Gerontological Nursing Study Guide Questions
Course Introduction
Gerontological Nursing focuses on the specialized care of older adults, addressing their unique physiological, psychological, and social needs. This course explores the aging process, health promotion, common geriatric syndromes, and chronic illness management. It emphasizes evidence-based assessment, planning, and interventions to enhance the quality of life and promote independence for elderly patients. Students will also examine the roles of the nurse in multidisciplinary teams, ethical considerations, and advocacy for older adults in diverse healthcare settings.
Recommended Textbook
Gerontologic Nursing 4th Edition by Sue E. Meiner
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31 Chapters
400 Verified Questions
400 Flashcards
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Page 2
Chapter 1: Overview of Gerontologic Nursing
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A nurse working with the older adult population is most likely to assess a need for a financial social service's referral for a(n):
A)White male.
B)Black female.
C)Hispanic male.
D)Oriental female.
Answer: B
Q2) The clinic nurse caring for an older diabetic client with a sixth grade education anticipates that the client may experience difficulty (select all that apply):
A)recognizing the importance of keeping clinic appointments.
B)following a low-carbohydrate diet.
C)paying for insulin and syringes.
D)deciding on a primary health care provider.
E)naming a health care surrogate.
Answer: A, B, C
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Chapter 2: Theories of Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) To provide effective care to the older adult, the nurse must understand that:
A)older adults are not a homogeneous sociologic group.
B)little variation exists in cohort groups of older adults.
C)health problems are much the same for similar age groups of older adults.
D)withdrawal by an older adult is a normal physiologic response to aging.
Answer: A
Q2) A 71-year-old widower is hospitalized for dehydration.During his admission interview, he repeatedly talks about how he wishes he were as energetic and strong as he was when he was younger.In planning the care for an older adult client, the nurse will best promote health and wellness by:
A)encouraging independent living and self-care.
B)scheduling regular cardiac and respiratory focused health screenings.
C)effectively delivering health-related educational information.
D)promoting a nutritious diet and an age-appropriate exercise routine.
Answer: C
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Chapter 3: Legal and Ethical Issues
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) An alert but disoriented 84-year-old client lives with family members.The home health nurse, being aware of the role of client advocate, recognizes the obligation to report possible client abuse based on:
A)family member stating, "It's hard being a caregiver."
B)assessment showing increased client disorientation.
C)observation of several areas of tissue bruising on arms.
D)client's report of always being hungry.
Answer: B
Q2) During a client's orientation to a skilled nursing facility, a member asks the nurse to explain what an ombudsman does.The nurse's most appropriate response is:
A)"If your mother has a financial concern, the ombudsman is notified."
B)An ombudsman is a volunteer advocate."
C)"Your mother's care will be managed by an ombudsman."
D)"If you have concerns about your mother's care, an ombudsman will look into the problem."
Answer: D
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Chapter 4: Gerontologic Assessment
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16 Verified Questions
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Sample Questions
Q1) An 81-year-old client who is accompanied by family is being admitted after a fall that has caused a painful leg injury.In preparing to interview the client for a health history, the nurse is initially concerned that:
A)the family should be present to help solve the assessment questions.
B)a therapeutic nurse-client relationship should be established.
C)the client should be free of hearing and vision barriers.
D)the client's pain should be effectively managed.
Q2) The nurse showing the best understanding of how personal attitude affects the interview process during a health assessment of an older adult client is one who:
A)proceeds with the interview as if the client were not elderly.
B)has incorporated therapeutic communication techniques into the assessment process.
C)treats all clients with respect regardless of age.
D)has self-reflected on his or her own feelings regarding aging.
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Chapter 5: Cultural Influences
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Sample Questions
Q1) The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:
A)requiring that the confused client smoke his pipe only when supervised.
B)reinforcing that the frail client use the call bell when wanting to get out of bed.
C)scheduling a hemiplegic client's bath for every Monday, Wednesday, and Friday at 11 am.
D)providing an obese client with only low-calorie snacks.
