Long-Term Care Nursing Test Preparation
Course Introduction
Long-Term Care Nursing focuses on the specialized knowledge and skills required to care for individuals with chronic illnesses, disabilities, or age-related conditions over extended periods. The course covers principles of gerontology, care planning, patient advocacy, and interdisciplinary teamwork, emphasizing the physical, psychological, and social needs of residents in long-term care facilities. Students learn about ethical considerations, communication strategies, regulatory requirements, and evidence-based interventions to promote quality of life and optimal health outcomes for long-term care populations.
Recommended Textbook
Gerontologic Nursing 5th Edition by
Sue E. Meiner
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29 Chapters
669 Verified Questions
669 Flashcards
Source URL: https://quizplus.com/study-set/1770
Page 2
Chapter 1: Overview of Gerontologic Nursing
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35227
Sample Questions
Q1) In 2010,the revised Standards and Scope of Gerontological Nursing Practice was published.The nurse would use these standards to:
A)promote the practice of gerontologic nursing within the acute care setting.
B)define the concepts and dimensions of gerontologic nursing practice.
C)elevate the practice of gerontologic nursing.
D)incorporate suggested interventions from others who practice gerontologic nursing.
Answer: D
Q2) To best assure both the quality of care and the safety of the older adult patient who requires in-home unlicensed assistive personal (UAP)assistance,the geriatric nurse:
A)evaluates the competency of the UAP staff.
B)assumes the roles of case manager and patient advocate.
C)arranges for the needed UAP provided services.
D)assesses the patient for functional limitations.
Answer: A
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Chapter 2: Theories of Aging
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35228
Sample Questions
Q1) The nurse planning community events for older people uses sociologic theories to guide practice.Which activity planned by the nurse best fits these theories?
A)Group exercise programs
B)Volunteering at a day care
C)Healthy cooking classes
D)Reminiscing therapy
Answer: B
Q2) According to which theory does cancer occur as a possible result of aging?
A)Radical theory
B)Error theory
C)Immunity theory
D)Pacemaker theory
Answer: C
Q3) 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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Page 4
Chapter 3: Legal and Ethical Issues
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse responsible for the care of older adult patients shows the best understanding of the nursing standards of practice when basing nursing care on the:
A)physician's medical orders.
B)stated requests of the individual patient.
C)care that a responsible geriatric nurse would provide.
D)implementation of the nursing process.
Answer: C
Q2) An older adult patient has been approached to participate in a research study.The nurse best advocates for the patient's right of self-determination by:
A)evaluating the patient's cognitive ability to understand the consequence of the study.
B)determining what risks to the patient are involved.
C)discussing the importance of the study with the patient and his family.
D)encouraging the patient to discuss the decision with trusted family or friends.
Answer: A
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Chapter 4: Gerontologic Assessment
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse who cares for older adults recognizes which of the following clinical features associated with dementia? (Select all that apply. )
A)Failing to remember his or her room number
B)Becoming increasingly disoriented at night
C)Working on jigsaw puzzles for hours at a time
D)Often referring to a cup as a canyon
E)Misunderstanding when told "it's raining cats and dogs"
Q2) An older patient is admitted for bacterial pneumonia.The only abnormal assessment values include a heart rate of 102 beats per minute,slight cyanosis of the nail beds,and mild confusion.The patient's daughter questions the possibility of pneumonia stating,"He isn't coughing or having any difficulty breathing." The nurse responds most appropriately by saying:
A)"We are lucky to determine the problem in its early stage."
B)"Respiratory problems develop only after the infection is well established."
C)"People your dad's age often lack the muscular strength to cough."
D)"Older adults frequently lack the typical signs of a respiratory infection."
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Chapter 5: Cultural Influences
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication,so the patient's prescription has not been filled.Which action by the nurse illustrates cultural accommodation?
A)Asking the patient to give more details regarding this belief
B)Discussing how to add dietary preferences into the treatment plan
C)Offering to have a registered nutritionist discuss the situation with the patient
D)Researching the patient's proposed dietary beliefs
Q2) The nurse is most effectively using the concept of future time orientation when:
A)promising to help the patient call his daughter each weekend.
B)offering to complete the health assessment history after the patient eats dinner.
C)encouraging an older patient to keep a follow-up clinic appointment.
D)arranging for a colorectal cancer screen for senior citizens.
