Galen College of Nursing
Concepts Of Mental Health Nursing
NUR 257: Exam 3 Mock Examination - Aging and Chronic Ill-
ness
Pages Total Marks Section Questions
Section 1 Multiple Choice 30 questions 60 total marks
Section 2 Short Answer 10 questions 10 total marks
Section 3 Long Answer 10 questions 20 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
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,Section 60 total marks
Multiple Choice
Select the single best option for each question. Each question is worth 2 marks.
Question 1 2 total marks
A 69-year-old female patient with a history of Type 2 Diabetes Mellitus and Hypertension presents
to the clinic for a routine follow-up. Her BMI is . She reports checking her blood glucose
daily. Her current labs show a Fasting Plasma Glucose (FPG) of and a Hemoglobin A1C of
. She currently takes Metformin daily.
A Based on the provided laboratory findings for the patient in the scenario, what is the most
appropriate nursing priority?
A Educate the patient on lifestyle modifications to achieve an A1C target of less than 7%.
B Inform the patient that her labs are within the normal range for her age.
C Initiate immediate insulin therapy due to A1C levels.
D Advise the patient to stop exercising until her FPG is below 100 mg/dL.
Question 2 2 total marks
A 78-year-old male is admitted to the medical-surgical unit with a primary diagnosis of an acute
urinary tract infection (UTI). Upon assessment on the second day of hospitalization, the nurse notes
that the patient is suddenly confused, lacks facial expression, and has slow, wavering vocalizations.
These symptoms fluctuate throughout the day and are significantly worse in the evening. The patient's
baseline cognitive status, according to family, was independent and alert.
A Which clinical subtype of delirium is the patient in the scenario most likely experiencing?
A Chronic delirium
B Hyperactive delirium
C Mixed delirium
D Hypoactive delirium
2;./;.24
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, Question 3 ;. 2 marks
;.
A patient with Heart Failure (HF) reports having sudden shortness of breath that wakes them up a
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
t night, forcing them to sit upright. Which term should the nurse use to document this finding?
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
A Orthopnea
B Sleep apnea ;.
C Paroxysmal nocturnal dyspnea ;. ;.
D Dysarthria
Question 4 ;. 2 marks
;.
An older adult with COPD is being discharged. Which nutritional instruction should the nurse include in t
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
he teaching plan to help manage the disease?
;. ;. ;. ;. ;. ;. ;.
A Limit fiber intake to prevent abdominal bloating.
;. ;. ;. ;. ;. ;.
B Eat three large, high-carbohydrate meals per day.
;. ;. ;. ;. ;. ;.
C Consume small, frequent meals high in protein and calories. ;. ;. ;. ;. ;. ;. ;. ;.
D Restrict fluid intake to less than 1 liter daily.
;. ;. ;. ;. ;. ;. ;. ;.
Question 5 ;. 2 marks
;.
The nurse is educating an older adult with Diabetes about exercise safety. Which instruction is most impo
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
rtant for the nurse to provide?
;. ;. ;. ;. ;.
A Exercise at least 300 minutes of high-intensity activity per week.
; . ; . ; . ; . ; . ; . ; . ; . ; .
B Perform exercise only when the blood glucose is above 250 mg/dL.
;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
C Hold all insulin doses on days when exercise is planned.
;. ;. ;. ;. ;. ;. ;. ;. ;.
D Consult the primary care provider for a cardiac stress test before beginning a program.
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
generated;.on;.19.08.2026 3;./;.24
Downloaded;.by;.Great;.Mind;.()
Concepts Of Mental Health Nursing
NUR 257: Exam 3 Mock Examination - Aging and Chronic Ill-
ness
Pages Total Marks Section Questions
Section 1 Multiple Choice 30 questions 60 total marks
Section 2 Short Answer 10 questions 10 total marks
Section 3 Long Answer 10 questions 20 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
Downloaded by Great Mind ()
,Section 60 total marks
Multiple Choice
Select the single best option for each question. Each question is worth 2 marks.
Question 1 2 total marks
A 69-year-old female patient with a history of Type 2 Diabetes Mellitus and Hypertension presents
to the clinic for a routine follow-up. Her BMI is . She reports checking her blood glucose
daily. Her current labs show a Fasting Plasma Glucose (FPG) of and a Hemoglobin A1C of
. She currently takes Metformin daily.
A Based on the provided laboratory findings for the patient in the scenario, what is the most
appropriate nursing priority?
A Educate the patient on lifestyle modifications to achieve an A1C target of less than 7%.
B Inform the patient that her labs are within the normal range for her age.
C Initiate immediate insulin therapy due to A1C levels.
D Advise the patient to stop exercising until her FPG is below 100 mg/dL.
Question 2 2 total marks
A 78-year-old male is admitted to the medical-surgical unit with a primary diagnosis of an acute
urinary tract infection (UTI). Upon assessment on the second day of hospitalization, the nurse notes
that the patient is suddenly confused, lacks facial expression, and has slow, wavering vocalizations.
These symptoms fluctuate throughout the day and are significantly worse in the evening. The patient's
baseline cognitive status, according to family, was independent and alert.
A Which clinical subtype of delirium is the patient in the scenario most likely experiencing?
A Chronic delirium
B Hyperactive delirium
C Mixed delirium
D Hypoactive delirium
2;./;.24
Downloaded;.by;.Great;.Mind;.()
, Question 3 ;. 2 marks
;.
A patient with Heart Failure (HF) reports having sudden shortness of breath that wakes them up a
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
t night, forcing them to sit upright. Which term should the nurse use to document this finding?
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
A Orthopnea
B Sleep apnea ;.
C Paroxysmal nocturnal dyspnea ;. ;.
D Dysarthria
Question 4 ;. 2 marks
;.
An older adult with COPD is being discharged. Which nutritional instruction should the nurse include in t
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
he teaching plan to help manage the disease?
;. ;. ;. ;. ;. ;. ;.
A Limit fiber intake to prevent abdominal bloating.
;. ;. ;. ;. ;. ;.
B Eat three large, high-carbohydrate meals per day.
;. ;. ;. ;. ;. ;.
C Consume small, frequent meals high in protein and calories. ;. ;. ;. ;. ;. ;. ;. ;.
D Restrict fluid intake to less than 1 liter daily.
;. ;. ;. ;. ;. ;. ;. ;.
Question 5 ;. 2 marks
;.
The nurse is educating an older adult with Diabetes about exercise safety. Which instruction is most impo
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
rtant for the nurse to provide?
;. ;. ;. ;. ;.
A Exercise at least 300 minutes of high-intensity activity per week.
; . ; . ; . ; . ; . ; . ; . ; . ; .
B Perform exercise only when the blood glucose is above 250 mg/dL.
;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
C Hold all insulin doses on days when exercise is planned.
;. ;. ;. ;. ;. ;. ;. ;. ;.
D Consult the primary care provider for a cardiac stress test before beginning a program.
;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;. ;.
generated;.on;.19.08.2026 3;./;.24
Downloaded;.by;.Great;.Mind;.()
