NR 224 Fundamentals of Nursing Exam 2 Practice Questions 2026
|Chamberlain College
1. A nurse is caring for a patient who is experiencing early signs of hypoxia.
Which of the following clinical manifestations should the nurse expect to find?
A. Restlessness
B. Bradycardia
C. Cyanosis
D. Hypotension
Answer: A
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia. Cyanosis and
bradycardia are considered late signs.
2. When performing tracheal suctioning, what is the maximum amount of time
the nurse should apply suction?
A. 5 seconds
B. 1 minute
C. 20 to 30 seconds
D. 10 to 15 seconds
Answer: D
Rationale: Suctioning should be limited to 10-15 seconds to prevent hypoxemia and vagal
stimulation.
,3. Which oxygen delivery device provides the most precise concentration of
oxygen?
A. Venturi mask
B. Simple face mask
C. Nasal cannula
D. Non-rebreather mask
Answer: A
Rationale: The Venturi mask is designed to deliver a precise, fixed concentration of oxygen
by using different sized adapters.
4. A patient is using an incentive spirometer. Which instruction should the nurse
provide?
A. Inhale slowly and deeply through the mouthpiece.
B. Exhale forcefully into the device.
C. Use the device only once an hour.
D. Hold your breath for 30 seconds after inhalation.
Answer: A
Rationale: Incentive spirometry encourages deep breathing through slow, sustained
inhalation to prevent atelectasis.
5. Which of the following is an example of a Stage 2 pressure injury?
A. Non-blanchable erythema of intact skin
B. Full-thickness tissue loss with visible subcutaneous fat
C. Partial-thickness skin loss with a visible ulcer or fluid-filled blister
D. Full-thickness skin loss with exposed bone or muscle
Answer: C
Rationale: Stage 2 involves partial-thickness loss of the dermis, presenting as a shallow
open ulcer or a blister.
, 6. A wound that is healing from the ‘bottom up’ with granulation tissue filling
the gap is healing by:
A. Primary intention
B. Secondary intention
C. Tertiary intention
D. Delayed primary closure
Answer: B
Rationale: Secondary intention occurs when wound edges are not approximated and the
wound fills with granulation tissue.
7. The nurse notes clear, watery discharge from a surgical wound. How should
this be documented?
A. Purulent
B. Sanguineous
C. Serosanguineous
D. Serous
Answer: D
Rationale: Serous drainage is clear and watery. Sanguineous is bloody, and purulent is
thick/yellow/green indicating infection.
8. A patient’s abdominal wound has eviscerated. What is the nurse’s immediate
priority action?
A. Push the organs back into the abdominal cavity.
B. Ask the patient to cough to check for further protrusion.
C. Leave the wound open to air to dry.
D. Cover the wound with sterile gauze soaked in normal saline.
Answer: D
Rationale: Evisceration is a medical emergency. The organs must be kept moist with
sterile saline-soaked dressings while waiting for surgery.
|Chamberlain College
1. A nurse is caring for a patient who is experiencing early signs of hypoxia.
Which of the following clinical manifestations should the nurse expect to find?
A. Restlessness
B. Bradycardia
C. Cyanosis
D. Hypotension
Answer: A
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia. Cyanosis and
bradycardia are considered late signs.
2. When performing tracheal suctioning, what is the maximum amount of time
the nurse should apply suction?
A. 5 seconds
B. 1 minute
C. 20 to 30 seconds
D. 10 to 15 seconds
Answer: D
Rationale: Suctioning should be limited to 10-15 seconds to prevent hypoxemia and vagal
stimulation.
,3. Which oxygen delivery device provides the most precise concentration of
oxygen?
A. Venturi mask
B. Simple face mask
C. Nasal cannula
D. Non-rebreather mask
Answer: A
Rationale: The Venturi mask is designed to deliver a precise, fixed concentration of oxygen
by using different sized adapters.
4. A patient is using an incentive spirometer. Which instruction should the nurse
provide?
A. Inhale slowly and deeply through the mouthpiece.
B. Exhale forcefully into the device.
C. Use the device only once an hour.
D. Hold your breath for 30 seconds after inhalation.
Answer: A
Rationale: Incentive spirometry encourages deep breathing through slow, sustained
inhalation to prevent atelectasis.
5. Which of the following is an example of a Stage 2 pressure injury?
A. Non-blanchable erythema of intact skin
B. Full-thickness tissue loss with visible subcutaneous fat
C. Partial-thickness skin loss with a visible ulcer or fluid-filled blister
D. Full-thickness skin loss with exposed bone or muscle
Answer: C
Rationale: Stage 2 involves partial-thickness loss of the dermis, presenting as a shallow
open ulcer or a blister.
, 6. A wound that is healing from the ‘bottom up’ with granulation tissue filling
the gap is healing by:
A. Primary intention
B. Secondary intention
C. Tertiary intention
D. Delayed primary closure
Answer: B
Rationale: Secondary intention occurs when wound edges are not approximated and the
wound fills with granulation tissue.
7. The nurse notes clear, watery discharge from a surgical wound. How should
this be documented?
A. Purulent
B. Sanguineous
C. Serosanguineous
D. Serous
Answer: D
Rationale: Serous drainage is clear and watery. Sanguineous is bloody, and purulent is
thick/yellow/green indicating infection.
8. A patient’s abdominal wound has eviscerated. What is the nurse’s immediate
priority action?
A. Push the organs back into the abdominal cavity.
B. Ask the patient to cough to check for further protrusion.
C. Leave the wound open to air to dry.
D. Cover the wound with sterile gauze soaked in normal saline.
Answer: D
Rationale: Evisceration is a medical emergency. The organs must be kept moist with
sterile saline-soaked dressings while waiting for surgery.
