Chronic Illness NCLEX Questions

Chronic Illness NCLEX Questions Related

Review Chronic Illness NCLEX Questions related questions and content

With regards to starting drug therapy for arterial hypertension, at which level of diastolic pressure should treatment be considered?

  • A. 60 to 69 mmHg
  • B. 70 to 79 mmHg
  • C. 80 to 89 mmHg
  • D. 90 to 95 mmHg
Correct Answer: D

Rationale: Arterial hypertension management follows guidelines like those from the American College of Cardiology, where drug therapy is typically considered when blood pressure exceeds certain thresholds. Diastolic pressure of 90 mmHg or higher is a widely accepted level for initiating treatment in adults, especially if sustained or accompanied by risk factors like diabetes or organ damage, as it indicates stage 1 hypertension needing intervention to prevent cardiovascular complications. Levels below 90 mmHg (60-69, 70-79, 80-89 mmHg) may warrant lifestyle changes but not immediate drug therapy unless systolic pressure or other risks elevate the profile. The 90-95 mmHg range aligns with clinical practice to start antihypertensives, balancing benefit and risk, particularly in primary care settings where family physicians aim to reduce stroke and heart disease incidence effectively.

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Which of the following conditions/abnormalities is always present in people who are diagnosed with metabolic syndrome?

  • A. Type 2 diabetes mellitus
  • B. Disturbed renal function
  • C. Hypertension
  • D. Insulin resistance
Correct Answer: D

Rationale: Metabolic syndrome's core insulin resistance ties the knot, not always diabetes, kidney flops, or high BP. A chronic root nurses peg this constant.

Which does not cause genital ulceration?

  • A. syphilis
  • B. herpes simplex infection
  • C. HIV
  • D. lymphogranuloma venereum
Correct Answer: C

Rationale: HIV no direct ulcers; syphilis, herpes, LGV, chancroid carve sores. Nurses rule this chronic outlier.

A patient who has ovarian cancer is crying and tells the nurse, 'My husband rarely visits. He just doesn't care.' The husband indicates to the nurse that he does not know what to say to his wife. Which nursing diagnosis is appropriate for the nurse to add to the plan of care?

  • A. Compromised family coping related to disruption in lifestyle
  • B. Impaired home maintenance related to perceived role changes
  • C. Risk for caregiver role strain related to burdens of caregiving responsibilities
  • D. Dysfunctional family processes related to effect of illness on family members
Correct Answer: D

Rationale: Ovarian cancer's toll her tears, his silence points to dysfunctional family processes; illness jams communication, not lifestyle , home upkeep , or caregiving load . He's lost, not burdened. Nurses in oncology peg this cancer's ripple screws up dynamics, needing talks to bridge the gap, not just task fixes.

In the UK, appropriate statements concerning the trauma network include:

  • A. Major trauma centres, but not minor trauma units, need facilities to deal with polytrauma patients.
  • B. Hospitals dealing with trauma are expected to contribute data to the Trauma Audit Research Network (TARN) database.
  • C. Within their network, trauma units have transfer arrangements for moving seriously injured patients to major trauma centres.
  • D. Trauma networks have an ambulance protocol for bypassing the nearest unit for injuries that may be best treated at a distant specialist centre.
Correct Answer: B

Rationale: The UK trauma network, established pre-2014, enhances care coordination. Major trauma centres (MTCs) handle polytrauma; trauma units manage less severe cases, though both need capabilities severity dictates MTC referral. TARN collects data from all trauma-receiving hospitals, tracking outcomes (e.g., mortality) to improve standards, a core network feature. Transfer protocols ensure escalation from trauma units to MTCs for complex injuries. Ambulance bypass protocols prioritize specialist MTCs (e.g., neurosurgery) over proximity, per triage tools. Rehabilitation is included in network responsibilities. TARN's mandatory data submission drives quality, transparency, and research, distinguishing the system's evidence-based evolution.

Repaglinide belongs to the class

  • A. Sulphonylureas
  • B. Thiazolidinediones
  • C. Benzoic acid derivatives
  • D. Biguanides
Correct Answer: C

Rationale: Repaglinide's benzoic acid kin short, sharp insulin jolts, not sulphonylureas' long haul, thiazolidinediones' sensitivity boost, or biguanides' glucose clamp. It's a mealtime spike buster, a chronic tool pharmacists slot apart from sulphonylurea's sustained push, a nuanced diabetes dance.

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