Galen College of Nursing NUR 257 Chronic Exams 1-4 (All In 1 PDF File) Updated Summer 2026.
Chronic exam 1
1. The nurse is teaching a group of independent older male adults over the
age of 60 about managing their health. it requires follow-up teaching by the
nurse if a participant states, "To help promote and maintain health, | should
a. be screened for colorectal every 10 years.
b. have my hearing checked every 2 years.
Hearing tests are done annually
c. be screened for human immunodeficiency virus as needed.
d. have prostate screenings as needed.
2. The nurse is teaching older adult clients at a community health fair about
ways to promote wellness. Which of the following statements by a client
indicates a need for additional teaching?
a. "l should increase my daily intake of complex carbohydrates and fiber."
b. "I will use herbal medications approved by my primary health care
provider."
c. "l will stay within the recommended amount of fat in my daily diet."
d. " I'will check my blood pressure once a year at my health physical."
,3. The nurse is caring for an older adult client who is of Chinese descent, has a
blood pressure (BP) of 80/54 mm Hg, and refuses to remain in bed. Which
of the following interventions should the nurse use to promote and
maintain the health of the client?
commmammm———
a. Have the primary health care provider (PHCP) speak to the client.
b. Use principles of the holistic health care system.
c. Examine personal beliefs for possible negative stereotypes.
d. Consult with a provider who specializes in Chinese medicine.
4. The nurse is addressing an older adult client. It is appropriate for the nurse
to speak to this client in which of the following manners?
a. Use terms of endearment such as "honey," "sweetie," and "dear" to
show compassion.
b. Speak very slowly and in a lower tone of voice and pitch for easier
understanding
c. Speak in a normal tone of voice making sure to speak clearly and with
proper enunciation.
d. Use hand gestures along with speaking loudly to ensure the message is
conveyed appropriately.
,5. The newly hired nurse is providing teaching to an older adult African
American client who has hypertension Which of the following statements
by the newly hired nurse requires follow-up by the nurse preceptor
a. "It will be important for you to take your medicine each day, even if you
feel like your blood pressure is well controlled at the time."
b. "If you are having issues making it to the clinic for your follow-up
appointments, please call so alternative arrangements can be made."
c. "l know that extra salt and fried foods are part of your preferred foods,
however, you will have to cut those out to control your blood pressure
issues.”
d. "Make sure that you are getting out of bed or up from a chair slowly.
Your body needs a bit of time to adjust to the change in position before
you stand up and that is normal."
6. The nurse is caring for a client who has chronic pancreatitis. Which of the
following statements by the nurse is appropriate?
a. "Eat foods high in carbohydrates and 2,000 calories per day."
b. "Working with a physical therapist could assist you in coping."
s, "You will need to limit your protein intake." Consume HIGH protein diet
d. "You should take pancreatic enzymes with every meal and snack."
, 7. The nurse manager is providing an in-service for nursing staff on changes in
the gastrointestinal (Gl) system in older adults. Which of the following
statements by a staff member indicates the need for additional teaching?
“& "There will be a decrease in peristaltic activity and rectal filling." true
b. "The client may develop pernicious anemia." true
c. "The client will experience fatty stools."
X "A decrease in blood flow causes decreased fat absorption."
8. The nurse is caring for an older adult client who has a poor nutritional
intake. Which of the following interventions should the nurse implement to
help promote nutritional intake?
a. Ensure dentures are clean and fit properly
b. Give the client a timeframe for completion of meals.
c. Ask family members not to bring in food so the quality of meals can be
monitored.
d. Allow the client to watch television while eating.
9. The nurse is providing postoperative care to an older adult client. Which of
the following assessment findings prompts the nurse to assess further for a
wound infection?
a. Moderate serosanguineous drainage observed on the dressing.
b. The operative site is slightly pink around the edges.
\ A core temperature (T) reading of 98.7° F.
d. Adecreased level of consciousness (LOC) from previous assessment.
Chronic exam 1
1. The nurse is teaching a group of independent older male adults over the
age of 60 about managing their health. it requires follow-up teaching by the
nurse if a participant states, "To help promote and maintain health, | should
a. be screened for colorectal every 10 years.
b. have my hearing checked every 2 years.
Hearing tests are done annually
c. be screened for human immunodeficiency virus as needed.
d. have prostate screenings as needed.
2. The nurse is teaching older adult clients at a community health fair about
ways to promote wellness. Which of the following statements by a client
indicates a need for additional teaching?
a. "l should increase my daily intake of complex carbohydrates and fiber."
b. "I will use herbal medications approved by my primary health care
provider."
c. "l will stay within the recommended amount of fat in my daily diet."
d. " I'will check my blood pressure once a year at my health physical."
,3. The nurse is caring for an older adult client who is of Chinese descent, has a
blood pressure (BP) of 80/54 mm Hg, and refuses to remain in bed. Which
of the following interventions should the nurse use to promote and
maintain the health of the client?
commmammm———
a. Have the primary health care provider (PHCP) speak to the client.
b. Use principles of the holistic health care system.
c. Examine personal beliefs for possible negative stereotypes.
d. Consult with a provider who specializes in Chinese medicine.
4. The nurse is addressing an older adult client. It is appropriate for the nurse
to speak to this client in which of the following manners?
a. Use terms of endearment such as "honey," "sweetie," and "dear" to
show compassion.
b. Speak very slowly and in a lower tone of voice and pitch for easier
understanding
c. Speak in a normal tone of voice making sure to speak clearly and with
proper enunciation.
d. Use hand gestures along with speaking loudly to ensure the message is
conveyed appropriately.
,5. The newly hired nurse is providing teaching to an older adult African
American client who has hypertension Which of the following statements
by the newly hired nurse requires follow-up by the nurse preceptor
a. "It will be important for you to take your medicine each day, even if you
feel like your blood pressure is well controlled at the time."
b. "If you are having issues making it to the clinic for your follow-up
appointments, please call so alternative arrangements can be made."
c. "l know that extra salt and fried foods are part of your preferred foods,
however, you will have to cut those out to control your blood pressure
issues.”
d. "Make sure that you are getting out of bed or up from a chair slowly.
Your body needs a bit of time to adjust to the change in position before
you stand up and that is normal."
6. The nurse is caring for a client who has chronic pancreatitis. Which of the
following statements by the nurse is appropriate?
a. "Eat foods high in carbohydrates and 2,000 calories per day."
b. "Working with a physical therapist could assist you in coping."
s, "You will need to limit your protein intake." Consume HIGH protein diet
d. "You should take pancreatic enzymes with every meal and snack."
, 7. The nurse manager is providing an in-service for nursing staff on changes in
the gastrointestinal (Gl) system in older adults. Which of the following
statements by a staff member indicates the need for additional teaching?
“& "There will be a decrease in peristaltic activity and rectal filling." true
b. "The client may develop pernicious anemia." true
c. "The client will experience fatty stools."
X "A decrease in blood flow causes decreased fat absorption."
8. The nurse is caring for an older adult client who has a poor nutritional
intake. Which of the following interventions should the nurse implement to
help promote nutritional intake?
a. Ensure dentures are clean and fit properly
b. Give the client a timeframe for completion of meals.
c. Ask family members not to bring in food so the quality of meals can be
monitored.
d. Allow the client to watch television while eating.
9. The nurse is providing postoperative care to an older adult client. Which of
the following assessment findings prompts the nurse to assess further for a
wound infection?
a. Moderate serosanguineous drainage observed on the dressing.
b. The operative site is slightly pink around the edges.
\ A core temperature (T) reading of 98.7° F.
d. Adecreased level of consciousness (LOC) from previous assessment.
