Advanced Gerontological Nursing Practice Questions
Course Introduction
Advanced Gerontological Nursing focuses on the comprehensive care of older adults, emphasizing advanced clinical assessment, evidence-based interventions, and holistic management of age-related health conditions. The course explores the biological, psychological, and social aspects of aging, prepares students to address complex health challenges, and highlights strategies to promote healthy aging and quality of life. Ethical, cultural, and legal considerations in gerontological nursing are integrated, alongside the development of advanced skills in communication, interdisciplinary collaboration, and leadership within diverse healthcare settings for the elderly population.
Recommended Textbook
Gerontologic Nursing 4th Edition by Sue
E. Meiner
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31 Chapters
400 Verified Questions
400 Flashcards
Source URL: https://quizplus.com/study-set/1588
Page 2
Chapter 1: Overview of Gerontologic Nursing
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31512
Sample Questions
Q1) The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur.The nurse's best response to the family's concern about the client's planned transfer to a subacute care facility is:
A)"Acute care facilities generally lack the long-term physical therapy support your dad requires."
B)"Your dad will be much happier being in a more serene, private environment."
C)"This new facility will focus on helping your dad maintain his independence."
D)"Insurance including Medicare will cover only a limited amount of time here."
Answer: C
Q2) The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority criterion for continued independence to be the client's:
A)age.
B)financial status.
C)gender.
D)functional status.
Answer: D
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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) A 72 year old who reports being, "healthy enough to cut my own fire wood," is being assessed prior to outpatient surgery.The nurse recognizes which assessment observation as a possible result of the wear-and-tear theory?
A)Swollen finger joints
B)Red, watery eyes
C)Grimacing when raising left arm
D)Bilaterally bruising on the forearms
Answer: C
Q2) 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
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4
Chapter 3: Legal and Ethical Issues
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse responsible for the care of older adult clients shows the best understanding of the nursing standards of practice when basing nursing care upon the:
A)physician's medical orders.
B)stated requests of the individual client.
C)care that a responsible geriatric nurse would provide.
D)implementation of the nursing process.
Answer: C
Q2) An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk of sustaining an injury.The nurse's planned interventions to minimize the client's risk for injury is guided by:
A)the client's right to a self-determination.
B)an understanding that nondrug interventions must be ineffective before administering a PRN sedative.
C)the knowledge that application of a vest restraint requires a physician's order.
D)the client's cognitive ability to understand and follow directions.
Answer: B
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Chapter 4: Gerontologic Assessment
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The geriatric nurse admitting a client to an assisted living facility recognizes the importance of tools such as the Katz and the Barthel indexes because of the impact they have on:
A)planning the amount of help the client will need with ADLs.
B)the client's ability to be realistic about achieving independence.
C)creating an appropriate, client-specific nursing care plan.
D)appropriate staffing to ensure the safety needs of the clients are met.
Q2) The nurse most effectively implements guided reminiscence during a client interview by:
A)reminding the client to share important memories of the past.
B)scheduling several short interviews rather than one long one.
C)controlling the interview by selecting the memories to be discussed.
D)encouraging the client to relive their memories while maintaining focus.
Q3) In order to establish a mutually respectful relationship with an older adult client being admitted to a skilled nursing unit, the nurse first introduces himself and then asks:
A)how the client would like to be addressed.
B)if the client has any specific requests to make of the staff.
C)the client to share a little about his or her personal likes and dislikes.
D)the client to read the orientation materials that the facility provides.
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Page 6
Chapter 5: Cultural Influences
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) 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
Q2) A postmenopausal black woman who has been experiencing uterine bleeding tells the nurse "I expect I'll need a total hysterectomy because when my sister had this problem that's what she had done." The nurse recognizes that this woman belongs to a cultural subgroup whose health care needs are best met by:
A)radical surgery to address the predisposition to uterine cancer.
B)familiarizing her with the various medical options available to her.
C)an in-depth family health history assessment.
D)emotional support directed toward preparing her for the surgery.
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Chapter 6: Family Influences
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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.
Q2) An older client with cognitive impairment is being cared for by family members.They have expressed concerns about providing appropriate care as his functional level declines.The nurse responds:
A)"I'm glad that you are interested enough in his care that you've expressed this concern."
B)"His abilities will certainly continue to decline. This is the time to discuss other care options."
C)"You are right to be concerned. Let's talk about what issues may come up as he declines further."
D)"The condition is going to worsen. You need to prepare yourselves for the time when you can't meet his needs alone."