Q2) A 66-year-old Hispanic client explains that she has not been taking her prescribed medication because her culture believes that dietary management would be just as effective in managing her problems.Which action by the nurse illustrates cultural accommodation?
A)Asking the client to give more details regarding this belief
B)Discussing with the client about possibly adding her dietary preferences into her treatment plan
C)Offering to have a registered nutritionist discuss the situation with the client
D)Researching the client's proposed dietary beliefs
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Chapter 6: Family Influences
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Sample Questions
Q1) While the children of a 72-year-old man voice concern about their father living alone after having a mild stroke that resulted in only minimal disability, the client angrily disagrees, stating that he's always managed on his own and can do so now.The nurse can be most helpful to this family by:
A)assuring them that their father's physical limitations should not cause a safety issue.
B)assisting them in identifying how they can provide the assistance that will allow their father to live independently.
C)offering to arrange a social service consult to arbitrate the conflict.
D)suggesting that the client accept the services of a home care aide on a short term trial basis.
Q2) The physical changes that occur naturally as a result of the aging process often create an autonomy versus safety issue and is most problematic when:
A)protracted reaction time increases the risk for automobile driving accidents.
B)arthritic knee joints make falls more prevalent.
C)visual acuity diminishes, making the task of following written instruction more difficult.
D)responding to warning alarms is affected due to impaired hearing acuity.
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Page 8
Chapter 7: Socioeconomic and Environmental Influences
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12 Verified Questions
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Sample Questions
Q1) The nurse is educating an 80-year-old client regarding a newly prescribed medication.The nurse's teaching strategies include which of the following? Select all that apply.
A)Using pictures to show how the medication should be stored
B)Asking the client to use his own words to describe the medication's possible side effects
C)Avoiding written instruction in favor of verbal, face-to-face communication
D)Delivering the information using a slow, deliberate manner of speech
E)Repeating the information at least three times during the conversation
Q2) The client most likely to be seen at a clinic that services those older adults who are at or below the poverty level is a(n):
A)Hispanic male who was a migrant farm worker.
B)African American male who worked semiskilled construction jobs.
C)Hispanic female who sold needlework at craft fairs.
D)African American female who supplemented family income by taking in laundry.
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Chapter 8: Health Promotion and Illnessdisability
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12 Verified Questions
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Sample Questions
Q1) A nurse planning primary disease prevention interventions for a 64-year-old client includes which of the following? Select all that apply.
A)Giving an influenza vaccination in early autumn of each year
B)Suggesting the client attend "Cooking to Manage Hypertension" classes taught by a registered dietician
C)Giving a pneumococcal vaccination to celebrate the client's 65th birthday
D)Identifying several local smoking cessation support groups
E)Providing the client with a take-home occult stool screening kit
Q2) When assessing a client's ability to manage existing health problems, the nurse displays an understanding of effective questioning by asking the diabetic client:
A)"Can you tell me why it's important to test your blood glucose level at least daily?"
B)"What were the results of your most recent A1C blood test?"
C)"Which pharmacy do you use when your insulin prescription needs to be refilled?"
D)"Have you been experiencing pain in your feet?"
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Chapter 9: Health Care Delivery Settings and Older Adults
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15 Verified Questions
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Sample Questions
Q1) Which statement by a resident best substantiates the nurse's evaluation that the resident's psychosocial needs are being met?
A)"I'm really enjoying the opportunity to select my own meal times."
B)"I miss being at home, but I understand why I must live here."
C)"I appreciate being placed on the waiting list for a private room since I prefer living alone."
D)"I'm an independent person who has always made my own decisions, and I will for as long as I can."
Q2) The nurse best addresses the possible intrinsic factors that contribute to falls experienced by older adult clients in an acute care setting by:
A)encouraging the client to wear his glasses.
B)keeping a low-level light on in the room after the client retires for the night.
C)instructing team members to keep the client's bed low to the floor.
D)regularly assessing the room for clutter on the floor.
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Chapter 10: Nutrition
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Sample Questions
Q1) During a nutritional assessment, a 79-year-old client responds, "My weight is fine.I weigh the same as I did 15 years ago." The nurse responds based on the understanding that older clients:
A)generally guess their weight rather than weighing themselves.
