PNC Chronic Disease Management

Question 1

Which first-line intervention is recommended for a congregant newly diagnosed with Type 2 diabetes before initiating pharmacotherapy?

Accepted Answer

Therapeutic lifestyle changes including diet and exercise

Answer

Insulin therapy

Answer

Metformin initiation only

Answer

Bariatric surgery referral

Question 2

A parish nurse is educating a congregant with hypertension. Which target blood pressure is recommended by current guidelines for most adults with hypertension?

Accepted Answer

Less than 130/80 mmHg

Answer

Less than 160/100 mmHg

Answer

Less than 150/90 mmHg

Answer

Less than 140/90 mmHg

Question 3

A congregant with chronic heart failure should be instructed to notify their provider if daily weight increases by how much over one to two days?

Accepted Answer

3 pounds

Answer

1 pound

Answer

2 pounds

Answer

5 pounds

Question 4

Which breathing technique is most beneficial to teach a congregant with COPD to reduce air trapping and improve exhalation?

Accepted Answer

Pursed-lip breathing

Answer

Diaphragmatic breathing with rapid inhalation

Answer

Valsalva maneuver

Answer

Chest breathing with shoulder elevation

Question 5

A fasting blood glucose level of which value is diagnostic for diabetes according to American Diabetes Association criteria?

Accepted Answer

126 mg/dL or higher

Answer

100 mg/dL or higher

Answer

110 mg/dL or higher

Answer

140 mg/dL or higher

Question 6

Which dietary restriction is most critical to teach a congregant with advanced chronic kidney disease (CKD stages 4-5)?

Accepted Answer

Reduced potassium intake

Answer

Reduced vitamin C intake

Answer

Increased phosphorus intake

Answer

Increased sodium intake

Question 7

When teaching a patient with asthma about trigger avoidance, which indoor environmental factor is most commonly associated with asthma exacerbations?

Accepted Answer

Dust mites and allergens

Answer

High humidity alone

Answer

Cold air from air conditioning

Answer

Fluorescent lighting