2026/2027
Chamberlain University NR 565
Week 1 Exam Success Guide with
Test Bank Practice and Detailed
Review 2026/2027
Question 1:
A client with a right forearm cast reports burning pain, paresthesia, and a pale, cool
extremity. What complication should the nurse suspect?
A. Fat embolism syndrome
B. Compartment syndrome
C. Cast infection
D. Deep vein thrombosis
Correct Answer: B. Compartment syndrome
Rationale: Compartment syndrome occurs when increased pressure within a closed
muscle compartment compromises circulation and nerve function. Classic signs
include severe pain, paresthesia, pallor, and coolness. It is a medical emergency
requiring immediate intervention to prevent permanent damage.
Question 2:
Which question best assesses urinary elimination patterns?
A. “Do you drink enough water daily?”
B. “Do you frequently wake at night to urinate?”
C. “Do you feel thirsty often?”
D. “Do you eat a balanced diet?”
Correct Answer: B. “Do you frequently wake at night to urinate?”
Rationale: Nocturia is a key indicator of urinary dysfunction. Assessing frequency,
completeness of emptying, and changes in urine characteristics helps identify
elimination problems.
Question 3:
Which meal is best for promoting healthy bowel elimination?
,2026/2027
A. White bread and fried chicken
B. Grape and walnut chicken salad sandwich on whole wheat bread
C. Cheese pizza and soda
D. Processed meat sandwich on white bread
Correct Answer: B. Grape and walnut chicken salad sandwich on whole wheat
bread
Rationale: High-fiber foods such as whole grains, fruits, and nuts improve bowel
motility and prevent constipation. Processed and low-fiber foods slow bowel transit.
Question 4:
Which technique is appropriate when performing ice massage for pain relief?
A. Apply ice briefly without movement
B. Use firm, circular motions for 5–10 minutes until numb
C. Apply ice for 30 minutes continuously
D. Avoid direct skin contact entirely
Correct Answer: B. Use firm, circular motions for 5–10 minutes until numb
Rationale: Ice massage involves firm circular motion until numbness occurs, typically
within 5–10 minutes, to reduce localized pain and inflammation.
Question 5:
What is the correct environmental adjustment when bathing a bedridden patient?
A. Keep windows open for ventilation
B. Close doors and windows to prevent drafts
C. Turn off all lights
D. Leave patient uncovered for comfort
Correct Answer: B. Close doors and windows to prevent drafts
Rationale: Preventing drafts maintains body temperature and comfort, especially in
dependent patients who cannot regulate heat effectively.
Question 6:
Which patient is at highest risk for falls?
A. 25-year-old athlete
B. 48-year-old on sedatives
,2026/2027
C. 30-year-old healthy adult
D. 40-year-old with mild headache
Correct Answer: B. 48-year-old on sedatives
Rationale: Sedatives impair cognition, balance, and reaction time, significantly
increasing fall risk.
Question 7:
A patient on propranolol develops wheezing. What complication is suspected?
A. Heart failure
B. Bronchospasm
C. Hyperglycemia
D. Stroke
Correct Answer: B. Bronchospasm
Rationale: Propranolol is a non-selective beta-blocker that can block beta-2 receptors
in the lungs, leading to bronchoconstriction.
Question 8:
What is the best indicator of successful non-pharmacological pain management?
A. Reduced blood pressure
B. Client states “I feel more comfortable”
C. Decreased heart rate
D. Increased sleep duration
Correct Answer: B. Client states “I feel more comfortable”
Rationale: Pain is subjective; patient-reported relief is the most reliable indicator of
effectiveness.
Question 9:
Which patient is at highest risk for skin breakdown?
A. Ambulatory teenager
B. Wheelchair-bound adult
C. Active elderly adult
D. Healthy athlete
, 2026/2027
Correct Answer: B. Wheelchair-bound adult
Rationale: Immobility leads to pressure injury due to prolonged pressure over bony
prominences.
Question 10:
Which condition increases risk for impaired skin integrity?
A. Dehydration
B. Diaphoresis
C. Hypertension
D. Bradycardia
Correct Answer: B. Diaphoresis
Rationale: Excess moisture weakens skin integrity and increases risk of breakdown
and infection.
Question 11:
Priority nursing care for skeletal traction is:
A. Encourage ambulation
B. Monitor pin site infection
C. Remove weights daily
D. Change traction settings
Correct Answer: B. Monitor pin site infection
Rationale: Infection is a major complication of skeletal traction; pin sites require
continuous monitoring.