B)often rely on how their clothes fit to determine whether their weight has changed.
C)sometimes experience altered metabolic problems that hide weight change.
D)often exchange lean muscle mass for body fat so weight stays the same.
Q2) The nurse is caring for four postsurgical clients who have experienced similar abdominal procedures and are all 68 years of age.The nurse anticipates that the client with the greatest risk for complications resulting in an extended hospitalization has:
A)a history of Crohn's disease.
B)developed mild confusion.
C)an allergy to latex.
D)experienced severe nausea and vomiting from the anesthesia.
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12
Chapter 11: Sleep and Activity
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) An older client reports that his sleep was being severely affected by the need to urinate frequently.The client volunteered that he has begun restricting his fluid intake after 5 pm to help with the problem.The nurse responds:
A)"Have you seen a decrease in awakenings since you've starting restricting evening fluids?"
B)"You need sufficient fluids so don't be too restrictive."
C)"You need to intake sufficient fluid over 24 hours so be sure to drink enough by dinner time."
D)"Have you had your prostate checked by your health care provider?"
Q2) The nurse is preparing to instruct a family member regarding how to appropriately assist a 76-year-old client incorporate a healthy daily walk into their routine.The nurse includes a suggestion that:
A)a 30-minute walk after dinner is the best form of exercise for someone that age.
B)if the client appears to be having difficulty talking while walking, it is time to stop. C)the client should be encouraged to walk a few feet farther each evening.
D)the family member selects a flat, easily accessible walking path to follow.
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Chapter 12: Safety
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Sample Questions
Q1) The nurse identifies the older adult client at the greatest risk for a fall-related injury as the:
A)male with a history of a vitamin deficiency.
B)female with a diagnosis of osteoporosis.
C)male with a cognitive deficient.
D)female with a history of depression.
Q2) When appropriately addressing safety issues, the geriatric nurse plans the client's care plan directed by the standard of care that requires:
A)promotion of both health and wellness by assuring safety.
B)minimizing the client's risk for physical injury while preserving autonomy.
C)identification of safety from injury as a client right.
D)emphasizing beneficence as a an ethical standard of nursing care.
Q3) A 73-year-old client is diagnosed with bilateral osteoarthritis of the knees.To best address the long-term risk for falls, the nurse encourages the client to:
A)use assistive mobility devises when necessary.
B)report exacerbation of symptoms to her health care provider promptly.
C)add a daily walk to her routine to exercise her knees appropriately.
D)take analgesic medication as prescribed to manage joint pain.
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Chapter 13: Intimacy and Sexuality
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The charge nurse on an extended care unit recognizes an immediate need for additional unit education regarding sexuality and the older adult when overhearing a staff member state:
A)"I've had to tell her to stop touching my breasts twice today."
B)"Someone needs to tell him to keep his pants zippered."
C)"I realize they have needs but I'm not sure how to handle that."
D)"It's sad that Alzheimer's disease causes them to become sexual perverts."
Q2) Which statement made by a nurse reflects a lack of understanding regarding sexual intimacy and the older adult client?
A)"Older adults express less interest in intimacy as both acute and chronic illnesses develop."
B)"Sexual expression is considered an enhancement to the quality of the older adult's life."
C)"Expressing sexual needs may be difficult or impossible for some older adults."
D)"Interest in physical contact tends to persist throughout life for both genders."
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15
Chapter 14: Mental Health
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is caring for a severely depressed older client.To best effect change in the client's emotional state, the nurse's initial goal is to:
A)plan interventions that will enhance client self-esteem.
B)introduce the client to new coping skills.
C)assess the client's potential to self-harm.
D)develop a therapeutic nurse-client relationship.
Q2) An older client is anxious about an upcoming diagnostic test and requests something to calm his nerves.To best address the client's need, the nurse prepares to administer a PRN dose of:
A)clonazepam (Klonopin).
B)diazepam (Valium).
C)chlordiazepoxide (Librium).
D)lorazepam (Ativan).
