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Galen NUR 257 Chronic Exam 3 (2026) | 50+ Questions on Diabetes Management, COPD, Stroke, Dementia & Cardiovascular Care | Chronic Aging and Illness Exam Review | Galen College of Nursing

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This comprehensive Galen NUR 257 Chronic Exam 3 study guide contains more than 50 NCLEX-style practice questions and verified answers designed to prepare nursing students for examinations focused on chronic illness management in older adults. The material provides an in-depth review of diabetes self-management, cardiovascular disorders, respiratory conditions, neurological diseases, dementia care, stroke rehabilitation, and evidence-based nursing interventions frequently tested in gerontological nursing courses. Through realistic clinical scenarios and application-based questions, students strengthen critical thinking, prioritization, and patient education skills essential for success in both academic and clinical settings. The resource emphasizes patient-centered nursing care for aging populations by integrating chronic disease prevention, health promotion, medication safety, and functional independence strategies. Learners will develop competency in identifying priority nursing interventions, interpreting assessment findings, recognizing complications associated with common chronic illnesses, and implementing individualized teaching plans that support long-term disease management. The question-and-answer format promotes active recall while reinforcing the clinical judgment required for NCLEX-RN® preparation and gerontological nursing practice. Major topics covered include: • Diabetes mellitus management in older adults • Prevention of long-term diabetic complications through glycemic control • Hemoglobin A1C interpretation and monitoring • Blood glucose regulation and hypoglycemia management • Treatment of symptomatic hypoglycemia using the 15-gram carbohydrate approach • Diabetes nutrition principles and meal consistency • Diabetes management during illness and sick-day guidelines • Metformin therapy considerations in older adults • Foot care education and prevention of diabetic foot complications • Daily foot inspection and footwear recommendations • Sensory impairments affecting diabetes self-management • Cardiovascular complications associated with uncontrolled diabetes • Delayed diagnosis and atypical presentations of diabetes in older adults • Pneumonia risk factors and oral health considerations • Priority nursing assessments in respiratory infections • Frequent falls as indicators of worsening health status • COPD education and energy conservation strategies • Sexual activity planning for patients with chronic lung disease • Coronary artery disease progression and warning signs • Fatigue, dizziness, and atypical cardiovascular symptoms in older adults • Hypertension recognition and primary care follow-up recommendations • Oxygen saturation monitoring in pneumonia management • Myocardial infarction pathophysiology and ischemic injury • Asthma triggers and individualized patient education • Nebulizer therapy and impaired gas exchange prioritization • Heart failure functional classifications and activity tolerance • Stroke prevention and anticoagulation considerations • Laboratory monitoring and recognition of abnormal findings requiring intervention • Promoting independence following stroke • Parkinson's disease family education and mobility strategies • Delirium assessment and therapeutic communication techniques • Reorientation strategies for cognitively impaired patients • Right hemisphere stroke manifestations and safety interventions • Hemispatial neglect and environmental adaptations • Alzheimer's disease risk factors and disease progression • Environmental modifications using recognizable landmarks • Dementia-related behavioral changes and medication review priorities • Recognition and differentiation of aphasia types • Hypertension as a leading modifiable risk factor for stroke • Left-sided neglect interventions and cueing techniques • Infection prevention and timely removal of invasive devices • Maintaining function and quality of life in chronic illness management. This study guide is particularly relevant for: • Galen College of Nursing students enrolled in NUR 257 Chronic Aging and Illness • Associate Degree in Nursing (ADN) students preparing for gerontological nursing examinations • Bachelor of Science in Nursing (BSN) students studying chronic disease management in older adults • Practical Nursing (PN/LPN) students transitioning into advanced adult health concepts • Nursing students preparing for NUR 257 Exam 3 and comprehensive final examinations • Learners reviewing NCLEX-RN® concepts related to chronic illness and aging populations • Students completing long-term care, rehabilitation, medical-surgical, and community health clinical rotations • Nurse educators seeking supplemental chronic care examination resources. Evidence-Based Academic References: Touhy, T. A., Jett, K. F., & Boscart, V. M. (2024). Ebersole and Hess' Gerontological Nursing & Healthy Aging (8th ed.). Elsevier. Hinkle, J. L., & Cheever, K. H. (2025). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (16th ed.). Wolters Kluwer. American Diabetes Association. (2025). Standards of Care in Diabetes—2025. Diabetes Care. American Heart Association. (2024). Heart Disease and Stroke Statistics Update. American Heart Association. Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M., Kwong, J., & Roberts, D. (2024). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (12th ed.). Elsevier. The evidence-based concepts presented throughout this review align with current standards of gerontological and chronic care nursing practice. The NCLEX-style question-and-answer format promotes active recall, strengthens clinical judgment, enhances prioritization skills, and supports successful preparation for nursing examinations while fostering safe, compassionate, and patient-centered care for older adults living with chronic illness. File Citation: Keywords: Galen NUR 257, NUR 257 Chronic Exam 3, chronic aging and illness, gerontological nursing, NCLEX-style questions, diabetes management, diabetic foot care, Hemoglobin A1C, hypoglycemia, metformin, diabetes education, pneumonia nursing care, COPD education, coronary artery disease, hypertension, myocardial infarction, asthma management, heart failure, stroke nursing, aphasia, hemispatial neglect, Parkinson's disease, delirium, Alzheimer's disease, dementia care, infection prevention, chronic disease management, older adult nursing, geriatric nursing exam review, Galen College of Nursing

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NUR 257 Galen Chronic Exam 3
2026 Exam Questions and
Answers | A+ Score Assured



Caring for 75 yr old diabetic patient, what actions should be taken to

delay onset of diabetes complications - ANSWER ✔✔Preventing

hyperglycemia

While developing teaching plan for foot care, what will you encourage? -

ANSWER ✔✔No loose footwear, no powder, no softening toenails

before clipping, well fitting footwear with even patterns on bottom

, Diabetes diet - ANSWER ✔✔Eat regular times including all meals

and snacks, consistent times and diet

When providing education to patient with managing diabetes when sick,

what statement indicates effective teaching? - ANSWER ✔✔They

shouldn't take any meds if nauseous and should call the MD

Sensory malfunction should the RN address in the plan of care as a side

effect? - ANSWER ✔✔Type 2 diabetic who is having difficulty

regulating diabetes.... address vision issues but still having difficulty

reading labels.


Foot care recommendation for client with diabetes - ANSWER

✔✔Check feet DAILY


Why do I need to regulate my blood glucose level? - ANSWER

✔✔The brain cannot store glucose therefore it needs a constant supply


Hemoglobin A1C is an indicator of blood sugar levels over a 3 month

period - ANSWER ✔✔7% A1C in labs would show the average of

blood sugar average over a 3 month time period and how it is managed

At diabetes conference and you're teaching staff about what you

learned...what info should you include? - ANSWER ✔✔Diabetes

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