NR 224 Fundamentals Skills Exam
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A
| Instant Download Pdf
1. Which action is the most appropriate when providing patient
education to a newly diagnosed diabetic?
A) Give the patient a printed pamphlet only
B) Explain the information once and leave
C) Use teach-back method to confirm understanding
D) Ask the patient to read online resources
Rationale: The teach-back method ensures the patient understands
instructions by having them repeat the information in their own
words.
2. What is the most important step before administering any
medication?
A) Check the patient’s blood pressure
B) Verify the “Five Rights” of medication administration
C) Prepare all medications at once
D) Ask another nurse to administer it
Rationale: The Five Rights—right patient, right drug, right dose, right
route, right time—are essential to prevent medication errors.
3. Which position is appropriate for a patient experiencing
respiratory distress?
A) Supine
B) High Fowler’s
,C) Prone
D) Trendelenburg
Rationale: High Fowler’s position (sitting upright) promotes lung
expansion and eases breathing.
4. When performing hand hygiene, which action is correct?
A) Use water only if hands are visibly dirty
B) Rub hands with soap and water for at least 20 seconds
C) Use alcohol-based sanitizer before every patient contact only
D) Rinse hands quickly under running water
Rationale: Proper handwashing reduces the transmission of
pathogens; 20 seconds ensures thorough cleaning.
5. Which assessment finding is most concerning in a postoperative
patient?
A) Mild incisional pain
B) Saturation 88% on room air
C) Slight nausea
D) Low-grade fever (100.2°F)
Rationale: Oxygen saturation below 90% indicates hypoxemia, which
is potentially life-threatening.
6. A patient refuses to take their prescribed medication. What is
the nurse’s best response?
A) Force the medication
B) Ignore the refusal
C) Assess the reason for refusal and provide education
D) Call security
,Rationale: Understanding patient concerns allows for safe, informed
care and respects autonomy.
7. Which action reduces the risk of nosocomial infections?
A) Wearing gloves only when touching blood
B) Proper hand hygiene and using standard precautions
C) Administering antibiotics prophylactically
D) Placing all patients in isolation
Rationale: Standard precautions and hand hygiene are key to
preventing hospital-acquired infections.
8. When performing range-of-motion exercises, what is the main
purpose?
A) Reduce appetite
B) Prevent contractures and maintain joint flexibility
C) Increase patient fatigue
D) Improve sensation only
Rationale: ROM exercises help maintain mobility and prevent muscle
shortening.
9. Which vital sign change is most indicative of hypovolemic shock?
A) Bradycardia
B) Tachycardia and hypotension
C) Hyperthermia
D) Bradypnea
Rationale: Low circulating volume leads to hypotension, and the body
compensates with tachycardia.
, 10. How should a nurse verify a nasogastric tube placement before
feeding?
A) Observe for patient coughing
B) Check pH of gastric aspirate and confirm with X-ray
C) Listen to bowel sounds only
D) Flush with water
Rationale: Incorrect NG placement can cause aspiration; pH testing
and X-ray confirmation are safest.
11. The correct technique for taking an oral temperature in an adult
is:
A) Under the tongue for 2–3 seconds
B) Under the tongue for 3–5 minutes with a digital thermometer
C) In the ear for 10 minutes
D) On the forehead using a stethoscope
Rationale: Oral temperature measurement requires proper timing
and placement for accuracy.
12. A nurse should reposition a bedridden patient every:
A) 2–4 hours
B) 6–8 hours
C) 2 hours
D) 12 hours
Rationale: Frequent repositioning prevents pressure ulcers and skin
breakdown.
13. Which technique is correct when donning sterile gloves?
A) Touch the outside of the glove with bare hands
B) Touch only the inside of the glove when putting it on
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A
| Instant Download Pdf
1. Which action is the most appropriate when providing patient
education to a newly diagnosed diabetic?
A) Give the patient a printed pamphlet only
B) Explain the information once and leave
C) Use teach-back method to confirm understanding
D) Ask the patient to read online resources
Rationale: The teach-back method ensures the patient understands
instructions by having them repeat the information in their own
words.
2. What is the most important step before administering any
medication?
A) Check the patient’s blood pressure
B) Verify the “Five Rights” of medication administration
C) Prepare all medications at once
D) Ask another nurse to administer it
Rationale: The Five Rights—right patient, right drug, right dose, right
route, right time—are essential to prevent medication errors.
3. Which position is appropriate for a patient experiencing
respiratory distress?
A) Supine
B) High Fowler’s
,C) Prone
D) Trendelenburg
Rationale: High Fowler’s position (sitting upright) promotes lung
expansion and eases breathing.
4. When performing hand hygiene, which action is correct?
A) Use water only if hands are visibly dirty
B) Rub hands with soap and water for at least 20 seconds
C) Use alcohol-based sanitizer before every patient contact only
D) Rinse hands quickly under running water
Rationale: Proper handwashing reduces the transmission of
pathogens; 20 seconds ensures thorough cleaning.
5. Which assessment finding is most concerning in a postoperative
patient?
A) Mild incisional pain
B) Saturation 88% on room air
C) Slight nausea
D) Low-grade fever (100.2°F)
Rationale: Oxygen saturation below 90% indicates hypoxemia, which
is potentially life-threatening.
6. A patient refuses to take their prescribed medication. What is
the nurse’s best response?
A) Force the medication
B) Ignore the refusal
C) Assess the reason for refusal and provide education
D) Call security
,Rationale: Understanding patient concerns allows for safe, informed
care and respects autonomy.
7. Which action reduces the risk of nosocomial infections?
A) Wearing gloves only when touching blood
B) Proper hand hygiene and using standard precautions
C) Administering antibiotics prophylactically
D) Placing all patients in isolation
Rationale: Standard precautions and hand hygiene are key to
preventing hospital-acquired infections.
8. When performing range-of-motion exercises, what is the main
purpose?
A) Reduce appetite
B) Prevent contractures and maintain joint flexibility
C) Increase patient fatigue
D) Improve sensation only
Rationale: ROM exercises help maintain mobility and prevent muscle
shortening.
9. Which vital sign change is most indicative of hypovolemic shock?
A) Bradycardia
B) Tachycardia and hypotension
C) Hyperthermia
D) Bradypnea
Rationale: Low circulating volume leads to hypotension, and the body
compensates with tachycardia.
, 10. How should a nurse verify a nasogastric tube placement before
feeding?
A) Observe for patient coughing
B) Check pH of gastric aspirate and confirm with X-ray
C) Listen to bowel sounds only
D) Flush with water
Rationale: Incorrect NG placement can cause aspiration; pH testing
and X-ray confirmation are safest.
11. The correct technique for taking an oral temperature in an adult
is:
A) Under the tongue for 2–3 seconds
B) Under the tongue for 3–5 minutes with a digital thermometer
C) In the ear for 10 minutes
D) On the forehead using a stethoscope
Rationale: Oral temperature measurement requires proper timing
and placement for accuracy.
12. A nurse should reposition a bedridden patient every:
A) 2–4 hours
B) 6–8 hours
C) 2 hours
D) 12 hours
Rationale: Frequent repositioning prevents pressure ulcers and skin
breakdown.
13. Which technique is correct when donning sterile gloves?
A) Touch the outside of the glove with bare hands
B) Touch only the inside of the glove when putting it on
