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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, Vital Signs, Infection Control | 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 bpm, respirations 12-20/min, 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 single most effective infection prevention measure. Standard precautions apply to all patients regardless of diagnosis. Transmission-based precautions (contact, droplet, airborne) for specific pathogens. PPE donning sequence: gown, mask, goggles, gloves. Doffing sequence: gloves, goggles, gown, mask. Medical asepsis (clean technique) reduces 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. 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 SMART Goals Specific Measurable Attainable Realistic Timely Basic Critical Thinking Task Oriented Complex Critical Thinking 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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Portage Learning




1 MAXE • SRUN
PL College of Nursing & Health Sciences
Y O U R F U T U R E . Y O U R W A Y.
EST. 2011




Nursing Fundamentals Exam 1
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 — H I STO R Y, R O L E S , I N F E C T I O N CO N T R O L & P R O F E SS I O N A L
PRACTICE

INSTITUTION Portage Learning EXAM TYPE Nursing Fundamentals Examination
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Exam 1 — TOTAL QUESTIONS Complete Study Guide — All Questions
Complete Review
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 fundamentals exam covers nursing history (Florence Nightingale, Dorothea Dix), nursing roles, licensure,
infection control, delegation, values, and professional practice.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals core concepts.


COMPLETE NURSING FUNDAMENTALS EXAM 1 — ALL QUESTIONS Full Examination

1. A __________ nurse works under the direction of a physician or dentist in various health care settings ranging from
preventive to acute care.
A. Registered
B. Licensed Practical
C. Vocational
D. Associate
CORRECT ANSWER A — Registered.

RATIONALE A Registered Nurse (RN) practices independently under the direction of a physician or dentist across diverse
healthcare settings. LPNs/LVNs work under RN supervision. The RN scope includes assessment, care
planning, and complex decision-making.

, 2. Nurses with a ___________ degree are preferred in areas requiring substantial decision-making.
A. Associate
B. Diploma
C. Baccalaureate
D. Master's
CORRECT ANSWER C — Baccalaureate.

RATIONALE BSN-prepared nurses receive education in leadership, research, and critical thinking that prepares them for
complex clinical decision-making. Many hospitals now prefer or require BSN preparation for magnet status
and improved patient outcomes.


3. The training of nurses in the Nightingale schools was like an unsubsidized apprenticeship.
A. True
B. False
CORRECT ANSWER B — False.

RATIONALE The Nightingale Training School at St. Thomas' Hospital was the first formal, organized nursing education
program. Nightingale used donation money to establish the school, which was a structured educational
program—not an unsubsidized apprenticeship model.


4. The nurse uses his or her ________ skills, which include interviewing, observing, examining the client and in some
cases the client's family, to determine the client's needs and problems.
A. Caring
B. Assessment
C. Technical
D. Counseling
CORRECT ANSWER B — Assessment.

RATIONALE Assessment skills involve interviewing, observing, examining, reviewing data, and obtaining facts from
clients, families, and healthcare providers. This is the first step of the nursing process and is fundamental to
identifying client needs.


5. A graduate who acquired an associate degree in nursing would be referred to as a __________ nurse.
A. Professional
B. Technical
C. Baccalaureate
D. Vocational
CORRECT ANSWER B — Technical.

RATIONALE The ADN graduate is considered a technical nurse, prepared with strong clinical skills for bedside care. BSN
graduates are considered professional nurses with additional preparation in leadership, research, and
community health.

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