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

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INSTANT PDF DOWNLOAD - This is the comprehensive Test 1 study guide for NR 224 Fundamentals of Nursing Skills at Chamberlain University (Latest 2026/2027 Update), featuring 100+ verified exam questions with correct answers and detailed rationales aligned with the official NR 224 course curriculum and NCLEX-RN standards. Nursing History & Evolution – Florence Nightingale credited as first nursing theorist, established nursing school at St. Thomas Hospital in London, promoted "Nightingale Plan" standards for sanitation and hygienic practices . Clara Barton founded American Red Cross. Lillian Wald opened Henry Street Settlement. Mary Nutting instrumental in moving nursing education into universities . First states to mandate licensure: North Carolina, New Jersey, New York, Virginia . Nursing Standards & Competencies – ANA Standards of Nursing Practice include Assessment, Diagnosis, Planning (develops plan prescribing strategies to attain expected outcomes), Implementation, Evaluation . QSEN competencies: Safety, Patient-Centered Care, Quality Improvement (identifying gaps between local and best practices), Teamwork and Collaboration . Nurse researchers responsible for continued development and advancement of nursing. Autonomy involves initiating independent nursing interventions without medical orders . Accountability means nurse is responsible professionally and legally for type and quality of care provided. Ethics & Legal Issues – Nurse Practice Acts protect the public, regulate scope of nursing practice, create State Boards of Nursing to enforce rules, establish criteria for education and licensure of nurses . Code of Ethics provides principles of right and wrong guiding nursing care . Negligence elements include duty, breach, injury, causation. Good Samaritan laws grant immunity from suit if no gross negligence. HIPAA violation includes posting medical information on patient message boards. Patient advocacy includes refusing to allow consent signature when patient lacks understanding . Ethical distress results from knowing right thing to do but constrained by institutional barriers. Health Care Delivery – Preventive care includes immunizations, screenings, counseling . Tertiary care provided in emergency departments, critical care units, inpatient medical-surgical units . Medicare for 65+ (Parts A, B, C, D). Medicaid for low-income clients. Affordable Care Act provides affordable cost coverage. Healthy People 2030 primary prevention aims to prevent disease before it occurs. Infection Control & Asepsis – Hand hygiene most effective infection prevention. Medical asepsis (clean technique) reduces microorganisms. Surgical asepsis (sterile technique) eliminates all microorganisms. Contact Precautions for C. diff requires gown and gloves, dedicated equipment, soap and water only (alcohol sanitizer ineffective) . Airborne Precautions (TB, chickenpox) requires N95 respirator, negative pressure room, door closed. Droplet Precautions requires surgical mask, private room. MRSA patient with MRSA in wound can share room with MRSA in blood (same organism, same precautions) . Vital Signs – Normal adult ranges: temperature 96.8-100.4°F, pulse 60-100 bpm, respirations 12-20/min, BP 120/80 mmHg, SpO2 95-100%. Apical pulse assessed with stethoscope on chest for full minute (especially before digoxin administration) . Rectal temperature most closely reflects core body temperature. Orthopnea = difficulty breathing when lying flat. Pulse rate 170 beats/min normal for healthy newborn infant . Bradycardia = pulse below 60 bpm (holds beta blockers). Orthostatic hypotension assessment: BP and HR lying, sitting, standing. Professional Development – Continuing education: formal, organized programs offered by universities, state nurses associations, professional organizations to keep current . Novice: beginning nursing student or experienced nurse transitioning to new clinical area . Doctor of Philosophy (PhD) preferred for nurse researcher pursuing theory development . Advanced practice roles: Nurse-Midwife requires MSN degree, CRNA works under guidance of anesthesiologist . Vertical Keywords / Tags NR224 Test 1 Chamberlain NR 224 Fundamentals Test 1 Study Guide Florence Nightingale First Nursing Theorist St Thomas Hospital London Nightingale Plan Sanitation Standards Hygienic Practices Clara Barton American Red Cross Lillian Wald Henry Street Settlement First States Mandate Licensure North Carolina New Jersey New York Virginia ANA Standards Assessment Diagnosis Planning Implementation Evaluation QSEN Quality Improvement Gaps Between Local and Best Practices Nurse Practice Acts Protect the Public Regulate Scope Nursing Practice State Board of Nursing Enforce Rules Regulations Autonomy Independent Nursing Interventions Without Medical Orders Accountability Responsible for Type Quality of Nursing Care Code of Ethics Principles Right Wrong Guide Nursing Care Nurse Researchers Advancement of Nursing Knowledge Theory Development Negligence Duty Breach Injury Causation Malpractice Elements Good Samaritan Law Immunity No Gross Negligence HIPAA Violation Posting Medical Information on Message Boards Ethical Distress Know Right Thing Cannot Execute Institutional Constraints Patient Advocacy Refuse Consent Signature When Patient Lacks Understanding Preventive Care Immunizations Screenings Counseling Tertiary Care Emergency Department Critical Care Unit Medical Surgical Unit Medicare 65 and Older Parts A B C D Primary Prevention Healthy People 2030 Hand Hygiene Most Effective Infection Prevention Method Medical Asepsis Clean Technique Surgical Asepsis Sterile Technique Contact Precautions C diff Gown Gloves Dedicated Equipment Soap Water Only Airborne Precautions N95 Respirator Negative Pressure Room Droplet Precautions Surgical Mask Private Room MRSA MRSA in Wound Share Room With MRSA in Blood Normal Vital Signs Temperature 96.8 100.4 Pulse 60 100 Respirations 12 20 BP 120 80 SpO2 95 100 Apical Pulse Stethoscope Chest Full Minute Before Digoxin Rectal Temperature Most Closely Reflects Core Body Temperature Orthopnea Difficulty Breathing Lying Flat Pulse 170 Beats Per Minute Normal Newborn Infant Bradycardia Pulse Below 60 Holds Beta Blockers Continuing Education Formal Programs Keep Current Nursing Knowledge Novice Beginning Student or Experienced Nurse Transitioning New Area Doctor of Philosophy PhD Nurse Researcher Theory Development Nurse Midwife MSN Degree Required CRNA Works Under Guidance of Anesthesiologist A+ Grade Nursing Study Guide

