NURS 460
Advanced Strategies for Adult HC
FINAL EXAM READINESS
Q&S
1. Which of the following interventions is most effective in
©2024/2025
,managing chronic obstructive pulmonary disease (COPD) in
adult patients?
- A. Antibiotic therapy
- B. Bronchodilator administration
- C. High-dose corticosteroid therapy
- D. Oxygen supplementation only
- Correct Answer: B. Bronchodilator administration
- Rationale: Bronchodilators are the first-line treatment
to manage airflow limitation in COPD by relaxing the
muscles of the airways.
2. What is the primary reason for continuous glucose
monitoring in adult patients with type 1 diabetes?
- A. Reduce the frequency of insulin administration
- B. Prevent hypoglycemia and manage blood glucose
levels more effectively
- C. Increase patient's carbohydrate intake
- D. Eliminate the need for self-monitoring of blood
glucose
- Correct Answer: B. Prevent hypoglycemia and
manage blood glucose levels more effectively
- Rationale: Continuous glucose monitoring helps in
detecting fluctuations and trends, thereby aiding in better
glucose management.
3. For patients suffering from heart failure with reduced
ejection fraction (HFrEF), which class of drugs is
considered as the cornerstone of therapy?
- A. Diuretics
- B. Beta-blockers
- C. ACE inhibitors
- D. Calcium channel blockers
- Correct Answer: C. ACE inhibitors
©2024/2025
, - Rationale: ACE inhibitors are essential in the
management of HFrEF as they reduce morbidity and
mortality by lowering blood pressure and decreasing
workload on the heart.
4. In adults with chronic renal failure undergoing
hemodialysis, what dietary restriction is most important?
- A. Low carbohydrate
- B. Low protein
- C. Low potassium
- D. Low fat
- Correct Answer: C. Low potassium
- Rationale: Patients on hemodialysis have difficulty
excreting potassium, so a low-potassium diet helps prevent
life-threatening hyperkalemia.
5. Which biomarker is considered most specific for
monitoring inflammation in adult patients with rheumatoid
arthritis?
- A. Erythrocyte sedimentation rate (ESR)
- B. Rheumatoid factor (RF)
- C. Anti-cyclic citrullinated peptide (anti-CCP)
- D. C-reactive protein (CRP)
- Correct Answer: C. Anti-cyclic citrullinated peptide
(anti-CCP)
- Rationale: Anti-CCP is highly specific for rheumatoid
arthritis and is useful in its diagnosis and monitoring.
Fill-in-the-Blank Questions
6. In the context of stroke management, the administration
of tissue plasminogen activator (tPA) must occur within
______ hours of symptom onset.
©2024/2025
Advanced Strategies for Adult HC
FINAL EXAM READINESS
Q&S
1. Which of the following interventions is most effective in
©2024/2025
,managing chronic obstructive pulmonary disease (COPD) in
adult patients?
- A. Antibiotic therapy
- B. Bronchodilator administration
- C. High-dose corticosteroid therapy
- D. Oxygen supplementation only
- Correct Answer: B. Bronchodilator administration
- Rationale: Bronchodilators are the first-line treatment
to manage airflow limitation in COPD by relaxing the
muscles of the airways.
2. What is the primary reason for continuous glucose
monitoring in adult patients with type 1 diabetes?
- A. Reduce the frequency of insulin administration
- B. Prevent hypoglycemia and manage blood glucose
levels more effectively
- C. Increase patient's carbohydrate intake
- D. Eliminate the need for self-monitoring of blood
glucose
- Correct Answer: B. Prevent hypoglycemia and
manage blood glucose levels more effectively
- Rationale: Continuous glucose monitoring helps in
detecting fluctuations and trends, thereby aiding in better
glucose management.
3. For patients suffering from heart failure with reduced
ejection fraction (HFrEF), which class of drugs is
considered as the cornerstone of therapy?
- A. Diuretics
- B. Beta-blockers
- C. ACE inhibitors
- D. Calcium channel blockers
- Correct Answer: C. ACE inhibitors
©2024/2025
, - Rationale: ACE inhibitors are essential in the
management of HFrEF as they reduce morbidity and
mortality by lowering blood pressure and decreasing
workload on the heart.
4. In adults with chronic renal failure undergoing
hemodialysis, what dietary restriction is most important?
- A. Low carbohydrate
- B. Low protein
- C. Low potassium
- D. Low fat
- Correct Answer: C. Low potassium
- Rationale: Patients on hemodialysis have difficulty
excreting potassium, so a low-potassium diet helps prevent
life-threatening hyperkalemia.
5. Which biomarker is considered most specific for
monitoring inflammation in adult patients with rheumatoid
arthritis?
- A. Erythrocyte sedimentation rate (ESR)
- B. Rheumatoid factor (RF)
- C. Anti-cyclic citrullinated peptide (anti-CCP)
- D. C-reactive protein (CRP)
- Correct Answer: C. Anti-cyclic citrullinated peptide
(anti-CCP)
- Rationale: Anti-CCP is highly specific for rheumatoid
arthritis and is useful in its diagnosis and monitoring.
Fill-in-the-Blank Questions
6. In the context of stroke management, the administration
of tissue plasminogen activator (tPA) must occur within
______ hours of symptom onset.
©2024/2025