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NR 224/ NR224 Fundamentals of Nursing Exam 2 ATI Book Questions (Latest 2026/2027 Update) | Complete Q&A with Verified Answers and Detailed Rationales | A+ Graded

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INSTANT PDF DOWNLOAD - This is the comprehensive Exam 2 study guide for NR 224 Fundamentals of Nursing Skills at Chamberlain University, featuring ATI book–style questions with verified answers and detailed rationales (Latest 2026/2027 Update) . This guide is based on the official ATI RN Fundamentals of Nursing, 11th Edition (2019) and aligned with the NCLEX-RN test plan . Learning Domains & Client Education – Psychomotor learning demonstrated by performing a skill (e.g., insulin injection) . Affective learning occurs when attitudes or values change (e.g., agreeing to delay toilet training) . First step of the nursing process with a new client is to assess current knowledge. Mobility & Safe Patient Handling – Transfer an uncooperative patient with right-sided paralysis: full-body sling lift with assistive personnel (prevents injury to patient and staff) . Crutch walking: correct two-point gait moves opposing crutch and leg together; crutches should sit 2–3 finger widths below axilla to prevent brachial nerve damage . Side-lying position risk areas: ears, elbows, hips (coccyx is supine, sternum is prone) . Skin Integrity & Pressure Injuries – Braden subscales include sensory perception, moisture, activity, mobility, nutrition, friction/shear (age is NOT a subscale) . Granulation tissue = red, moist tissue composed of new blood vessels (highly vascular, bleeds easily, seen in proliferative phase). Dehiscence = separation of wound layers. Evisceration = protrusion of internal organs (emergency: cover with sterile saline-soaked gauze). Eschar = necrotic tissue (black/brown/tan). Sanguineous drainage = bloody. Purulent drainage = thick, yellow/green (infection). Serous = clear, watery. Serosanguineous = pink-tinged . Elimination – Urinary catheters require CAUTI prevention: hand hygiene, perineal care, keep drainage bag below bladder level . Normal bowel elimination includes adequate fiber (25–38 g/day), fluid intake (2–3 L/day), and activity (walking 15–20 min/day) . Older adult changes: decreased peristalsis, increased nocturia, residual urine, UTI risk . Laxatives soften stool; cathartics promote peristalsis; overuse causes chronic constipation . Oxygenation & Perfusion – Head of bed elevation (Fowler’s) is first action for hypoxia (Airway/Breathing priority) . Oxygen moves from alveoli to blood via passive diffusion, requiring adequate surface area and concentration gradient . Ventilation/perfusion (V/Q) ratio is low at lung bases and high at apex; overall ratio at rest is about 0.8 . Sensory Alterations – Perception = conscious awareness and interpretation of stimuli (“Ow, that was sharp!” after needle stick) . Presbycusis adaptation = patient turns one ear toward speaker . Xerostomia (dry mouth) increases malnutrition risk due to decreased desire to eat . Delegation & Communication – Delegating to UAP: sterile dressing changes CANNOT be delegated, but postmortem care can . Using an interpreter: determine client understanding frequently, use lay terms, and do not interrupt the interpreter–family conversation; talk TO the client, not the interpreter . INSTANT DIGITAL DOWNLOAD (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime. Trusted by Chamberlain nursing students for Exam 2 success. 100% satisfaction guarantee. Vertical Keywords / Tags NR 224 Exam 2 ATI NR224 Fundamentals Exam 2 Study Guide Psychomotor Learning Demonstration of Skill Affective Learning Change in Attitude First Step Nursing Process Assess Client Knowledge Full Body Sling Lift Uncooperative Patient Two Point Crutch Gait Opposing Crutch and Leg Crutch Placement 2 to 3 Finger Widths Below Axilla Side Lying Position Pressure Points Ears Elbows Hips Braden Subscales Sensory Perception Moisture Activity Mobility Nutrition Friction Shear Granulation Tissue Red Vascular Bleeds Easily Wound Dehiscence Separation of Wound Layers Wound Evisceration Protrusion of Organs Sterile Saline Gauze Eschar Necrotic Tissue Black Brown Tan Sanguineous Drainage Bloody Purulent Drainage Thick Yellow Green Infection Serous Drainage Clear Watery Serosanguineous Drainage Pink Tinged CAUTI Prevention Hand Hygiene Perineal Care Normal Fiber Intake 25 to 38 Grams Daily Normal Fluid Intake 2 to 3 Liters Daily Older Adult Elimination Changes Decreased Peristalsis Increased Nocturia Laxatives Soften Stool Cathartics Promote Peristalsis Fowler Position First Action Hypoxia Oxygen Diffusion Passive Diffusion Alveoli to Blood V Q Ratio Low at Lung Bases High at Apex Perception Conscious Awareness and Interpretation of Stimuli Presbycusis Adaptation Turn Ear Toward Speaker Xerostomia Malnutrition Risk Dry Mouth Delegation Sterile Dressing Cannot Delegate to UAP Interpreter Use Lay Terms Do Not Interrupt A+ Grade Nursing Study Guide