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Nursing Fundamentals




DNUF • 1 TSET
NURS School of Nursing — Test 1 Review
S A F E T Y · D O C U M E N TAT I O N · I N F E C T I O N CO N T R O L · M O B I L I T Y
TEST 1




Nursing Fundamentals — Test 1
N U R S I N G H I STO R Y, P R O C E SS , D O CU M E N TAT I O N , S A F E TY, H YG I E N E , M O B I L I TY & I N F E C T I O N
CO N T R O L

INSTITUTION School of Nursing COURSE CODE NURS-FUND-TEST1
PROGRAM Nursing — ADN / BSN Pathway ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Test 1 TOTAL QUESTIONS 80+ Comprehensive Questions
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / Definition / Select All
That Apply


EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise indicated.
▸ Questions cover nursing history, the nursing process, documentation, safety, hygiene, mobility/positioning, and infection
control.
▸ Verified answers with detailed rationales are provided for comprehensive exam preparation.
▸ Pay close attention to restraint safety, infection cycle components, and proper documentation principles.


NURSING FUNDAMENTALS — HISTORY, PROCESS, SAFETY & INFECTION Questions 1 –
CONTROL 80+

1. What was Florence Nightingale's major contribution to nursing?
A. She invented the first medication.
B. She pioneered the correlation between infection and unclean conditions and recognized the importance of careful
data collection through note-taking, graphs, and charts.
C. She founded the American Red Cross.
D. She was the first African American nurse.
CORRECT ANSWER B — Pioneered infection control correlation with cleanliness and emphasized data collection through
statistics and documentation
RATIONALE Florence Nightingale (1820-1910), the founder of modern nursing, dramatically reduced Crimean War
mortality rates by implementing sanitary conditions — establishing the first evidence-based connection
between cleanliness and infection. She was also a pioneering statistician who used meticulous data
collection, polar area diagrams (coxcomb charts), and systematic documentation to demonstrate the impact
of nursing interventions on patient outcomes.

, 2. What is the scope of practice difference between an LPN and an RN?
A. There is no difference.
B. LPNs work under RN supervision and can collect data; RNs (diploma, associate, or BSN) have a broader scope
including independent assessment and care planning.
C. LPNs have more autonomy than RNs.
D. RNs can only work in hospitals.
CORRECT ANSWER B — LPNs work under RN supervision and collect data; RNs independently assess and plan care

RATIONALE The LPN/LVN practices under the direction of an RN or physician, focusing on data collection and performing
prescribed interventions. The RN (prepared at diploma, associate, or baccalaureate level) has a broader scope
including comprehensive assessment, nursing diagnosis, independent care planning, delegation, and
supervision. Advanced practice RNs (MSN/DNP) have the highest level of autonomy including prescriptive
authority.


3. What are the five steps of the nursing process in correct order?
A. Planning, Assessment, Implementation, Evaluation, Analysis.
B. Assessment, Analysis (Diagnosis), Planning, Implementation, Evaluation.
C. Analysis, Assessment, Planning, Evaluation, Implementation.
D. Implementation, Planning, Assessment, Analysis, Evaluation.
CORRECT ANSWER B — Assessment, Analysis/Diagnosis, Planning, Implementation, Evaluation (ADPIE)

RATIONALE The nursing process is a systematic, cyclical, client-centered framework: (1) Assessment — collect and
organize data; (2) Analysis/Diagnosis — identify problems and formulate nursing diagnoses; (3) Planning —
set goals and select interventions; (4) Implementation — perform interventions; (5) Evaluation — determine if
goals were met and modify plan accordingly.


4. What is the American Nurses Association (ANA)?
A. A labor union for hospital workers.
B. The professional organization for registered nurses that dictates standards of care and pushes for standards of
nursing practice.
C. A government regulatory agency.
D. A testing company for licensure exams.
CORRECT ANSWER B — The professional organization for RNs that establishes standards of care and nursing practice

RATIONALE The American Nurses Association is the premier professional nursing organization representing all registered
nurses. It publishes the Code of Ethics for Nurses, the Scope and Standards of Practice, and advocates for
nurses and patients at national and state levels. The ANA defines nursing's professional boundaries and
promotes excellence in practice, education, and leadership.

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