NCAS Chronic Disease Management 2

Question 1

What HbA1c level indicates diabetes diagnosis in the US according to the American Diabetes Association?

Accepted Answer

6.5% or higher on two separate tests

Answer

5.7% or higher on one test

Answer

7.0% or higher on two separate tests

Answer

8.0% or higher

Question 2

In community chronic disease management, which of the following is an example of SECONDARY prevention?

Accepted Answer

Colorectal cancer screening with colonoscopy in asymptomatic adults over 45

Answer

Childhood immunization against hepatitis B

Answer

Cardiac rehabilitation after myocardial infarction

Answer

Smoking cessation to prevent lung cancer

Question 3

A community nurse is educating a patient with heart failure on the 'Rule of 2 Pounds.' This rule advises patients to:

Accepted Answer

Contact their provider if they gain more than 2 pounds overnight or 5 pounds in a week

Answer

Limit fluid intake to 2 pounds per day

Answer

Exercise for at least 2 pounds of calorie burn daily

Answer

Restrict sodium to 2 pounds per week

Question 4

Which community intervention has the strongest evidence for reducing cardiovascular disease mortality at the population level?

Accepted Answer

Sodium reduction policies and tobacco control legislation

Answer

Individual dietary counseling sessions only

Answer

Hospital-based cardiac surgery expansion

Answer

Annual cholesterol screening without follow-up

Question 5

A community nurse teaches a patient with asthma to use a peak flow meter. The 'yellow zone' (50–79% of personal best) indicates:

Accepted Answer

Caution: worsening asthma requiring use of rescue inhaler and possible medical contact

Answer

Good control requiring no action

Answer

Emergency requiring immediate 911 call

Answer

Need to stop all medications immediately

Question 6

Which of the following best describes a community health nurse's role in tertiary prevention for a patient with Type 2 diabetes?

Accepted Answer

Preventing complications such as nephropathy through medication adherence and annual foot and eye exams

Answer

Teaching newly diagnosed patients about blood sugar monitoring

Answer

Screening undiagnosed community members for prediabetes

Answer

Administering vaccines to prevent infections