NUR 257 Chronic Exam 4
Chronic Exam 4 Practice Examination
Actual Exam Questions & Answers With Rationale
A+ GRADED
Welcome to the NUR 257 Chronic Exam 4 Practice Test Bank. This comprehensive
examination focuses on the essential concepts of chronic health conditions including Sleep
Disorders (Sleep Apnea), Skin Integrity and Wound Care, Fungal Infections, and Geriatric
Considerations. The exam covers key domains including: Sleep Assessment and Sleep Apnea,
Skin Anatomy and Physiology, Risk Factors for Impaired Skin Integrity, Fungal Infections
(Assessment and Management), Wound Care, and Nursing Interventions for At-Risk
Populations. Each question includes the correct answer and a short rationale to facilitate
effective learning and self-assessment. Use this test bank to prepare thoroughly for your exam.
1. The nurse observes that a male client is snoring every night. Which should the nurse
assess in this client to diagnose the potential for sleep apnea? (Select all that apply.)
A. Headaches in the morning
B. Number of daytime naps
C. Rituals for sleeping
D. Irritability during the day
E. Awakening during the night
F. Change in appetite
Answer: A, B, D, E
Rationale: Morning headaches, daytime sleepiness (naps), daytime irritability, and
nighttime awakenings are common symptoms of sleep apnea. Sleeping rituals and
appetite changes are not specific indicators.
,2. Which of the following is a true statement about sleep in older adults?
A. The time spent in bed increases, but the time spent asleep decreases.
B. The time spent in bed decreases, and the time spent asleep increases.
C. The time spent in bed and the time spent asleep both decrease.
D. The time spent in bed and the time spent asleep both increase.
Answer: A
Rationale: Older adults often spend more time in bed but experience less actual sleep due
to fragmented sleep patterns and decreased sleep efficiency.
3. Which of the following client(s) does the nurse identify as at risk for developing fungal
infections? (Select all that apply.)
A. Impaired mental status
B. Incontinent
C. Multiple sclerosis
D. Obesity
E. Bedridden
Answer: B, D, E
Rationale: Incontinence (moisture), obesity (skin folds), and being bedridden (immobility)
are risk factors for fungal infections due to warm, moist environments. Impaired mental
status and multiple sclerosis are not direct risk factors but may contribute indirectly.
4. Although intact skin effectively protects an individual, it functions within physiological
limits. Which qualities of healthy skin work synergistically within these limits to absorb,
cushion against, deflect, or neutralize potentially harmful forces, as well as protect against
potentially harmful substances that might impair skin integrity? (Select all that apply.)
A. Location
,B. Pliability
C. Moistness
D. Strength
E. Durability
F. Pigmentation
Answer: B, D, E
Rationale: Pliability, strength, and durability are qualities of healthy skin that work
together to protect against harmful forces and substances.
5. The nurse identifies which of the following intervention(s) in the treatment of fungal
infections? (Select all that apply.)
A. Lubricate affected area daily with moisturizing lotion.
B. Eliminate the conditions that created the problem.
C. Thoroughly clean and dry skin daily.
D. Apply miconazole (Micatin) as directed.
E. Use an antibacterial cleanser daily.
Answer: B, C, D
Rationale: Eliminating the underlying conditions, cleaning and drying the skin, and
applying antifungal medications (e.g., miconazole) are appropriate interventions.
Moisturizing lotion and antibacterial cleansers are not indicated for fungal infections.
6. Which of the following is a symptom of obstructive sleep apnea?
A. Excessive daytime sleepiness
B. Insomnia
C. Nightmares
, D. Restless leg syndrome
Answer: A
Rationale: Excessive daytime sleepiness is a hallmark symptom of obstructive sleep apnea
due to disrupted sleep.
7. Which of the following is a risk factor for obstructive sleep apnea?
A. Obesity
B. Low body mass index
C. Female gender
D. Young age
Answer: A
Rationale: Obesity is a major risk factor for obstructive sleep apnea due to increased soft
tissue around the airway.
8. Which of the following diagnostic tests is used to diagnose sleep apnea?
A. Polysomnography (sleep study)
B. Electrocardiogram (ECG)
C. Magnetic resonance imaging (MRI)
D. Chest X-ray
Answer: A
Rationale: Polysomnography is the gold standard for diagnosing sleep apnea.
