NR 224 Fundamentals of Nursing Exam 2 Practice 2026 |Chamberlain
College
1. When a fire occurs in a patient’s room, which action should the nurse take
first according to the RACE acronym?
A. Activate the fire alarm system.
B. Confine the fire by closing doors and windows.
C. Rescue and remove all patients in immediate danger.
D. Extinguish the fire using the nearest extinguisher.
Answer: C
Rationale: The RACE acronym stands for Rescue, Alarm, Confine, and Extinguish. The
priority is always the safety of the patients in immediate danger.
2. A nurse is measuring a patient’s blood pressure and uses a cuff that is too
narrow for the patient’s arm. What effect will this have on the reading?
A. The blood pressure reading will be falsely low.
B. The reading will be accurate regardless of cuff size.
C. The blood pressure reading will be falsely high.
D. The systolic pressure will be low and diastolic will be high.
Answer: C
Rationale: Using a blood pressure cuff that is too small or narrow for the limb will result in
a falsely high blood pressure reading.
,3. In what order should the nurse perform an abdominal assessment?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Palpation, Percussion, Auscultation, Inspection
D. Auscultation, Inspection, Palpation, Percussion
Answer: A
Rationale: For the abdomen, the sequence is Inspection, Auscultation, Percussion, and
Palpation to avoid stimulating bowel sounds through manipulation before listening.
4. How often should a nurse remove a mechanical restraint to assess the
patient’s skin integrity and circulation?
A. Every 2 hours
B. Every 1 hour
C. Every 30 minutes
D. Every 4 hours
Answer: A
Rationale: Standard nursing practice requires that restraints be removed every 2 hours to
provide skin care, range of motion, and assessment of neurovascular status.
5. A nurse hears soft, breezy, low-pitched sounds over the peripheral lung fields.
How should the nurse document these sounds?
A. Vesicular sounds
B. Bronchovesicular sounds
C. Bronchial sounds
D. Adventitious sounds
Answer: A
Rationale: Vesicular sounds are soft, breezy, low-pitched sounds heard over the peripheral
lung tissue where air moves through smaller airways.
, 6. How is a pulse deficit calculated by the nurse?
A. Adding the radial and apical pulses together.
B. Subtracting the radial pulse from the apical pulse.
C. Subtracting the diastolic BP from the systolic BP.
D. Dividing the apical pulse by the respiratory rate.
Answer: B
Rationale: A pulse deficit occurs when the heart contracts but the pulse does not reach the
periphery; it is calculated by subtracting the radial rate from the apical rate.
7. A patient is at risk for a fall. Which nursing intervention is the most effective
for preventing falls?
A. Placing the call light within the patient’s reach.
B. Applying a chest restraint while the patient is in bed.
C. Keeping all four side rails up at all times.
D. Administering a sedative at bedtime.
Answer: A
Rationale: Ensuring the call light is within reach allows the patient to ask for help,
reducing the risk of them trying to get up unassisted. Four side rails are often considered a
restraint.
8. What is the defining characteristic of a Stage 1 pressure injury?
A. Partial-thickness skin loss with exposed dermis.
B. Obscured full-thickness skin and tissue loss.
C. Full-thickness skin loss with visible adipose tissue.
D. Non-blanchable erythema of intact skin.
Answer: D
Rationale: Stage 1 pressure injuries are characterized by intact skin with localized area of
non-blanchable erythema (redness that does not turn white when pressed).
College
1. When a fire occurs in a patient’s room, which action should the nurse take
first according to the RACE acronym?
A. Activate the fire alarm system.
B. Confine the fire by closing doors and windows.
C. Rescue and remove all patients in immediate danger.
D. Extinguish the fire using the nearest extinguisher.
Answer: C
Rationale: The RACE acronym stands for Rescue, Alarm, Confine, and Extinguish. The
priority is always the safety of the patients in immediate danger.
2. A nurse is measuring a patient’s blood pressure and uses a cuff that is too
narrow for the patient’s arm. What effect will this have on the reading?
A. The blood pressure reading will be falsely low.
B. The reading will be accurate regardless of cuff size.
C. The blood pressure reading will be falsely high.
D. The systolic pressure will be low and diastolic will be high.
Answer: C
Rationale: Using a blood pressure cuff that is too small or narrow for the limb will result in
a falsely high blood pressure reading.
,3. In what order should the nurse perform an abdominal assessment?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Palpation, Percussion, Auscultation, Inspection
D. Auscultation, Inspection, Palpation, Percussion
Answer: A
Rationale: For the abdomen, the sequence is Inspection, Auscultation, Percussion, and
Palpation to avoid stimulating bowel sounds through manipulation before listening.
4. How often should a nurse remove a mechanical restraint to assess the
patient’s skin integrity and circulation?
A. Every 2 hours
B. Every 1 hour
C. Every 30 minutes
D. Every 4 hours
Answer: A
Rationale: Standard nursing practice requires that restraints be removed every 2 hours to
provide skin care, range of motion, and assessment of neurovascular status.
5. A nurse hears soft, breezy, low-pitched sounds over the peripheral lung fields.
How should the nurse document these sounds?
A. Vesicular sounds
B. Bronchovesicular sounds
C. Bronchial sounds
D. Adventitious sounds
Answer: A
Rationale: Vesicular sounds are soft, breezy, low-pitched sounds heard over the peripheral
lung tissue where air moves through smaller airways.
, 6. How is a pulse deficit calculated by the nurse?
A. Adding the radial and apical pulses together.
B. Subtracting the radial pulse from the apical pulse.
C. Subtracting the diastolic BP from the systolic BP.
D. Dividing the apical pulse by the respiratory rate.
Answer: B
Rationale: A pulse deficit occurs when the heart contracts but the pulse does not reach the
periphery; it is calculated by subtracting the radial rate from the apical rate.
7. A patient is at risk for a fall. Which nursing intervention is the most effective
for preventing falls?
A. Placing the call light within the patient’s reach.
B. Applying a chest restraint while the patient is in bed.
C. Keeping all four side rails up at all times.
D. Administering a sedative at bedtime.
Answer: A
Rationale: Ensuring the call light is within reach allows the patient to ask for help,
reducing the risk of them trying to get up unassisted. Four side rails are often considered a
restraint.
8. What is the defining characteristic of a Stage 1 pressure injury?
A. Partial-thickness skin loss with exposed dermis.
B. Obscured full-thickness skin and tissue loss.
C. Full-thickness skin loss with visible adipose tissue.
D. Non-blanchable erythema of intact skin.
Answer: D
Rationale: Stage 1 pressure injuries are characterized by intact skin with localized area of
non-blanchable erythema (redness that does not turn white when pressed).
