NUR 257 Chronic Exam 4 | Questions and Answers | 2026/2027 New Update | 100% Correct - Galen College of
Nursing 2026/2027
OBJECTIVE ASSESSMENT - EXAM
NUR 257 Chronic Exam 4 | Questions and Answers |
2026/2027 New Update | 100% Correct - Galen College
of Nursing 2026/2027
EDITION
50 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Chronic Disease Management Functional & Cognitive Decline
Geriatric Syndromes & Falls Palliative & End-of-Life Care
Polypharmacy & Medication Safety Family & Caregiver Support
COVER PAGE - 1
, SECTION 1 | Chronic Disease Management | Q1-Q13 | 2026/2027
NUR 257 Chronic Exam 4 | Questions and Answers | 2026/2027 New Update | 100% Correct - Galen College of Nursing 2026/2027
Q1 Question 1 of 50
A 72-year-old male with a 10-year history of heart failure is being discharged home. His wife asks why
he must weigh himself every morning. Which explanation by the nurse is most accurate?
A. Daily weights confirm he is eating enough calories to maintain strength
B. A sudden weight gain of 2-3 pounds in a day signals fluid retention and worsening failure
C. The scale helps track muscle mass loss from inactivity
D. Weight monitoring replaces the need for daily blood pressure checks
Correct Answer: B
Rationale:
A weight gain of 2-3 lb in 24 hours or 5 lb in a week indicates fluid retention and worsening heart failure requiring prompt
provider notification. This early sign precedes visible edema or dyspnea. Choice A confuses weight with nutrition, and
choice D is incorrect because weight monitoring supplements rather than replaces blood pressure assessment.
Q2 Question 2 of 50
A 68-year-old patient with severe COPD is admitted with pneumonia. Oxygen is ordered at 2 L/min via
nasal cannula, but the family asks why it cannot be increased because the saturation is 88%. What is
the nurse's best response?
A. Increasing oxygen would worsen the pneumonia directly
B. The nasal cannula cannot safely deliver more than 2 liters
C. Higher saturation targets are toxic to alveolar tissue
D. Higher oxygen can blunt the hypoxic drive and cause CO2 retention
Correct Answer: D
Rationale:
In COPD patients with chronic CO2 retention, the hypoxic drive stimulates breathing; high oxygen saturations can blunt
this drive and cause dangerous hypercapnia, with a target saturation of 88-92%. Increasing oxygen does not directly
worsen pneumonia, the cannula can deliver higher flows, and oxygen is not toxic to alveolar tissue at moderate
concentrations.
NUR 257 Chronic Exam 4 | Questions and Answers | 2026/2027 New Update | 100% Correct - Galen College of Nursing 2026/2027 - 2026/2027 | Passing Score: 80% | Page 2 of 28
, Q3 Question 3 of 50
A 65-year-old woman with type 2 diabetes and peripheral neuropathy asks the nurse how to care for
her feet. Which instruction is most appropriate?
A. Soak feet daily in hot water to improve circulation
B. Walk barefoot at home to strengthen the soles
C. Inspect feet daily using a mirror and wear well-fitted closed shoes
D. Apply over-the-counter corn remover pads between toes as needed
Correct Answer: C
Rationale:
Daily inspection using a mirror allows early detection of injuries that neuropathy may mask, and properly fitted closed
shoes protect against trauma. Soaking in hot water risks burns due to sensation loss, walking barefoot increases injury
risk, and corn removers contain acids that cause tissue damage in diabetic patients.
Q4 Question 4 of 50
A 58-year-old man with newly diagnosed hypertension asks what dietary change will most effectively
lower his blood pressure. Which response by the nurse is correct?
A. Limit sodium to less than 2,300 mg per day and emphasize fruits and vegetables
B. Increase red meat portions to boost iron intake
C. Eliminate all fluid intake after 6 PM each evening
D. Replace water with sports drinks to balance electrolytes
Correct Answer: A
Rationale:
The DASH diet emphasizes fruits, vegetables, and low-fat dairy while restricting sodium to less than 2,300 mg daily
(ideally 1,500 mg), which is proven to reduce blood pressure. Increasing red meat adds saturated fat and sodium.
Eliminating fluids or replacing water with sports drinks is unsafe and unsupported by evidence.
