NUR 257 Chronic Conditions Exam 3 Galen College
of Nursing Latest Update 2026 | Gerontology &
Chronic Care | Exam Prep Guide
1. Describe why administering antibiotics is considered a priority intervention for
patients with infections.
Monitoring vital signs ensures the patient's stability.
Educating about hygiene prevents future infections.
Administering antibiotics helps to combat the infection and prevent
its spread.
Performing wound care addresses the symptoms of the infection.
2. Why is foot care particularly important for patients with diabetes?
Diabetes only affects the hands, not the feet.
Diabetic patients are at higher risk for foot complications due to
poor circulation and neuropathy.
Foot care is only necessary if there are visible problems.
Foot care is less important for diabetic patients than for others.
3. Discuss how hypertension contributes to the risk of stroke in elderly patients.
Hypertension can lead to the hardening and narrowing of blood
vessels, increasing the risk of stroke.
Hypertension is only a concern after a stroke occurs.
Hypertension has no effect on stroke risk.
Hypertension only affects younger patients.
4. A patient with right hemisphere stroke has a nursing diagnosis of unilateral
, neglect related to sensory perceptual deficits. During the patient's
rehabilitation, it is important for the nurse to
avoid positioning the patient on the affected side
teach the patient to care consciously for the affected side
protect the affected side from injury with pillows and supports
place all objects for care on the patient's unaffected side
5. What is the priority action to take when educating a patient on diabetes?
take a blood glucose
determine patient baseline knowledge of diabetes
watch a video on diabetes
set patient outcome goals
6. The nurse is caring for a client who has been experiencing fever of unknown
origin. The prescriber has ordered a broad-spectrum antibiotic. Which
intervention is the priority?
Administer antipyretics as soon as possible.
Administer the antibiotic immediately.
Delay administration of the antibiotic until the culture results are
available.
Obtain all cultures before the antibiotic is administered.
7. A patient with diabetes is experiencing nausea and is unsure about their
medication. What is the best course of action for them to take?
Contact their healthcare provider for guidance on medication.
Increase their carbohydrate intake to manage symptoms.
Continue taking medications without any changes.
, Stop all medications until the nausea resolves.
8. Describe the potential consequences of not regulating blood glucose levels
in elderly patients with diabetes.
It can improve the effectiveness of medications.
It leads to better communication with healthcare providers.
It may cause an increase in appetite and energy levels.
Not regulating blood glucose levels can lead to serious
complications such as neuropathy, retinopathy, and cardiovascular
issues.
9. A conscious 70 y/o male patient presents confused but alert. His spouse tells
you that his blood sugar recently was 44mg/dl and your glucometer confirms
this. The next most appropriate treatment would be to administer?
4 LPM of O2
20mg/kg of crystalloid
25g of D50
15g of oral glucose
10. What is a key dietary guideline for diabetic patients regarding carbohydrate
intake?
Consume high-fat foods
Monitor carbohydrate intake
Increase protein consumption
Eliminate all sugars
11. Describe the significance of monitoring lung sounds in patients with
pneumonia.
of Nursing Latest Update 2026 | Gerontology &
Chronic Care | Exam Prep Guide
1. Describe why administering antibiotics is considered a priority intervention for
patients with infections.
Monitoring vital signs ensures the patient's stability.
Educating about hygiene prevents future infections.
Administering antibiotics helps to combat the infection and prevent
its spread.
Performing wound care addresses the symptoms of the infection.
2. Why is foot care particularly important for patients with diabetes?
Diabetes only affects the hands, not the feet.
Diabetic patients are at higher risk for foot complications due to
poor circulation and neuropathy.
Foot care is only necessary if there are visible problems.
Foot care is less important for diabetic patients than for others.
3. Discuss how hypertension contributes to the risk of stroke in elderly patients.
Hypertension can lead to the hardening and narrowing of blood
vessels, increasing the risk of stroke.
Hypertension is only a concern after a stroke occurs.
Hypertension has no effect on stroke risk.
Hypertension only affects younger patients.
4. A patient with right hemisphere stroke has a nursing diagnosis of unilateral
, neglect related to sensory perceptual deficits. During the patient's
rehabilitation, it is important for the nurse to
avoid positioning the patient on the affected side
teach the patient to care consciously for the affected side
protect the affected side from injury with pillows and supports
place all objects for care on the patient's unaffected side
5. What is the priority action to take when educating a patient on diabetes?
take a blood glucose
determine patient baseline knowledge of diabetes
watch a video on diabetes
set patient outcome goals
6. The nurse is caring for a client who has been experiencing fever of unknown
origin. The prescriber has ordered a broad-spectrum antibiotic. Which
intervention is the priority?
Administer antipyretics as soon as possible.
Administer the antibiotic immediately.
Delay administration of the antibiotic until the culture results are
available.
Obtain all cultures before the antibiotic is administered.
7. A patient with diabetes is experiencing nausea and is unsure about their
medication. What is the best course of action for them to take?
Contact their healthcare provider for guidance on medication.
Increase their carbohydrate intake to manage symptoms.
Continue taking medications without any changes.
, Stop all medications until the nausea resolves.
8. Describe the potential consequences of not regulating blood glucose levels
in elderly patients with diabetes.
It can improve the effectiveness of medications.
It leads to better communication with healthcare providers.
It may cause an increase in appetite and energy levels.
Not regulating blood glucose levels can lead to serious
complications such as neuropathy, retinopathy, and cardiovascular
issues.
9. A conscious 70 y/o male patient presents confused but alert. His spouse tells
you that his blood sugar recently was 44mg/dl and your glucometer confirms
this. The next most appropriate treatment would be to administer?
4 LPM of O2
20mg/kg of crystalloid
25g of D50
15g of oral glucose
10. What is a key dietary guideline for diabetic patients regarding carbohydrate
intake?
Consume high-fat foods
Monitor carbohydrate intake
Increase protein consumption
Eliminate all sugars
11. Describe the significance of monitoring lung sounds in patients with
pneumonia.
