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NR 224/ NR224 Fundamentals of Nursing Exam 1 Blueprint (Latest 2026/2027 Update) | Complete Study Guide with Verified Q&A and Detailed Rationales | Critical Thinking, Nursing Process | A+ Graded | Chamberlain

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INSTANT PDF DOWNLOAD - This is the comprehensive Exam 1 Blueprint study guide for NR 224 Fundamentals of Nursing Skills at Chamberlain University (Latest 2026/2027 Update). The exam is 50 questions with a 50-minute time limit and is taken on the ATI platform, covering Chapters 15, 16, 26, 27, 28, 29, 38, and 39 . This resource features verified exam questions with correct answers and detailed rationales based on the official course blueprint. Core Concepts Tested on Exam 1 – This blueprint covers Critical Thinking (systematic, logical reasoning with openness to question and reflect, involves open-mindedness, continual inquiry, and perseverance) ; Concept Mapping definition and purpose (visual representation showing relationships between patient problems and interventions to improve critical thinking and comprehensive care planning) ; and the Nursing Process (ADPIE: Assessment, Diagnosis, Planning, Implementation, Evaluation) as the framework for clinical decision-making . Assessment & Data Collection – Includes two stages of nursing assessment (collection of information from primary/secondary sources, plus interpretation/validation of data to determine if database is complete) ; types of assessments (patient-centered interview, periodic assessments, physical examination); types of data (subjective: patient's verbal descriptions, feelings, perceptions; objective: findings from direct observation) ; assessment data sources (primary vs secondary); cues (information obtained through senses) and inferences (interpretation of cues, part of clinical decision-making process before determining patient problems) ; open-ended questions (elicit patient's unique story, strengthen nurse-patient relationship, cannot be answered with yes/no) ; and probing questions (encourage full description without controlling story direction, continue until patient has nothing else to say) . Infection Control – Measures to prevent infection (hand hygiene with soap/water when visibly soiled, scrub vigorously for at least 15 seconds, alcohol-based hand rub when entering patient room) ; Chain of Infection with interventions to break at each stage; Modes of transmission (Contact, Droplet, Airborne, Protective Environment) ; Standard Precautions for all patients ; Transmission-Based Precautions with specific PPE requirements (Airborne: N95 respirator, negative pressure room; Droplet: surgical mask; Contact: gown and gloves) ; Protective Environment Precautions for severely immunocompromised patients (no live plants/flowers, private room, door closed) ; body defenses against infection; and symptoms of infection (fever, chills, fatigue, site-specific symptoms) . Vital Signs & Patient Assessment – Normal adult vital signs: Temperature 96.8-100.4°F (36-38°C), Pulse 60-100 bpm, Respirations 12-20/min, Blood Pressure 90-119/60-79 mmHg, O2 saturation 95-100% on room air ; Apical pulse assessed with stethoscope on chest; Peripheral pulse assessed by palpation with two fingers on wrist ; Vital sign assessment priorities using ABCs (Airway, Breathing, Circulation) and addressing the most abnormal value first ; Febrile = having fever (increases heart and respiratory rate) . Clinical Judgment & Critical Thinking Levels – Basic level: nurse trusts experts and thinks concretely on rules ; Components of Critical Thinking: Knowledge (basic nursing education, evidence-based practice), Experience (decision-making ability derived from opportunities), Competence (cognitive process using nursing process), Attitudes (mindset, confidence, independence, responsibility, discipline), Standards (professional code of conduct and ethics) . Mobility & Safety – Bed rest complications: pressure ulcers, blood clots, muscle atrophy, muscle contractures, slowed peristalsis (prevention: expansion of lung and diaphragmatic muscles to prevent pneumonia and atelectasis) ; Fall risk factors (gait, age, environment, AMS, clutter) ; Cane placed on unaffected/stronger side ; Crutches: correct sizing 2-3 finger widths below axilla to prevent brachial nerve damage ; Sequential Compression Devices (SCD) placed on legs to avoid blood clots, keep blood circulating . 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 NR 224 Exam 1 Blueprint Chamberlain NR224 Fundamentals Exam 1 Blueprint 50 Questions 50 Minutes ATI Platform Critical Thinking Systematic Logical Open Minded Continual Inquiry Concept Mapping Visual Representation Patient Problems Relationships Comprehensive Care Planning Nursing Process ADPIE Assessment Diagnosis Planning Implementation Evaluation Two Stages Nursing Assessment Collecting Data Interpreting Validating Assessment Types Patient Centered Interview Periodic Assessment Physical Examination Subjective Data Patient Verbal Descriptions Feelings Perceptions Objective Data Direct Observation Physical Exam Findings Primary Source Patient Secondary Source Family Records Cues Information Obtained Through Senses Signs Symptoms Inference Interpretation of Cues Clinical Decision Making Process Open Ended Questions Elicit Patient Story Strengthen Nurse Patient Relationship Probing Questions Full Description Without Controlling Direction Hand Hygiene Soap Water 15 Seconds Alcohol Based Hand Rub Chain of Infection Causative Agent Reservoir Portal Exit Mode Transmission Portal Entry Susceptible Host Contact Precautions Gown Gloves Private Room Dedicated Equipment Droplet Precautions Surgical Mask Private Room Airborne Precautions N95 Respirator Negative Pressure Room Door Closed Protective Environment Precautions Immunocompromised No Live Plants Private Room Infection Symptoms Fever Chills Fatigue Site Specific Symptoms Normal Vital Signs Temperature 96.8 100.4 Pulse 60 100 Respirations 12 20 BP O2 95 100 Apical Pulse Stethoscope Chest Peripheral Pulse Palpation Two Fingers Wrist ABC Priority Airway Breathing Circulation Most Abnormal Vital Sign Febrile Having Fever Increases Heart Respiratory Rate Bed Rest Complications Pressure Ulcers Blood Clots Muscle Atrophy Contractures Fall Risk Factors Gait Age Environment AMS Clutter Cane Unaffected Stronger Side Crutches 2 to 3 Finger Widths Below Axilla Prevent Brachial Nerve Damage Sequential Compression Device SCD Prevents Blood Clots Legs Only A+ Grade Nursing Study Guide

