Chamberlain University NR 324 Adult
Health Exam 2026/2027 Complete Practice
Questions, Rationales, and Nursing Exam
Success Guide
Question 1:
A patient is being taught how to safely use a walker after surgery. Which domain of
learning is primarily required for the patient to successfully acquire this skill?
A. Affective domain
B. Cognitive domain
C. Attentional domain
D. Psychomotor domain
Correct Answer: D. Psychomotor domain
Rationale: The psychomotor domain involves physical movement, coordination, and
motor skills, which are essential for using a walker. The affective domain (A) relates
to feelings and attitudes, while the cognitive domain (B) involves knowledge and
understanding. The attentional domain (C) is not a recognized learning domain.
Question 2:
A nurse is planning to teach a patient about the importance of regular physical
exercise. Which conditions would be most appropriate to ensure effective learning?
(Select all that apply)
A. When visitors are present in the room
B. When the patient’s pain medications are effectively controlling discomfort
C. Just before lunch when the patient is alert
D. When the patient is discussing emotional stressors
Correct Answer: B and C
Rationale: Learning is most effective when the patient is comfortable and alert. Pain
control (B) improves concentration, and timing teaching when alert (C) enhances
retention. Visitors (A) and emotional distress (D) can distract from learning.
Question 3:
,2026/2027
A patient newly diagnosed with cervical cancer is avoiding discussion about her
condition and postoperative care. What is the most appropriate teaching approach by
the nurse?
A. Teach the patient’s spouse instead
B. Focus on information needed in a few weeks
C. Provide only essential discharge information
D. Persuade the patient to accept education
Correct Answer: C. Provide only essential discharge information
Rationale: When patients are emotionally overwhelmed, teaching should be limited to
essential, immediate needs. Teaching others (A) excludes the patient, delaying
learning (B) is unsafe, and forcing education (D) is not therapeutic.
Question 4:
A school nurse is teaching a high school class about nutrition. Which instructional
strategy best promotes achievement of learning outcomes?
A. Delivering a lecture
B. Using simple language only
C. Encouraging problem-solving discussions
D. Assigning research on eating disorders
Correct Answer: C. Encouraging problem-solving discussions
Rationale: Active learning strategies like discussions promote critical thinking and
engagement. Lectures (A) are passive, simple language alone (B) is insufficient, and
research tasks (D) may not directly support class objectives.
Question 5:
A nurse is teaching breast self-examination. Which objective best evaluates the
patient’s learning?
A. Patient verbalizes steps within one week
B. Nurse explains importance
C. Patient performs the procedure correctly
D. Nurse demonstrates on a model
Correct Answer: C. Patient performs the procedure correctly
Rationale: Performance demonstrates mastery of skill. Verbalization (A) reflects
knowledge only, nurse actions (B, D) do not measure patient learning.
Question 6:
, 2026/2027
A patient requires emergency cardiac catheterization. Which teaching approach is
most appropriate?
A. Telling
B. Selling
C. Participating
D. Entrusting
Correct Answer: A. Telling
Rationale: In emergencies, concise instructions are necessary. Other methods require
time and patient involvement, which is not feasible in urgent situations.
Question 7:
A nurse uses a scenario where a patient acts out a situation involving alcohol refusal.
What teaching method is this?
A. Role play
B. Discovery
C. Analogy
D. Demonstration
Correct Answer: A. Role play
Rationale: Role play allows practice of behaviors in simulated situations.
Demonstration (D) shows a skill, analogy (C) compares ideas, and discovery (B) is
self-learning.
Question 8:
When teaching an older adult about medication, which strategy is most appropriate?
A. Speak loudly
B. Present information once
C. Expect quick understanding
D. Allow time for questions
Correct Answer: D. Allow time for questions
Rationale: Older adults benefit from time to process and ask questions. Speaking
loudly (A) may be inappropriate, and rushing learning (B, C) reduces understanding.
Question 9:
Which sign indicates a patient is ready to learn how to give injections?