NR 224 FUNDAMENTALS SKILLS REVIEW EXAM
QUESTIONS AND ANSWERS (VERIFIED ANSWERS) LATEST
UPDATE 2025/2026
Tachycardia - CORRECT ANSWER A heart rate that exceeds the
normal resting rate, often defined as a heart rate over 100 beats per
minute.
Bradycardia - CORRECT ANSWER A slower than normal heart rate,
typically defined as a heart rate below 60 beats per minute.
Factors causing tachycardia - CORRECT ANSWER Exercise,
Fever/heat, Anxiety, Loss of blood, Positive chronotropic drugs.
Factors causing bradycardia - CORRECT ANSWER Hypothermia,
Long-term exercise (athletes), Unrelieved severe pain, Negative
chronotropic drugs, Lying down.
Blood pressure assessment questions - CORRECT ANSWER Have
you had AV fistulas or a mastectomy?
Cuff selection for blood pressure - CORRECT ANSWER Based on the
size of the client's arm.
,Cuff placement for blood pressure - CORRECT ANSWER Align cuff
artery mark with brachial artery.
Importance of proper cuff placement - CORRECT ANSWER Ensures
that proper pressure is applied during inflation.
Blood pressure reading action - CORRECT ANSWER Return in 30
minutes and retake the blood pressure.
Priority instruction for UAP with low platelet count - CORRECT
ANSWER Avoid rectal temperatures.
Client to see first based on vital signs - CORRECT ANSWER 88-year-
old male client admitted with pneumonia, RR 28, SPo2 89%.
Clients at risk for tachypnea - CORRECT ANSWER Client admitted
with several rib fractures, Woman who is 9 months pregnant, A 3 pack
per day smoker with pneumonia.
Risk Factors for Pressure Ulcer Development - CORRECT ANSWER -
Very thin and very obese people
-Age related changes
-Fluid loss during illness
-Moisture/fluids/stool against the skin
-Diseases of the skin
, -Immobility
-Comorbidities
Skin assessment - CORRECT ANSWER -Color
-Odor
-Consistency
-Amount
-Measurements(Length x width x depth)
-Type of tissue(granulation, eschar, slough)
Healing process - CORRECT ANSWER Primary Intention: Wound
that is closed
Secondary Intention: Wound edges not approximated
Tertiary Intention: Wound that is left open for several days; then wo
approximated
Desiccation - CORRECT ANSWER drying out
Maceration - CORRECT ANSWER Softening or breaking down the
skin due to exposure to moisture
Pressure - CORRECT ANSWER "pressure" areas of the skin that are
more at risk for breakdown
QUESTIONS AND ANSWERS (VERIFIED ANSWERS) LATEST
UPDATE 2025/2026
Tachycardia - CORRECT ANSWER A heart rate that exceeds the
normal resting rate, often defined as a heart rate over 100 beats per
minute.
Bradycardia - CORRECT ANSWER A slower than normal heart rate,
typically defined as a heart rate below 60 beats per minute.
Factors causing tachycardia - CORRECT ANSWER Exercise,
Fever/heat, Anxiety, Loss of blood, Positive chronotropic drugs.
Factors causing bradycardia - CORRECT ANSWER Hypothermia,
Long-term exercise (athletes), Unrelieved severe pain, Negative
chronotropic drugs, Lying down.
Blood pressure assessment questions - CORRECT ANSWER Have
you had AV fistulas or a mastectomy?
Cuff selection for blood pressure - CORRECT ANSWER Based on the
size of the client's arm.
,Cuff placement for blood pressure - CORRECT ANSWER Align cuff
artery mark with brachial artery.
Importance of proper cuff placement - CORRECT ANSWER Ensures
that proper pressure is applied during inflation.
Blood pressure reading action - CORRECT ANSWER Return in 30
minutes and retake the blood pressure.
Priority instruction for UAP with low platelet count - CORRECT
ANSWER Avoid rectal temperatures.
Client to see first based on vital signs - CORRECT ANSWER 88-year-
old male client admitted with pneumonia, RR 28, SPo2 89%.
Clients at risk for tachypnea - CORRECT ANSWER Client admitted
with several rib fractures, Woman who is 9 months pregnant, A 3 pack
per day smoker with pneumonia.
Risk Factors for Pressure Ulcer Development - CORRECT ANSWER -
Very thin and very obese people
-Age related changes
-Fluid loss during illness
-Moisture/fluids/stool against the skin
-Diseases of the skin
, -Immobility
-Comorbidities
Skin assessment - CORRECT ANSWER -Color
-Odor
-Consistency
-Amount
-Measurements(Length x width x depth)
-Type of tissue(granulation, eschar, slough)
Healing process - CORRECT ANSWER Primary Intention: Wound
that is closed
Secondary Intention: Wound edges not approximated
Tertiary Intention: Wound that is left open for several days; then wo
approximated
Desiccation - CORRECT ANSWER drying out
Maceration - CORRECT ANSWER Softening or breaking down the
skin due to exposure to moisture
Pressure - CORRECT ANSWER "pressure" areas of the skin that are
more at risk for breakdown
