NR224FUNDAMENTALSEXAM1QUESTIONSWITHCORRECTANSWERS|UPDATED2025/2026

1




NR224FUNDAMENTALSEXAM 1QUESTI
ONS
WITHCORRECTANSWERS|UPDATED2025/
2026


Whi l
eassessi ngapat ient,thenur seobser vest he
patient'
sI Vli
neisnoti nfusingatt heor der edrat e.
Thenur seassessest hepat ientforpai natt heI V
sit
e, checksthef l
owr egul atoront het ubi ng,looks
toseei fthepatientisl y
ingont hetubi ng, checks
thepoi ntofconnectionbet weent het ubi ngandt he
IVcat heter,
andt hencheckst hecondi ti
onoft he
sit
ewher etheIVcat heterent ersthepat ient'sski n.
Afterthenur sereadjustst hef l
owr ate, thei nfusion
beginsatt hecor r
ectr ate.Thisisanexampl eof :
A.i
nfer
ence
B.Di
agnost
icr
easoni
ng
C.Compet
ency
D.Pr
obl
em sol
vi
ng
-ANSWER✓✓D.Pr
obl
em Sol
vi
ng


Thenursesi
tsdowntotalkwi
thapatientwholost
hersi
ster2weeksago.Thepat
ientr
eportssheis

,2


unabletosleep,feel
sv eryfati
gueddur i
ngt heday,
andi shavi
ngt r
oubleatwor k.Thenur seaskshert o
cl
arifythetypeoftrouble.Thepat i
entexplainsshe
can'tconcentr
ateorev ensolvesimplepr oblems.
Thenur serecordstheresultsoftheassessment ,
describi
ngthepat i
entashav ingineff
ecti
v ecoping.
Thisisanexampl eof:
A.di
agnost
icr
easoni
ng
B.Compet
ency
C.I
nfer
ence
D.Pr
obl
em Sol
vi
ng
-ANSWER✓✓A.Di
agnost
icr
easoni
ng


Apat i
entonasur gicalunitdev el
opssudden
shor t
nessofbr eathandadr opi nBP.Thest aff
respond, butthepat i
entdies30mi nuteslater.the
manageront henur singunitcal l
sthestaffinv ol
ved
i
nt heemer gencyr esponset oget her
,Thest aff
discusseswhatoccur redov erthe30mi nutet i
me
frame, theactionst aken,andwhet herotherst eps
shoul dhavebeeni mpl ement ed.Thenur sesi nthi
s
situati
onar e:
A.pr
obl
em sol
vi
ng
B.showi
nghumi
l
ity

,3


C.conduct
ingr
efl
ect
ivepr
act
ice
D.Exer
cisi
ngr
esponsi
bil
i
ty
-ANSWER✓✓C.Conduct
ingr
efl
ect
ivepr
act
ice


Anur sehaswor kedonanoncol ogyunitf or3y ears.
Onepat i
enthasbecomev i
sibl
yweakerandst ates,
"If
eel funny".Thenur seknowshowpat ient soften
havebehav i
orchangesbef oredev el
opingsepsi s
whent heyhav ecancer .Thenur seaskst hepat i
ent
questionstoassesst hinkingskill
sandnot icesthe
pati
entshi veri
ng.Thenur segoest othephone, calls
thephy sici
an,andbegi nst heconv er
sationby
saying,"Ibeli
evet hatyourpat i
entisdev eloping
sepsis.Iwantt or eportsympt omsI '
m seei ng."What
exampl esofcr i
ti
cal thi
nkingconcept sdoest he
nurseshow?( Selectallthatapply)
A.Exper
ience
B.Et
hical
C.Anal
yti
cit
y
D.Sel
f-
conf
idence
E.Ri
skt
aki
ng
-ANSWER✓✓C.Anal
yti
cit
y
D.Sel
fconf
idence

, 4




Anur sewhoi swor kingonasur gicalunitiscaring
forfourdiffer
entpatient s.Pat
ientAwi l
lbe
dischargedhomeandi si nneedofi nstr
uctionabout
woundcar e.Pat i
entsBandChav ereturnedfrom
theoper at
ingroom wi thinanhourofeachot her,
andbot hrequirevit
al signsandmoni tori
ngoft hei
r
i
nt r
avenous( I
V)lines.
PatientDisrest
ingfoll
owingav i
sitbyphysi
cal
therapy.Whichofthefoll
owingactiv
iti
esbythe
nurserepresent
(s)useofclini
caldecisi
onmaking
forgroupsofpatient
s?(Selectal
lthatappl
y.
)


A.considerhowtoi
nvol
vepati
entAindeci
ding
whethertoinvol
vet
hefami
lycaregi
veri
nwound
car
einstructi
on
B.Thi
nkaboutpastexper
iencewithpat
ient
swho
devel
oppost
operati
vecomplicat
ions
C.Deci
dewhi
chact
ivi
ti
escanbecombi
nedf
or
pat
ient
sBandC
D.Car
efull
ygatheranyassessmenti
nfoand
i
denti
fypati
entprobl
ems
-ANSWER✓✓A&C