NR 226 Adult Health I Exam 1 Study Guide 2026 |Chamberlain College
1. A nurse is collecting data about a patient’s pain. The patient states, ‘My leg
feels like it is burning.’ Which type of data is this?
A. Objective data
B. Subjective data
C. Secondary data
D. Historical data
Answer: B
Rationale: Subjective data consists of information provided by the patient that cannot be
independently measured or observed by the nurse, such as feelings or sensations.
2. During the assessment phase of the nursing process, which action is the nurse
performing?
A. Setting goals for patient care
B. Administering medications
C. Evaluating if goals were met
D. Systematically collecting patient data
Answer: D
Rationale: Assessment is the first step of the nursing process and involves the systematic
collection of information about the patient’s health status.
,3. Which part of the nursing process involves the nurse determining if the
patient’s goals and outcomes have been achieved?
A. Assessment
B. Planning
C. Evaluation
D. Implementation
Answer: C
Rationale: Evaluation is the final step where the nurse measures the patient’s progress
toward achieving the desired health outcomes.
4. The nurse is preparing to measure a patient’s blood pressure. If the blood
pressure cuff is too small for the patient’s arm, how will the reading be
affected?
A. The reading will be accurate
B. The reading will be falsely low
C. The systolic will be low and diastolic high
D. The reading will be falsely high
Answer: D
Rationale: A cuff that is too small or narrow will result in a falsely high blood pressure
reading because it requires more pressure to occlude the artery.
5. Which of the following is an example of an open-ended question that
promotes therapeutic communication?
A. ‘What brings you to the hospital today?’
B. ‘Did you take your medicine?’
C. ‘Are you feeling better today?’
D. ‘Do you have any pain right now?’
Answer: A
, Rationale: Open-ended questions allow the patient to provide more detailed information
and encourage communication, whereas closed-ended questions typically elicit a yes or no
answer.
6. A nurse is caring for a patient on Contact Precautions for MRSA. Which
personal protective equipment (PPE) is required?
A. N95 respirator and gloves
B. Mask and goggles
C. Gown and gloves
D. Gloves only
Answer: C
Rationale: Contact precautions require the use of gloves and a gown to prevent the
transmission of organisms through direct or indirect contact.
7. The nurse determines that a patient is at high risk for falls. Which
intervention is the most appropriate?
A. Keep all four side rails up at all times
B. Place the bed in the lowest position
C. Apply wrist restraints
D. Ask the patient to stay in bed without calling for help
Answer: B
Rationale: Keeping the bed in the lowest position reduces the risk of injury if a fall occurs.
Raising all four side rails can be considered a restraint and may increase fall risk if the
patient tries to climb over them.
1. A nurse is collecting data about a patient’s pain. The patient states, ‘My leg
feels like it is burning.’ Which type of data is this?
A. Objective data
B. Subjective data
C. Secondary data
D. Historical data
Answer: B
Rationale: Subjective data consists of information provided by the patient that cannot be
independently measured or observed by the nurse, such as feelings or sensations.
2. During the assessment phase of the nursing process, which action is the nurse
performing?
A. Setting goals for patient care
B. Administering medications
C. Evaluating if goals were met
D. Systematically collecting patient data
Answer: D
Rationale: Assessment is the first step of the nursing process and involves the systematic
collection of information about the patient’s health status.
,3. Which part of the nursing process involves the nurse determining if the
patient’s goals and outcomes have been achieved?
A. Assessment
B. Planning
C. Evaluation
D. Implementation
Answer: C
Rationale: Evaluation is the final step where the nurse measures the patient’s progress
toward achieving the desired health outcomes.
4. The nurse is preparing to measure a patient’s blood pressure. If the blood
pressure cuff is too small for the patient’s arm, how will the reading be
affected?
A. The reading will be accurate
B. The reading will be falsely low
C. The systolic will be low and diastolic high
D. The reading will be falsely high
Answer: D
Rationale: A cuff that is too small or narrow will result in a falsely high blood pressure
reading because it requires more pressure to occlude the artery.
5. Which of the following is an example of an open-ended question that
promotes therapeutic communication?
A. ‘What brings you to the hospital today?’
B. ‘Did you take your medicine?’
C. ‘Are you feeling better today?’
D. ‘Do you have any pain right now?’
Answer: A
, Rationale: Open-ended questions allow the patient to provide more detailed information
and encourage communication, whereas closed-ended questions typically elicit a yes or no
answer.
6. A nurse is caring for a patient on Contact Precautions for MRSA. Which
personal protective equipment (PPE) is required?
A. N95 respirator and gloves
B. Mask and goggles
C. Gown and gloves
D. Gloves only
Answer: C
Rationale: Contact precautions require the use of gloves and a gown to prevent the
transmission of organisms through direct or indirect contact.
7. The nurse determines that a patient is at high risk for falls. Which
intervention is the most appropriate?
A. Keep all four side rails up at all times
B. Place the bed in the lowest position
C. Apply wrist restraints
D. Ask the patient to stay in bed without calling for help
Answer: B
Rationale: Keeping the bed in the lowest position reduces the risk of injury if a fall occurs.
Raising all four side rails can be considered a restraint and may increase fall risk if the
patient tries to climb over them.
