infections
C. They replace the need for hand hygiene
D. They are required only during sterile procedures
Correct Answer: A
Rationale: Standard precautions treat all blood, body fluids, secretions, excretions (except sweat), non-
intact skin, and mucous membranes as potentially infectious and are applied to every client.
Question 6. When preparing a sterile field, which action contaminates the field?
A. Opening the sterile package away from the body first
B. Keeping sterile gloved hands above the waist
C. Turning the back to the sterile field or allowing a non-sterile item to cross above it
D. Pouring sterile solution from a height of 4–6 inches
Correct Answer: C
Rationale: A sterile field is contaminated if it is out of the nurse’s line of sight, if a non-sterile object
passes over it, or if the field becomes wet. Maintaining continuous visual control and spatial separation
is essential.
Question 7. Which needle-safety device feature is designed to reduce the risk of needlestick
injury after injection?
A. A larger-gauge needle
B. A retractable or hinged needle shield that covers the needle after use
C. A reusable syringe barrel
D. A longer needle length
Correct Answer: B
Rationale: Engineered sharps-injury protection (retractable needles, hinged shields, or sliding sheaths)
covers or retracts the needle immediately after use, significantly reducing the risk of percutaneous
injury.
Question 8. A nurse sustains a needlestick injury from a used hollow-bore needle. What is
the immediate priority action?
A. Apply a tourniquet proximal to the site
B. Squeeze the wound to promote bleeding and then bandage it
C. Ignore the injury if the client is low-risk
D. Wash the site thoroughly with soap and water and report the injury according to institutional
protocol
NR 224 Fundamentals Skills Final Comprehensive Examination 2026/2027 | Verified Questions
NR 224 Fundamentals Skills Final
Comprehensive Examination 2026/2027
| Verified Questions
Chamberlain College of Nursing | NR 224 Fundamentals – Skills | University-Level Nursing Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain College of Nursing | NR 224 Fundamentals – Skills
Final Comprehensive Examination Actual Exam | Academic Year 2026/2027
NR 224 Fundamentals Skills Final Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This Final Comprehensive Examination contains 100 verified questions designed for university-level
nursing students enrolled in NR 224 Fundamentals – Skills at Chamberlain College of Nursing. The
questions are distributed equally across four core domains: Infection Control and Safety (25 questions),
Vital Signs and Physical Assessment Skills (25 questions), Medication Administration and Injection Skills
(25 questions), and Basic Care, Mobility, and Elimination Skills (25 questions). All content is original and
constructed to reinforce the official NR 224 Final Comprehensive Examination course objectives for
actual exam readiness and clinical proficiency, aligned to the 2026/2027 academic year. Each item
emphasizes safe skill performance, infection prevention, accurate assessment, and client-centered
fundamental nursing care drawn from foundational nursing skills methodology.
ACTUAL QUESTIONS
Domain 1: Infection Control and Safety
Question 1. Which action is the single most effective method for preventing the
transmission of infection in the healthcare setting?
A. Wearing a gown for every client interaction
B. Using sterile gloves for all procedures
C. Performing hand hygiene before and after client contact and after contact with potentially
contaminated surfaces
D. Administering prophylactic antibiotics to all clients
Correct Answer: C
Rationale: Hand hygiene is the cornerstone of infection prevention. Proper handwashing or use of
alcohol-based hand rub before and after contact interrupts the transmission of pathogens more
effectively than any other single measure.
Question 2. When is the use of an alcohol-based hand rub contraindicated and soap-and-
water handwashing required?
A. When hands are visibly soiled or after contact with Clostridium difficile or norovirus
B. Before entering any client room
C. After removing clean gloves
D. Before preparing oral medications
Correct Answer: A
Rationale: Alcohol-based hand rubs are ineffective against spore-forming organisms such as C. difficile
and against norovirus when hands are heavily soiled. Visible soil or known exposure to these pathogens
requires soap-and-water washing.
Question 3. Which personal protective equipment (PPE) sequence is correct when
removing contaminated items?
A. Gloves, gown, goggles, mask
B. Gown, gloves, mask, goggles
C. Mask first, then gloves
D. Gloves first, then gown, then eye protection, then mask or respirator
Correct Answer: D
Rationale: The recommended removal order begins with the most contaminated item (gloves), followed
by gown, eye protection, and finally the mask or respirator, minimizing the chance of self-
contamination.
NR 224 Fundamentals Skills Final Comprehensive Examination 2026/2027 | Verified Questions
, Question 4. A client is placed on contact precautions for vancomycin-resistant
Enterococcus. Which PPE is required upon room entry?
A. N95 respirator only
B. Gown and gloves
C. Surgical mask and eye protection only
D. No PPE if contact is brief
Correct Answer: B
Rationale: Contact precautions require gown and gloves for all interactions that may involve contact
with the client or the client’s environment to prevent transmission of organisms spread by direct or
indirect contact.
Question 5. Which statement correctly describes the purpose of standard precautions?
A. They are used for all clients regardless of diagnosis to protect against blood and body-fluid
exposure
B. They apply only to clients with known infections
C. They replace the need for hand hygiene
D. They are required only during sterile procedures
Correct Answer: A
Rationale: Standard precautions treat all blood, body fluids, secretions, excretions (except sweat), non-
intact skin, and mucous membranes as potentially infectious and are applied to every client.
Question 6. When preparing a sterile field, which action contaminates the field?
A. Opening the sterile package away from the body first
B. Keeping sterile gloved hands above the waist
C. Turning the back to the sterile field or allowing a non-sterile item to cross above it
D. Pouring sterile solution from a height of 4–6 inches
Correct Answer: C
Rationale: A sterile field is contaminated if it is out of the nurse’s line of sight, if a non-sterile object
passes over it, or if the field becomes wet. Maintaining continuous visual control and spatial separation
is essential.
Question 7. Which needle-safety device feature is designed to reduce the risk of needlestick
injury after injection?
A. A larger-gauge needle
B. A retractable or hinged needle shield that covers the needle after use
C. A reusable syringe barrel
D. A longer needle length
Correct Answer: B
Rationale: Engineered sharps-injury protection (retractable needles, hinged shields, or sliding sheaths)
covers or retracts the needle immediately after use, significantly reducing the risk of percutaneous
injury.
Question 8. A nurse sustains a needlestick injury from a used hollow-bore needle. What is
the immediate priority action?
A. Apply a tourniquet proximal to the site
B. Squeeze the wound to promote bleeding and then bandage it
C. Ignore the injury if the client is low-risk
D. Wash the site thoroughly with soap and water and report the injury according to institutional
protocol
NR 224 Fundamentals Skills Final Comprehensive Examination 2026/2027 | Verified Questions
