NR224 Final Exam Actual Exam Style V1 |
NR 224 Fundamentals - Skills |
Chamberlain
1. A nurse is preparing to perform hand hygiene. Which action is most effective in preventing
the spread of infection?
A. Using hot water to kill bacteria
B. Applying lotion immediately after washing
C. Wearing gloves instead of washing hands
D. Rubbing hands together for at least 15 to 20 seconds
Correct Answer: D
Expert Explanation: Friction and time are the most important factors in removing
microorganisms from the skin. Scrubbing for at least 20 seconds ensures that all surfaces of
the hands are cleaned. This practice is the primary defense against healthcare-associated
infections.
2. When assessing a patient’s blood pressure, the nurse notes the cuff is too small for the
patient’s arm. What result should the nurse expect?
A. A falsely low reading
B. An accurate reading if pumped higher
C. A falsely high reading
,D. No reading at all
Correct Answer: C
Expert Explanation: Using a blood pressure cuff that is too small will result in a
measurement that is falsely elevated. The cuff must wrap around the arm properly to
compress the artery evenly. Selecting the correct size is crucial for obtaining an accurate
clinical assessment.
3. A nurse is providing oral care to an unconscious patient. Which position is safest to prevent
aspiration?
A. Supine
B. Side-lying (Sims) position
C. High-Fowler’s
D. Trendelenburg
Correct Answer: B
Expert Explanation: The side-lying position allows secretions to drain out of the mouth
rather than into the trachea. This significantly reduces the risk of aspiration pneumonia in
patients who cannot swallow. Suction equipment should also be available at the bedside
during the procedure.
4. Which of the following is one of the ‘Six Rights’ of medication administration?
A. Right Room
, B. Right Documentation
C. Right Doctor
D. Right Insurance
Correct Answer: B
Expert Explanation: Right documentation is essential for patient safety and
communication among the healthcare team. It ensures that the medication given is
recorded immediately to prevent double dosing. The other five rights include patient,
medication, dose, route, and time.
5. A nurse is preparing to move a patient up in bed. Which body mechanics principle should
the nurse follow?
A. Bend at the waist
B. Keep the feet close together
C. Pull the patient rather than lifting
D. Work at the height of the bed
Correct Answer: D
Expert Explanation: Raising the bed to a comfortable working height prevents strain on
the nurse’s back. Using a friction-reducing sheet and involving multiple staff members also
protects both the patient and the caregiver. Proper body mechanics are vital to preventing
musculoskeletal injuries in nursing practice.
NR 224 Fundamentals - Skills |
Chamberlain
1. A nurse is preparing to perform hand hygiene. Which action is most effective in preventing
the spread of infection?
A. Using hot water to kill bacteria
B. Applying lotion immediately after washing
C. Wearing gloves instead of washing hands
D. Rubbing hands together for at least 15 to 20 seconds
Correct Answer: D
Expert Explanation: Friction and time are the most important factors in removing
microorganisms from the skin. Scrubbing for at least 20 seconds ensures that all surfaces of
the hands are cleaned. This practice is the primary defense against healthcare-associated
infections.
2. When assessing a patient’s blood pressure, the nurse notes the cuff is too small for the
patient’s arm. What result should the nurse expect?
A. A falsely low reading
B. An accurate reading if pumped higher
C. A falsely high reading
,D. No reading at all
Correct Answer: C
Expert Explanation: Using a blood pressure cuff that is too small will result in a
measurement that is falsely elevated. The cuff must wrap around the arm properly to
compress the artery evenly. Selecting the correct size is crucial for obtaining an accurate
clinical assessment.
3. A nurse is providing oral care to an unconscious patient. Which position is safest to prevent
aspiration?
A. Supine
B. Side-lying (Sims) position
C. High-Fowler’s
D. Trendelenburg
Correct Answer: B
Expert Explanation: The side-lying position allows secretions to drain out of the mouth
rather than into the trachea. This significantly reduces the risk of aspiration pneumonia in
patients who cannot swallow. Suction equipment should also be available at the bedside
during the procedure.
4. Which of the following is one of the ‘Six Rights’ of medication administration?
A. Right Room
, B. Right Documentation
C. Right Doctor
D. Right Insurance
Correct Answer: B
Expert Explanation: Right documentation is essential for patient safety and
communication among the healthcare team. It ensures that the medication given is
recorded immediately to prevent double dosing. The other five rights include patient,
medication, dose, route, and time.
5. A nurse is preparing to move a patient up in bed. Which body mechanics principle should
the nurse follow?
A. Bend at the waist
B. Keep the feet close together
C. Pull the patient rather than lifting
D. Work at the height of the bed
Correct Answer: D
Expert Explanation: Raising the bed to a comfortable working height prevents strain on
the nurse’s back. Using a friction-reducing sheet and involving multiple staff members also
protects both the patient and the caregiver. Proper body mechanics are vital to preventing
musculoskeletal injuries in nursing practice.
