NCLEX Chronic Illness Practice Questions

NCLEX Chronic Illness Practice Questions Related

Review NCLEX Chronic Illness Practice Questions related questions and content

A 56 year old lady with Type 2 DM and a BMI of 30 kg/m2 is reviewed by her family doctor due to poor glycaemic control. She is treated with oral gliclazide since she is diagnosed as diabetic and currently she is on 160 mg bid. Her serum creatinine is 110 μmol/L. Which ONE of the following medications should be most appropriately to be added next?

  • A. Metformin
  • B. Acarbose
  • C. Pioglitazone
  • D. Insulin
Correct Answer: A

Rationale: Gliclazide maxed, HbA1c off metformin's next, safe at creatinine 110 (eGFR likely 50+), tackling insulin resistance in obesity. Acarbose slows carbs, pioglitazone risks fluid, insulin's later, linagliptin's fine but less foundational. Nurses add this chronic sugar anchor, boosting control without kidney strain.

You may also like to solve these questions

Which of the following interventions should be included in the nutrition care plan of the client with atherosclerosis?

  • A. Limit sodium intake to 6 g per day
  • B. Increase full-fat dairy products
  • C. Increase saturated fats
  • D. Increase daily intake of vegetables, fruits, and whole grains
Correct Answer: D

Rationale: Atherosclerosis plaque-laden arteries thrives on poor diet. Boosting vegetables, fruits, and whole grains slashes cholesterol and inflammation, slowing plaque via fiber and antioxidants, a cornerstone of cardiac nutrition. Sodium limits help hypertension, but 6 g exceeds heart-healthy goals (2.3 g). Full-fat dairy and saturated fats fuel plaque, worsening disease. Nurses push plant-based eating, aligning with evidence to reverse atherosclerosis's march, a proactive step over mere restriction in this vascular battle.

Clients with chronic illness want the health care system to provide them with which of the following?

  • A. Less information
  • B. Less travel time
  • C. Ways to adjust to disease consequences
  • D. Limited information on ways to cope with their symptoms
Correct Answer: C

Rationale: Chronic folks crave adaptation tools handling fear, sleep woes, or sex shifts not less info or travel ease. Nurses deliver this, a lifeline for illness' long tail, not just quick fixes.

How do you decrease the severity and duration of pertussis infection?

  • A. you don't
  • B. erythromycin
  • C. benzyl penicillin
  • D. ampicillin
Correct Answer: A

Rationale: Pertussis antibiotics clip spread, not whooping's course; erythro, pen, cipro miss. Nurses know this chronic cough rides out.

The following are true about education for insulin therapy EXCEPT:

  • A. It can only be done by nurses
  • B. Different subjects to be covered at different stages of insulin therapy
  • C. Improves adherence to insulin therapy
  • D. It takes time
Correct Answer: A

Rationale: Insulin teaching docs, educators join nurses, staged topics boost sticking, time and prep pay off; nurse-only's bunk. Nurses weave this chronic learning web, not solo.

Which is not an AIDS defining illness?

  • A. oesophageal candidiasis
  • B. Herpes Zoster
  • C. CD4 count <200 cells/microL
  • D. Pulmonary TB
Correct Answer: B

Rationale: Herpes zoster's no AIDS marker just shingles, common even sans HIV collapse. Oesophageal thrush, PCP, TB scream opportunists; CD4's a lab line, not illness. Nurses flag true definers chronic crash signs not this skin flare anyone catches.

Copyright © 2025 Nokea. All rights reserved.