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

KDIGO guidelines classify CKD into five stages based on GFR levels, with additional albuminuria categories for comprehensive staging.

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

Using rescue bronchodilators more than twice weekly signals inadequate COPD symptom control and warrants reassessment of the maintenance regimen.

Question 3

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

Accepted Answer

Hypoglycemic episodes

Answer

Hypoglycemia is the most common acute diabetes-related cause of hospitalization in older adults, especially those on insulin or sulfonylureas.

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

Current ACIP guidelines recommend PCV20 alone or PCV15 followed by PPSV23 one year later for pneumococcal protection in adults 65 and older.

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

Rapid weight gain in heart failure indicates fluid retention; immediate assessment for decompensation and provider notification are required.

Adult-Gerontology CNS Test Practice Test