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Page 8
Chapter 7: Socioeconomic and Environmental Influences
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) In order to best respect an older client's autonomy when assisting him in finding appropriate, affordable housing, the nurse:
A)provides examples of various options that include assistive services.
B)locates housing near senior citizen community center to minimize social isolation.
C)identifies housing close to the services he will need.
D)asks the client to provide examples of where he would like to live.
Q2) 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
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Chapter 8: Health Promotion and Illnessdisability
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Financial considerations are a major barrier to the older adult's participation in health promotion because:
A)most older adults have accepted poor health as a part of growing older.
B)Medicare does not often cover the cost of preventive services.
C)many already have been diagnosed with chronic illnesses.
D)they generally place more value on saving their disposable income.
Q2) 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
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Chapter 9: Health Care Delivery Settings and Older Adults
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse at an assisted living facility is caring for a 73-year-old cognitively impaired client who has recently been admitted.The nurse creates a care plan that strives to help maintain the client's independence by including:
A)sufficient time for the client to complete self-care.
B)encouraging the client to make personal decisions regarding self-care.
C)regular assessment to determine the client's ability to provide self-care.
D)regular cueing by staff to direct client self-care.
Q2) The nurse on a medical acute care unit is preparing for the admission of an 84-year-old client with several diagnosed chronic illnesses.The nurse begins the plan of care for this client based on the understanding that the older adult is likely to:
A)develop hospital induced delirium.
B)require special attention related to visual and acuity deficits.
C)need a social services consult.
D)present with a need for a high level of nursing care.
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11
Chapter 10: Nutrition
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Based on recent surveys identifying nutritional information concerning the daily diet of older adult in America, the nurse suggests:
A)substituting carbohydrates with lean protein sources.
B)adding calories through the addition of fruits and vegetables.
C)introducing a protein at each meal.
D)relying on foods that are both easy to chew and to digest.
Q2) The nurse caring for an older adult client diagnosed with both chronic cardiac and renal disorders best minimizes the client's risk of developing dehydration as a result of being hypovolemic by:
A)identifying the client's oral fluid preferences and offering them to him regularly.
B)carefully monitoring the effects of daily diuretic therapy via blood sodium levels.
C)minimizing the client's reliance on laxatives by increasing his dietary fiber intake.
D)careful monitoring of the rate of infusion of all intravenous fluids prescribed.
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Chapter 11: Sleep and Activity
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) An older adult client who has been seen at a neighborhood clinic for years tells the nurse that he will be moving to live with his son in a neighboring state.The nurse impacts the client's health and wellness the most therapeutically when stating:
A)"Be sure to reestablish with a health care provider as soon as you get settled."
B)"You seem to have a wonderful relationship with your son; I'm sure this will be a good move."
C)"You need to continue to be compliant with your plan of care regardless of where you live."
D)"I can provide you with a list of clinics in your new neighborhood if you like."
Q2) Recognizing that food and drink can influence sleep, the nurse caring for older adult clients who has been diagnosed with failure to thrive as well as insomnia provides a bedtime snack of:
A)ice cream in a waffle cone.
B)bowl of grapes.
C)glass of milk and a macaroon cookie.
D)cup of warm cream of broccoli and cheese soup.
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Chapter 12: Safety
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31523
Sample Questions
Q1) Which nursing intervention best demonstrates the understanding that older adults are at increased risk for falls because of normal age-related changes?
A)Speaking in a loud voice when warning the client about safety hazards
B)Turning on bright lights in the room so the client can see objects such as furniture
C)Encouraging the client to rise from a supine position slowly
D)Advising the client to avoid exercising painful joints
Q2) The geriatric nurse bases the decision to identify a specific client as a falls risk primarily on the:
A)presence of visual deficiencies and musculoskeletal weakness.
B)results determined by cognitive and physiological assessment tools.
C)degree of frailty and functional limitation observed.
D)inability to following instructions and communicate effectively.
Q3) 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.
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Chapter 13: Intimacy and Sexuality
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31524
Sample Questions
Q1) 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."
Q2) A 70-year-old female client shares with the nurse that she has been concerned that recently it takes more time to achieve an organism.The nurse responds most therapeutically when solve
A)"You've described a common result of aging for both men and women."
B)"If you start to experience difficulty achieving orgasms, I'd suggest discussing that with your doctor."
C)"As you get older, your body produces fewer sex hormones, resulting in a need for more stimulation to reach a climax."
D)"I understand your concern. Let's talk more about the changes you've noticed."
