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NURS 280 Chronic and Palliative Care – Exam 1 Questions and Correct Answers (2025/2026 Latest Update)

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This 2025/2026 updated NURS 280 Chronic and Palliative Care Exam 1 study guide provides a complete set of verified questions with correct and detailed answers. It covers essential nursing topics related to chronic illness management, palliative and end-of-life care, pain control, symptom management, communication strategies, and ethical decision-making. Aligned with current nursing standards and evidence-based practice, this resource is ideal for students preparing for exams in chronic and palliative care courses.

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Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025


NURS 280 Chronic and Pal Care Exam 1
Questions and Correct Answers | Latest
Update
An elderly patient has presented to the clinic with a new diagnosis of osteoarthritis. The

patients daughter is accompanying him and you have explained why the incidence of chronic

diseases tends to increase with age. What rationale for this phenomenon should you describe?


A) With age, biologic changes reduce the efficiency of body systems.


B) Older adults often have less support and care from their family, resulting in illness.


C) There is an increased morbidity of peers in this age group, and this leads to the older

adults desire to also assume the sick role.


D) Chronic illnesses are diagnosed more often in older adults because they have more contact

with the health care system.


 A




A patient tells the nurse that her doctor just told her that her new diagnosis of rheumatoid

arthritis is considered to be a chronic condition. She asks the nurse what chronic condition

means. What would be the nurses best response?


A) Chronic conditions are defined as health problems that require management of several

months or longer.


B) Chronic conditions are diseases that come and go in a relatively predictable cycle.


C) Chronic conditions are medical conditions that culminate in disabilities that require

hospitalization.



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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

D) Chronic conditions are those that require short-term management in extended-care

facilities.


 A




A medical-surgical nurse is teaching a patient about the health implications of her recently

diagnosed type 2 diabetes. The nurse should teach the patient to be proactive with her

glycemic control in order to reduce her risk of what health problem?


A) Arthritis


B) Renal failure


C) Pancreatic cancer


D) Asthma


 B




A patient who undergoes hemodialysis three times weekly is on a fluid restriction of 1000

mL/day. The nurse sees the patient drinking a 355-mL (12 ounce) soft drink after the patient

has already reached the maximum intake of fluid for the day. What action should the nurse

take?


A) Take the soft drink away from the patient and inform the dialysis nurse to remove extra

fluid from the patient during the next dialysis treatment


B) Document the patients behavior as noncompliant and notify the physician




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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

C) Further restrict the patients fluid for the following day and communicate this information to

the charge nurse


D) Reinforce the importance of the fluid restriction and document the teaching and the intake

of extra fluid


 D




A patient with end-stage lung cancer has been admitted to hospice care. The hospice team is

meeting with the patient and her family to establish goals for care. What is likely to be a first

priority in goal setting for the patient?


A) Maintenance of activities of daily living


B) Pain control


C) Social interaction


D) Promotion of spirituality


 B




An international nurse has noted that a trend in developing countries is a decrease in mortality

from some acute conditions. This has corresponded with an increase in the incidence and

prevalence of chronic diseases. What has contributed to this decrease in mortality from some

acute conditions?


A) Improved nutrition


B) Integration of alternative health practices




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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

C) Stronger international security measures


D) Decrease in obesity


 A




A 37-year-old woman with multiple sclerosis is married and has three children. The nurse has

worked extensively with the woman and her family to plan appropriate care. What is the

nurses most important role with this patient?


A) Ensure the patient adheres to all treatments


B) Provide the patient with advice on alternative treatment options


C) Provide a detailed plan of activities of daily living (ADLs) for the patient


D) Help the patient develop strategies to implement treatment regimens


 D




A patient has recently been diagnosed with type 2 diabetes. The patient is clinically obese

and has a sedentary lifestyle. How can the nurse best begin to help the patient increase his

activity level?


A) Set up appointment times at a local fitness center for the patient to attend.


B) Have a family member ensure the patient follows a suggested exercise plan.


C) Construct an exercise program and have the patient follow it.


D) Identify barriers with the patient that inhibit his lifestyle change.




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