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Chapter 6: Family Influences
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The adult child of a patient diagnosed with Alzheimer disease has shared that he feels "so sad" that he is not able to carry on a social conversation with the patient anymore because of her loss of memory.The nurse suggests:
A)keeping conversations short while focusing on things that happened in the past.
B)concentrating on doing things his mother enjoys rather than focusing on talking.
C)participating in support groups that offer suggestions for communication.
D)allowing his mother to pick the topic and then simply being with her "in her world."
Q2) An adult child of a parent with mild dementia is worried about the parent driving.Where does the nurse refer the adult child to find out about safe driving courses?
A)Senior Driving from AAA
B)AARP Driver Safety
C)Older Drivers Education
D)State Department of Transportation
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8
Chapter 7: Socioeconomic and Environmental Influences
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse recognizes that health and wellness are better among the educated older adult population because they tend to:
A)place a high value on health and wellness.
B)frequently take advantage of health screening options.
C)have occupations that are less physically demanding.
D)manage emotional stress in a more productive manner.
Q2) A nurse working with older adults recognizes that the patient at greatest risk for homelessness is the:
A)female with a psychiatric diagnosis.
B)male with a chronic illness.
C)female with a history of social isolation.
D)male with an alcohol abuse issue.
Q3) A nurse volunteers at a facility that provides free lunches for older adults.To minimize the tendency of these patients to withdraw socially,the nurse:
A)frequently reinforces that everyone is welcome to have lunch with the group.
B)makes every effort to engage them in conversation during the meal.
C)encourages them to make friends with the other patients.
D)asks if they would assist those who need help with getting their food.
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Chapter 8: Health Promotion and Illnessdisability
Prevention
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35234
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 often does not 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) During a home visit,a nurse is assessing the nutritional awareness of an older adult patient who lives alone.The nurse is most effective in obtaining objective information when:
A)asking to see what types of foods the patient keeps readily available.
B)reviewing the components of a healthy diet with the patient.
C)asking the patient to describe what he or she ate for all three meals yesterday.
D)observing the patient eat a meal that he or she has prepared.
Q3) The nurse has the greatest impact on a patient's health promotion when:
A)evaluating a diabetic patient's ability to administer his insulin injections.
B)encouraging an obese patient to limit both fat and carbohydrate intake.
C)volunteering to take blood pressures at a community health fair.
D)educating the patient about vitamin D and calcium to prevent bone loss.
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Chapter 9: Health Care Delivery Settings and Older Adults
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35235
Sample Questions
Q1) The nurse is caring for an older adult patient who was admitted with a stage 3 pressure ulcer on the left heel and who also has a history of Parkinson disease and chronic renal failure.To minimize the patient's risk of developing an iatrogenic illness,the nurse:
A)uses sterile technique when changing the heel's dressings.
B)reviews all the patient's medications for possible adverse reactions.
C)instructs the patient to call for assistance when needing to go to the bathroom.
D)assists the patient in choosing the appropriate foods from the daily menu.
Q2) The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle.What action by the nurse shows an understanding of factors affecting the patient's ultimate return to preinjury function?
A)Encourages the patient to comply with recommendations made by the physical therapist
B)Arranges for the patient's meals to be delivered daily for several weeks after discharge
C)Assesses the barriers to self-ambulation that exist in the patient's home
D)Educates the patient on the importance of a diet that promotes both bone and muscle healing
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11
Chapter 10: Nutrition
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35236
Sample Questions
Q1) A nurse works with a patient who is malnourished.What lab value does the nurse assess for the most up-to-date information on the patient's status?
A)Albumin
B)Prealbumin
C)Transferrin
D)Total iron
Q2) A nurse is caring for an observant Hindu patient who has a protein deficiency.What menu items does the nurse select for the patient?
A)Lean beef
B)Chicken
C)Beans
D)Pork
Q3) The nurse conducting a food recall assessment on an older adult patient shows an understanding of the requirements of the process when:
A)having the patient identify any existing food allergies.
B)asking the family to verify the patient's statements.
C)asking how the food being discussed was prepared.
D)correlating diet information with signs of malnutrition.
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12
Chapter 11: Sleep and Activity
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35237
Sample Questions
Q1) An older patient being treated for symptoms of seasonal allergies reports to the nurse that although she is careful about her caffeine intake,she has been having trouble getting to sleep at night.The nurse responds most appropriately to this patient when stating:
A)"Allergy reactions such as nasal stuffiness can cause sleep problems."
