Chamberlain University
2 MAXE 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: Skills
E X A M 2 R E V I E W : F U N C T I O N A L A SS E SS M E N T, H YG I E N E , W O U N D C A R E , P R E SS U R E U LC E R S
& NUTRITION
INSTITUTION Chamberlain University — COURSE NR 224 – Fundamentals of
College of Nursing & Public Nursing
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 26 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 2 REVIEW STUDY GUIDE
▸ This document contains verified Q&A for NR 224 Fundamentals: Skills Exam 2 Review (2026/2027 Update).
▸ Covers functional assessment (ADLs/IADLs, Katz Index, Lawton IADL Scale, Braden Scale), hygiene care (privacy,
safety, bathing order, bed bath types, oral care positioning), wound assessment, pressure ulcer stages (I-IV,
Unstageable), wound exudate types, evisceration emergency management, wound irrigation sequence, dressing
purposes, nutrients for wound healing, BMI categories, priority patient care, and delegation considerations.
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 2 and for clinical application in foundational nursing practice.
SECTION I — FUNCTIONAL ASSESSMENT (ADLS, IADLS, SCALES) Q1–Q4
1. What is functional assessment in nursing and what types of activities does it measure?
CORRECT ANSWER: Functional Assessment measures the client's ability to perform tasks and activities
associated with daily living, helping determine their ability to care for themselves at home. ADLs: basic tasks
like bathing, dressing, toileting, mobility, continence, feeding. IADLs: complex tasks like shopping, meal
preparation, home maintenance, laundry, transportation, medication management, financial handling.
RATIONALE: Functional ability may decrease due to illness or injury. Goal is to promote independence while
ensuring necessary assistance.
2. What is the Katz Index of Independence in ADLs?
CORRECT ANSWER: Assesses ability to perform basic ADLs including bathing, dressing, toileting,
transferring, continence, and feeding. Scoring: 1 point (independent) or 0 points (needs assistance). Higher
score = greater independence.
RATIONALE: A lower score indicates more dependence on others. Useful for identifying areas needing intervention.
, 3. What is the Lawton IADL Scale?
CORRECT ANSWER: Evaluates ability to perform complex daily activities: using telephone, shopping,
preparing food, housekeeping, laundry, transportation, managing medications, handling finances. Scoring:
1 point (independent) or 0 points (assistance needed). Higher score = greater independence.
RATIONALE: IADLs are typically lost before ADLs in cognitive decline. Important for discharge planning and home
safety.
4. What is the Braden Scale and what are its components?
CORRECT ANSWER: Assesses risk for pressure wounds. Components: Sensory Perception, Moisture, Activity,
Mobility, Nutrition, Friction and Shear. Risk scores: 15-16 = Low risk; 13-14 = Moderate risk; 12 or less = High
risk.
RATIONALE: Lower scores indicate higher risk for pressure ulcer development. Use Braden Scale on admission and
daily.
SECTION II — HYGIENE CARE & BATHING Q5–Q8
5. What are the best practices for hygiene care regarding privacy, safety, warmth, and independence?
CORRECT ANSWER: Privacy: close curtain/door, use proper draping. Safety: use side rails for dependent
patients, ensure call system within reach. Warmth: comfortable room/water temperature, check water temp
on inner wrist. Promote Independence: encourage client participation, assist as needed. Anticipate Needs:
prepare clean clothing/hygiene products/linens. Standard Precautions: apply standard precautions or
isolation protocols if necessary.
RATIONALE: Hygiene practices affect skin health. During hygiene care, assess for skin abnormalities and self-care
deficits.
6. What is the correct order of bathing/hygiene care?
CORRECT ANSWER: 1. Eyes; 2. Face, Head, and Neck; 3. Arms, Chest, and Hands; 4. Abdomen and Legs; 5.
Perineum; 6. Back; 7. Buttocks and Anus.
RATIONALE: Clean from least contaminated to most contaminated areas. Change washcloths when moving to
different body areas.
7. What are the types of bed bath orders?
CORRECT ANSWER: Complete Bed Bath (totally dependent patient); Partial Bed Bath (hands, face, axilla,
perineal area); Sponge Bath at Sink (patient sitting in chair); Tub Bath; Shower; Disposable Bed Bath/Travel
Bath (pre-moistened cloths); Chlorhexidine Gluconate (CHG) Bath (antimicrobial to reduce HAIs).
RATIONALE: CHG baths reduce hospital-acquired infections on skin, invasive lines, and catheters. Partial bath
includes washing back and providing back rub.
