Galen College of Nursing | NUR 257 Concepts of Aging and Chronic Illness in Nursing
NUR 257 Concepts of Aging and Chronic Illness in
Nursing Exam 3 Comprehensive Examination
2026/2027 | Verified Questions
Galen College of Nursing | NUR 257 Concepts of Aging and Chronic Illness in Nursing | University-Level
Nursing Students
50 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Galen College of Nursing | NUR 257 Concepts of Aging and Chronic Illness in Nursing
Examination 3 Actual Exam | Academic Year 2026/2027
NUR 257 Concepts of Aging and Chronic Illness in Nursing Exam 3 Comprehensive Examination 2026/2027 | Verified Questions
, INTRODUCTION
This document contains 50 original verified questions designed for the NUR 257 Concepts of Aging and
Chronic Illness in Nursing Examination 3 for the academic year 2026/2027. The questions are distributed
across four core domains: Domain 1 Diabetes and Endocrine Chronic Conditions (13 questions), Domain
2 Cardiovascular and Respiratory Chronic Illnesses (13 questions), Domain 3 Neurological and Cognitive
Disorders in Aging (12 questions), and Domain 4 Musculoskeletal and Integumentary Care in Older
Adults (12 questions). Content is original and constructed to reinforce the official NUR 257 course
objectives for actual exam readiness and clinical proficiency in gerontological and chronic illness nursing,
aligned to the 2026/2027 academic year. Each question includes a correct answer designation and a
rationale grounded in foundational gerontological nursing methodology.
ACTUAL QUESTIONS
Domain 1: Diabetes and Endocrine Chronic Conditions
Question 1. An older adult with type 2 diabetes has a fasting blood glucose of 62 mg/dL and
is diaphoretic and confused. What is the priority nursing action?
A. Administer 15–20 g of rapid-acting carbohydrate and recheck glucose in 15 minutes
B. Give the scheduled morning insulin dose immediately
C. Encourage the client to rest without treating the glucose
D. Document the finding and recheck in 2 hours
Correct Answer: A
Rationale: Hypoglycemia with neuroglycopenic symptoms requires prompt treatment with rapid-
acting carbohydrate and reassessment; delaying treatment risks worsening neurologic status.
Question 2. Which teaching point is most important for an older adult starting metformin
for type 2 diabetes?
A. Metformin commonly causes severe hypoglycemia when used alone
B. Report symptoms of lactic acidosis such as unusual muscle pain, respiratory distress, or severe
fatigue, especially with renal impairment
C. Double the dose if blood glucose remains elevated for one day
D. Stop metformin permanently after the first week if gastrointestinal upset occurs
Correct Answer: C
Rationale: Metformin rarely causes hypoglycemia alone but can cause lactic acidosis in the setting of
significant renal impairment or acute illness; clients need clear guidance on warning signs.
Question 3. An older adult with long-standing diabetes has delayed wound healing on the
foot. Which pathophysiologic factor primarily contributes?
A. Enhanced collagen synthesis from hyperglycemia
B. Impaired microcirculation, neuropathy, and reduced immune response related to chronic
hyperglycemia
C. Excessive local blood flow to the wound bed
D. Absence of any vascular or neurologic change
Correct Answer: B
Rationale: Chronic hyperglycemia damages microvasculature and nerves and impairs leukocyte
function, all of which delay healing and increase infection risk in the diabetic foot.
Question 4. Which laboratory value is most useful for evaluating long-term glycemic
control in an older adult with diabetes?
A. Random capillary glucose only
B. Hemoglobin A1c
NUR 257 Concepts of Aging and Chronic Illness in Nursing Exam 3 Comprehensive Examination 2026/2027 | Verified Questions
NUR 257 Concepts of Aging and Chronic Illness in
Nursing Exam 3 Comprehensive Examination
2026/2027 | Verified Questions
Galen College of Nursing | NUR 257 Concepts of Aging and Chronic Illness in Nursing | University-Level
Nursing Students
50 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Galen College of Nursing | NUR 257 Concepts of Aging and Chronic Illness in Nursing
Examination 3 Actual Exam | Academic Year 2026/2027
NUR 257 Concepts of Aging and Chronic Illness in Nursing Exam 3 Comprehensive Examination 2026/2027 | Verified Questions
, INTRODUCTION
This document contains 50 original verified questions designed for the NUR 257 Concepts of Aging and
Chronic Illness in Nursing Examination 3 for the academic year 2026/2027. The questions are distributed
across four core domains: Domain 1 Diabetes and Endocrine Chronic Conditions (13 questions), Domain
2 Cardiovascular and Respiratory Chronic Illnesses (13 questions), Domain 3 Neurological and Cognitive
Disorders in Aging (12 questions), and Domain 4 Musculoskeletal and Integumentary Care in Older
Adults (12 questions). Content is original and constructed to reinforce the official NUR 257 course
objectives for actual exam readiness and clinical proficiency in gerontological and chronic illness nursing,
aligned to the 2026/2027 academic year. Each question includes a correct answer designation and a
rationale grounded in foundational gerontological nursing methodology.
ACTUAL QUESTIONS
Domain 1: Diabetes and Endocrine Chronic Conditions
Question 1. An older adult with type 2 diabetes has a fasting blood glucose of 62 mg/dL and
is diaphoretic and confused. What is the priority nursing action?
A. Administer 15–20 g of rapid-acting carbohydrate and recheck glucose in 15 minutes
B. Give the scheduled morning insulin dose immediately
C. Encourage the client to rest without treating the glucose
D. Document the finding and recheck in 2 hours
Correct Answer: A
Rationale: Hypoglycemia with neuroglycopenic symptoms requires prompt treatment with rapid-
acting carbohydrate and reassessment; delaying treatment risks worsening neurologic status.
Question 2. Which teaching point is most important for an older adult starting metformin
for type 2 diabetes?
A. Metformin commonly causes severe hypoglycemia when used alone
B. Report symptoms of lactic acidosis such as unusual muscle pain, respiratory distress, or severe
fatigue, especially with renal impairment
C. Double the dose if blood glucose remains elevated for one day
D. Stop metformin permanently after the first week if gastrointestinal upset occurs
Correct Answer: C
Rationale: Metformin rarely causes hypoglycemia alone but can cause lactic acidosis in the setting of
significant renal impairment or acute illness; clients need clear guidance on warning signs.
Question 3. An older adult with long-standing diabetes has delayed wound healing on the
foot. Which pathophysiologic factor primarily contributes?
A. Enhanced collagen synthesis from hyperglycemia
B. Impaired microcirculation, neuropathy, and reduced immune response related to chronic
hyperglycemia
C. Excessive local blood flow to the wound bed
D. Absence of any vascular or neurologic change
Correct Answer: B
Rationale: Chronic hyperglycemia damages microvasculature and nerves and impairs leukocyte
function, all of which delay healing and increase infection risk in the diabetic foot.
Question 4. Which laboratory value is most useful for evaluating long-term glycemic
control in an older adult with diabetes?
A. Random capillary glucose only
B. Hemoglobin A1c
NUR 257 Concepts of Aging and Chronic Illness in Nursing Exam 3 Comprehensive Examination 2026/2027 | Verified Questions