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2 M A X E • S L AT N E M A D N U F
★ ★
Nursing Fundamentals Assessment
N Exam 2 — ATI Book Questions

EST. 2026
E XC E L L E N C E I N N U RS I N G E D U C AT I O N




Nursing Fundamentals Exam 2 — ATI Book Questions
S A F E T Y, E T H I CS , D E L E G AT I O N , C R I T I C A L T H I N K I N G & M O B I L I T Y

INSTITUTION Nursing Fundamentals Assessment COURSE CODE Nursing Fundamentals Exam 2 — ATI
PROGRAM Practical Nursing (PN) / Associate Degree ACADEMIC YEAR
in Nursing (ADN)
EXAM TITLE Fundamentals Exam 2 — ATI Book TOTAL QUESTIONS 37 Questions
Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice / Select All That Apply /
Ordered Response / Matching


EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Select all that apply questions are indicated — choose every correct option.
▸ Some questions require ordering steps or matching items.
▸ Correct answers and clinical rationales appear below each question for review purposes.
▸ All content reflects current ATI nursing fundamentals and evidence-based practice.


SECTION I — ATI FUNDAMENTALS EXAMINATION REVIEW Questions 1 – 37

1. A nurse is providing information about how to reduce the risk of poisoning in infants and toddlers to a group of
guardians. Which information should the nurse include? (Select all that apply.)
A. Keep house plants and cleaning agents out of reach.
B. Look for paint chips that can expose the infant to lead.
C. Have the poison control hotline readily available.
D. Place poisons, paint, and gasoline in a locked cabinet.
E. Keep all medications in child-proof containers and locked away.
CORRECT ANSWER A, B, C, D, E — All of the above.

RATIONALE All of these are essential poisoning prevention measures for infants and toddlers. House plants and cleaning
agents should be out of reach because young children explore orally. Lead-based paint chips in older homes
are a major source of lead poisoning. The poison control number should be programmed into phones.
Poisons, paint, and gasoline must be in locked cabinets — not just out of reach. All medications (prescription
and OTC) should be in child-proof containers and locked. Unused medications should be properly disposed
of.

, 2. A nurse educator is providing education on infant safety to a group of guardians. Which of the following statements
by a guardian indicates an understanding of the teaching?
A. "I should line the crib with bumper pads."
B. "I will make sure the crib slats are no more than 3 inches apart."
C. "I should place the baby on their back when sleeping."
D. "I should place the baby in a vehicle safety seat facing forward in the back of the car."
CORRECT ANSWER C — "I should place the baby on their back when sleeping."

RATIONALE The "Back to Sleep" campaign recommends placing infants on their backs for all sleep periods to reduce the
risk of Sudden Unexpected Infant Death Syndrome (SUIDS/SIDS). Bumper pads are a suffocation hazard and
should NOT be used. Crib slats should be no more than 2⅜ inches (6 cm) apart — not 3 inches. Infants should
ride in rear-facing car seats in the back seat until at least age 2 or until they exceed the seat's height/weight
limits.


3. A home health nurse is performing a primary survey for a client who has a life-threatening condition. In which
order should the nurse perform the assessment?
A. Check level of consciousness → Check airway → Check exposure → Check ventilation → Check circulation.
B. Check airway → Check ventilation → Check circulation → Check level of consciousness → Check exposure.
C. Check ventilation → Check airway → Check circulation → Check exposure → Check level of consciousness.
D. Check circulation → Check airway → Check ventilation → Check level of consciousness → Check exposure.
CORRECT ANSWER B — Check airway → Check ventilation → Check circulation → Check level of consciousness → Check
exposure.
RATIONALE The primary survey follows the ABCDE framework: A = Airway (is it patent? cervical spine protection if
trauma), B = Breathing (ventilation — rate, depth, breath sounds, SpO₂), C = Circulation (pulses, BP, capillary
refill, skin color, control hemorrhage), D = Disability (neurological — level of consciousness, pupils, Glasgow
Coma Scale), E = Exposure (remove clothing to fully assess, then prevent hypothermia). This order prioritizes
life-threatening conditions in the sequence most likely to cause death if not addressed.


4. A home health nurse is assessing a client who experienced extreme exposure to heat and has a body temperature
of 40°C (104°F). The nurse should anticipate that the client will display which of the following manifestations?
A. Hypotension.
B. Bradycardia.
C. Clammy skin.
D. Bradypnea.
CORRECT ANSWER A — Hypotension.

RATIONALE Heat stroke is a medical emergency characterized by body temperature ≥40°C (104°F) with central nervous
system dysfunction. Manifestations include: hypotension (vasodilation and dehydration), tachycardia
(compensatory), hot/dry skin (sweating mechanism fails — a key distinguishing feature from heat exhaustion
which has clammy skin), and tachypnea/dyspnea (not bradypnea). Bradycardia is not present — the heart rate
is elevated. Immediate cooling measures and medical intervention are required.

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