2 MAXE 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: Skills
E X A M 2 R E V I E W : F U N C T I O N A L A SS E SS M E N T, H YG I E N E , W O U N D C A R E , P R E SS U R E U LC E R S
& NUTRITION
INSTITUTION Chamberlain University — COURSE NR 224 – Fundamentals of
College of Nursing & Public Nursing
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 26 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 2 REVIEW STUDY GUIDE
▸ This document contains verified Q&A for NR 224 Fundamentals: Skills Exam 2 Review (2026/2027 Update).
▸ Covers functional assessment (ADLs/IADLs, Katz Index, Lawton IADL Scale, Braden Scale), hygiene care (privacy,
safety, bathing order, bed bath types, oral care positioning), wound assessment, pressure ulcer stages (I-IV,
Unstageable), wound exudate types, evisceration emergency management, wound irrigation sequence, dressing
purposes, nutrients for wound healing, BMI categories, priority patient care, and delegation considerations.
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 2 and for clinical application in foundational nursing practice.
SECTION I — FUNCTIONAL ASSESSMENT (ADLS, IADLS, SCALES) Q1–Q4
1. What is functional assessment in nursing and what types of activities does it measure?
CORRECT ANSWER: Functional Assessment measures the client's ability to perform tasks and activities
associated with daily living, helping determine their ability to care for themselves at home. ADLs: basic tasks
like bathing, dressing, toileting, mobility, continence, feeding. IADLs: complex tasks like shopping, meal
preparation, home maintenance, laundry, transportation, medication management, financial handling.
RATIONALE: Functional ability may decrease due to illness or injury. Goal is to promote independence while
ensuring necessary assistance.
2. What is the Katz Index of Independence in ADLs?
CORRECT ANSWER: Assesses ability to perform basic ADLs including bathing, dressing, toileting,
transferring, continence, and feeding. Scoring: 1 point (independent) or 0 points (needs assistance). Higher
score = greater independence.
RATIONALE: A lower score indicates more dependence on others. Useful for identifying areas needing intervention.
, 3. What is the Lawton IADL Scale?
CORRECT ANSWER: Evaluates ability to perform complex daily activities: using telephone, shopping,
preparing food, housekeeping, laundry, transportation, managing medications, handling finances. Scoring:
1 point (independent) or 0 points (assistance needed). Higher score = greater independence.
RATIONALE: IADLs are typically lost before ADLs in cognitive decline. Important for discharge planning and home
safety.
4. What is the Braden Scale and what are its components?
CORRECT ANSWER: Assesses risk for pressure wounds. Components: Sensory Perception, Moisture, Activity,
Mobility, Nutrition, Friction and Shear. Risk scores: 15-16 = Low risk; 13-14 = Moderate risk; 12 or less = High
risk.
RATIONALE: Lower scores indicate higher risk for pressure ulcer development. Use Braden Scale on admission and
daily.
SECTION II — HYGIENE CARE & BATHING Q5–Q8
5. What are the best practices for hygiene care regarding privacy, safety, warmth, and independence?
CORRECT ANSWER: Privacy: close curtain/door, use proper draping. Safety: use side rails for dependent
patients, ensure call system within reach. Warmth: comfortable room/water temperature, check water temp
on inner wrist. Promote Independence: encourage client participation, assist as needed. Anticipate Needs:
prepare clean clothing/hygiene products/linens. Standard Precautions: apply standard precautions or
isolation protocols if necessary.
RATIONALE: Hygiene practices affect skin health. During hygiene care, assess for skin abnormalities and self-care
deficits.
6. What is the correct order of bathing/hygiene care?
CORRECT ANSWER: 1. Eyes; 2. Face, Head, and Neck; 3. Arms, Chest, and Hands; 4. Abdomen and Legs; 5.
Perineum; 6. Back; 7. Buttocks and Anus.
RATIONALE: Clean from least contaminated to most contaminated areas. Change washcloths when moving to
different body areas.
7. What are the types of bed bath orders?
CORRECT ANSWER: Complete Bed Bath (totally dependent patient); Partial Bed Bath (hands, face, axilla,
perineal area); Sponge Bath at Sink (patient sitting in chair); Tub Bath; Shower; Disposable Bed Bath/Travel
Bath (pre-moistened cloths); Chlorhexidine Gluconate (CHG) Bath (antimicrobial to reduce HAIs).
RATIONALE: CHG baths reduce hospital-acquired infections on skin, invasive lines, and catheters. Partial bath
includes washing back and providing back rub.