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Page 15
Chapter 14: Mental Health
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) An older adult has been recently diagnosed with type 2 diabetes and mild retinal deterioration.To best address the client's potential for developing situation depression, the nurse:
A)assesses the client's coping skills.
B)encourages the client's participation in a depression support group.
C)assesses the client's ability to manage his symptoms.
D)educates the family regarding the early signs of depression.
Q2) An older adult client being treated for chronic obstructive pulmonary disease ( COPD ) is exhibiting signs of memory loss and confusion.In planning his care, the nurse should give priority to:
A)obtaining an order for a pulmonary function test.
B)determining the potential of a possible adverse drug reaction.
C)reorienting the client to time, place, and person frequently.
D)assessing for a family history of dementia.
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16
Chapter 15: Pain
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15 Verified Questions
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Sample Questions
Q1) The nurse is caring for an older adult client with terminal cancer and is receiving medication via patient-controlled analgesic ( PCA ) pump.The nurse shows an understanding of primary end-of-life concerns when asking the client:
A)"Do you have any concerns about receiving your medication by needle?"
B)"Are you satisfied with the way your pain is being managed?"
C)"Are you worried about becoming addicted to the narcotic analgesics?"
D)"Do you have any questions concerning how to use the PCA properly?"
Q2) When planning care for the older adult experiencing pain, the nurse bases interventions on the realization that:
A)generally pain control is less effective than in younger adults.
B)this cohort is less pain sensitive than younger adults.
C)older adults are more likely to verbally express pain than younger adults.
D)pain is undertreated in this cohort compared to the younger adults.
Q3) The nurse caring for an older cognitively impaired client with osteoarthritis in both hands assesses the client for hand pain by:
A)observing for facial grimacing when the client uses a fork to eat.
B)being alert for signs of agitation when washing the client's hands.
C)listening to detect moaning when client makes a fist.
D)watching for signs that the client is reluctant to shake hands.
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Page 17
Chapter 16: Infection
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse caring for an older adult client currently receiving traditional drug therapy for methicillin-resistant Staphylococcus aureus ( MRSA ) recognizes that the client is at risk for developing:
A)Clostridium difficile infection.
B)vancomycin-resistant Enterococcus ( VRE ) infection.
C)autoimmune hepatitis.
D)systemic lupus erythematosus.
Q2) The nurse caring for an older adult client being treated for influenza is especially careful to monitor and document assessment data related to:
A)cognitive function.
B)respiratory function.
C)fluid intake.
D)urinary output.
Q3) The geriatric nurse identifies the client with the greatest risk of immunosuppression as:
A)having a roommate infected with MRSA.
B)having numerous oral mucosal ulcers.
C)receiving treatment for rheumatoid arthritis.
D)being cognitively impaired.
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Page 18
Chapter 17: Chronic Illness and Rehabilitation
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31528
Sample Questions
Q1) The nurse is caring for an older client who recently immigrated to the United States from Asia.In order to best address the client's apparent resistance to the medical and nursing plan of care, the nurse:
A)discusses the client's behavior with Asian staff members.
B)researches the client's cultural views on health care.
C)requests a cultural consult from social services.
D)asks family members to discuss the client's views on health care.
Q2) An older client has developed moderate muscle weakness on her left side as a result of a cerebral vascular accident (CVA, stroke).The nurse determines the client possesses the healthiest view of self-wellness when heard stating:
A)"I'll certainly miss hiking, but I guess I'll find something else to do outdoors."
B)"I was getting too old to safely practice karate."
C)"I've decided to take up oil painting since it's difficult for me to knit."
D)"It was getting difficult to work in the garden anyway."
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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) The nurse explains to ancillary staff that caffeine abuse is difficult to diagnose in the older adult client because caffeine intoxication symptoms:
A)can be confused with normal effects of aging.
B)often mimic those of some cardiac disorders.
C)produce fewer symptoms in older adults than in younger adults.
D)resemble the side effects of several antihypertensive drugs.
Q3) An older adult client is being assessed for possible alcohol abuse.To best assess the client's risk potential, the nurse asks:
A)"Have you ever experienced a memory loss as a result of consuming alcohol?"
B)"Would you drink to relax after a particularly stressful day?"
C)"Do you ever drink when you are alone?"
D)"How many alcoholic drinks do you consume each week?"
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Page 20
Chapter 19: Cancer
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The family of an older adult client with breast cancer is reluctant to agree to the suggested treatment plan because they "have heard such horrible things about radiation therapy." The nurse responds:
A)"Radiation therapy no longer causes such terrible side effects."
