NR 226 FUNDAMENTALS: PATIENT CARE -
COMPREHENSIVE EXAM / CHAMBERLAIN
UNIVERSITY 2026-2027 ACADEMIC YEAR COMPLETE
EXAM QUESTIONS AND VERIFIED ANSWERS | 2026–
2027 LATEST UPDATE | GUARANTEED PASS |
DETAILED RATIONALES | FULL STUDY GUIDE |
EXAM PREP | PRACTICE TEST | CERTIFICATION
PREPARATION
1. A nurse is preparing to enter a patient's room. Which action best demonstrates proper
infection prevention practice?
A. Putting on gloves before reviewing the patient's chart
B. Performing hand hygiene before patient contact
C. Wearing a gown for every patient encounter
D. Applying a mask before entering all rooms
Correct Answer: B. Performing hand hygiene before patient contact
Rationale: Hand hygiene is the single most effective measure for preventing healthcare-
associated infections. Gloves, gowns, and masks are used based on specific precautions, but
hand hygiene is required before and after patient contact.
2. A nurse is assessing a newly admitted patient. Which assessment should be completed
first?
A. Dietary preferences
B. Spiritual beliefs
C. Airway status
D. Family history
Correct Answer: C. Airway status
Rationale: Airway assessment is the highest priority because it directly affects oxygenation and
survival. Basic physiological needs take precedence over psychosocial and historical
information.
3. A patient reports pain rated 8 out of 10. What is the nurse's priority action?
A. Document the finding immediately
B. Reassess in one hour
,C. Notify the healthcare provider
D. Further assess the pain characteristics
Correct Answer: D. Further assess the pain characteristics
Rationale: Pain assessment should include location, quality, duration, aggravating factors, and
associated symptoms. Comprehensive assessment guides appropriate interventions.
4. Which action by the nurse best promotes patient safety during medication
administration?
A. Administering medications quickly during busy periods
B. Delegating medication administration to unlicensed personnel
C. Using two patient identifiers before administration
D. Relying on room number identification
Correct Answer: C. Using two patient identifiers before administration
Rationale: Verifying two identifiers helps prevent medication errors. Room numbers are not
acceptable identifiers according to safety standards.
5. A nurse is caring for a patient at risk for falls. Which intervention is most appropriate?
A. Keeping all side rails raised continuously
B. Encouraging independent ambulation without assistance
C. Placing frequently used items within reach
D. Restricting fluid intake
Correct Answer: C. Placing frequently used items within reach
Rationale: Keeping necessary items accessible reduces unnecessary movement and fall risk. Full
side rails may be considered restraints and can increase injury risk.
6. Which finding requires immediate nursing intervention?
A. Temperature of 37.2°C (99°F)
B. Blood pressure of 118/74 mm Hg
C. Respiratory rate of 8 breaths/min
D. Heart rate of 82 beats/min
Correct Answer: C. Respiratory rate of 8 breaths/min
Rationale: A respiratory rate of 8 indicates respiratory depression and may compromise
oxygenation. This requires immediate assessment and intervention.
7. A patient refuses a prescribed treatment. What should the nurse do first?
, A. Inform the patient that refusal is not allowed
B. Explore the patient's reasons for refusal
C. Document the refusal and leave
D. Contact security
Correct Answer: B. Explore the patient's reasons for refusal
Rationale: Patients have the right to refuse treatment. Understanding their concerns may
facilitate informed decision-making and improve care outcomes.
8. Which statement demonstrates effective therapeutic communication?
A. "You shouldn't feel that way."
B. "Everything will be fine."
C. "Tell me more about your concerns."
D. "I know exactly how you feel."
Correct Answer: C. "Tell me more about your concerns."
Rationale: Open-ended questions encourage patients to express thoughts and feelings. The other
responses minimize or assume the patient's experience.
9. A nurse is preparing to transfer a patient from bed to chair. What should be assessed
first?
A. Patient's favorite chair position
B. Patient's mobility and strength
C. Time of last meal
D. Family preferences
Correct Answer: B. Patient's mobility and strength
Rationale: Assessing mobility and strength determines the safest transfer method and equipment
needed.
10. Which patient is at greatest risk for pressure injury development?
A. Ambulatory patient with seasonal allergies
B. Patient recovering from minor surgery
C. Patient on prolonged bed rest
D. Patient with corrected vision problems
Correct Answer: C. Patient on prolonged bed rest
Rationale: Immobility significantly increases pressure injury risk due to sustained pressure and
decreased circulation.
