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NUR 257 Exam 3 (Latest 2026/2027 Update) | Gerontological Nursing Review: Diabetes, Stroke & Cardiovascular Disorders | Comprehensive Study Guide | Exam Questions & Answers | Grade A+

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This document contains a comprehensive review for NUR 257 Exam 3, covering essential gerontological nursing concepts commonly tested in nursing programs. Topics include diabetes mellitus in older adults, including glycemic control, insulin therapy, hypoglycemia recognition, and long-term complications such as neuropathy and nephropathy. It also includes stroke (CVA) in geriatric patients, focusing on risk factors, FAST assessment, acute management, rehabilitation needs, and prevention strategies. Cardiovascular content covers common age-related heart conditions including coronary artery disease, heart failure, hypertension, dysrhythmias, and reduced cardiac output, with emphasis on assessment findings and priority nursing interventions. Additional content includes medication safety in older adults, polypharmacy considerations, patient education, interdisciplinary care, and clinical judgment frameworks such as ABCs and Maslow’s hierarchy for prioritization of care. The material is designed to strengthen gerontological nursing knowledge, improve clinical reasoning, and support exam readiness using structured, high-yield review content aligned with the 2026/2027 curriculum. Keywords: NUR 257 exam 3 gerontological nursing diabetes stroke CVA FAST heart disease cardiovascular heart failure hypertension older adults insulin hypoglycemia clinical judgment patient safety polypharmacy practice questions exam prep verified answers

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NUR 257 Gerontological Nursing Exam 3 Review: (Latest 2026/2027 Update) Diabetes,
Stroke, Heart Failure, COPD, Parkinson's Disease, Laboratory Values | Verified Q&A |
A+ Guarantee | 100% Correct
Comprehensive Review for Diabetes Management, Stroke Types and Symptoms, Heart Failure Staging, COPD
Care, Insulin Therapy, and Key Lab Values



SUBJECT COURSE FOCUS

Gerontological Nursing NUR 257 Exam 3 Chronic Disease Management



Question 1

For the elderly client with diabetes mellitus, what is important to note?

A. It is diagnosed in the late stages due to lack of symptoms in early stage

B. Symptoms are always present early

C. It is easily diagnosed at routine visits

D. Older adults rarely develop diabetes

CORRECT ANSWER

A. It is diagnosed in the late stages due to lack of symptoms in early stage




Question 2

What does A1C measure?

A. Average blood glucose over 3 months

B. Current blood glucose level

C. Fasting blood glucose

D. Postprandial blood glucose

CORRECT ANSWER

A. Average blood glucose over 3 months

,Question 3

If an elderly client has an acute illness with inability to take oral medications for diabetes, what should
the nurse do?

A. Contact PCP

B. Hold all medications

C. Double the next dose

D. Administer insulin

CORRECT ANSWER

A. Contact PCP




Question 4

Why should caution be taken when giving metformin to the elderly?

A. Because of declining kidney function in the elderly resulting in further decline

B. Because it causes hypoglycemia

C. Because it causes weight gain

D. Because it interacts with many medications

CORRECT ANSWER

A. Because of declining kidney function in the elderly resulting in further decline

, Question 5

What are some education points for elderly patients with diabetes mellitus about hypoglycemia?

A. Brain needs constant glucose supply; provide milk and glucagon if patient passes out or is unable to take
sugar by mouth; glucagon can be injected at first sign of hypoglycemia; patient should have glucagon on
them at all times

B. Only treat with oral glucose

C. Glucagon is not necessary for elderly patients

D. Only family members should administer glucagon

CORRECT ANSWER

A. Brain needs constant glucose supply; provide milk and glucagon if patient passes out or is
unable to take sugar by mouth; glucagon can be injected at first sign of hypoglycemia; patient
should have glucagon on them at all times




Question 6

What do feelings of pins/needles in the feet usually indicate in diabetic patients?

A. Increased blood glucose levels (neuropathy)

B. Normal aging

C. Vitamin deficiency

D. Peripheral vascular disease

CORRECT ANSWER

A. Increased blood glucose levels (neuropathy)

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