NUR 257 Chronic Health Concepts Final Exam
2026/2027 | Actual Questions
Galen College of Nursing | Actual Q&A | Undergraduate Nursing Students
Introduction
This original practice set covers Foundations of Gerontological Nursing, Chronic Respiratory and
Cardiovascular Disorders, Neurological and Cognitive Disorders, and End-of-Life and Palliative
Care. It is designed to reinforce NUR 257 course objectives and support final-exam readiness. It is
not an official Galen College examination or a reproduction of secured items; apply current course
materials, clinical judgment, and facility policy.
Content Area Overview
Content Area Questions Key Topics Weight
Foundations of 10 normal skin aging, 20%
Gerontological presbycusis,
Nursing and Aging presbyopia, sleep
Theories changes, myths of
aging, life-review
therapy and more
Chronic Respiratory 15 COPD pursed-lip 30%
and Cardiovascular breathing, COPD
Disorders nutrition, oxygen
safety, heart-failure
daily weights, left-
sided heart failure,
right-sided heart
failure and more
Neurological, 13 delirium onset, 26%
Cognitive, and dementia
Mental Health progression,
Disorders Alzheimer
wandering, vascular
dementia, Lewy body
dementia, depression
screening and more
End-of-Life Care, 12 hospice eligibility, 24%
Palliative Care, and advance directives,
Health Promotion health-care proxy,
DNR clarification,
comfort-focused care,
opioid titration and
more
NUR 257 Chronic Health Concepts Final Exam 2026/2027
,Domain: Foundations of Gerontological Nursing and Aging Theories
1. Which nursing action is most appropriate when caring for an older adult with
normal skin aging?
A. Assess the patient’s current status, identify the priority risk, and individualize the plan using
objective findings.
B. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
C. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry it
out.
D. Assume the finding is an unavoidable part of aging and requires no further assessment.
Answer: A
Rationale: Answer A is best because it applies clinical judgment to the distinct topic of normal
skin aging. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
2. The nurse is evaluating a plan addressing presbycusis. Which finding requires the
best response?
A. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
B. Use a focused assessment and evidence-based intervention, then reassess the response and
document changes.
C. Assume the finding is an unavoidable part of aging and requires no further assessment.
D. Implement every listed intervention simultaneously without first determining the priority.
Answer: B
Rationale: Answer B is best because it applies clinical judgment to the distinct topic of
presbycusis. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
3. A student nurse asks about presbyopia. Which explanation is most accurate?
A. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry
it out.
B. Assume the finding is an unavoidable part of aging and requires no further assessment.
C. Address immediate safety and physiologic needs while preserving function, dignity, and the
patient’s preferences.
D. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
Answer: C
Rationale: Answer C is best because it applies clinical judgment to the distinct topic of
presbyopia. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
NUR 257 Chronic Health Concepts Final Exam 2026/2027
, 4. The nurse prioritizes care for a patient experiencing sleep changes. Which
intervention comes first?
A. Assume the finding is an unavoidable part of aging and requires no further assessment.
B. Implement every listed intervention simultaneously without first determining the priority.
C. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
D. Communicate the concern promptly, coordinate the interprofessional plan, and teach the
patient or caregiver how to monitor it.
Answer: D
Rationale: Answer D is best because it applies clinical judgment to the distinct topic of sleep
changes. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
5. Which teaching point best supports safe management of myths of aging?
A. Assess the patient’s current status, identify the priority risk, and individualize the plan using
objective findings.
B. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
C. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry it
out.
D. Assume the finding is an unavoidable part of aging and requires no further assessment.
Answer: A
Rationale: Answer A is best because it applies clinical judgment to the distinct topic of myths of
aging. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
6. Which nursing action is most appropriate when caring for an older adult with
life-review therapy?
A. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
B. Use a focused assessment and evidence-based intervention, then reassess the response and
document changes.
C. Assume the finding is an unavoidable part of aging and requires no further assessment.
D. Implement every listed intervention simultaneously without first determining the priority.
Answer: B
Rationale: Answer B is best because it applies clinical judgment to the distinct topic of life-
review therapy. NUR 257 gerontological nursing emphasizes distinguishing expected aging
from pathology, prioritizing safety and physiologic stability, supporting function, and
reassessing outcomes. The final decision should also reflect the patient’s goals and current
clinical data.
7. The nurse is evaluating a plan addressing functional assessment. Which finding
requires the best response?
A. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry
it out.