NUR 257 Chronic Exam 4 | Questions and Answers | 2026/2027 New Update | 100% Correct - Galen College of Nursing 2026/2027 - 2026/2027 | Passing Score: 80% | Page 3 of 28
Nursing 2026/2027
OBJECTIVE ASSESSMENT - EXAM
NUR 257 Chronic Exam 4 | Questions and Answers |
2026/2027 New Update | 100% Correct - Galen College
of Nursing 2026/2027
EDITION
50 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Chronic Disease Management Functional & Cognitive Decline
Geriatric Syndromes & Falls Palliative & End-of-Life Care
Polypharmacy & Medication Safety Family & Caregiver Support
COVER PAGE - 1
, SECTION 1 | Chronic Disease Management | Q1-Q13 | 2026/2027
NUR 257 Chronic Exam 4 | Questions and Answers | 2026/2027 New Update | 100% Correct - Galen College of Nursing 2026/2027
Q1 Question 1 of 50
A 72-year-old male with a 10-year history of heart failure is being discharged home. His wife asks why
he must weigh himself every morning. Which explanation by the nurse is most accurate?
A. Daily weights confirm he is eating enough calories to maintain strength
B. A sudden weight gain of 2-3 pounds in a day signals fluid retention and worsening failure
C. The scale helps track muscle mass loss from inactivity
D. Weight monitoring replaces the need for daily blood pressure checks
Correct Answer: B
Rationale:
A weight gain of 2-3 lb in 24 hours or 5 lb in a week indicates fluid retention and worsening heart failure requiring prompt
provider notification. This early sign precedes visible edema or dyspnea. Choice A confuses weight with nutrition, and
choice D is incorrect because weight monitoring supplements rather than replaces blood pressure assessment.
Q2 Question 2 of 50
A 68-year-old patient with severe COPD is admitted with pneumonia. Oxygen is ordered at 2 L/min via
nasal cannula, but the family asks why it cannot be increased because the saturation is 88%. What is
the nurse's best response?
A. Increasing oxygen would worsen the pneumonia directly
B. The nasal cannula cannot safely deliver more than 2 liters
C. Higher saturation targets are toxic to alveolar tissue
D. Higher oxygen can blunt the hypoxic drive and cause CO2 retention
Correct Answer: D
Rationale:
In COPD patients with chronic CO2 retention, the hypoxic drive stimulates breathing; high oxygen saturations can blunt
this drive and cause dangerous hypercapnia, with a target saturation of 88-92%. Increasing oxygen does not directly
worsen pneumonia, the cannula can deliver higher flows, and oxygen is not toxic to alveolar tissue at moderate
concentrations.
NUR 257 Chronic Exam 4 | Questions and Answers | 2026/2027 New Update | 100% Correct - Galen College of Nursing 2026/2027 - 2026/2027 | Passing Score: 80% | Page 2 of 28
, Q3 Question 3 of 50
A 65-year-old woman with type 2 diabetes and peripheral neuropathy asks the nurse how to care for
her feet. Which instruction is most appropriate?
A. Soak feet daily in hot water to improve circulation
B. Walk barefoot at home to strengthen the soles
C. Inspect feet daily using a mirror and wear well-fitted closed shoes
D. Apply over-the-counter corn remover pads between toes as needed
Correct Answer: C
Rationale:
Daily inspection using a mirror allows early detection of injuries that neuropathy may mask, and properly fitted closed
shoes protect against trauma. Soaking in hot water risks burns due to sensation loss, walking barefoot increases injury
risk, and corn removers contain acids that cause tissue damage in diabetic patients.
Q4 Question 4 of 50
A 58-year-old man with newly diagnosed hypertension asks what dietary change will most effectively
lower his blood pressure. Which response by the nurse is correct?
A. Limit sodium to less than 2,300 mg per day and emphasize fruits and vegetables
B. Increase red meat portions to boost iron intake
C. Eliminate all fluid intake after 6 PM each evening
D. Replace water with sports drinks to balance electrolytes
Correct Answer: A
Rationale:
The DASH diet emphasizes fruits, vegetables, and low-fat dairy while restricting sodium to less than 2,300 mg daily
(ideally 1,500 mg), which is proven to reduce blood pressure. Increasing red meat adds saturated fat and sodium.
Eliminating fluids or replacing water with sports drinks is unsafe and unsupported by evidence.
NUR 257 Chronic Exam 4 | Questions and Answers | 2026/2027 New Update | 100% Correct - Galen College of Nursing 2026/2027 - 2026/2027 | Passing Score: 80% | Page 3 of 28