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Institution
ATI Fundamentals
Course
ATI Fundamentals

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TNIRPEULB • 1 MAXE
Nursing Fundamentals
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS




Fundamentals of Nursing — Exam 1 Blueprint
CO M P L E T E CO M P R E H E N S I V E R E V I E W — A L L 9 2 Q U E ST I O N S W I T H CO R R E C T A N S W E R S &
R AT I O N A L E S

INSTITUTION Nursing Fundamentals Program EXAM TYPE Fundamentals of Nursing Exam 1
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Fundamentals of Nursing Exam 1 TOTAL QUESTIONS 92 Questions — Complete Blueprint
Blueprint
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / True-False / Fill-in —
Select the Single Best Answer


EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive 92-question blueprint covers nursing history (Nightingale, Barton, Dix), Benner's Novice to Expert theory,
nursing process (ADPIE), clinical judgment model, infection control (stages, transmission, precautions), medication
administration (7 rights, routes, checks), nursing organizations (ANA, NLN, NSNA), NCLEX, scope of practice, QSEN
competencies, and professional standards.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 1 Blueprint core concepts.


SECTION I — NURSING HISTORY, LEADERS & BENNER'S THEORY Part A

1. The critical dyad of nursing is best described as:
A. Assessment and evaluation only.
B. Both an art and a science (skills and knowledge + the art of caring).
C. Medication administration and documentation.
D. Physical care and spiritual care.
CORRECT ANSWER B — Both an art and a science (skills and knowledge + the art of caring).

RATIONALE Nursing is both an art (compassion, intuition, therapeutic relationship, caring) and a science (evidence-based
practice, clinical knowledge, technical skills). This dyad defines the holistic nature of professional nursing
practice.

, 2. Florence Nightingale is credited with all of the following EXCEPT:
A. Evidence-based practice and data collection.
B. Reduction of infection rates.
C. Starting the first nursing schools.
D. Founding the American Red Cross.
CORRECT ANSWER D — Founding the American Red Cross.

RATIONALE Clara Barton founded the American Red Cross in 1881. Nightingale's contributions include evidence-based
practice, infection reduction, first nursing schools (St. Thomas' Hospital), data collection/statistics, and
documentation standards.


3. Clara Barton is best known for:
A. Starting the first nursing school in England.
B. Formalizing nursing education and founding the American Red Cross.
C. Developing the Novice to Expert theory.
D. Creating the NCLEX examination.
CORRECT ANSWER B — Formalizing nursing education and founding the American Red Cross.

RATIONALE Clara Barton was a pioneering nurse who formalized nursing education and founded the American Red Cross
in 1881, establishing the organization's mission of disaster relief and humanitarian aid.


4. Dorothea Dix advocated for all of the following EXCEPT:
A. Formal training for nurses.
B. Mental health awareness.
C. Indigenous rights.
D. Starting the first nursing school.
CORRECT ANSWER D — Starting the first nursing school.

RATIONALE Dorothea Dix was a social reformer who advocated for formal nurse training, mental health reform, and
indigenous rights. She served as Superintendent of Army Nurses during the Civil War. Nightingale started the
first nursing school.


5. Dr. Patricia Benner's Novice to Expert theory includes how many stages?
A. Three.
B. Four.
C. Five.
D. Six.
CORRECT ANSWER C — Five: Novice, Advanced Beginner, Competent, Proficient, Expert.

RATIONALE Benner's model describes five stages of clinical competence: Novice (students/new nurses <6 months),
Advanced Beginner (6 months-1 year), Competent (1-2 years), Proficient (3+ years), and Expert (5+ years).

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