9. Which of the following is a treatment for obstructive sleep apnea?
A. Continuous positive airway pressure (CPAP)
Chronic Exam 4 Practice Examination
Actual Exam Questions & Answers With Rationale
A+ GRADED
Welcome to the NUR 257 Chronic Exam 4 Practice Test Bank. This comprehensive
examination focuses on the essential concepts of chronic health conditions including Sleep
Disorders (Sleep Apnea), Skin Integrity and Wound Care, Fungal Infections, and Geriatric
Considerations. The exam covers key domains including: Sleep Assessment and Sleep Apnea,
Skin Anatomy and Physiology, Risk Factors for Impaired Skin Integrity, Fungal Infections
(Assessment and Management), Wound Care, and Nursing Interventions for At-Risk
Populations. Each question includes the correct answer and a short rationale to facilitate
effective learning and self-assessment. Use this test bank to prepare thoroughly for your exam.
1. The nurse observes that a male client is snoring every night. Which should the nurse
assess in this client to diagnose the potential for sleep apnea? (Select all that apply.)
A. Headaches in the morning
B. Number of daytime naps
C. Rituals for sleeping
D. Irritability during the day
E. Awakening during the night
F. Change in appetite
Answer: A, B, D, E
Rationale: Morning headaches, daytime sleepiness (naps), daytime irritability, and
nighttime awakenings are common symptoms of sleep apnea. Sleeping rituals and
appetite changes are not specific indicators.
,2. Which of the following is a true statement about sleep in older adults?
A. The time spent in bed increases, but the time spent asleep decreases.
B. The time spent in bed decreases, and the time spent asleep increases.
C. The time spent in bed and the time spent asleep both decrease.
D. The time spent in bed and the time spent asleep both increase.
Answer: A
Rationale: Older adults often spend more time in bed but experience less actual sleep due
to fragmented sleep patterns and decreased sleep efficiency.
3. Which of the following client(s) does the nurse identify as at risk for developing fungal
infections? (Select all that apply.)
A. Impaired mental status
B. Incontinent
C. Multiple sclerosis
D. Obesity
E. Bedridden
Answer: B, D, E
Rationale: Incontinence (moisture), obesity (skin folds), and being bedridden (immobility)
are risk factors for fungal infections due to warm, moist environments. Impaired mental
status and multiple sclerosis are not direct risk factors but may contribute indirectly.
4. Although intact skin effectively protects an individual, it functions within physiological
limits. Which qualities of healthy skin work synergistically within these limits to absorb,
cushion against, deflect, or neutralize potentially harmful forces, as well as protect against
potentially harmful substances that might impair skin integrity? (Select all that apply.)
A. Location
,B. Pliability
C. Moistness
D. Strength
E. Durability
F. Pigmentation
Answer: B, D, E
Rationale: Pliability, strength, and durability are qualities of healthy skin that work
together to protect against harmful forces and substances.
5. The nurse identifies which of the following intervention(s) in the treatment of fungal
infections? (Select all that apply.)
A. Lubricate affected area daily with moisturizing lotion.
B. Eliminate the conditions that created the problem.
C. Thoroughly clean and dry skin daily.
D. Apply miconazole (Micatin) as directed.
E. Use an antibacterial cleanser daily.
Answer: B, C, D
Rationale: Eliminating the underlying conditions, cleaning and drying the skin, and
applying antifungal medications (e.g., miconazole) are appropriate interventions.
Moisturizing lotion and antibacterial cleansers are not indicated for fungal infections.
6. Which of the following is a symptom of obstructive sleep apnea?
A. Excessive daytime sleepiness
B. Insomnia
C. Nightmares
, D. Restless leg syndrome
Answer: A
Rationale: Excessive daytime sleepiness is a hallmark symptom of obstructive sleep apnea
due to disrupted sleep.
7. Which of the following is a risk factor for obstructive sleep apnea?
A. Obesity
B. Low body mass index
C. Female gender
D. Young age
Answer: A
Rationale: Obesity is a major risk factor for obstructive sleep apnea due to increased soft
tissue around the airway.
8. Which of the following diagnostic tests is used to diagnose sleep apnea?
A. Polysomnography (sleep study)
B. Electrocardiogram (ECG)
C. Magnetic resonance imaging (MRI)
D. Chest X-ray
Answer: A
Rationale: Polysomnography is the gold standard for diagnosing sleep apnea.
9. Which of the following is a treatment for obstructive sleep apnea?
A. Continuous positive airway pressure (CPAP)
