Galen NUR 257 Exams 1–4 – Concepts of Aging & Chronic
Illness – (2026/2027) Actual Questions & Answers, 100%
Guarantee Pass Chamberlain University
This NUR 257 Exam 1 Test Bank offers unique multiple-choice questions with
verified answers and detailed expert rationales. It covers core nursing domains
including health promotion, fluid and electrolyte balance, perioperative care, and
systemic disorders. Ideal for nursing students at Chamberlain, Rasmussen, and
Grand Canyon University preparing for their first major med-surg exam.
Section 1: Health Promotion, Mobility & IADLs (Questions 1–30)
1. You are providing health education for a client who has a chronic venous
stasis wound. Which of the following instructions should the nurse include?
A. "Elevate your legs above heart level for 30 minutes twice daily."
B. "Refrain from crossing your legs and elevate legs when sitting."
C. "Apply heating pads to the wound site to increase circulation."
D. "Massage the wound area vigorously to promote blood flow."
B. "Refrain from crossing your legs and elevate legs when sitting."
Rationale: Leg crossing impedes venous return, exacerbating venous
hypertension and stasis ulcers. Elevation promotes venous drainage and
reduces edema. Heat and massage can damage fragile tissue and dislodge
thrombi in clients with venous insufficiency.
,2. You are planning a staff education conference about IADLs (Instrumental
Activities of Daily Living). Which activity should the nurse include as an
example?
A. Bathing
B. Dressing
C. Managing finances
D. Toileting
C. Managing finances
Rationale: IADLs are activities that support daily life within the home and
community but are more complex than basic ADLs. Examples include
managing finances, shopping, cooking, and using transportation. Bathing,
dressing, and toileting are basic ADLs.
3. A nurse is assessing an older adult client for fall risk. Which of the
following medications increases the client's risk for falls?
A. Acetaminophen
B. Lorazepam
C. Omeprazole
D. Lisinopril
B. Lorazepam
Rationale: Benzodiazepines like lorazepam can cause sedation, dizziness,
and impaired coordination, significantly increasing the risk of falls in older
adults.
4. A nurse is teaching a client about a low-fiber diet in preparation for a
colonoscopy. Which of the following foods should the client avoid?
,A. White bread
B. Cooked chicken
C. Raw vegetables
D. Clear broth
C. Raw vegetables
Rationale: A low-fiber diet requires avoiding raw vegetables, fruits with
skins, whole grains, and nuts to ensure the bowel is clear for visualization
during the procedure.
5. A nurse is caring for a client who has been on bed rest for 3 days. Which
of the following is a priority nursing intervention to prevent complications
of immobility?
A. Encourage fluid intake of 1 liter per day.
B. Reposition the client every 2 hours.
C. Massage the client's legs daily.
D. Keep the head of the bed elevated at 45 degrees.
B. Reposition the client every 2 hours.
Rationale: Repositioning every 2 hours is the most effective intervention to
prevent pressure injuries and promote circulation in an immobile client.
6. Which of the following is a primary prevention activity for a 50-year-old
client?
A. Colonoscopy
B. Mammogram
C. Annual influenza vaccination
D. Blood glucose screening for diabetes
C. Annual influenza vaccination
, Rationale: Primary prevention aims to prevent disease before it occurs.
Vaccinations are a classic example. Screenings like colonoscopies and
mammograms are secondary prevention.
7. A nurse is assessing a client's ability to perform ADLs. Which of the
following is considered an ADL?
A. Preparing meals
B. Taking medications
C. Dressing oneself
D. Using the telephone
C. Dressing oneself
Rationale: ADLs (Activities of Daily Living) include basic self-care tasks such
as bathing, dressing, eating, toileting, and transferring. IADLs are more
complex tasks like meal prep and medication management.
8. A nurse is teaching a client about pressure injury prevention. Which
statement by the client indicates an understanding?
A. "I will use a donut-shaped cushion when sitting."
B. "I will shift my weight every 15 minutes while sitting in a chair."
C. "I will massage reddened areas on my heels."
D. "I will keep the head of my bed elevated at 60 degrees."
B. "I will shift my weight every 15 minutes while sitting in a chair."
Rationale: Shifting weight relieves pressure on the skin. Donut cushions can
restrict blood flow. Massaging reddened areas causes tissue damage. A high
Fowler's position increases shear and friction.
9. A nurse is caring for an older adult who lives alone and has poor vision.
Which of the following is the priority safety intervention?
