CHRONIC ILLNESS NURSING · NUR 257
NUR 257 Chronic Exam 3
45 Actual Questions and Answers A+
Questions & Answers | Grade A | 100% Correct (Verified Solutions) | Official Exam Style
A+ 4 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ Cardiovascular & Respiratory Chronic Conditions (Questions 1–12)
■ Endocrine, Renal & Metabolic Chronic Illness (Questions 13–23)
■ Neurological, Musculoskeletal & Chronic Pain Management (Questions 24–34)
■ Self-Management, Psychosocial Support & Care Coordination (Questions 35–45)
STUVIAACTUALEXAM
Passing Score: 80% | 1 Mark per Question | Application / Analysis Level
Aligned to chronic illness nursing concepts: heart failure, COPD, diabetes, CKD, neurologic & musculoskeletal conditions, pain, self-management, and
care coordination.
, Cardiovascular & Respiratory Chronic Conditions
Q1. A 68-year-old client with chronic heart failure reports a 4-pound weight gain over three days, increased orthopnea,
and mild ankle swelling. The nurse reviews the home medication list that includes a loop diuretic. The priority teaching
point at this visit is:
A. Report rapid weight gain and increasing dyspnea promptly because they signal fluid retention that may require regimen
adjustment
B. Stop the diuretic until the next clinic appointment
C. Restrict all fluid intake to less than 500 mL per day immediately
D. Continue the current diuretic dose and return in one month
Correct Answer: A
Rationale: Rapid weight gain and worsening orthopnea indicate decompensating heart failure. Clients are taught to monitor daily
weights and report gains of 2–3 lb in a day or 5 lb in a week so therapy can be adjusted before hospitalization is needed.
Q2. A client with NYHA Class III heart failure is prescribed an ACE inhibitor. The nurse reinforces that a common
expected effect the client should report is:
A. Complete resolution of all symptoms within 48 hours
B. Sudden severe chest pain that is normal
C. Marked increase in appetite
D. A persistent dry cough that may require medication change
Correct Answer: D
Rationale: ACE inhibitors frequently cause a dry, persistent cough due to bradykinin accumulation. Clients should report it so the
provider can consider an ARB alternative; the cough is not an emergency but is bothersome and may affect adherence.
Q3. A client with COPD is using pursed-lip breathing during an activity-related dyspneic episode. The nurse evaluates
effectiveness of the technique by observing:
A. Prolonged expiratory phase that helps prevent airway collapse and reduce residual volume
B. Complete elimination of accessory muscle use immediately
C. Oxygen saturation dropping below 85%
D. Faster respiratory rate and shallow breaths
Correct Answer: A
Rationale: Pursed-lip breathing creates positive end-expiratory pressure that stents open small airways, prolongs exhalation, and
improves CO2 elimination. Success is seen as a slower, more controlled respiratory pattern rather than rapid shallow breathing.
Q4. A home-care nurse visits a client with advanced COPD who has been prescribed continuous home oxygen at 2
L/min. The client is found smoking while the oxygen is running. The most important immediate action is:
A. Increase the oxygen flow to 4 L/min
B. Explain the fire risk, have the client extinguish the cigarette, and reinforce that oxygen supports combustion
C. Leave the home without addressing the behavior
D. Congratulate the client on remaining active
Correct Answer: B
Rationale: Oxygen accelerates combustion. Smoking while oxygen is in use creates an immediate fire hazard. Safety teaching and
cessation of the unsafe behavior take priority over other interventions.
NUR 257 Chronic Exam 3 2026/2027 | Page 2 | STUVIAACTUALEXAM
NUR 257 Chronic Exam 3
45 Actual Questions and Answers A+
Questions & Answers | Grade A | 100% Correct (Verified Solutions) | Official Exam Style
A+ 4 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ Cardiovascular & Respiratory Chronic Conditions (Questions 1–12)
■ Endocrine, Renal & Metabolic Chronic Illness (Questions 13–23)
■ Neurological, Musculoskeletal & Chronic Pain Management (Questions 24–34)
■ Self-Management, Psychosocial Support & Care Coordination (Questions 35–45)
STUVIAACTUALEXAM
Passing Score: 80% | 1 Mark per Question | Application / Analysis Level
Aligned to chronic illness nursing concepts: heart failure, COPD, diabetes, CKD, neurologic & musculoskeletal conditions, pain, self-management, and
care coordination.
, Cardiovascular & Respiratory Chronic Conditions
Q1. A 68-year-old client with chronic heart failure reports a 4-pound weight gain over three days, increased orthopnea,
and mild ankle swelling. The nurse reviews the home medication list that includes a loop diuretic. The priority teaching
point at this visit is:
A. Report rapid weight gain and increasing dyspnea promptly because they signal fluid retention that may require regimen
adjustment
B. Stop the diuretic until the next clinic appointment
C. Restrict all fluid intake to less than 500 mL per day immediately
D. Continue the current diuretic dose and return in one month
Correct Answer: A
Rationale: Rapid weight gain and worsening orthopnea indicate decompensating heart failure. Clients are taught to monitor daily
weights and report gains of 2–3 lb in a day or 5 lb in a week so therapy can be adjusted before hospitalization is needed.
Q2. A client with NYHA Class III heart failure is prescribed an ACE inhibitor. The nurse reinforces that a common
expected effect the client should report is:
A. Complete resolution of all symptoms within 48 hours
B. Sudden severe chest pain that is normal
C. Marked increase in appetite
D. A persistent dry cough that may require medication change
Correct Answer: D
Rationale: ACE inhibitors frequently cause a dry, persistent cough due to bradykinin accumulation. Clients should report it so the
provider can consider an ARB alternative; the cough is not an emergency but is bothersome and may affect adherence.
Q3. A client with COPD is using pursed-lip breathing during an activity-related dyspneic episode. The nurse evaluates
effectiveness of the technique by observing:
A. Prolonged expiratory phase that helps prevent airway collapse and reduce residual volume
B. Complete elimination of accessory muscle use immediately
C. Oxygen saturation dropping below 85%
D. Faster respiratory rate and shallow breaths
Correct Answer: A
Rationale: Pursed-lip breathing creates positive end-expiratory pressure that stents open small airways, prolongs exhalation, and
improves CO2 elimination. Success is seen as a slower, more controlled respiratory pattern rather than rapid shallow breathing.
Q4. A home-care nurse visits a client with advanced COPD who has been prescribed continuous home oxygen at 2
L/min. The client is found smoking while the oxygen is running. The most important immediate action is:
A. Increase the oxygen flow to 4 L/min
B. Explain the fire risk, have the client extinguish the cigarette, and reinforce that oxygen supports combustion
C. Leave the home without addressing the behavior
D. Congratulate the client on remaining active
Correct Answer: B
Rationale: Oxygen accelerates combustion. Smoking while oxygen is in use creates an immediate fire hazard. Safety teaching and
cessation of the unsafe behavior take priority over other interventions.
NUR 257 Chronic Exam 3 2026/2027 | Page 2 | STUVIAACTUALEXAM
