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NR 224 Exam 1| 2026/2027 | Chamberlain | Fundamentals Skills |Questions with Verified Answers and Detailed Rationales | Nursing Fundamentals, Safety, Infection Control, Clinical Judgment | Get HighScore

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INSTANT DOWNLOAD — GET HIGHSCORE on the NR 224 Exam 1 at Chamberlain University with this comprehensive fundamentals skills test bank for the 2026/2027 academic year, developed to reflect the latest NGN standards . This resource features verified questions and answers with detailed rationales in multiple-choice, select-all-that-apply (SATA), ordered response, and clinical judgment formats aligned with Chamberlain's NR224 Exam 1 blueprint. It covers all essential nursing skills and concepts required to achieve a top score on the first examination, including: Infection Control & Safety: Standard Precautions, Contact/Droplet/Airborne Precautions, C. difficile spore management, hand hygiene (5 moments, soap and water vs. alcohol-based rub), sterile technique (surgical asepsis, sterile field maintenance, donning sterile gloves), PPE donning/doffing sequences, RACE and PASS fire safety, proper body mechanics. Vital Signs & Physical Assessment: Temperature routes (oral, rectal, axillary, tympanic, temporal), normal ranges, influencing factors, pulse assessment (rate, rhythm, strength), respirations (rate, depth, rhythm, effort), blood pressure measurement (cuff size, Korotkoff sounds, proper positioning), pain assessment (PQRST, numeric rating scale, FACES, FLACC, PAINAD), pulse oximetry (SpO₂ target), factors affecting accuracy. Patient Safety & Mobility: Fall prevention (Morse Scale, Hendrich II, hourly rounding, bed/chair alarms, low beds, non-skid footwear), restraints (physical and chemical, least restrictive, two-finger rule, q2h removal, documentation), assistive devices (cane on strong side, walker, crutch gaits: two-point, three-point, four-point, swing-to, swing-through), transfer techniques (stand pivot, sliding board, mechanical lift), body mechanics for caregivers. Hygiene & Personal Care: Bed bath technique, perineal care (front-to-back for females), oral care for conscious and unconscious patients (side-lying, minimal fluid, suction if needed), hair care, nail care (diabetic precautions), making occupied and unoccupied beds. Skin Integrity & Wound Care: Pressure injury staging (Stage 1 nonblanchable erythema, Stage 2 partial-thickness skin loss, Stage 3 full-thickness with subcutaneous fat visible, Stage 4 with bone/muscle/tendon visible, unstageable, deep tissue injury), Braden Scale risk assessment, repositioning every 2 hours, pressure redistribution surfaces, wound cleansing (center to outward, normal saline), dressing selection, drain management. Mobility & Exercise: Range of motion (ROM) exercises (active, passive, active-assistive), isometric exercises, positioning (Fowler's, semi-Fowler's, supine, prone, lateral, Sims', Trendelenburg), turning schedules, complications of immobility (DVT, pneumonia, pressure ulcers, constipation, contractures). Documentation & Legal/Ethical Issues: HIPAA privacy and confidentiality, incident reporting (not placed in patient chart, factual documentation), informed consent (nurse as witness, physician's responsibility), advance directives (living will, durable power of attorney for healthcare), DNR/AND orders, patient self-determination, professional boundaries. Prioritization & Delegation: ABCs (Airway, Breathing, Circulation), Maslow's Hierarchy of Needs, delegation to unlicensed assistive personnel (UAP) using the five rights, scope of practice for LPN vs. RN. Each question includes detailed rationales explaining the "why" behind every correct answer, reinforcing clinical judgment and NCLEX readiness. Pass your Chamberlain NR224 Exam 1 with confidence on your first attempt. DOCUMENT ACCESS: This resource is available as an instant digital download (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime through your user account. Trusted by thousands of Chamberlain nursing students for NR224 Exam 1 success and fundamentals skills mastery. NR 224 Exam 1 Chamberlain University Fundamentals Skills 2026/2027 Study Guide Verified Questions and Answers with Detailed Rationales Chamberlain NR224 Exam 1 Test Bank Infection Control Standard Precautions Hand Hygiene 5 Moments C difficile Contact Precautions Soap and Water Only Sterile Technique Surgical Asepsis Sterile Field PPE Donning Order Gown Mask Eye Protection Gloves PPE Doffing Gloves Gown Eye Protection Mask Hand Hygiene Indications Before Patient Contact After Body Fluid Exposure After Patient Contact Korotkoff Sounds Phase I Systolic Phase V Diastolic Pain Assessment PQRST Onset Provocation Quality Region Severity Time FLACC Scale Pain Assessment Infants Nonverbal Patients Fall Prevention Hourly Rounding Bed Alarms Non-Skid Footwear Morse Fall Scale Risk Assessment Hendrich II Model Physical Restraint Application Two Fingers Between Restraint and Skin Remove Every 2 Hours Chemical Restraint Medications for Behavior Control Not Standard Treatment Least Restrictive Restraint Policy Crutch Gaits Two-Point Three-Point Four-Point Swing-To Swing-Through Cane Placement Strong Side Opposite Weak Leg Stand Pivot Transfer Mechanical Lift Sliding Board Body Mechanics Wide Base of Support Lift with Legs No Twisting Oral Care Unconscious Patient Side-Lying Position Minimal Fluid Oral Suction Perineal Care Female Front to Back Prevent UTI Pressure Injury Staging Stage 1 Nonblanchable Erythema Stage 2 Partial Thickness Braden Scale Sensory Perception Moisture Activity Mobility Nutrition Friction Shear Repositioning Schedule Every 2 Hours Pressure Redistribution Surfaces Wound Care Cleaning Center to Outward Normal Saline Drain Management Hemovac Jackson-Pratt JP Drain Range of Motion ROM Active Passive Active-Assistive Isometric Exercises Muscle Contraction Without Joint Movement Complications of Immobility DVT Pneumonia Pressure Ulcer Constipation Contracture Informed Consent Nurse Witness Voluntary Patient Agreement Advance Directives Living Will Durable Power of Attorney for Healthcare DNR AND Order HIPAA Privacy Rule Protected Health Information Minimum Necessary Incident Report Factual Nonjudgmental Not in Patient Chart Professional Boundaries Dual Relationships Social Media Ethics Priority Setting ABCs Airway Breathing Circulation Maslow Hierarchy Physiological Needs First Safety Second Delegation Five Rights LPN UAP Scope of Practice TPR Oral Temperature 96.8-100.4°F Axillary 0.5-1.0°F Lower Rectal 0.5-1.0°F Higher Pulse Sites Radial Apical Brachial Carotid Dorsalis Pedis Posterior Tibial Blood Pressure Cuff Size Bladder Width 40% Arm Circumference Length 80% SpO2 Normal Range 95% COPD Target 88-92% Get HighScore NR 224 Exam 1 Downloadable PDF Chamberlain Nursing Study Guide

