CHAMBERLAIN SCHOOL OF NURSING
Care • Compassion • Community
NR 224 Fundamentals of Nursing
Bachelor of Science in Nursing (BSN)
Exam 1 Review | Complete Question Bank
Academic Year: 2026/2027 All Questions Included 101 Questions
Question 1
Select all that apply
Which complication would the nurse monitor for in a client on strict bed rest for three days?
Select all that apply.
A. Atelectasis
B. Constipation
C. Hypotension
D. Pressure injuries
E. Urinary tract infection
CORRECT ANSWER A. Atelectasis B. Constipation C. Hypotension D. Pressure injuries E. Urinary
tract infection
RATIONALE: Immobility leads to multiple complications: atelectasis (decreased lung expansion),
constipation (decreased peristalsis), hypotension (orthostatic changes), pressure injuries, and urinary
stasis/UTI. All are risks with 3+ days of bed rest.
,Question 2
Which type of immobility is characterized by paralysis such as paraplegia or quadriplegia?
A. Temporary
B. Permanent
C. Sudden onset
D. Chronic
CORRECT ANSWER B. Permanent
RATIONALE: Permanent immobility is irreversible, as seen in spinal cord injuries resulting in paraplegia or
quadriplegia.
Question 3
Unstageable pressure injury is characterized by:
A. Intact skin with non-blanchable redness
B. Partial-thickness skin loss
C. Full-thickness tissue loss where the base is covered by slough or eschar
D. Full-thickness tissue loss with exposed bone
CORRECT ANSWER C. Full-thickness tissue loss where the base is covered by slough or eschar
RATIONALE: Unstageable pressure injury: full-thickness tissue loss where the wound base is obscured by
slough (yellow, tan, gray) or eschar (black, brown). The true depth cannot be determined until the debris is
removed.
,Question 4
Systemic effects of immobility - Elimination effects include:
A. Urinary stasis, Decreased fluid intake, Risk of UTI, Decreased peristalsis
B. Increased urinary output, improved peristalsis
C. Normal elimination patterns
D. Decreased risk of constipation
CORRECT ANSWER A. Urinary stasis, Decreased fluid intake, Risk of UTI, Decreased peristalsis
RATIONALE: Immobility causes urinary stasis (increasing UTI risk), decreased fluid intake, and decreased
peristalsis leading to constipation.
Question 5
Which written statement by the nurse while documenting factual records indicates the nurse
needs additional training?
A. The client seems restless
B. The client states, 'I am worried.'
C. The client's pulse rate is 90 beats per minute
D. The client has a body temperature of 39°C (102.2°F)
CORRECT ANSWER A. The client seems restless
RATIONALE: The word 'seems' is subjective and reflects the nurse's interpretation rather than objective
fact. Documentation should use objective, factual language. 'Seems restless' should be replaced with specific
observable behaviors.
, Question 6
COCA assessment for wounds stands for:
A. Color, Odor, Consistency, Amount
B. Culture, Odor, Color, Appearance
C. Consistency, Origin, Color, Amount
D. Clean, Open, Closed, Acute
CORRECT ANSWER A. Color, Odor, Consistency, Amount
RATIONALE: COCA is a wound assessment mnemonic: Color (red, yellow, black), Odor, Consistency
(drainage type), and Amount (quantity of exudate).
Question 7
Systemic effects of immobility - Psychological effects include:
A. Depression, Hostility, Altered sleep or wake pattern
B. Improved mood and sleep
C. Increased socialization
D. Enhanced coping
CORRECT ANSWER A. Depression, Hostility, Altered sleep or wake pattern
RATIONALE: Immobility can lead to psychological effects including depression, hostility, and altered
sleep/wake patterns due to decreased activity and social interaction.
Care • Compassion • Community
NR 224 Fundamentals of Nursing
Bachelor of Science in Nursing (BSN)
Exam 1 Review | Complete Question Bank
Academic Year: 2026/2027 All Questions Included 101 Questions
Question 1
Select all that apply
Which complication would the nurse monitor for in a client on strict bed rest for three days?
Select all that apply.
A. Atelectasis
B. Constipation
C. Hypotension
D. Pressure injuries
E. Urinary tract infection
CORRECT ANSWER A. Atelectasis B. Constipation C. Hypotension D. Pressure injuries E. Urinary
tract infection
RATIONALE: Immobility leads to multiple complications: atelectasis (decreased lung expansion),
constipation (decreased peristalsis), hypotension (orthostatic changes), pressure injuries, and urinary
stasis/UTI. All are risks with 3+ days of bed rest.
,Question 2
Which type of immobility is characterized by paralysis such as paraplegia or quadriplegia?
A. Temporary
B. Permanent
C. Sudden onset
D. Chronic
CORRECT ANSWER B. Permanent
RATIONALE: Permanent immobility is irreversible, as seen in spinal cord injuries resulting in paraplegia or
quadriplegia.
Question 3
Unstageable pressure injury is characterized by:
A. Intact skin with non-blanchable redness
B. Partial-thickness skin loss
C. Full-thickness tissue loss where the base is covered by slough or eschar
D. Full-thickness tissue loss with exposed bone
CORRECT ANSWER C. Full-thickness tissue loss where the base is covered by slough or eschar
RATIONALE: Unstageable pressure injury: full-thickness tissue loss where the wound base is obscured by
slough (yellow, tan, gray) or eschar (black, brown). The true depth cannot be determined until the debris is
removed.
,Question 4
Systemic effects of immobility - Elimination effects include:
A. Urinary stasis, Decreased fluid intake, Risk of UTI, Decreased peristalsis
B. Increased urinary output, improved peristalsis
C. Normal elimination patterns
D. Decreased risk of constipation
CORRECT ANSWER A. Urinary stasis, Decreased fluid intake, Risk of UTI, Decreased peristalsis
RATIONALE: Immobility causes urinary stasis (increasing UTI risk), decreased fluid intake, and decreased
peristalsis leading to constipation.
Question 5
Which written statement by the nurse while documenting factual records indicates the nurse
needs additional training?
A. The client seems restless
B. The client states, 'I am worried.'
C. The client's pulse rate is 90 beats per minute
D. The client has a body temperature of 39°C (102.2°F)
CORRECT ANSWER A. The client seems restless
RATIONALE: The word 'seems' is subjective and reflects the nurse's interpretation rather than objective
fact. Documentation should use objective, factual language. 'Seems restless' should be replaced with specific
observable behaviors.
, Question 6
COCA assessment for wounds stands for:
A. Color, Odor, Consistency, Amount
B. Culture, Odor, Color, Appearance
C. Consistency, Origin, Color, Amount
D. Clean, Open, Closed, Acute
CORRECT ANSWER A. Color, Odor, Consistency, Amount
RATIONALE: COCA is a wound assessment mnemonic: Color (red, yellow, black), Odor, Consistency
(drainage type), and Amount (quantity of exudate).
Question 7
Systemic effects of immobility - Psychological effects include:
A. Depression, Hostility, Altered sleep or wake pattern
B. Improved mood and sleep
C. Increased socialization
D. Enhanced coping
CORRECT ANSWER A. Depression, Hostility, Altered sleep or wake pattern
RATIONALE: Immobility can lead to psychological effects including depression, hostility, and altered
sleep/wake patterns due to decreased activity and social interaction.
