NURS 460
Advanced Strategies for Adult HC
Midterms Exam Review (Qns & Ans)
2025
1. Which of the following interventions is most appropriate for
managing chronic obstructive pulmonary disease (COPD) in
adults?
A. Implementing complete bedrest
B. Providing low-flow oxygen therapy
C. Restricting fluid intake
D. Encouraging high-intensity exercises
- ANS : B. Providing low-flow oxygen therapy
- Rationale: Low-flow oxygen therapy ensures adequate
oxygenation without suppressing respiratory drive.
©2025
,2. What is the primary focus of palliative care for adults with
advanced chronic illnesses?
A. Curative treatment
B. Symptom management and quality of life improvement
C. Aggressive chemotherapy protocols
D. Surgical intervention
- ANS: B. Symptom management and quality of life
improvement
- Rationale: Palliative care prioritizes comfort and addresses
symptoms to enhance the patient’s quality of life.
3. Which of the following is an early indicator of sepsis in an
adult patient?
A. Hypotension and organ failure
B. Tachycardia and fever
C. Hyperkalemia and arrhythmias
D. Bradycardia and hypothermia
- ANS : B. Tachycardia and fever
- Rationale: Early signs of sepsis often include an elevated
heart rate and fever as part of the systemic inflammatory
response.
©2025
,4. For an adult patient with diabetes mellitus, which intervention
is key to preventing long-term complications?
A. Administering insulin only during episodes of hyperglycemia
B. Encouraging regular eye and foot examinations
C. Restricting all forms of carbohydrates
D. Using antihypertensive drugs prophylactically
- ANS : B. Encouraging regular eye and foot examinations
- Rationale: Routine examinations help identify complications
like retinopathy and neuropathy early.
5. Which strategy is most effective in managing hypertension in
adult patients?
A. Long-term bedrest
B. Adoption of the DASH (Dietary Approaches to Stop
Hypertension) diet
C. High-sodium diet with diuretics
D. Exclusive reliance on antihypertensive medications
- ANS: B. Adoption of the DASH (Dietary Approaches to Stop
Hypertension) diet
- Rationale: The DASH diet has been proven to effectively
lower blood pressure through dietary modifications.
©2025
, ---
Fill-in-the-Blank Questions
6. __________ is the first-line pharmacological treatment for
adults experiencing acute myocardial infarction.
- ANS : Aspirin
- Rationale: Aspirin reduces platelet aggregation and
minimizes clot formation in acute myocardial infarction.
7. In adult health care, the primary goal of rehabilitation for
stroke survivors is to restore __________ and prevent
complications.
- ANS : Functional Independence
- Rationale: Rehabilitation focuses on maximizing the
patient’s ability to perform daily activities and improving quality
of life.
8. The __________ test is commonly used to screen for
colorectal cancer in adults.
- ANS : Fecal Occult Blood Test (FOBT)
- Rationale: FOBT detects hidden blood in stool, which can
indicate colorectal cancer or other gastrointestinal conditions.
©2025
Advanced Strategies for Adult HC
Midterms Exam Review (Qns & Ans)
2025
1. Which of the following interventions is most appropriate for
managing chronic obstructive pulmonary disease (COPD) in
adults?
A. Implementing complete bedrest
B. Providing low-flow oxygen therapy
C. Restricting fluid intake
D. Encouraging high-intensity exercises
- ANS : B. Providing low-flow oxygen therapy
- Rationale: Low-flow oxygen therapy ensures adequate
oxygenation without suppressing respiratory drive.
©2025
,2. What is the primary focus of palliative care for adults with
advanced chronic illnesses?
A. Curative treatment
B. Symptom management and quality of life improvement
C. Aggressive chemotherapy protocols
D. Surgical intervention
- ANS: B. Symptom management and quality of life
improvement
- Rationale: Palliative care prioritizes comfort and addresses
symptoms to enhance the patient’s quality of life.
3. Which of the following is an early indicator of sepsis in an
adult patient?
A. Hypotension and organ failure
B. Tachycardia and fever
C. Hyperkalemia and arrhythmias
D. Bradycardia and hypothermia
- ANS : B. Tachycardia and fever
- Rationale: Early signs of sepsis often include an elevated
heart rate and fever as part of the systemic inflammatory
response.
©2025
,4. For an adult patient with diabetes mellitus, which intervention
is key to preventing long-term complications?
A. Administering insulin only during episodes of hyperglycemia
B. Encouraging regular eye and foot examinations
C. Restricting all forms of carbohydrates
D. Using antihypertensive drugs prophylactically
- ANS : B. Encouraging regular eye and foot examinations
- Rationale: Routine examinations help identify complications
like retinopathy and neuropathy early.
5. Which strategy is most effective in managing hypertension in
adult patients?
A. Long-term bedrest
B. Adoption of the DASH (Dietary Approaches to Stop
Hypertension) diet
C. High-sodium diet with diuretics
D. Exclusive reliance on antihypertensive medications
- ANS: B. Adoption of the DASH (Dietary Approaches to Stop
Hypertension) diet
- Rationale: The DASH diet has been proven to effectively
lower blood pressure through dietary modifications.
©2025
, ---
Fill-in-the-Blank Questions
6. __________ is the first-line pharmacological treatment for
adults experiencing acute myocardial infarction.
- ANS : Aspirin
- Rationale: Aspirin reduces platelet aggregation and
minimizes clot formation in acute myocardial infarction.
7. In adult health care, the primary goal of rehabilitation for
stroke survivors is to restore __________ and prevent
complications.
- ANS : Functional Independence
- Rationale: Rehabilitation focuses on maximizing the
patient’s ability to perform daily activities and improving quality
of life.
8. The __________ test is commonly used to screen for
colorectal cancer in adults.
- ANS : Fecal Occult Blood Test (FOBT)
- Rationale: FOBT detects hidden blood in stool, which can
indicate colorectal cancer or other gastrointestinal conditions.
©2025
