RPN Care of Chronic Illness 3

Question 1

A patient with asthma uses a peak flow meter. A reading in the red zone indicates:

Accepted Answer

A medical emergency requiring immediate emergency care

Answer

A red zone reading (below 50% of personal best) signals a severe asthma episode requiring immediate emergency treatment.

Question 2

A patient with Parkinson's disease has difficulty swallowing. Which nursing intervention best reduces aspiration risk?

Accepted Answer

Offer thickened liquids and small bite-sized foods

Answer

Thickened liquids and small bites slow swallowing and reduce the risk of aspiration in patients with dysphagia.

Question 3

A patient with chronic liver disease develops asterixis. This finding is associated with which condition?

Accepted Answer

Hepatic encephalopathy

Answer

Asterixis (flapping tremor) is a neurological sign indicating hepatic encephalopathy from ammonia accumulation.

Question 4

A nurse is teaching a patient with osteoporosis about fall prevention. Which instruction is most important?

Accepted Answer

Remove throw rugs and ensure good lighting in the home

Answer

Removing environmental hazards like throw rugs and improving lighting are key fall prevention strategies for osteoporosis patients.

Question 5

Which assessment finding in a patient with chronic obstructive pulmonary disease (COPD) indicates worsening respiratory status?

Accepted Answer

Use of accessory muscles for breathing

Answer

Use of accessory muscles indicates significant respiratory distress and signals worsening airflow obstruction.

RPN - Registered Practical Nurse Practice Test