Chapter 05: Chronic Illness
Lewis: Medical-Surgical Nursing in Canada,
MULTIPLE CHOICE
1. The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe
hyperglycemia. Which of the following topics will be most important to include in discharge
teaching?
a. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the client’s family history on likelihood of developing diabetes
d. Symptoms indicating that the client should contact the health care provider
ANS: D
One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The client
needs instruction on recognition of symptoms of hyperglycemia and appropriate actions to
take if these symptoms occur. The other information also may be included in client teaching,
but is not as essential in the client’s self-management of the illness.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
2. Which of the following diseases has the highest proportion of chronic illness deaths in
Canada?
a. Cancer
b. Diabetes
c. Cardiovascular disease
d. Chronic respiratory disease
ANS: C
Cardiovascular diseases (37%) were responsible for the highest proportion of global deaths in
2012, followed by cancers (27%), chronic respiratory diseases (8%), and diabetes (4%).
DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
3. Which of the following is an example of multimorbidity?
a. Chronic obstructive pulmonary disease and a urinary tract infection
b. Lung cancer and pneumonia
c. Chronic kidney disease and appendicitis
d. Diabetes and exacerbation of rheumatoid arthritis
ANS: D
Multimorbidity is the simultaneous occurrence of several chronic medical conditions, which
may or may not be related to each other, in the same person. Pneumonia, urinary tract
infection, and appendicitis are all acute conditions.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
4. Which of the following factors has a major impact on the development of chronic illness?
, a. Poverty
b. Social stability
c. Urban dwelling
d. High school diploma
ANS: A
Poverty and socioeconomic disadvantage are recognized to have a major impact on the
development of chronic illness. Social stability, urban living, and having a high school
education are not factors contributing to the development of chronic illness.
DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
5. Which of the following statements is true related to nonmodifiable risk factors for chronic
illness?
a. Cannot be changed
b. Requires intervention in order to change
c. Can be altered to benefit health outcomes
d. Can be changed with client perseverance
ANS: A
Nonmodifiable risk factors cannot be changed. Requiring intervention in order to change,
altering, and changed with perseverance all indicate that change is possible.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
6. What is the average life expectancy
NURSI in Canada?
a. 60 years NGTB.COM
b. 70 years
c. 80 years
d. 90 years
ANS: C
The life expectancy in Canada is estimated to be 80 years, specifically in 2010, it was 78.5
years for males and 82.7 years for females.
DIF: Cognitive Level: Knowledge TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
7. Which of the following types of cancers has a genetic predisposition to its occurrence?
a. Lung
b. Breast
c. Cervix
d. Testicles
ANS: B
Genetic testing can also show an inherited predisposition to several different types of cancer,
including breast and ovarian cancer, melanoma, and colon cancer.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
Lewis: Medical-Surgical Nursing in Canada,
MULTIPLE CHOICE
1. The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe
hyperglycemia. Which of the following topics will be most important to include in discharge
teaching?
a. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the client’s family history on likelihood of developing diabetes
d. Symptoms indicating that the client should contact the health care provider
ANS: D
One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The client
needs instruction on recognition of symptoms of hyperglycemia and appropriate actions to
take if these symptoms occur. The other information also may be included in client teaching,
but is not as essential in the client’s self-management of the illness.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
2. Which of the following diseases has the highest proportion of chronic illness deaths in
Canada?
a. Cancer
b. Diabetes
c. Cardiovascular disease
d. Chronic respiratory disease
ANS: C
Cardiovascular diseases (37%) were responsible for the highest proportion of global deaths in
2012, followed by cancers (27%), chronic respiratory diseases (8%), and diabetes (4%).
DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
3. Which of the following is an example of multimorbidity?
a. Chronic obstructive pulmonary disease and a urinary tract infection
b. Lung cancer and pneumonia
c. Chronic kidney disease and appendicitis
d. Diabetes and exacerbation of rheumatoid arthritis
ANS: D
Multimorbidity is the simultaneous occurrence of several chronic medical conditions, which
may or may not be related to each other, in the same person. Pneumonia, urinary tract
infection, and appendicitis are all acute conditions.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
4. Which of the following factors has a major impact on the development of chronic illness?
, a. Poverty
b. Social stability
c. Urban dwelling
d. High school diploma
ANS: A
Poverty and socioeconomic disadvantage are recognized to have a major impact on the
development of chronic illness. Social stability, urban living, and having a high school
education are not factors contributing to the development of chronic illness.
DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
5. Which of the following statements is true related to nonmodifiable risk factors for chronic
illness?
a. Cannot be changed
b. Requires intervention in order to change
c. Can be altered to benefit health outcomes
d. Can be changed with client perseverance
ANS: A
Nonmodifiable risk factors cannot be changed. Requiring intervention in order to change,
altering, and changed with perseverance all indicate that change is possible.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
6. What is the average life expectancy
NURSI in Canada?
a. 60 years NGTB.COM
b. 70 years
c. 80 years
d. 90 years
ANS: C
The life expectancy in Canada is estimated to be 80 years, specifically in 2010, it was 78.5
years for males and 82.7 years for females.
DIF: Cognitive Level: Knowledge TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
7. Which of the following types of cancers has a genetic predisposition to its occurrence?
a. Lung
b. Breast
c. Cervix
d. Testicles
ANS: B
Genetic testing can also show an inherited predisposition to several different types of cancer,
including breast and ovarian cancer, melanoma, and colon cancer.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