Q3) When planning care for the older adult being treated for depression, the nurse addresses the client's tertiary intervention needs by:
A)assisting the client to identify the early symptoms of depression.
B)helping the client deal with the physical symptoms of depression.
C)discussing with the client how to implement new coping skills.
D)educating the client to the importance of being drug compliant.
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Page 16
Chapter 15: Pain
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Sample Questions
Q1) The nurse is discussing pain control with an older client who has been prescribed an opiate.When the client expresses concerns about the diminishing effect that the medication has had on the pain, the nurse responds:
A)"It appears that the dosage you take needs to be adjusted upward."
B)"We need to be concerned about you developing a drug tolerance."
C)"This drug category is well known for its low ceiling effect."
D)"Opiate addiction is a concern when tolerance occurs."
Q2) The nurse is caring for a 78-year-old with a history of chronic depression who is currently reporting persistent left shoulder pain when syncope caused her to fall.To best address the client's pain, the nurse initially determines:
A)if she is still at risk for falls.
B)the severity of the shoulder injury.
C)how effectively her depression is being managed.
D)the client's ability to effectively cope with pain.
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Chapter 16: Infection
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Sample Questions
Q1) The nurse caring for an older adult client engages in appropriate cancer-related health screening when which of the following occur? Select all that apply.
A)Preparing a client for a lung biopsy
B)Collecting a 24-hour urine specimen
C)Assisting a client schedule a mammogram
D)Drawing blood for a prostate sensitive antigen ( PSA ) test
E)Keeping a patient NPO for a scheduled colonoscopy
Q2) The nurse preparing an educational facts sheet on human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome AIDS for older adults includes reference to which of the following? Select all that apply.
A)Tainted blood transfusions are the greatest risk factor.
B)Delayed recognition of HIV contributes to its poor prognosis.
C)Twenty-five percent of AIDS cases in the United States are in persons older than 60 years of age.
D)There is a short interval from HIV infection to AIDS in older adults.
E)HIV and AIDS cases in this age cohort have stabilized in the last 15 years.
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Chapter 17: Chronic Illness and Rehabilitation
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10 Verified Questions
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Sample Questions
Q1) Adherence to prescribed health care treatments by a client with a chronic disease is best facilitated when the nurse does which of the following? Select all that apply.
A)Provides the client with information regarding his disease
B)Assesses the client's ability to understand his disease
C)Defines "health and wellness" for the client
D)Helps the client identify barriers to his personal wellness
E)Coordinates support services to facilitate the client's discharge
Q2) The nurse impacts the trajectory of a client's type 2 insulin-dependent diabetes best by:
A)evaluating the client's ability to administer insulin appropriately.
B)providing the client with a written copy of her treatment plan.
C)explaining to the client the importance of serum glucose control.
D)providing the client with research based nursing care.
Q3) The nurse feels most confident that an older client is prepared to assume self-management of her type 2 insulin-dependent diabetes when she:
A)is heard asking her son to check the insulin's expiration date.
B)is able to identify the symptoms of hypoglycemia.
C)asks why she needs to test her glucose levels so frequently.
D)inquires why she needs to have an A1C test every 3 months.
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Page 19
Chapter 18: Substance Abuse
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Sample Questions
Q1) A 67-year-old woman presents at the emergency department with symptoms that suggest possible abuse of a narcotic analgesic.To best assure the client's safe care, the nurse asks:
A)"When did you first start using the analgesic?"
B)"Have you ever experienced withdrawal symptoms before?"
C)"Why did you initially need an analgesic?"
D)"What prescribed drugs are you currently taking?"
Q2) A 68-year-old man with a history of alcohol abuse is admitted to the acute care facility for reports of abdominal pain.Based on your understanding of alcohol withdrawal, the nurse knows that if client is currently abusing alcohol, he will most likely:
A)experience delirium tremors within 4 hours of hospitalization.
B)develop withdrawal symptoms 48 to 72 hours after her last intake of alcohol.
C)receive 1 ounce of alcohol every 4 hours while awake.
D)be prescribed oxazepam (Serax).
