NUR 257 CHRONIC EXAM 1 LATEST 2026 UPDATE
100 QUESTIONS AND DETAILED VERIFIED ANSWERS
FROM ACTUAL EXAMS TEST GRADE A+
1.
A patient with chronic heart failure reports increased shortness of breath. What is
the priority nursing action?
A. Administer oxygen
Rationale: Oxygen improves myocardial oxygenation and reduces cardiac
workload in symptomatic heart failure.
2.
Which lab value is most important to monitor in chronic kidney disease?
B. Serum creatinine
Rationale: Creatinine reflects renal filtration and kidney function decline.
3.
A patient with COPD is prescribed oxygen. What is the safest delivery method?
A. Venturi mask
Rationale: Venturi masks deliver precise oxygen concentrations, preventing CO₂
retention.
4.
Which symptom is most concerning in a patient with chronic liver disease?
C. Confusion and disorientation
Rationale: This may indicate hepatic encephalopathy.
,5.
What is the primary goal in managing chronic hypertension?
B. Prevent organ damage
Rationale: Long-term BP control prevents stroke, MI, and kidney failure.
6.
Which diet is recommended for chronic kidney disease?
C. Low protein diet
Rationale: Reduces nitrogenous waste buildup.
7.
A diabetic patient reports numbness in feet. This indicates:
A. Peripheral neuropathy
Rationale: Chronic hyperglycemia damages peripheral nerves.
8.
Which medication is commonly used in chronic heart failure?
D. ACE inhibitors
Rationale: They reduce afterload and improve cardiac output.
9.
A patient with asthma uses a rescue inhaler how often?
B. As needed during symptoms
Rationale: Rescue inhalers are for acute bronchospasm relief.
, 10.
Which finding indicates worsening COPD?
C. Increased CO₂ retention
Rationale: Indicates respiratory failure progression.
11.
What is a common complication of long-term diabetes?
A. Retinopathy
Rationale: Chronic hyperglycemia damages retinal vessels.
12.
Which assessment is priority in chronic pain patients?
B. Pain level and function
Rationale: Chronic pain management focuses on quality of life.
13.
Which electrolyte imbalance is common in chronic kidney disease?
C. Hyperkalemia
Rationale: Kidneys cannot excrete potassium effectively.
14.
A patient with heart failure should be weighed:
A. Daily at the same time
Rationale: Detects fluid retention early.
15.
100 QUESTIONS AND DETAILED VERIFIED ANSWERS
FROM ACTUAL EXAMS TEST GRADE A+
1.
A patient with chronic heart failure reports increased shortness of breath. What is
the priority nursing action?
A. Administer oxygen
Rationale: Oxygen improves myocardial oxygenation and reduces cardiac
workload in symptomatic heart failure.
2.
Which lab value is most important to monitor in chronic kidney disease?
B. Serum creatinine
Rationale: Creatinine reflects renal filtration and kidney function decline.
3.
A patient with COPD is prescribed oxygen. What is the safest delivery method?
A. Venturi mask
Rationale: Venturi masks deliver precise oxygen concentrations, preventing CO₂
retention.
4.
Which symptom is most concerning in a patient with chronic liver disease?
C. Confusion and disorientation
Rationale: This may indicate hepatic encephalopathy.
,5.
What is the primary goal in managing chronic hypertension?
B. Prevent organ damage
Rationale: Long-term BP control prevents stroke, MI, and kidney failure.
6.
Which diet is recommended for chronic kidney disease?
C. Low protein diet
Rationale: Reduces nitrogenous waste buildup.
7.
A diabetic patient reports numbness in feet. This indicates:
A. Peripheral neuropathy
Rationale: Chronic hyperglycemia damages peripheral nerves.
8.
Which medication is commonly used in chronic heart failure?
D. ACE inhibitors
Rationale: They reduce afterload and improve cardiac output.
9.
A patient with asthma uses a rescue inhaler how often?
B. As needed during symptoms
Rationale: Rescue inhalers are for acute bronchospasm relief.
, 10.
Which finding indicates worsening COPD?
C. Increased CO₂ retention
Rationale: Indicates respiratory failure progression.
11.
What is a common complication of long-term diabetes?
A. Retinopathy
Rationale: Chronic hyperglycemia damages retinal vessels.
12.
Which assessment is priority in chronic pain patients?
B. Pain level and function
Rationale: Chronic pain management focuses on quality of life.
13.
Which electrolyte imbalance is common in chronic kidney disease?
C. Hyperkalemia
Rationale: Kidneys cannot excrete potassium effectively.
14.
A patient with heart failure should be weighed:
A. Daily at the same time
Rationale: Detects fluid retention early.
15.