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NR 224 Exam 1 Fundamentals Skills

Chamberlain 2026/2027 with Verified

Answers and Detailed Rationales


Question 1

What is critical thinking?

• A. The ability to memorize and recall factual information

• B. The ability to think in a systematic and logical manner with openness

to question and reflect on the reasoning process

• C. The ability to follow instructions without deviation

• D. The ability to work independently without supervision

Correct Answer: B. The ability to think in a systematic and logical manner

with openness to question and reflect on the reasoning process

Rationale:

1. Critical thinking involves systematic and logical analysis of information.

2. It requires openness to questioning one's own assumptions.

3. Reflection on the reasoning process is essential.

4. The source indicates B is correct.

,2|Page




Question 2

Which of the following are characteristics of critical thinking? (Select all

that apply.)

• A. Open-mindedness

• B. Continual inquiry

• C. Perseverance

• D. Willingness to look at each unique patient situation and determine

which identified assumptions are true and relevant

Correct Answer: A, B, C, D

Rationale:

1. Open-mindedness allows consideration of alternative perspectives.

2. Continual inquiry drives ongoing learning and questioning.

3. Perseverance ensures thorough analysis despite challenges.

4. Willingness to evaluate assumptions is essential for critical thinking.

5. The source indicates all options are correct.



Question 3

What is clinical decision making?

• A. Following established protocols without variation

,3|Page


• B. Requires careful reasoning (i.e., choosing the options for the best

patient outcomes on the basis of a patient's condition and the priority of

the problem)

• C. Making decisions based solely on intuition

• D. Delegating all decisions to other healthcare team members

Correct Answer: B. Requires careful reasoning (i.e., choosing the options for

the best patient outcomes on the basis of a patient's condition and the priority

of the problem)

Rationale:

1. Clinical decision making requires careful reasoning and analysis.

2. It involves selecting options based on patient condition and priorities.

3. Skilled clinical decision making occurs through knowing the patient.

4. The source indicates B is correct.



Question 4

What does the critical thinking model combine?

• A. Only a nurse's knowledge base and experience

• B. Only the nursing process and attitudes

• C. A nurse's knowledge base, experience, competence in the nursing

process, attitudes, and standards

, 4|Page


• D. Only standards and competence in the nursing process

Correct Answer: C. A nurse's knowledge base, experience, competence in the

nursing process, attitudes, and standards

Rationale:

1. The critical thinking model integrates multiple components.

2. Knowledge base and experience inform clinical judgments.

3. Competence in the nursing process is essential.

4. Attitudes and standards guide professional behavior.

5. The source indicates C is correct.



Question 5

What characterizes the basic level of critical thinking (Level 1)?

• A. The thinker accepts the diverse opinions and values of experts

• B. The thinker anticipates when to make choices without assistance

• C. The thinker considers complex alternatives and supports chosen

actions

• D. The thinker rejects all outside opinions

Correct Answer: A. The thinker accepts the diverse opinions and values of

experts

Rationale:

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