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Chapter 19: Cancer
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Sample Questions
Q1) After a course of chemotherapy for cancer of the throat, an older adult client is admitted to the hospital with persistent nausea and vomiting.The nurse should initially assess the client for:
A)weight loss and weak gag reflex.
B)anemia and poor muscle tone.
C)oral inflammation and ulceration.
D)dehydration and infection.
Q2) When obtaining a health history, the nurse recognizes that an older adult client has a risk factor for colorectal cancer when he reports:
A)that he is a vegetarian who eats soy products.
B)that he often uses a laxative.
C)a history of inflammatory bowel disease.
D)that he has diarrhea at least monthly.
Q3) The family of an older adult diagnosed with cancer asks the nurse to explain how gene therapy might benefit their father.The nurse responds:
A)"The treatment decreases blood flow to the tumor and it dies."
B)"A virus is injected into the tumor and then it can't grow."
C)"The cancer cell's nucleus is destroyed and the cell shrivels."
D)"Photosensitizers are introduced into the cells so lasers can kill them."
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Page 21
Chapter 20: Loss and End-Of-Life Issues
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Sample Questions
Q1) A 68-year-old client who has recently lost his wife of 50 years shares with the nurse that he'll, "never get over missing her." The nurse is most therapeutic when responding:
A)"We are here to help you anyway we can."
B)"Focus on the beautiful memories you have of her and your life together."
C)"Time will help you adjust to your loss."
D)"You'll never get over your loss but you can learn to live with it."
Q2) The nurse determines that the daughter of a widowed older adult client has a poor understanding of the grieving process when she reports that:
A)"Mom is going to be okay; she is a strong, independent woman."
B)"It's been 16 months since dad died but mom still hasn't moved on with her life."
C)"My mother has agreed to come and live with me for at least a little while."
D)"My mom cries when she looks at pictures of dad but I think she needs to cry."
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22
Chapter 21: Laboratory and Diagnostic Tests
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Sample Questions
Q1) A 71-year-old client has a cholesterol level of 182 mg/dL.The nurse anticipates a(n):
A)elevated A1C level.
B)elevated troponin level.
C)similar triglyceride level.
D)similar blood urea nitrogen level.
Q2) The nurse explains to an older client that the assessment of her thyroid health will require both a physical examination as well as laboratory test because:
A)thyroid studies are less accurate in older adults.
B)symptoms are similar to those caused by various infections.
C)it can be present without producing overt symptoms.
D)T3 levels are normally increased in aging.
Q3) The nurse helps minimize an older adult client's risk of developing pernicious anemia by:
A)suggesting supplementing vitamin A.
B)encouraging regular intake of citrus.
C)identifying iron rich foods.
D)suggesting supplementing vitamin B<sub>12</sub>
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Page 23
Chapter 22: Pharmacologic Management
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Sample Questions
Q1) When administering medications to older adults, the nurse shows an understanding of the effect of aging on drug distribution by monitoring the client's:
A)cardiac function.
B)liver function.
C)red blood cell count.
D)plasma albumin levels.
Q2) An older adult diabetic client is mildly hypertensive.The nurse prepares to educate the client regarding angiotensin II-blocking agents since these drugs are especially useful in older adults because they:
A)protect the kidney's function.
B)have a well-defined therapeutic window.
C)are more effective than other drugs in the same class.
D)can be given when liver function is compromised.
Q3) The nurse shows an understanding of medication-related risk factors common to older adults when asking:
A)"Are you aware of the possible side effects of your medications?"
B)"Do you regularly take any dietary supplements?"
C)"How do you keep track of when your medications are due?"
D)"How many different physicians are prescribing medications for you?"
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Page 24
Chapter 23: Cardiovascular Function
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Sample Questions
Q1) The nurse recognizes that the symptoms that have priority for care are:
A)acute confusion observed in a 78-year-old female.
B)epigastric pain reported by a 70-year-old male.
C)severe left shoulder pain in a 68-year-old male.
D)persistent indigestion reported by a 69-year-old female.
