NR 224 Exam 1 Chamberlain Fundamentals
Skills 2026/2027 Study Questions with
Verified Answers and Detailed Rationales
Question 1
What is the correct order of the chain of infection?
• A. Reservoir, pathogen, portal of exit, mode of transmission, portal of
entry, susceptible host
• B. Pathogen, reservoir, portal of exit, mode of transmission, portal of
entry, susceptible host
• C. Pathogen, reservoir, portal of entry, mode of transmission, portal of
exit, susceptible host
• D. Susceptible host, pathogen, reservoir, portal of exit, mode of
transmission, portal of entry
Correct Answer: B. Pathogen, reservoir, portal of exit, mode of transmission,
portal of entry, susceptible host
Rationale:
1. The chain begins with the infectious agent (pathogen).
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2. The reservoir is where the pathogen lives and grows.
3. The portal of exit is how the pathogen leaves the reservoir.
4. The mode of transmission is how the pathogen spreads.
5. The portal of entry is how the pathogen enters a new host.
6. The susceptible host is the final link.
7. The source indicates this order.
Question 2
What is medical asepsis (clean technique)?
• A. Procedures that eliminate all microorganisms including spores
• B. Reducing the number of organisms present and preventing the
transfer of organisms
• C. Preventing contamination of an open wound
• D. Maintaining a sterile field for surgery
Correct Answer: B. Reducing the number of organisms present and
preventing the transfer of organisms
Rationale:
1. Medical asepsis reduces the number of organisms.
2. It prevents the transfer of organisms.
3. Examples include clean gloves, clean supplies, and hand hygiene.
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4. The source indicates B is correct.
Question 3
What is surgical asepsis (sterile technique)?
• A. Reducing the number of organisms present
• B. Using clean gloves and supplies
• C. Preventing contamination of an open wound, isolating the operative
area from the unsterile environment, and maintaining a sterile field for
surgery
• D. Hand hygiene only
Correct Answer: C. Preventing contamination of an open wound, isolating the
operative area from the unsterile environment, and maintaining a sterile field
for surgery
Rationale:
1. Surgical asepsis prevents contamination of open wounds.
2. It isolates the operative area from the unsterile environment.
3. It maintains a sterile field for surgery.
4. Examples include surgical hand scrub, sterile gloving, and sterile
supplies.
5. The source indicates C is correct.
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Question 4
What are the requirements for contact isolation precautions?
• A. Negative pressure room, N95 respirator
• B. Private room or room with other clients who have the same infection;
must wear gloves and gown
• C. Positive pressure room; no fresh fruit, vegetables, or flowers
• D. Mask within 3 feet of client
Correct Answer: B. Private room or room with other clients who have the
same infection; must wear gloves and gown
Rationale:
1. Contact precautions require a private room or cohorting.
2. Gloves and gown must be worn.
3. Transmission is within 3 feet.
4. The source indicates B is correct.
Question 5
What are the requirements for droplet isolation precautions?
• A. Negative pressure room, N95 respirator