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

An HbA1c of 6.5% or higher on two separate occasions (or combined with other confirmatory tests) meets the ADA diagnostic criteria for diabetes mellitus.

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

Secondary prevention detects disease early in asymptomatic individuals; colonoscopy screening identifies colorectal cancer before symptoms appear.

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

The Rule of 2 Pounds teaches heart failure patients to monitor daily weight and report a gain of more than 2 lbs overnight or 5 lbs in a week, indicating fluid retention.

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

Population-level policies such as sodium reduction in food processing and tobacco control laws have the largest impact on cardiovascular mortality across the entire population.

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

The yellow zone in peak flow monitoring signals caution and worsening asthma control, requiring rescue bronchodilator use and evaluation of whether further care is needed.

NCAS - Nursing Community Assessment Service Practice Test

NCAS - Nursing Community Assessment Service Practice Test

NCAS Chronic Disease Management 2