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NR 224/ NR224 Fundamentals of Nursing Exam 1 (Latest 2026/2027 Update) | Complete Exam Questions with Verified Answers and Detailed Rationales | Nursing Process | A+ Graded | Chamberlain

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INSTANT PDF DOWNLOAD - This is the comprehensive Exam 1 study guide for NR 224 Fundamentals of Nursing Skills at Chamberlain University (Latest 2026/2027 Update), featuring verified exam questions with correct answers and detailed rationales covering all core fundamentals content. Nursing Process & Critical Thinking – ADPIE (Assessment, Diagnosis, Planning, Implementation, Evaluation) as the framework for clinical decision-making . Assessment is the first step (collecting subjective/objective data). Nursing diagnosis identifies patient problems. Planning includes SMART goals. Implementation is performing nursing interventions. Evaluation measures goal achievement. Basic critical thinking is task-oriented. Complex critical thinking involves analyzing situations with less reliance on experts. Vital Signs & Pain Assessment – Normal ranges: temperature 96.8-100.4°F (oral), pulse 60-100 beats per minute, respirations 12-20 breaths per minute, blood pressure 120/80 mmHg, SpO2 95-100%. Pain is the fifth vital sign. PQRST pain assessment (Provocation, Quality, Region/Radiation, Severity, Time). COLDSPA (Character, Onset, Location, Duration, Severity, Pattern, Associated factors). Infection Control – Hand hygiene is the single most effective infection prevention measure. Standard precautions apply to all patients regardless of diagnosis. Transmission-based precautions (contact, droplet, airborne) are used for specific pathogens. PPE donning sequence: gown, mask, goggles, gloves. Doffing sequence: gloves, goggles, gown, mask. Medical asepsis (clean technique) reduces number of microorganisms. Surgical asepsis (sterile technique) eliminates all microorganisms. Documentation & Legal/Ethical Principles – SOAP notes (Subjective, Objective, Assessment, Plan). Incident reports for medication errors/unexpected events. Ethical principles: autonomy (patient self-determination), beneficence (do good), nonmaleficence (do no harm), justice (fairness), fidelity (keep promises), veracity (truthfulness). Informed consent requires nurse as witness only (not responsible for explaining procedure). Advance directives include living will and durable power of attorney for healthcare. HIPAA protects patient health information confidentiality. Patient Safety – Fall prevention: bed alarm, call light within reach, nonskid footwear, bed in low position, side rails up. Restraints require physician order, never for convenience, remove every 2 hours for ROM and skin assessment, two fingers between restraint and skin. Seizure precautions: padded side rails, oxygen/suction at bedside, airway management. Fire safety: RACE (Rescue, Alert, Contain, Extinguish), PASS (Pull, Aim, Squeeze, Sweep). INSTANT DIGITAL DOWNLOAD (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime. Trusted by Chamberlain nursing students for Exam 1 success. 100% satisfaction guarantee. Vertical Keywords / Tags NR224 Exam 1 Chamberlain NR 224 Fundamentals Exam 1 Nursing Process ADPIE Assessment Diagnosis Planning Implementation Evaluation Assessment First Step Nursing Process Nursing Diagnosis Identifies Patient Problems SMART Goals Specific Measurable Attainable Realistic Timely Critical Thinking Basic Task Oriented Critical Thinking Complex Analyzing Less Reliance Experts Normal Temperature Oral 96.8 100.4 Degrees Fahrenheit Normal Pulse 60 to 100 Beats Per Minute Normal Respirations 12 to 20 Breaths Per Minute Normal Blood Pressure Less Than 120 Over Less Than 80 Normal SpO2 95 to 100 Percent Pain Assessment PQRST Provocation Quality Region Severity Time Pain Assessment COLDSPA Character Onset Location Duration Severity Pattern Associated Hand Hygiene Most Effective Infection Prevention Standard Precautions All Patients Contact Precautions Gown Gloves Droplet Precautions Mask Airborne Precautions N95 Respirator Negative Airflow PPE Donning Sequence Gown Mask Goggles Gloves PPE Doffing Sequence Gloves Goggles Gown Mask Medical Asepsis Clean Technique Surgical Asepsis Sterile Technique SOAP Notes Subjective Objective Assessment Plan Incident Report Medication Error Documentation Autonomy Patient Self Determination Beneficence Do Good Nonmaleficence Do No Harm Justice Fairness Fidelity Keep Promises Veracity Truthfulness Informed Consent Nurse Witness Only Advance Directives Living Will Durable Power of Attorney HIPAA Confidentiality Protected Health Information Fall Prevention Bed Alarm Call Light Nonskid Footwear Restraints Physician Order Required Remove Every 2 Hours Seizure Precautions Padded Side Rails Oxygen Suction Fire Safety RACE Rescue Alert Contain Extinguish Fire Extinguisher PASS Pull Aim Squeeze Sweep A+ Grade Nursing Study Guide

