NUR 257
EXAM 4
Tested Questions with Rationales
Concepts of Aging and Chronic Illness
Galen College of Nursing
This Document Description:
This document contains a collection of 50
tested and verified questions with accurate
answers from EXAM 4 of NUR 257 at the Galen
College of Nursing. It covers core topics assessed
in the course and reflects the actual exam format
and question style. Ideal for exam preparation and concept
reinforcement.
,4.1 A patient is experiencing their first acute gout attack. The nurse
anticipates providing teaching on which medication for this episode?
A. Diphenhydramine
B. Prednisone
C. Colchicine (Allopurinol)
D. Celecoxib (Celebrex)
Answer: C. Colchicine (Allopurinol)
Expert Rationale:
Colchicine is commonly used for acute gout attacks to decrease
inflammation caused by urate crystal deposition. In older adults, dose
adjustments and monitoring for GI side effects are important due to
comorbidities and polypharmacy.
4.2 A patient with osteoarthritis asks how to slow disease progression. Which
instruction is most appropriate?
A. Avoid all movement to reduce joint stress
B. Begin high-impact exercise daily
C. Start swimming or walking several times per week
D. Eliminate all dietary fats
Answer: C. Start swimming or walking several times per week
Expert Rationale:
Low-impact, regular exercise (e.g., walking, swimming) preserves joint
mobility, strengthens muscles, and maintains function. For older adults with
chronic joint disease, inactivity worsens stiffness and disability.
4.3 Which patient is at greatest risk for osteoporosis due to osteopenia?
A. Postmenopausal woman who jogs
B. Small-framed man who smokes and has taken steroids for 5 years
, C. Young adult with a high BMI
D. Older adult who takes calcium supplements
Answer: B. Small-framed man who smokes and has taken steroids for 5 years
Expert Rationale:
Risk factors include long-term corticosteroid use, smoking, low body weight,
and small frame size. Though often under-recognized in older men, these
factors markedly increase fracture risk.
4.4 A patient with gout presents with an exacerbation. Which statement
indicates a likely cause?
A. “I celebrated my promotion with beer and food.”
B. “I have been drinking more water lately.”
C. “I started a low-purine diet.”
D. “I increased my daily walking.”
Answer: A. “I celebrated my promotion with beer and food.”
Expert Rationale:
Alcohol (especially beer) and purine-rich foods can precipitate acute gout
flares by raising serum uric acid. Teaching older adults about diet triggers is
key to preventing recurrent attacks.
4.5 A newly diagnosed patient with osteoporosis asks how to stay safe at
home. Which instruction is appropriate?
A. Keep floors polished
B. Use soft slippers indoors
C. Reduce dietary calcium
D. Remove throw rugs from the floor
Answer: D. Remove throw rugs from the floor
EXAM 4
Tested Questions with Rationales
Concepts of Aging and Chronic Illness
Galen College of Nursing
This Document Description:
This document contains a collection of 50
tested and verified questions with accurate
answers from EXAM 4 of NUR 257 at the Galen
College of Nursing. It covers core topics assessed
in the course and reflects the actual exam format
and question style. Ideal for exam preparation and concept
reinforcement.
,4.1 A patient is experiencing their first acute gout attack. The nurse
anticipates providing teaching on which medication for this episode?
A. Diphenhydramine
B. Prednisone
C. Colchicine (Allopurinol)
D. Celecoxib (Celebrex)
Answer: C. Colchicine (Allopurinol)
Expert Rationale:
Colchicine is commonly used for acute gout attacks to decrease
inflammation caused by urate crystal deposition. In older adults, dose
adjustments and monitoring for GI side effects are important due to
comorbidities and polypharmacy.
4.2 A patient with osteoarthritis asks how to slow disease progression. Which
instruction is most appropriate?
A. Avoid all movement to reduce joint stress
B. Begin high-impact exercise daily
C. Start swimming or walking several times per week
D. Eliminate all dietary fats
Answer: C. Start swimming or walking several times per week
Expert Rationale:
Low-impact, regular exercise (e.g., walking, swimming) preserves joint
mobility, strengthens muscles, and maintains function. For older adults with
chronic joint disease, inactivity worsens stiffness and disability.
4.3 Which patient is at greatest risk for osteoporosis due to osteopenia?
A. Postmenopausal woman who jogs
B. Small-framed man who smokes and has taken steroids for 5 years
, C. Young adult with a high BMI
D. Older adult who takes calcium supplements
Answer: B. Small-framed man who smokes and has taken steroids for 5 years
Expert Rationale:
Risk factors include long-term corticosteroid use, smoking, low body weight,
and small frame size. Though often under-recognized in older men, these
factors markedly increase fracture risk.
4.4 A patient with gout presents with an exacerbation. Which statement
indicates a likely cause?
A. “I celebrated my promotion with beer and food.”
B. “I have been drinking more water lately.”
C. “I started a low-purine diet.”
D. “I increased my daily walking.”
Answer: A. “I celebrated my promotion with beer and food.”
Expert Rationale:
Alcohol (especially beer) and purine-rich foods can precipitate acute gout
flares by raising serum uric acid. Teaching older adults about diet triggers is
key to preventing recurrent attacks.
4.5 A newly diagnosed patient with osteoporosis asks how to stay safe at
home. Which instruction is appropriate?
A. Keep floors polished
B. Use soft slippers indoors
C. Reduce dietary calcium
D. Remove throw rugs from the floor
Answer: D. Remove throw rugs from the floor