Q2) A novice nurse requires additional education on the assessment findings reflective of arterial vascular deficiency when suggesting the condition's symptoms include:
A)2+ edema in calf and foot of left leg.
B)a 2-cm ulcer between the great and second toe on the left foot.
C)skin on the left leg is cool to the touch.
D)toenails on the left foot are thick and brittle.
Q3) The effect of aging on the cardiovascular system is evidenced when the nurse notes that an older adult performing a stress test experiences which of the following? Select all that apply.
A)Chest pain during exercise
B)Slow increase of heart rate in response to stress
C)Exercise induce dyspnea
D)Slow decrease of heart rate post exercise
E)Stress-induced arrhythmias
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Page 25
Chapter 24: Respiratory Function
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Sample Questions
Q1) The nurse preparing information for the caregivers of a 79-year-old with chronic respiratory issues will make the greatest impact on their ability to provide quality care while maintaining their own emotional well being by including:
A)suggestions regarding proper nutrition and exercise for the caregiver.
B)an explanation on how to preserve the client's sense of autonomy.
C)encouragement for the primary caregiver to set aside time for his or her own interests.
D)recommendations of periodic self-reflection regarding the stressors they experience.
Q2) An 80-year-old client is concerned about contracting pneumonia.The nurse educates her that the key to prevention is:
A)early recognition of the symptoms.
B)being vaccinated against the disease every 5 years.
C)minimizing contact with the public during the winter months.
D)supplementation of daily diet with various vitamin C sources.
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Chapter 25: Endocrine Function
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Sample Questions
Q1) The suspicion that an older adult client is experiencing hyperthyroidism is supported when the nursing assessment documents the symptoms most commonly observed in this cohort includes which of the following? Select all that apply.
A)Tremors
B)Heat intolerance
C)Tachycardia
D)Palpable goiter
E)Atrial fibrillation
Q2) Aware that older adult clients often present with nonclassic symptoms of type 2 diabetes mellitus, the nurse is particularly suspicious of a client reporting:
A)bouts of diarrhea alternating with periods of constipation.
B)recent problems reading and an infected sore on his toe that won't heal.
C)periods of depression and severe indigestion after eating.
D)dizziness when getting up too quickly and a red rash on the hands.
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Chapter 26: Gastrointestinal Function
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Sample Questions
Q1) When preparing to discharge an older client who has begun to experience dysphagia, the nurse suggests that the problem can minimize by:
A)eating small meals every 2 to 3 hours rather than three large meals daily.
B)cutting a sandwich into bite-size.
C)eating fewer meals but choosing high-calorie, high-protein foods.
D)substituting thin liquids for solid fluids whenever possible.
Q2) Which statement, if made by the older adult with recently diagnosed gastritis, indicates the need for further teaching about the condition or its treatment?
A)"The abdominal cramping I experience is caused by acidity."
B)"I should avoid the intake of aspirin."
C)"Smoking has little effect on my stomach problem."
D)"I could develop pernicious anemia as a complication of gastritis."
Q3) The daughter of a dependent older client reports to the nurse that her mother requires regular soapsuds enemas to manage her chronic constipation.The nurse responds that:
A)an alternative management technique should be discussed.
B)enemas are generally the most effective interventions for the older adult.
C)chronic constipation is best managed with oral medications.
D)her mother's diet is the most likely cause of the constipation.
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Page 28
Chapter 27: Musculoskeletal Function
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Sample Questions
Q1) An older adult client has experienced a left knee replacement asks the nurse, "When will I be back to normal?" The nurse responds that:
A)"Bending your left knee to a 90-degree angle will likely feel normal to you."
B)"Normal means different things to different people."
C)"You should be back to normal after 6 to 8 weeks of rehabilitative therapy."
D)"Surgery will improve your mobility but I'm not sure about being normal."
Q2) An older confused client is recovering from a stage IV sacral pressure ulcer.The nurse shows an understanding of this client's risk for developing osteomyelitis by:
A)adhering to sterile technique when changing the wound's dressing.
B)assessing and documenting the client's vital signs regularly.
