NR 224 FUNDAMENTALS SKILLS REVIEW EXAM QUESTIONS AND
NR224 Fundamentals Skills Final Exam Review
ANSWERS (VERIFIED ANSWERS) LATEST UPDATE 2025/2026
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1. Tachycardia A heart rate that exceeds the normal resting rate, often defined as a heart rate over
100 beats per minute.
2. Bradycardia A slower than normal heart rate, typically defined as a heart rate below 60 beats
per minute.
3. Factors causing Exercise, Fever/heat, Anxiety, Loss of blood, Positive chronotropic drugs.
tachycardia
4. Factors causing Hypothermia, Long-term exercise (athletes), Unrelieved severe pain, Negative
bradycardia chronotropic drugs, Lying down.
5. Blood pres- Have you had AV fistulas or a mastectomy?
sure assessment
questions
6. Cuff selection for Based on the size of the client's arm.
blood pressure
7. Cuff placement Align cuff artery mark with brachial artery.
for blood pres-
sure
8. Importance of Ensures that proper pressure is applied during inflation.
proper cuff
placement
9. Blood pressure Return in 30 minutes and retake the blood pressure.
reading action
10. Priority instruc- Avoid rectal temperatures.
tion for UAP
with low platelet
count
, NR224 Fundamentals Skills Final Exam Review
Study online at https://quizlet.com/_hgqfp2
11. Client to see first 88-year-old male client admitted with pneumonia, RR 28, SPo2 89%.
based on vital
signs
12. Clients at risk for Client admitted with several rib fractures, Woman who is 9 months pregnant, A 3
tachypnea pack per day smoker with pneumonia.
13. Risk Factors for -Very thin and very obese people
Pressure Ulcer -Age related changes
Development -Fluid loss during illness
-Moisture/fluids/stool against the skin
-Diseases of the skin
-Immobility
-Comorbidities
14. Skin assessment -Color
-Odor
-Consistency
-Amount
-Measurements(Length x width x depth)
-Type of tissue(granulation, eschar, slough)
15. Healing process Primary Intention: Wound that is closed
Secondary Intention: Wound edges not approximated
Tertiary Intention: Wound that is left open for several days; then wo approximated
16. Desiccation drying out
17. Maceration Softening or breaking down the skin due to exposure to moisture
18. Pressure "pressure" areas of the skin that are more at risk for breakdown
19. Trauma caused by physical harm to the area
, NR224 Fundamentals Skills Final Exam Review
Study online at https://quizlet.com/_hgqfp2
20. Edema swelling
21. Necrosis tissue death in area slows other tissue healing
22. Hemorrhage -bleeding
-May be seen externally, or may be internal and careful assessment needed to
assess
23. Dehiscence Incision fails to heal properly, or tissues separate
24. Evisceration Protrusion of visceral organs through a surgical wo
25. Stages of pres- Stage I — nonblanchable erythema of intact skin
sure injuries Stage II — partial-thickness skin loss
Stage III — full-thickness tissue loss; SC fat is visible
Stage IV — full-thickness tissue loss with extensive destruction. Exposed bone,
tendon or muscle.
Deep-Tissue Pressure Injury- persistent non-blanchable deep discoloration of
red, maroon, purple
Unstageable Pressure Injury- obscured full thickness loss
26. Assessing a -Tissue types:
wound and doc- •granulation, necrotic, eschar, slough
umenting the -Drainage types:
wound •Serous- clear, thin, plasma
•Sanguineous- blood, active bleeding, presence of RBC
•Serosanguineous- combination of serous and sanguineous, color will be darker
to lighter pink
•Purulent- think, opaque, yellowish, brown, tan, green; NEVER GOOD!
-Measurements:
•Length (L)x Width (W) x Depth (D)
NR224 Fundamentals Skills Final Exam Review
ANSWERS (VERIFIED ANSWERS) LATEST UPDATE 2025/2026
Study online at https://quizlet.com/_hgqfp2
1. Tachycardia A heart rate that exceeds the normal resting rate, often defined as a heart rate over
100 beats per minute.
2. Bradycardia A slower than normal heart rate, typically defined as a heart rate below 60 beats
per minute.
3. Factors causing Exercise, Fever/heat, Anxiety, Loss of blood, Positive chronotropic drugs.
tachycardia
4. Factors causing Hypothermia, Long-term exercise (athletes), Unrelieved severe pain, Negative
bradycardia chronotropic drugs, Lying down.
5. Blood pres- Have you had AV fistulas or a mastectomy?
sure assessment
questions
6. Cuff selection for Based on the size of the client's arm.
blood pressure
7. Cuff placement Align cuff artery mark with brachial artery.
for blood pres-
sure
8. Importance of Ensures that proper pressure is applied during inflation.
proper cuff
placement
9. Blood pressure Return in 30 minutes and retake the blood pressure.
reading action
10. Priority instruc- Avoid rectal temperatures.
tion for UAP
with low platelet
count
, NR224 Fundamentals Skills Final Exam Review
Study online at https://quizlet.com/_hgqfp2
11. Client to see first 88-year-old male client admitted with pneumonia, RR 28, SPo2 89%.
based on vital
signs
12. Clients at risk for Client admitted with several rib fractures, Woman who is 9 months pregnant, A 3
tachypnea pack per day smoker with pneumonia.
13. Risk Factors for -Very thin and very obese people
Pressure Ulcer -Age related changes
Development -Fluid loss during illness
-Moisture/fluids/stool against the skin
-Diseases of the skin
-Immobility
-Comorbidities
14. Skin assessment -Color
-Odor
-Consistency
-Amount
-Measurements(Length x width x depth)
-Type of tissue(granulation, eschar, slough)
15. Healing process Primary Intention: Wound that is closed
Secondary Intention: Wound edges not approximated
Tertiary Intention: Wound that is left open for several days; then wo approximated
16. Desiccation drying out
17. Maceration Softening or breaking down the skin due to exposure to moisture
18. Pressure "pressure" areas of the skin that are more at risk for breakdown
19. Trauma caused by physical harm to the area
, NR224 Fundamentals Skills Final Exam Review
Study online at https://quizlet.com/_hgqfp2
20. Edema swelling
21. Necrosis tissue death in area slows other tissue healing
22. Hemorrhage -bleeding
-May be seen externally, or may be internal and careful assessment needed to
assess
23. Dehiscence Incision fails to heal properly, or tissues separate
24. Evisceration Protrusion of visceral organs through a surgical wo
25. Stages of pres- Stage I — nonblanchable erythema of intact skin
sure injuries Stage II — partial-thickness skin loss
Stage III — full-thickness tissue loss; SC fat is visible
Stage IV — full-thickness tissue loss with extensive destruction. Exposed bone,
tendon or muscle.
Deep-Tissue Pressure Injury- persistent non-blanchable deep discoloration of
red, maroon, purple
Unstageable Pressure Injury- obscured full thickness loss
26. Assessing a -Tissue types:
wound and doc- •granulation, necrotic, eschar, slough
umenting the -Drainage types:
wound •Serous- clear, thin, plasma
•Sanguineous- blood, active bleeding, presence of RBC
•Serosanguineous- combination of serous and sanguineous, color will be darker
to lighter pink
•Purulent- think, opaque, yellowish, brown, tan, green; NEVER GOOD!
-Measurements:
•Length (L)x Width (W) x Depth (D)