Question 12:
Common adverse effect of alprazolam is:
A. Hypertension
B. Excessive sedation
C. Hyperactivity
D. Insomnia
Correct Answer: B. Excessive sedation
Chamberlain University NR 565
Week 1 Exam Success Guide with
Test Bank Practice and Detailed
Review 2026/2027
Question 1:
A client with a right forearm cast reports burning pain, paresthesia, and a pale, cool
extremity. What complication should the nurse suspect?
A. Fat embolism syndrome
B. Compartment syndrome
C. Cast infection
D. Deep vein thrombosis
Correct Answer: B. Compartment syndrome
Rationale: Compartment syndrome occurs when increased pressure within a closed
muscle compartment compromises circulation and nerve function. Classic signs
include severe pain, paresthesia, pallor, and coolness. It is a medical emergency
requiring immediate intervention to prevent permanent damage.
Question 2:
Which question best assesses urinary elimination patterns?
A. “Do you drink enough water daily?”
B. “Do you frequently wake at night to urinate?”
C. “Do you feel thirsty often?”
D. “Do you eat a balanced diet?”
Correct Answer: B. “Do you frequently wake at night to urinate?”
Rationale: Nocturia is a key indicator of urinary dysfunction. Assessing frequency,
completeness of emptying, and changes in urine characteristics helps identify
elimination problems.
Question 3:
Which meal is best for promoting healthy bowel elimination?
,2026/2027
A. White bread and fried chicken
B. Grape and walnut chicken salad sandwich on whole wheat bread
C. Cheese pizza and soda
D. Processed meat sandwich on white bread
Correct Answer: B. Grape and walnut chicken salad sandwich on whole wheat
bread
Rationale: High-fiber foods such as whole grains, fruits, and nuts improve bowel
motility and prevent constipation. Processed and low-fiber foods slow bowel transit.
Question 4:
Which technique is appropriate when performing ice massage for pain relief?
A. Apply ice briefly without movement
B. Use firm, circular motions for 5–10 minutes until numb
C. Apply ice for 30 minutes continuously
D. Avoid direct skin contact entirely
Correct Answer: B. Use firm, circular motions for 5–10 minutes until numb
Rationale: Ice massage involves firm circular motion until numbness occurs, typically
within 5–10 minutes, to reduce localized pain and inflammation.
Question 5:
What is the correct environmental adjustment when bathing a bedridden patient?
A. Keep windows open for ventilation
B. Close doors and windows to prevent drafts
C. Turn off all lights
D. Leave patient uncovered for comfort
Correct Answer: B. Close doors and windows to prevent drafts
Rationale: Preventing drafts maintains body temperature and comfort, especially in
dependent patients who cannot regulate heat effectively.
Question 6:
Which patient is at highest risk for falls?
A. 25-year-old athlete
B. 48-year-old on sedatives
,2026/2027
C. 30-year-old healthy adult
D. 40-year-old with mild headache
Correct Answer: B. 48-year-old on sedatives
Rationale: Sedatives impair cognition, balance, and reaction time, significantly
increasing fall risk.
Question 7:
A patient on propranolol develops wheezing. What complication is suspected?
A. Heart failure
B. Bronchospasm
C. Hyperglycemia
D. Stroke
Correct Answer: B. Bronchospasm
Rationale: Propranolol is a non-selective beta-blocker that can block beta-2 receptors
in the lungs, leading to bronchoconstriction.
Question 8:
What is the best indicator of successful non-pharmacological pain management?
A. Reduced blood pressure
B. Client states “I feel more comfortable”
C. Decreased heart rate
D. Increased sleep duration
Correct Answer: B. Client states “I feel more comfortable”
Rationale: Pain is subjective; patient-reported relief is the most reliable indicator of
effectiveness.
Question 9:
Which patient is at highest risk for skin breakdown?
A. Ambulatory teenager
B. Wheelchair-bound adult
C. Active elderly adult
D. Healthy athlete
, 2026/2027
Correct Answer: B. Wheelchair-bound adult
Rationale: Immobility leads to pressure injury due to prolonged pressure over bony
prominences.
Question 10:
Which condition increases risk for impaired skin integrity?
A. Dehydration
B. Diaphoresis
C. Hypertension
D. Bradycardia
Correct Answer: B. Diaphoresis
Rationale: Excess moisture weakens skin integrity and increases risk of breakdown
and infection.
Question 11:
Priority nursing care for skeletal traction is:
A. Encourage ambulation
B. Monitor pin site infection
C. Remove weights daily
D. Change traction settings
Correct Answer: B. Monitor pin site infection
Rationale: Infection is a major complication of skeletal traction; pin sites require
continuous monitoring.
Question 12:
Common adverse effect of alprazolam is:
A. Hypertension
B. Excessive sedation
C. Hyperactivity
D. Insomnia
Correct Answer: B. Excessive sedation
