NR 224 Fundamentals of Nursing Final Exam Practice 2026
|Chamberlain College
1. A nurse is caring for a client who is post-operative. Which of the following
actions should the nurse take first when using the nursing process?
A. Assess the client’s surgical site for drainage.
B. Administer prescribed pain medication.
C. Document the client’s vital signs.
D. Discuss recovery goals with the client.
Answer: A
Rationale: Assessment is the first step of the nursing process and must be completed
before planning or implementing interventions.
2. A nurse is preparing to administer an IM injection. Which of the following
sites is the safest for an adult client?
A. Ventrogluteal
B. Dorsogluteal
C. Deltoid
D. Vastus lateralis
Answer: A
Rationale: The ventrogluteal site is the safest because it is away from major blood vessels
and nerves.
,3. When assessing a client for hypoxia, which of the following is an early clinical
manifestation?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Bradypnea
Answer: C
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia; cyanosis is a
late sign.
4. A nurse enters a client’s room and finds a fire in the trash can. Using the RACE
acronym, what is the nurse’s first action?
A. Activate the fire alarm.
B. Confine the fire by closing the door.
C. Rescue the client from the room.
D. Extinguish the fire.
Answer: C
Rationale: RACE stands for Rescue, Alarm, Confine, Extinguish. Rescuing the client is the
first priority.
5. Which of the following is a legal requirement for the nurse when obtaining
informed consent?
A. Explaining the risks of the procedure.
B. Describing alternative treatments.
C. Witnessing the client’s signature.
D. Explaining the benefits of the surgery.
Answer: C
Rationale: The nurse’s role in informed consent is to witness the signature and ensure the
client is competent; the provider explains risks and benefits.
, 6. A nurse is caring for a client with Clostridium difficile (C. diff). Which infection
control precaution should the nurse implement?
A. Droplet precautions
B. Airborne precautions
C. Protective environment
D. Contact precautions
Answer: D
Rationale: C. diff requires contact precautions, including gown and gloves, and
handwashing with soap and water.
7. A client reports feeling lightheaded when standing up from a bed. Which
condition should the nurse suspect?
A. Orthostatic hypotension
B. Hypertension
C. Bradypnea
D. Hypothermia
Answer: A
Rationale: Orthostatic hypotension is a drop in blood pressure that occurs when moving
from a lying to a standing position.
8. When performing a physical assessment, in which order should the nurse
assess the abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Palpation, Inspection, Auscultation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Rationale: For the abdomen, auscultation follows inspection to avoid altering bowel
sounds through palpation or percussion.
|Chamberlain College
1. A nurse is caring for a client who is post-operative. Which of the following
actions should the nurse take first when using the nursing process?
A. Assess the client’s surgical site for drainage.
B. Administer prescribed pain medication.
C. Document the client’s vital signs.
D. Discuss recovery goals with the client.
Answer: A
Rationale: Assessment is the first step of the nursing process and must be completed
before planning or implementing interventions.
2. A nurse is preparing to administer an IM injection. Which of the following
sites is the safest for an adult client?
A. Ventrogluteal
B. Dorsogluteal
C. Deltoid
D. Vastus lateralis
Answer: A
Rationale: The ventrogluteal site is the safest because it is away from major blood vessels
and nerves.
,3. When assessing a client for hypoxia, which of the following is an early clinical
manifestation?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Bradypnea
Answer: C
Rationale: Restlessness, anxiety, and tachycardia are early signs of hypoxia; cyanosis is a
late sign.
4. A nurse enters a client’s room and finds a fire in the trash can. Using the RACE
acronym, what is the nurse’s first action?
A. Activate the fire alarm.
B. Confine the fire by closing the door.
C. Rescue the client from the room.
D. Extinguish the fire.
Answer: C
Rationale: RACE stands for Rescue, Alarm, Confine, Extinguish. Rescuing the client is the
first priority.
5. Which of the following is a legal requirement for the nurse when obtaining
informed consent?
A. Explaining the risks of the procedure.
B. Describing alternative treatments.
C. Witnessing the client’s signature.
D. Explaining the benefits of the surgery.
Answer: C
Rationale: The nurse’s role in informed consent is to witness the signature and ensure the
client is competent; the provider explains risks and benefits.
, 6. A nurse is caring for a client with Clostridium difficile (C. diff). Which infection
control precaution should the nurse implement?
A. Droplet precautions
B. Airborne precautions
C. Protective environment
D. Contact precautions
Answer: D
Rationale: C. diff requires contact precautions, including gown and gloves, and
handwashing with soap and water.
7. A client reports feeling lightheaded when standing up from a bed. Which
condition should the nurse suspect?
A. Orthostatic hypotension
B. Hypertension
C. Bradypnea
D. Hypothermia
Answer: A
Rationale: Orthostatic hypotension is a drop in blood pressure that occurs when moving
from a lying to a standing position.
8. When performing a physical assessment, in which order should the nurse
assess the abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Palpation, Inspection, Auscultation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Rationale: For the abdomen, auscultation follows inspection to avoid altering bowel
sounds through palpation or percussion.
