Adult-Gerontology CNS Test Chronic Disease Management 2

Question 1

Which staging system is used to classify chronic kidney disease by international guidelines?

Accepted Answer

KDIGO CKD staging by GFR

Answer

TNM staging

Answer

Child-Pugh classification

Answer

NYHA functional classification

Question 2

A patient with COPD uses a short-acting bronchodilator more than twice a week. What does this indicate?

Accepted Answer

Uncontrolled symptoms requiring therapy adjustment

Answer

Well-controlled disease

Answer

Normal rescue medication use

Answer

Need for oral corticosteroids immediately

Question 3

Which complication of diabetes most commonly leads to hospitalization in older adults?

Accepted Answer

Hypoglycemic episodes

Answer

Diabetic ketoacidosis

Answer

Hyperglycemic hyperosmolar state

Answer

Peripheral neuropathy

Question 4

Which pneumococcal vaccine schedule does ACIP recommend for adults aged 65 and older?

Accepted Answer

PCV20 alone, or PCV15 followed by PPSV23 one year later

Answer

Pneumovax 23 only, given once

Answer

PCV13 only, given once

Answer

Annual pneumococcal vaccination

Question 5

A CNS caring for a patient with chronic heart failure notes a 3-pound weight gain in 24 hours. What is the priority action?

Accepted Answer

Assess for fluid overload and notify the provider

Answer

Order a stat ECG

Answer

Encourage increased fluid intake

Answer

Schedule a cardiology appointment in 1 week

Question 6

Which medication reduces the rate of COPD exacerbations when added to a long-acting bronchodilator regimen?

Accepted Answer

Inhaled corticosteroids

Answer

Short-acting beta agonists

Answer

Oral theophylline

Answer

Systemic corticosteroids