NUR 257 Chronic Health Concepts Final Exam 2026/2027
2026/2027 | Actual Questions
Galen College of Nursing | Actual Q&A | Undergraduate Nursing Students
Introduction
This original practice set covers Foundations of Gerontological Nursing, Chronic Respiratory and
Cardiovascular Disorders, Neurological and Cognitive Disorders, and End-of-Life and Palliative
Care. It is designed to reinforce NUR 257 course objectives and support final-exam readiness. It is
not an official Galen College examination or a reproduction of secured items; apply current course
materials, clinical judgment, and facility policy.
Content Area Overview
Content Area Questions Key Topics Weight
Foundations of 10 normal skin aging, 20%
Gerontological presbycusis,
Nursing and Aging presbyopia, sleep
Theories changes, myths of
aging, life-review
therapy and more
Chronic Respiratory 15 COPD pursed-lip 30%
and Cardiovascular breathing, COPD
Disorders nutrition, oxygen
safety, heart-failure
daily weights, left-
sided heart failure,
right-sided heart
failure and more
Neurological, 13 delirium onset, 26%
Cognitive, and dementia
Mental Health progression,
Disorders Alzheimer
wandering, vascular
dementia, Lewy body
dementia, depression
screening and more
End-of-Life Care, 12 hospice eligibility, 24%
Palliative Care, and advance directives,
Health Promotion health-care proxy,
DNR clarification,
comfort-focused care,
opioid titration and
more
NUR 257 Chronic Health Concepts Final Exam 2026/2027
,Domain: Foundations of Gerontological Nursing and Aging Theories
1. Which nursing action is most appropriate when caring for an older adult with
normal skin aging?
A. Assess the patient’s current status, identify the priority risk, and individualize the plan using
objective findings.
B. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
C. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry it
out.
D. Assume the finding is an unavoidable part of aging and requires no further assessment.
Answer: A
Rationale: Answer A is best because it applies clinical judgment to the distinct topic of normal
skin aging. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
2. The nurse is evaluating a plan addressing presbycusis. Which finding requires the
best response?
A. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
B. Use a focused assessment and evidence-based intervention, then reassess the response and
document changes.
C. Assume the finding is an unavoidable part of aging and requires no further assessment.
D. Implement every listed intervention simultaneously without first determining the priority.
Answer: B
Rationale: Answer B is best because it applies clinical judgment to the distinct topic of
presbycusis. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
3. A student nurse asks about presbyopia. Which explanation is most accurate?
A. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry
it out.
B. Assume the finding is an unavoidable part of aging and requires no further assessment.
C. Address immediate safety and physiologic needs while preserving function, dignity, and the
patient’s preferences.
D. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
Answer: C
Rationale: Answer C is best because it applies clinical judgment to the distinct topic of
presbyopia. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
NUR 257 Chronic Health Concepts Final Exam 2026/2027
, 4. The nurse prioritizes care for a patient experiencing sleep changes. Which
intervention comes first?
A. Assume the finding is an unavoidable part of aging and requires no further assessment.
B. Implement every listed intervention simultaneously without first determining the priority.
C. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
D. Communicate the concern promptly, coordinate the interprofessional plan, and teach the
patient or caregiver how to monitor it.
Answer: D
Rationale: Answer D is best because it applies clinical judgment to the distinct topic of sleep
changes. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
5. Which teaching point best supports safe management of myths of aging?
A. Assess the patient’s current status, identify the priority risk, and individualize the plan using
objective findings.
B. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
C. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry it
out.
D. Assume the finding is an unavoidable part of aging and requires no further assessment.
Answer: A
Rationale: Answer A is best because it applies clinical judgment to the distinct topic of myths of
aging. NUR 257 gerontological nursing emphasizes distinguishing expected aging from
pathology, prioritizing safety and physiologic stability, supporting function, and reassessing
outcomes. The final decision should also reflect the patient’s goals and current clinical data.
6. Which nursing action is most appropriate when caring for an older adult with
life-review therapy?
A. Rely on a routine schedule even when the patient’s assessment shows a change from baseline.
B. Use a focused assessment and evidence-based intervention, then reassess the response and
document changes.
C. Assume the finding is an unavoidable part of aging and requires no further assessment.
D. Implement every listed intervention simultaneously without first determining the priority.
Answer: B
Rationale: Answer B is best because it applies clinical judgment to the distinct topic of life-
review therapy. NUR 257 gerontological nursing emphasizes distinguishing expected aging
from pathology, prioritizing safety and physiologic stability, supporting function, and
reassessing outcomes. The final decision should also reflect the patient’s goals and current
clinical data.
7. The nurse is evaluating a plan addressing functional assessment. Which finding
requires the best response?
A. Provide teaching without checking understanding, safety risks, or the patient’s ability to carry
it out.
NUR 257 Chronic Health Concepts Final Exam 2026/2027