COMPREHENSIVE EXAM / CHAMBERLAIN
UNIVERSITY 2026-2027 ACADEMIC YEAR COMPLETE
EXAM QUESTIONS AND VERIFIED ANSWERS | 2026–
2027 LATEST UPDATE | GUARANTEED PASS |
DETAILED RATIONALES | FULL STUDY GUIDE |
EXAM PREP | PRACTICE TEST | CERTIFICATION
PREPARATION
1. A nurse is preparing to enter a patient's room. Which action best demonstrates proper
infection prevention practice?
A. Putting on gloves before reviewing the patient's chart
B. Performing hand hygiene before patient contact
C. Wearing a gown for every patient encounter
D. Applying a mask before entering all rooms
Correct Answer: B. Performing hand hygiene before patient contact
Rationale: Hand hygiene is the single most effective measure for preventing healthcare-
associated infections. Gloves, gowns, and masks are used based on specific precautions, but
hand hygiene is required before and after patient contact.
2. A nurse is assessing a newly admitted patient. Which assessment should be completed
first?
A. Dietary preferences
B. Spiritual beliefs
C. Airway status
D. Family history
Correct Answer: C. Airway status
Rationale: Airway assessment is the highest priority because it directly affects oxygenation and
survival. Basic physiological needs take precedence over psychosocial and historical
information.
3. A patient reports pain rated 8 out of 10. What is the nurse's priority action?
A. Document the finding immediately
B. Reassess in one hour
,C. Notify the healthcare provider
D. Further assess the pain characteristics
Correct Answer: D. Further assess the pain characteristics
Rationale: Pain assessment should include location, quality, duration, aggravating factors, and
associated symptoms. Comprehensive assessment guides appropriate interventions.
4. Which action by the nurse best promotes patient safety during medication
administration?
A. Administering medications quickly during busy periods
B. Delegating medication administration to unlicensed personnel
C. Using two patient identifiers before administration
D. Relying on room number identification
Correct Answer: C. Using two patient identifiers before administration
Rationale: Verifying two identifiers helps prevent medication errors. Room numbers are not
acceptable identifiers according to safety standards.
5. A nurse is caring for a patient at risk for falls. Which intervention is most appropriate?
A. Keeping all side rails raised continuously
B. Encouraging independent ambulation without assistance
C. Placing frequently used items within reach
D. Restricting fluid intake
Correct Answer: C. Placing frequently used items within reach
Rationale: Keeping necessary items accessible reduces unnecessary movement and fall risk. Full
side rails may be considered restraints and can increase injury risk.
6. Which finding requires immediate nursing intervention?
A. Temperature of 37.2°C (99°F)
B. Blood pressure of 118/74 mm Hg
C. Respiratory rate of 8 breaths/min
D. Heart rate of 82 beats/min
Correct Answer: C. Respiratory rate of 8 breaths/min
Rationale: A respiratory rate of 8 indicates respiratory depression and may compromise
oxygenation. This requires immediate assessment and intervention.
7. A patient refuses a prescribed treatment. What should the nurse do first?
, A. Inform the patient that refusal is not allowed
B. Explore the patient's reasons for refusal
C. Document the refusal and leave
D. Contact security
Correct Answer: B. Explore the patient's reasons for refusal
Rationale: Patients have the right to refuse treatment. Understanding their concerns may
facilitate informed decision-making and improve care outcomes.
8. Which statement demonstrates effective therapeutic communication?
A. "You shouldn't feel that way."
B. "Everything will be fine."
C. "Tell me more about your concerns."
D. "I know exactly how you feel."
Correct Answer: C. "Tell me more about your concerns."
Rationale: Open-ended questions encourage patients to express thoughts and feelings. The other
responses minimize or assume the patient's experience.
9. A nurse is preparing to transfer a patient from bed to chair. What should be assessed
first?
A. Patient's favorite chair position
B. Patient's mobility and strength
C. Time of last meal
D. Family preferences
Correct Answer: B. Patient's mobility and strength
Rationale: Assessing mobility and strength determines the safest transfer method and equipment
needed.
10. Which patient is at greatest risk for pressure injury development?
A. Ambulatory patient with seasonal allergies
B. Patient recovering from minor surgery
C. Patient on prolonged bed rest
D. Patient with corrected vision problems
Correct Answer: C. Patient on prolonged bed rest
Rationale: Immobility significantly increases pressure injury risk due to sustained pressure and
decreased circulation.