C)managing the client's antibiotic therapy as prescribed.
D)ensuring that the client's diet includes sufficient protein.
Q3) The nurse caring for an older client diagnosed with spinal stenosis encourages the client to notify his physician if he experiences:
A)sharp pain when turning his neck side-to-side.
B)stabbing pain in his lower back.
C)a cramping sensation in his feet.
D)a burning sensation in either one or both legs.
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Chapter 28: Urinary Function
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Sample Questions
Q1) The nurse is completing an admission assessment on an older client who has been diagnosed with benign prostate hyperplasia.The nurse's priority questioning focuses on:
A)family history of prostate disorders.
B)onset of symptoms.
C)psychosocial impact of the diagnosis.
D)typical urinary voiding patterns.
Q2) An older adult client is hospitalized for surgery to treat injuries he received in an automobile accident.The nurse recognizes symptoms suggestive of an upper urinary tract infection when the client:
A)voids 100 mL of urine over a 3-hour period of time.
B)is not able to state where he is or what day it is.
C)has an elevated red blood cell ( RBC ) count.
D)reports burning when he urinates.
Q3) When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of:
A)urinary incontinence.
B)low-grade bladder infection.
C)nocturia.
D)urinary residual volume.
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Page 30
Chapter 29: Cognitive and Neurologic Function
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Q1) A nurse caring for an older client diagnosed with acute depression shows an understanding of the client's risk for developing delirium when:
A)frequently reorienting the client to the day, time and place.
B)physically being present to help the client with eating meals.
C)providing the client with opportunities to discuss the cause of the depression.
D)administering antidepressive medication as prescribed.
Q2) Which of the following statements, when made by family members caring for an older client with dementia, indicates peaceful acceptance of the situation?
A)"I'm so pleased that Mother had a good day today. I'm really very hopeful."
B)"The hospice nurses are so helpful when I needed time for myself."
C)"I promised Mother I would take care of her and I'll never leave her."
D)"It's the least I can do for Mother since she cared for us all these years."
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Chapter 30: Integumentary Function
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Q1) An older adult client has an open, draining wound on the medial aspect of his right leg.The skin surrounding the wound is reddish-brown with surrounding erythema and edema.Based on this information, the nurse edits the client's care plan to include Impaired skin integrity:
A)related to altered venous circulation.
B)peripheral related to arterial insufficiency.
C)related to diabetic neuropathy.
D)open wound related to pressure ulcer.
Q2) An older adult client reports simple xerosis with mild pruritus.The nurse educates her on the importance of:
A)Applying an lanolin rich cream and avoiding scratching the areas.
B)Taking warm baths and gently rubbing of affected areas with a terry cloth towel.
C)Minimizing ingestion of fried foods and use of an antihistamine cream.
D)Avoiding bath oils and allowing the skin to air dry after bathing.
Q3) The nurse plans to assess for candidiasis as a priority intervention for a:
A)60-year-old with a history of bacterial pneumonia.
B)72-year-old incontinence of urine and feces.
C)58-year-old with a casted left foot.
D)90-year-old receiving antihypertensives.
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Page 32
Chapter 31: Sensory Function
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Sample Questions
Q1) A 77-year-old client who is quiet and withdrawn may have a hearing deficit related to impacted cerumen.During the nursing assessment the nurse confirms supporting evidence of the condition when noting:
A)frothy drainage from the client's ears.
B)client reports of dizziness.
C)client statement of having a feeling of fullness in his ears.
D)gray, metallic-appearing tympanic membrane.
Q2) A 96-year-old client reports symptoms xerostomia.The nurse attempts to minimize the effects of the condition by:
A)providing appropriate fluids with the client's meals.
B)cutting the client's meat into small bite-size pieces.
C)elevating the head of the client's bed at meal times.
D)assisting the client with oral care before each meal.
Q3) The preferred way for the nurse to communicate with a 72-year-old hearing-impaired client is to:
A)speak loudly into the client's unaffected ear.
B)exaggerate the form of each word.
C)provide all communication in written form.
D)speak clearly and directly, facing the person.
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