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Institution
ATI Fundamentals
Course
ATI Fundamentals

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Nursing Fundamentals




1 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS




Nursing Fundamentals — Exam 1
M I C R O O R G A N I S M S , I N F E C T I O N CO N T R O L , H YG I E N E & N U R S I N G H I STO R Y

INSTITUTION Nursing Fundamentals Program COURSE CODE NURS 101 — Fundamentals
PROGRAM Associate / Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE Exam 1 — Fundamentals of Nursing TOTAL QUESTIONS 50+ Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer


EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers microorganisms, chain of infection, asepsis, hygiene, and historical foundations of nursing.


MICROORGANISMS, INFECTION CONTROL, HYGIENE & NURSING Questions 1 –
FOUNDATIONS 50+

1. Microorganisms include all of the following EXCEPT:
A. Bacteria and viruses.
B. Fungi and protozoa.
C. Red blood cells.
D. Parasites.
CORRECT ANSWER C — Red blood cells are human cells, not microorganisms. Microorganisms include bacteria, viruses,
fungi, protozoa, and some parasites.
RATIONALE Microorganisms are microscopic living organisms. Some are harmless/beneficial; others (pathogens) cause
disease.


2. Bacteria are:
A. Tiny infectious agents that must enter a host cell to replicate.
B. Single-celled organisms that reproduce rapidly; some helpful, some cause infection.
C. Organisms that include yeasts and molds.
D. Organisms that live on a host at the host's expense.
CORRECT ANSWER B — Single-celled organisms that reproduce rapidly. A = viruses. C = fungi. D = parasites.

RATIONALE Bacteria are prokaryotic single-celled organisms. Some are normal flora; others are pathogenic (e.g.,
Streptococcus, E. coli, TB).

, 3. Viruses differ from bacteria in that viruses:
A. Can reproduce independently on surfaces.
B. Must enter a living host cell to replicate.
C. Are always beneficial to humans.
D. Thrive in warm, moist environments like fungi.
CORRECT ANSWER B — Viruses are tiny infectious agents that must enter a living host cell to replicate; they cannot
reproduce independently.
RATIONALE Examples: influenza, HIV, RSV, COVID-19, rhinovirus, hepatitis. Viruses hijack host cellular machinery to
reproduce.


4. Fungi include:
A. Only molds.
B. Yeasts and molds; thrive in warm, moist environments.
C. Only single-celled organisms in water.
D. Only parasites.
CORRECT ANSWER B — Fungi include yeasts and molds. Examples: tinea (ringworm), Candida (yeast/thrush), mold.

RATIONALE Fungal infections may be superficial (skin, nails) or systemic (immunocompromised patients).


5. Protozoa are:
A. Multicellular worms.
B. Single-celled organisms found in water/soil; some cause intestinal or blood infections.
C. Non-living infectious proteins.
D. Bacterial spores.
CORRECT ANSWER B — Single-celled organisms in water/soil. Examples: malaria (Plasmodium), toxoplasmosis.

RATIONALE Protozoan infections often occur through contaminated water or vector transmission (mosquitoes).


6. Nonpathogens differ from pathogens in that nonpathogens:
A. Always cause severe disease.
B. Do not cause disease; may be harmless or beneficial.
C. Require oxygen to survive.
D. Are always viruses.
CORRECT ANSWER B — Nonpathogens do not cause disease; many are part of normal flora. Pathogens are capable of
causing disease.
RATIONALE Example: Normal gut bacteria aid digestion (nonpathogenic) vs. Salmonella (pathogenic).

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