B)"If you are using over-the-counter nasal decongestants,that could be the problem."
C)"Many different foods contain hidden caffeine;be sure to check the labels."
D)"There are many different causes of sleep disturbances besides caffeine intake."
Q2) The nurse is caring for a hospitalized patient who needs vital signs and assessments every 4 hours.The nurse last assessed the patient at midnight,and at 2 AM the nurse answers the call light and helps the patient to the bathroom.To promote good sleep,what action by the nurse is best?
A)Ask the patient if a sleeping medication is needed.
B)Assess the patient now and again at 6 AM.
C)Tell the patient you will be back in 2 hours.
D)Assess the patient at 4 AM while being very quiet.
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Page 13
Chapter 12: Safety
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35238
Sample Questions
Q1) A patient is brought to the emergency department after an unexplained fall.What actions by the nurse are most appropriate? (Select all that apply. )
A)Placing the patient on a cardiac monitor
B)Obtaining a urine sample for cultures
C)Checking a quick bedside blood glucose
D)Assessing the patient for asthma
E)Performing tests for orthostatic vital signs
Q2) A patient is diagnosed with bilateral osteoarthritis of the knees.To best address the long-term risk for falls,the nurse encourages the patient to:
A)use assistive mobility devises when necessary.
B)report exacerbation of symptoms promptly.
C)add a daily walk to exercise the knees appropriately.
D)take analgesic medication as prescribed to manage joint pain.
Q3) The geriatric nurse's decision to identify a specific patient as a falls risk is primarily based on the:
A)presence of visual deficiencies and musculoskeletal weakness.
B)results determined by cognitive and physiologic assessment tools.
C)degree of frailty and functional limitation observed.
D)inability to follow instructions and communicate effectively.
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Page 14
Chapter 13: Sexuality and Aging
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/35239
Sample Questions
Q1) To effectively assess an older adult patient's sexual needs,the nurse must initially:
A)reflect on personal feelings that create barriers to effective communication with the patient.
B)be familiar with the sexual needs of the older adult population.
C)assess the patient's physical capacity to engage in sexual activities.
D)inform the patient of the personal nature of the detailed questioning this assessment requires.
Q2) The nurse working in long-term care knows there are several barriers to sexual expression for older patients.Which of the following are barriers? (Select all that apply. )
A)Decreasing desire
B)Medication side effects
C)Disease processes
D)Social circumstances
E)Increased libido
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Chapter 14: Pain
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is caring for four frail patients with pain.Which patient's pain medication prescription does the nurse question?
A)The patient taking pentazocine (Talwin)
B)The patient taking acetaminophen (Tylenol)
C)The patient taking ibuprofen (Motrin)
D)The patient taking hydromorphone (Dilaudid)
Q2) The nurse is performing a pain assessment when the older adult patient reports pain in his left shoulder that radiates down into the forearm.The nurse immediately:
A)recognizes that the patient is experiencing cardiac distress.
B)alerts the rapid response team to provide emergency care.
C)asks whether he has ever experienced this pain before.
D)questions the patient about additional related symptoms.
Q3) The nurse caring for an older adult patient experiencing carpal tunnel syndrome anticipates the patient will best achieve pain control when prescribed a(n):
A)narcotic (e.g. ,fentanyl).
B)opioid (e.g. ,oxycodone).
C)tricyclic antidepressant (e.g. ,amitriptyline [Elavil]).
D)nonpharmacologic strategy (e.g. ,wrist bracing).
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Chapter 15: Infection
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23 Flashcards
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Sample Questions
Q1) A patient is hospitalized with a nonhealing leg ulcer.Lab work does not demonstrate anemia.What action by the nurse is best?
A)Encourage the patient to choose high-protein meal items.
B)Request a consultation with the registered dietician.
C)Consult the physician regarding a serum zinc level.
D)Consult the physician about adding an iron supplement.
Q2) An older patient smoked tobacco most of the adult life.When planning health promotion education for this patient,the nurse includes information that such smoking:
A)may produce alterations in the immune response.
B)is a risk factor for community-acquired pneumonia.
C)decreases the production of an immunoglobulin called IgA.
D)increases the risk of gastric cancer.
Q3) A student nurse is caring for a patient who has vancomycin-resistant enterococcus (VRE).What action by the student requires the nurse to intervene?
