NR 224 Fundamentals of Nursing Final Exam Version 3 Practice Set
2026 |Chamberlain College
1. A nurse is caring for a patient who is experiencing orthostatic hypotension.
Which of the following is the most appropriate initial nursing action?
A. Check the patient’s blood pressure while they are lying down.
B. Administer an IV bolus of normal saline.
C. Dangle the patient’s legs over the side of the bed before standing.
D. Increase the patient’s oral fluid intake immediately.
Answer: C
Rationale: Dangling allows the cardiovascular system to adjust to position changes,
preventing dizziness and falls associated with orthostatic hypotension.
2. When using the SBAR communication tool, which information belongs in the
‘Assessment’ section?
A. The nurse’s interpretation of the clinical situation.
B. The patient’s name and room number.
C. A specific recommendation for a new medication.
D. The reason why the patient was admitted to the hospital.
Answer: A
Rationale: Assessment in SBAR represents the nurse’s clinical finding or evaluation of
what they think is going on with the patient.
,3. A patient has a Stage 2 pressure injury on the sacrum. Which description best
fits this classification?
A. Partial-thickness loss of dermis presenting as a shallow open ulcer.
B. Full-thickness skin loss with visible adipose tissue.
C. Non-blanchable erythema of intact skin.
D. Full-thickness tissue loss with exposed bone or muscle.
Answer: A
Rationale: Stage 2 involves partial-thickness loss of the dermis, often appearing as a
shallow ulcer or a ruptured/intact serum-filled blister.
4. The nurse is preparing to administer an intramuscular (IM) injection to an
infant. Which site is the most appropriate?
A. Dorsogluteal
B. Vastus lateralis
C. Ventrogluteal
D. Deltoid
Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in infants because it is
the most developed muscle at birth.
5. Which type of transmission-based precaution is required for a patient
diagnosed with Tuberculosis (TB)?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Protective environment
Answer: C
, Rationale: TB is transmitted through small droplets that remain suspended in the air;
therefore, airborne precautions including an N95 respirator and a negative-pressure room
are required.
6. A nurse is performing a physical assessment and notes a patient has a BMI of
32. This value is categorized as:
A. Underweight
B. Obese
C. Overweight
D. Normal weight
Answer: B
Rationale: A Body Mass Index (BMI) of 30 or higher is classified as obese in adults.
7. Which of the following is the priority action after a medication error has
occurred?
A. Complete an incident report immediately.
B. Notify the provider and the nurse manager.
C. Assess the patient for any adverse effects.
D. Document the error in the patient’s medical record.
Answer: C
Rationale: Patient safety is the priority; the nurse must first assess the patient to ensure
they are stable before proceeding with reporting.
8. When assessing a patient’s radial pulse, the nurse notes the rhythm is
irregular. What should the nurse do next?
A. Re-assess the radial pulse for 30 seconds.
B. Auscultate the apical pulse for one full minute.
C. Check the radial pulse on the opposite arm.
D. Document the finding and notify the provider.
Answer: B
2026 |Chamberlain College
1. A nurse is caring for a patient who is experiencing orthostatic hypotension.
Which of the following is the most appropriate initial nursing action?
A. Check the patient’s blood pressure while they are lying down.
B. Administer an IV bolus of normal saline.
C. Dangle the patient’s legs over the side of the bed before standing.
D. Increase the patient’s oral fluid intake immediately.
Answer: C
Rationale: Dangling allows the cardiovascular system to adjust to position changes,
preventing dizziness and falls associated with orthostatic hypotension.
2. When using the SBAR communication tool, which information belongs in the
‘Assessment’ section?
A. The nurse’s interpretation of the clinical situation.
B. The patient’s name and room number.
C. A specific recommendation for a new medication.
D. The reason why the patient was admitted to the hospital.
Answer: A
Rationale: Assessment in SBAR represents the nurse’s clinical finding or evaluation of
what they think is going on with the patient.
,3. A patient has a Stage 2 pressure injury on the sacrum. Which description best
fits this classification?
A. Partial-thickness loss of dermis presenting as a shallow open ulcer.
B. Full-thickness skin loss with visible adipose tissue.
C. Non-blanchable erythema of intact skin.
D. Full-thickness tissue loss with exposed bone or muscle.
Answer: A
Rationale: Stage 2 involves partial-thickness loss of the dermis, often appearing as a
shallow ulcer or a ruptured/intact serum-filled blister.
4. The nurse is preparing to administer an intramuscular (IM) injection to an
infant. Which site is the most appropriate?
A. Dorsogluteal
B. Vastus lateralis
C. Ventrogluteal
D. Deltoid
Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in infants because it is
the most developed muscle at birth.
5. Which type of transmission-based precaution is required for a patient
diagnosed with Tuberculosis (TB)?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Protective environment
Answer: C
, Rationale: TB is transmitted through small droplets that remain suspended in the air;
therefore, airborne precautions including an N95 respirator and a negative-pressure room
are required.
6. A nurse is performing a physical assessment and notes a patient has a BMI of
32. This value is categorized as:
A. Underweight
B. Obese
C. Overweight
D. Normal weight
Answer: B
Rationale: A Body Mass Index (BMI) of 30 or higher is classified as obese in adults.
7. Which of the following is the priority action after a medication error has
occurred?
A. Complete an incident report immediately.
B. Notify the provider and the nurse manager.
C. Assess the patient for any adverse effects.
D. Document the error in the patient’s medical record.
Answer: C
Rationale: Patient safety is the priority; the nurse must first assess the patient to ensure
they are stable before proceeding with reporting.
8. When assessing a patient’s radial pulse, the nurse notes the rhythm is
irregular. What should the nurse do next?
A. Re-assess the radial pulse for 30 seconds.
B. Auscultate the apical pulse for one full minute.
C. Check the radial pulse on the opposite arm.
D. Document the finding and notify the provider.
Answer: B
