Chamberlain University
LANIF 422 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 224 — Fundamentals of Nursing
F I N A L E X A M K E Y CO N C E PTS : N U R S I N G P R O C E SS , I N F E C T I O N CO N T R O L , V I TA L S I G N S &
D E L E G AT I O N
INSTITUTION Chamberlain University — COURSE NR 224 – Fundamentals of
College of Nursing & Public Nursing
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 37 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
FINAL EXAM KEY CONCEPTS STUDY GUIDE
▸ This document contains verified Q&A for NR 224 Fundamentals of Nursing Final Exam Key Concepts (2026/2027
Update).
▸ Covers clinical decision-making, delegation (delegable vs non-delegable tasks), AIDET communication, HIPAA,
nursing process steps, clean vs sterile technique, infection prevention (hand hygiene, sterile field principles), PPE
types and removal order, transmission-based precautions (Airborne, Droplet, Contact, Protective), vital signs
measurement techniques, normal ranges, factors affecting temperature and blood pressure, and pulse force
ratings.
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for the final exam and for clinical application in foundational nursing practice.
SECTION I — CLINICAL DECISION MAKING & DELEGATION Q1–Q5
1. What considerations are important when determining the best option for patient care?
CORRECT ANSWER: Whatever decision is best for the patient.
RATIONALE: Patient-centered care prioritizes patient safety and well-being. Clinical judgment guides decision-
making.
2. What is delegation?
CORRECT ANSWER: Transferring responsibility for the performance of an activity or task while retaining
accountability for the outcome.
RATIONALE: The nurse retains accountability even when tasks are delegated. Right task, right circumstance, right
person, right direction/communication, right supervision/evaluation.
, 3. What are examples of tasks that CAN be delegated?
CORRECT ANSWER: Assigning vitals or labs to other healthcare professionals like Unlicensed Assistive
Personnel (UAP) and LPNs.
RATIONALE: Stable patients with predictable outcomes can be delegated. UAP can perform bathing, feeding,
ambulating, vital signs on stable patients.
4. What are examples of tasks that CANNOT be delegated?
CORRECT ANSWER: Giving medications, change in status, receiving new medications, new admission,
teaching.
RATIONALE: Nursing judgment, assessment, and evaluation cannot be delegated. Initial assessments, discharge
teaching, medication administration require RN.
5. What are essential steps the nurse should do prior to performing any skill on a patient?
CORRECT ANSWER: Hand hygiene and provide privacy. Identify your patient using name and DOB. Assess
allergies and pain. Determine level of consciousness (LOC).
RATIONALE: Two patient identifiers are required. Assess allergies before any medication or procedure.
SECTION II — COMMUNICATION, HIPAA & NURSING PROCESS Q6–Q10
6. What does AIDET stand for?
CORRECT ANSWER: A - Acknowledge (greet the patient); I - Introduce yourself; D - Duration of assessment; E
- Explain the procedure; T - Thank you.
RATIONALE: AIDET is a communication framework to reduce patient anxiety. Used to build trust and improve patient
satisfaction.
7. What is HIPAA?
CORRECT ANSWER: Health Insurance Portability and Accountability Act. Focuses on Patient Health
Information. Stipulates how healthcare workers can share information.
RATIONALE: HIPAA protects patient privacy and confidentiality. Violations can result in fines and legal
consequences.
LANIF 422 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 224 — Fundamentals of Nursing
F I N A L E X A M K E Y CO N C E PTS : N U R S I N G P R O C E SS , I N F E C T I O N CO N T R O L , V I TA L S I G N S &
D E L E G AT I O N
INSTITUTION Chamberlain University — COURSE NR 224 – Fundamentals of
College of Nursing & Public Nursing
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 37 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
FINAL EXAM KEY CONCEPTS STUDY GUIDE
▸ This document contains verified Q&A for NR 224 Fundamentals of Nursing Final Exam Key Concepts (2026/2027
Update).
▸ Covers clinical decision-making, delegation (delegable vs non-delegable tasks), AIDET communication, HIPAA,
nursing process steps, clean vs sterile technique, infection prevention (hand hygiene, sterile field principles), PPE
types and removal order, transmission-based precautions (Airborne, Droplet, Contact, Protective), vital signs
measurement techniques, normal ranges, factors affecting temperature and blood pressure, and pulse force
ratings.
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for the final exam and for clinical application in foundational nursing practice.
SECTION I — CLINICAL DECISION MAKING & DELEGATION Q1–Q5
1. What considerations are important when determining the best option for patient care?
CORRECT ANSWER: Whatever decision is best for the patient.
RATIONALE: Patient-centered care prioritizes patient safety and well-being. Clinical judgment guides decision-
making.
2. What is delegation?
CORRECT ANSWER: Transferring responsibility for the performance of an activity or task while retaining
accountability for the outcome.
RATIONALE: The nurse retains accountability even when tasks are delegated. Right task, right circumstance, right
person, right direction/communication, right supervision/evaluation.
, 3. What are examples of tasks that CAN be delegated?
CORRECT ANSWER: Assigning vitals or labs to other healthcare professionals like Unlicensed Assistive
Personnel (UAP) and LPNs.
RATIONALE: Stable patients with predictable outcomes can be delegated. UAP can perform bathing, feeding,
ambulating, vital signs on stable patients.
4. What are examples of tasks that CANNOT be delegated?
CORRECT ANSWER: Giving medications, change in status, receiving new medications, new admission,
teaching.
RATIONALE: Nursing judgment, assessment, and evaluation cannot be delegated. Initial assessments, discharge
teaching, medication administration require RN.
5. What are essential steps the nurse should do prior to performing any skill on a patient?
CORRECT ANSWER: Hand hygiene and provide privacy. Identify your patient using name and DOB. Assess
allergies and pain. Determine level of consciousness (LOC).
RATIONALE: Two patient identifiers are required. Assess allergies before any medication or procedure.
SECTION II — COMMUNICATION, HIPAA & NURSING PROCESS Q6–Q10
6. What does AIDET stand for?
CORRECT ANSWER: A - Acknowledge (greet the patient); I - Introduce yourself; D - Duration of assessment; E
- Explain the procedure; T - Thank you.
RATIONALE: AIDET is a communication framework to reduce patient anxiety. Used to build trust and improve patient
satisfaction.
7. What is HIPAA?
CORRECT ANSWER: Health Insurance Portability and Accountability Act. Focuses on Patient Health
Information. Stipulates how healthcare workers can share information.
RATIONALE: HIPAA protects patient privacy and confidentiality. Violations can result in fines and legal
consequences.