B)"Your father's chances of recovery are best when radiation is included."
C)"Ask the oncologist if there are alternative treatments."
D)"Actually there is very effective symptom control now."
Q2) An older adult client asks the nurse why so many of her friends are developing cancers.The nurse responds best when responseing
A)"Cancer cells generally develop as a result of prolonged exposure to external agents."
B)"The longer we live the more exposure we have to environmental toxins."
C)"Aberrant growth seems to be the risk factor in the older adult that is not well understood."
D)"As we age our cells are less able to regulate replication appropriately."
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Chapter 20: Loss and End-Of-Life Issues
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse documents that a client is likely experiencing exaggerated grief when she:
A)keeps telling family and friends that her husband "can't be dead."
B)re-reads her late husband's diaries nightly since his death 2 years ago.
C)develops severe abdominal pains on each anniversary of her husband's death.
D)becomes agitated whenever someone refers to her as a widow.
Q2) 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."
Q3) The nurse shows an understanding of the primary factor that facilitates the adjustment to the loss of a spouse when asking:
A)"Are you planning to continue to run your flower shop?"
B)"How long were you and your husband married?"
C)"Does your son and his family live nearby?"
D)"Do you consider yourself a religious person?"
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22
Chapter 21: Laboratory and Diagnostic Tests
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Sample Questions
Q1) An older adult client is experiencing symptoms commonly associated with hyperglycemia (diabetes mellitus).Which laboratory test is most reliable for detecting hyperglycemia in older adults?
A)A serum glucose drawn after at least 6 hours of fasting
B)An oral glucose tolerance test
C)An early morning urine test for glucose
D)A 24-hour urine glucose test
Q2) The nurse is caring for an 88-year-old client who was admitted to the long-term care facility after a recent conviction of driving while intoxicated.On reviewing the laboratory work and observing a low folic acid level, the nurse:
A)increases the client's caloric intake.
B)performs a dietary assessment on the client.
C)provides the client with sodium-rich foods.
D)immediately notifies the client's physician.
Q3) A 66-year-old client has a decreased calcium level.The nurse anticipates a(n):
A)elevated sodium level.
B)elevated phosphorus level.
C)decreased magnesium level.
D)decreased serum glucose level.
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Page 23
Chapter 22: Pharmacologic Management
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Sample Questions
Q1) The nurse responsible for administering medications to the residence of a long-term care facility shows an understanding of the risk of injury this population experiences when:
A)confirming the client's identity prior to providing the medication.
B)assessing the client for a history of drug related allergies.
C)implementing the 5 Rights of medication administration routinely.
D)educating the client to the purpose and side efforts of their medications.
Q2) The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult client in the terminal stage of lung cancer.The nurse carefully monitors the effectiveness of the medication since its effectiveness will be most negatively impacted by the client's:
A)age.
B)cognitive limitations.
C)nutritional status.
D)cancer diagnosis.
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24
Chapter 23: Cardiovascular Function
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Sample Questions
Q1) 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.
Q2) An older adult recovering from an MI has been prescribed subcutaneous heparin but is now to receive oral warfarin (Coumadin).The nurse prepares a client teaching plan that includes information regarding which of the following? Select all that apply.
A)Administration of both medications for up to 5 days
B)Need to use a soft bristle toothbrush
C)Use of atropine as an antidote for excessive bleeding
D)Need to continue drawing partial thromboplastin times
E)Need to drink at least 8 cups of fluids daily
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25
Chapter 24: Respiratory Function
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Sample Questions
Q1) The nurse is concerned about an older adult client developing toxic levels of the prescribed theophylline when it is determined that the client has a(n):
A)one-pack a day smoking habit.
B)elevated serum potassium level.
C)history of chronic bronchitis.
D)chronic, nonproductive cough.
Q2) An older adult's pulmonary function studies indicate that his vital capacity is reduced and his residual volume is increased.The nurse recognizes that these test results are observed in the client's:
A)ineffective cough reflex.
B)swallow breathing.
C)slow respiratory rate.
D)frequent respiratory infections.
Q3) 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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Page 26
Chapter 25: Endocrine Function
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Sample Questions
Q1) The nurse suspects that an older client with elevated plasma triglyceride levels as possibly experiencing metabolic syndrome when assessment observations also include which of the following? Select all that apply.
A)Blood pressure of 148/90 mm Hg
B)A fasting blood glucose of 109 mg/dL
C)Reports of frequent urination
D)Weight measurement of 50 inches
E)HDL level of 52 mg/dL
Q2) The nurse caring for an older adult with type 2 diabetes mellitus places importance on assessing the client for:
A)painful nodules on the fingers and toes.
