Chronic Illness NCLEX Questions

Chronic Illness NCLEX Questions Related

Review Chronic Illness NCLEX Questions related questions and content

What do you tell patients is the most important risk factor for lung cancer when you are teaching about lung cancer prevention?

  • A. Cigarette smoking
  • B. Exposure to environmental/occupational carcinogens
  • C. Exposure to environmental tobacco smoke (ETS)
  • D. Pipe or cigar smoking
Correct Answer: A

Rationale: Cigarette smoking towers as lung cancer's top risk 80-90% of cases tie to its carcinogens like tar and nicotine, a dose-dependent killer dwarfing other factors. Environmental/occupational exposures like asbestos amplify risk, especially with smoking, but lack its prevalence. ETS hikes risk by 35%, significant yet secondary. Pipe or cigar smoking carries risk, less than cigarettes due to inhalation patterns. Teaching smoking as paramount drives home its preventable dominance, urging cessation as the gold-standard defense, a nurse's key message to slash lung cancer odds, backed by epidemiology and public health campaigns.

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Post exposure prophylaxis against Human Immunodeficiency Virus (HIV):

  • A. is probably not effective when commenced 36 hours post exposure
  • B. is administered intramuscularly
  • C. is generally well-tolerated by patients
  • D. when given, precludes the need for follow up serology
Correct Answer: C

Rationale: HIV PEP tolerable pills, not IM, works past 36 hours, needs serology, safe in pregnancy. Nurses dose this chronic shield easy.

Fatty liver disease is more common in people with metabolic syndrome or type 2 diabetes. The pathogenesis of fatty liver disease is not yet completely known. Question: What does current research suggest with respect to the pathogenesis?

  • A. Steatosis correlates with inflammation
  • B. Inflammation correlates with fibrosis
  • C. Steatosis correlates with liver damage
  • D. Steatosis correlates with insulin resistance
Correct Answer: D

Rationale: Fatty liver's tale steatosis ties to insulin resistance, a metabolic syndrome root, not just inflammation, fibrosis, or vague damage. Nurses see this, a chronic fat-glucose knot.

According to the McGinnis model of 2002, what percentage of health differences between people is related to their behaviour?

  • A. 10%
  • B. 20%
  • C. 30%
  • D. 40%
Correct Answer: D

Rationale: McGinnis pegs behaviour smoking, eating at 40% of health gaps, big over genes or care. Nurses lean on this, a chronic choice chunk.

Characteristics of acute pain do not include:

  • A. Recent onset
  • B. Attributable to specific injury or disease
  • C. Lasts from a few minutes to less than 6 months
  • D. Unable to be relieved by analgesia
Correct Answer: D

Rationale: Acute pain fresh, tied to harm, short-lived yields to pills, not stubborn. Nurses spot this, a chronic pain foil.

A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client should the nurse see first?

  • A. A client with a swollen and painful left great toe
  • B. Client who reports dyspnea
  • C. Client with a blood pressure of 180/98 mm Hg
  • D. Client who reports calf tenderness and swelling
Correct Answer: B

Rationale: Polycythemia vera thickens blood, risking clots dyspnea signals possible pulmonary embolism, a life-threatening emergency needing instant assessment per ABCs. Toe pain suggests gout, common but less acute. Hypertension, a chronic issue here, waits behind respiratory distress. Calf tenderness hints at DVT, urgent but not immediately fatal like embolism. Nurses triage dyspnea first, ensuring airway and oxygenation, a critical call in this hyperviscous condition prone to thrombotic crises.

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