Illness – (2026/2027) Actual Questions & Answers, 100%
Guarantee Pass Chamberlain University
This NUR 257 Exam 1 Test Bank offers unique multiple-choice questions with
verified answers and detailed expert rationales. It covers core nursing domains
including health promotion, fluid and electrolyte balance, perioperative care, and
systemic disorders. Ideal for nursing students at Chamberlain, Rasmussen, and
Grand Canyon University preparing for their first major med-surg exam.
Section 1: Health Promotion, Mobility & IADLs (Questions 1–30)
1. You are providing health education for a client who has a chronic venous
stasis wound. Which of the following instructions should the nurse include?
A. "Elevate your legs above heart level for 30 minutes twice daily."
B. "Refrain from crossing your legs and elevate legs when sitting."
C. "Apply heating pads to the wound site to increase circulation."
D. "Massage the wound area vigorously to promote blood flow."
B. "Refrain from crossing your legs and elevate legs when sitting."
Rationale: Leg crossing impedes venous return, exacerbating venous
hypertension and stasis ulcers. Elevation promotes venous drainage and
reduces edema. Heat and massage can damage fragile tissue and dislodge
thrombi in clients with venous insufficiency.
,2. You are planning a staff education conference about IADLs (Instrumental
Activities of Daily Living). Which activity should the nurse include as an
example?
A. Bathing
B. Dressing
C. Managing finances
D. Toileting
C. Managing finances
Rationale: IADLs are activities that support daily life within the home and
community but are more complex than basic ADLs. Examples include
managing finances, shopping, cooking, and using transportation. Bathing,
dressing, and toileting are basic ADLs.
3. A nurse is assessing an older adult client for fall risk. Which of the
following medications increases the client's risk for falls?
A. Acetaminophen
B. Lorazepam
C. Omeprazole
D. Lisinopril
B. Lorazepam
Rationale: Benzodiazepines like lorazepam can cause sedation, dizziness,
and impaired coordination, significantly increasing the risk of falls in older
adults.
4. A nurse is teaching a client about a low-fiber diet in preparation for a
colonoscopy. Which of the following foods should the client avoid?
,A. White bread
B. Cooked chicken
C. Raw vegetables
D. Clear broth
C. Raw vegetables
Rationale: A low-fiber diet requires avoiding raw vegetables, fruits with
skins, whole grains, and nuts to ensure the bowel is clear for visualization
during the procedure.
5. A nurse is caring for a client who has been on bed rest for 3 days. Which
of the following is a priority nursing intervention to prevent complications
of immobility?
A. Encourage fluid intake of 1 liter per day.
B. Reposition the client every 2 hours.
C. Massage the client's legs daily.
D. Keep the head of the bed elevated at 45 degrees.
B. Reposition the client every 2 hours.
Rationale: Repositioning every 2 hours is the most effective intervention to
prevent pressure injuries and promote circulation in an immobile client.
6. Which of the following is a primary prevention activity for a 50-year-old
client?
A. Colonoscopy
B. Mammogram
C. Annual influenza vaccination
D. Blood glucose screening for diabetes
C. Annual influenza vaccination
, Rationale: Primary prevention aims to prevent disease before it occurs.
Vaccinations are a classic example. Screenings like colonoscopies and
mammograms are secondary prevention.
7. A nurse is assessing a client's ability to perform ADLs. Which of the
following is considered an ADL?
A. Preparing meals
B. Taking medications
C. Dressing oneself
D. Using the telephone
C. Dressing oneself
Rationale: ADLs (Activities of Daily Living) include basic self-care tasks such
as bathing, dressing, eating, toileting, and transferring. IADLs are more
complex tasks like meal prep and medication management.
8. A nurse is teaching a client about pressure injury prevention. Which
statement by the client indicates an understanding?
A. "I will use a donut-shaped cushion when sitting."
B. "I will shift my weight every 15 minutes while sitting in a chair."
C. "I will massage reddened areas on my heels."
D. "I will keep the head of my bed elevated at 60 degrees."
B. "I will shift my weight every 15 minutes while sitting in a chair."
Rationale: Shifting weight relieves pressure on the skin. Donut cushions can
restrict blood flow. Massaging reddened areas causes tissue damage. A high
Fowler's position increases shear and friction.
9. A nurse is caring for an older adult who lives alone and has poor vision.
Which of the following is the priority safety intervention?