B)reddened rash and brittle nails on the hands.
C)heartburn and flatus after meals.
D)skin temperature and hair growth pattern on the legs.
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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) An older client is being taught about oral gingivitis.The nurse has included instruction about maintaining an oral hygiene program, signs and symptoms of oral infection, and the importance of maintaining regular professional dental care.What important teaching has been missed?
A)information about when to have teeth removed and dentures made.
B)the necessity of using a hard-bristled toothbrush to maintain cleanliness.
C)the importance of avoiding meat and caffeine-containing products.
D)the importance of adequate nutrition for maintaining oral health.
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Chapter 27: Musculoskeletal Function
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Sample Questions
Q1) An older adult client has been admitted to the hospital with suspected Paget's disease.What clinical manifestation will the nurse want to monitor for in an attempt to differentiate Paget's disease from other types of musculoskeletal diseases?
A)Red, swollen upper and lower extremity joints
B)Pain on awakening that subsides with activity
C)Ataxia and/or mild hearing loss
D)Back deformity in the absence of pain
Q2) An older adult is diagnosed with rheumatoid arthritis.When discussing exercise with the client, the nurse makes the greatest positive impact on the client's quality of life when stating:
A)"Exercising will be important to the flexibility of your joints."
B)"It seems to help if you have someone to exercise with."
C)"I'll provide you with a list of gyms where you can exercise."
D)"Let's discuss ways for you to exercise your joints."
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Chapter 28: Urinary Function
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Sample Questions
Q1) An older adult client reports "losing urine" when she bends over or gets out of a chair.In light of her symptoms, the nurse edits the client's care plan to include Altered urinary function, __________ incontinence.
A)overflow
B)urge
C)functional
D)stress
Q2) An older cognitively impaired adult client is being prepared for discharge to be cared for by her daughter.The nurse knows that the continued success of the client's bladder training for urinary incontinence primarily rests upon the:
A)client's ability to follow instructions.
B)severity of the impairment of the client's urinary sphincter.
C)client's ability to sense the need to urinate.
D)daughter's ability to support the training.
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Chapter 29: Cognitive and Neurologic Function
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Sample Questions
Q1) A home care nurse is visiting an 88-year-old client who has moderate cognitive impairment resulting from Alzheimer's disease.His partner expresses concern that he is experiencing difficulty getting the client "to eat properly." The nurse suggests which of the following? Select all that apply.
A)Serving meals at the same time each day
B)Offering liquids in place of solid foods when possible
C)Offering a calorie-dense snack at bedtime
D)Cutting food into bite size pieces he can hold in his hand
E)Asking him to identify his favorite foods
Q2) An 80-year-old client exhibiting signs of dementia representative of Alzheimer's disease ( AD ).The nurse supports that possibility when determining that the client:
A)experienced a gastric resection several years ago.
B)traveled often to third world countries.
C)was employed as a steelworker for 40 years.
D)has a history of viral encephalitis.
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Chapter 30: Integumentary Function
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Sample Questions
Q1) The presence of which skin assessment finding, if noted on an older adult client, should cause the nurse to suspect a premalignancy?
A)Numerous small red papules on the chest and back
B)An oozing, rough, reddish macule on the ear
C)An irregularly shaped mole on the face or shoulders
D)Brown, greasy lesions on the neck
Q2) An older adult client newly diagnosed with peripheral vascular disease is being educated on the possibility of developing a foot ulcer.The nurse describes the possible lesion as being:
A)deep, necrotic, and painless.
B)shiny, dry, with cyanotic skin.
C)shallow, crusty with warm skin.
D)dull, oozing and painful.
Q3) When assessing the older adult client's skin for indications of melanoma, the nurse should inspect for a(n):
A)thick, adherent scale with a soft center.
B)small, inflamed lesion that bleeds easily.
C)irregularly shaped multicolored mole.
D)small, purple, hard nodule beneath the skin surface.
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Chapter 31: Sensory Function
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Q1) 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.
Q2) When assessing the client's vision, the nurse should understand that older adults may report common aging changes including which of the following? Select all that apply.
A)"My eyelids droop so unattractively."
B)"The whites on my eyes seem a bit yellow."
C)"The vision in my right eye seems blurry."
D)"I've started to use over the counter eye moisturizing drops."
E)"I have noticed the night driving has become more difficult."
Q3) 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.
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