NUR 257 ChRoNiC Exam 4 GalEN CollEGE aCtUal Exam 2026/2027 –
ComplEtE Exam-StylE QUEStioNS with DEtailED RatioNalES |
100% VERifiED – paSS GUaRaNtEED – a+ GRaDED
**Question 1**
A newly diagnosed patient with osteoporosis asks how to stay safe at home. Which instruction
is appropriate?
A) Use soft slippers indoors
B) Install bright lighting in hallways
C) Reduce dietary calcium
D) Remove throw rugs from the floor
**Answer: D) Remove throw rugs from the floor**
RatioNalE: Throw rugs are a leading cause of falls in older adults with osteoporosis.
Removing environmental hazards (loose carpets, clutter) prevents fragility fractures. Soft
slippers increase fall risk; supportive non-slip footwear is recommended instead. Bright
lighting is helpful but not the primary safety intervention. Reducing calcium would worsen
bone density.
**Question 2**
A patient recently discharged after cataract surgery should contact the provider immediately
if experiencing:
A) Mild discomfort
B) Blurry vision
C) Redness of the eye
D) Moderate or severe eye pain
**Answer: D) Moderate or severe eye pain**
, RatioNalE: Significant pain following cataract extraction may indicate serious complications
(endophthalmitis, increased intraocular pressure, or wound dehiscence). Mild discomfort,
temporary blurry vision, and mild redness are expected post-operative findings. Immediate
evaluation prevents permanent vision loss.
**Question 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**
RatioNalE: Chronic corticosteroid use (>3 months) inhibits osteoblast function and
increases bone resorption. Combined with smoking (reduces estrogen/testosterone) and low
body weight (decreased bone mass reserve), this creates the highest fracture risk despite
male gender typically being protective.
**Question 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"**
RatioNalE: Alcohol (particularly beer) increases uric acid production while decreasing renal
excretion. Purine-rich foods (red meat, shellfish) elevate serum urate levels, precipitating
crystal formation in joints. Dietary indiscretion is a common trigger for acute gouty arthritis in
older adults.
ComplEtE Exam-StylE QUEStioNS with DEtailED RatioNalES |
100% VERifiED – paSS GUaRaNtEED – a+ GRaDED
**Question 1**
A newly diagnosed patient with osteoporosis asks how to stay safe at home. Which instruction
is appropriate?
A) Use soft slippers indoors
B) Install bright lighting in hallways
C) Reduce dietary calcium
D) Remove throw rugs from the floor
**Answer: D) Remove throw rugs from the floor**
RatioNalE: Throw rugs are a leading cause of falls in older adults with osteoporosis.
Removing environmental hazards (loose carpets, clutter) prevents fragility fractures. Soft
slippers increase fall risk; supportive non-slip footwear is recommended instead. Bright
lighting is helpful but not the primary safety intervention. Reducing calcium would worsen
bone density.
**Question 2**
A patient recently discharged after cataract surgery should contact the provider immediately
if experiencing:
A) Mild discomfort
B) Blurry vision
C) Redness of the eye
D) Moderate or severe eye pain
**Answer: D) Moderate or severe eye pain**
, RatioNalE: Significant pain following cataract extraction may indicate serious complications
(endophthalmitis, increased intraocular pressure, or wound dehiscence). Mild discomfort,
temporary blurry vision, and mild redness are expected post-operative findings. Immediate
evaluation prevents permanent vision loss.
**Question 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**
RatioNalE: Chronic corticosteroid use (>3 months) inhibits osteoblast function and
increases bone resorption. Combined with smoking (reduces estrogen/testosterone) and low
body weight (decreased bone mass reserve), this creates the highest fracture risk despite
male gender typically being protective.
**Question 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"**
RatioNalE: Alcohol (particularly beer) increases uric acid production while decreasing renal
excretion. Purine-rich foods (red meat, shellfish) elevate serum urate levels, precipitating
crystal formation in joints. Dietary indiscretion is a common trigger for acute gouty arthritis in
older adults.