A)Washes hands for 15 seconds prior to entering the room
B)Takes own stethoscope and unit Glucometer in the room
C)Helps transfer the patient into a private room for isolation
D)Puts on gloves and a gown prior to changing the linens
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17
Chapter 16: Chronic Illness and Rehabilitation
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A 73-year-old patient has been diagnosed with congested heart failure (CHF).The nurse provides the greatest support for this patient's positive view of self-wellness by presenting information regarding:
A)how to minimize the exacerbation of symptoms.
B)locally available supportive services.
C)the importance of adherence to medical treatment.
D)the need to report symptoms promptly.
Q2) An older patient diagnosed with severe osteoarthritis has recently moved in with his son ecause of a history of falls.The son describes how he and his family have eagerly assumed responsibility for "meeting all Dad's needs." The nurse is most concerned that this environment will result in the patient:
A)developing a sense of powerlessness and possibly a loss of hope.
B)becoming unnecessarily physically and emotionally dependent.
C)losing his will to "get better" and become independent again.
D)becoming resentful and argumentative with his son's family.
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18
Chapter 17: Cancer
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The daughter of an older adult woman who had a colostomy as a result of colon cancer tells the nurse,"Mom seems to be so withdrawn;she has stopped going out with her friends and I'm really concerned." The most relevant nursing diagnosis for the patient's reaction is:
A)Ineffective individual coping.
B)Dysfunctional grieving.
C)Social isolation.
D)Hopelessness.
Q2) After a course of chemotherapy for cancer of the throat,an older adult patient is admitted to the hospital with persistent nausea and vomiting.The nurse should initially assess the patient for:
A)weight loss and weak gag reflex.
B)anemia and poor muscle tone.
C)oral inflammation and ulceration.
D)dehydration and infection.
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Chapter 18: Loss and End-Of-Life Issues
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/35244
Sample Questions
Q1) The nurse is confident that an older adult is successfully completing the tasks associated with mourning his wife's death when he:
A)shares that,"No amount of wishing will bring her back."
B)openly cries in the presence of family and friends.
C)takes cooking classes at the local community college.
D)takes a female acquaintance to the movies.
Q2) A hospice nurse is caring for a patient and notes the patient's spouse engaged in anticipatory grieving.What action by the spouse best demonstrates this reaction?
A)Spending time learning about the business owned by the patient
B)Receiving many visitors from church and social organizations
C)Delegating household tasks so the spouse can stay with the patient
D)Taking long walks outside then napping for extended periods
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 spouse married?"
C)"Does your son and his family live nearby?"
D)"Do you consider yourself a religious person?"
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Page 20
Chapter 19: Laboratory and Diagnostic Tests
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Sample Questions
Q1) The leukocyte count of an older adult patient is elevated.The nurse shows the best understanding of the effect of aging on body function when:
A)checking the patient for drug allergies before requesting an antibiotic prescription.
B)asking that the patient's temperature be taken before notifying the physician.
C)encouraging the patient to drink several glasses of water and then repeat the laboratory tests.
D)having the patient produce a urine sample and requesting a stat urinalysis.
Q2) A patient takes digoxin (Lanoxin)for heart failure with atrial fibrillation.The patient reports yellow vision and nausea.The patient's digoxin level is 1.9 ng/mL.How does the nurse explain the situation to the patient?
A)"Even with a normal blood level you may have digoxin toxicity."
B)"You may have a gastrointestinal virus that is causing these symptoms."
C)"You may not be getting a high enough dose of digoxin;I'll call the doctor."
D)"Your cataracts may be worsening and you may need to have them removed."
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Chapter 20: Pharmacologic Management
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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 patient's safe care,the nurse asks:
A)"When did you first start using the analgesic?"
B)"Have you experienced withdrawal symptoms before?"
C)"Why did you initially need an analgesic?"
D)"What prescribed drugs are you currently taking?"
Q2) An older adult patient shares with the admitting nurse that she drinks "one shot" of whiskey nightly to help her sleep.The nurse documents the need to:
A)assess the patient for slurred speech,lack of coordination,and nystagmus.
B)address the effects of alcohol abuse with the patient.
C)provide the patient with an alcohol substitute.
D)assess the patient for signs of agitation,as well as anxiety and seizures.
Q3) When initially planning care for the older adult patient who is prescribed clonidine patches as part of a smoking cessation program,the nurse:
A)assesses the patient for any skin disorders on the upper arms and back.
B)determines how many cigarettes or cigars the patient smokes per day.
C)asks if the patient is currently taking any antihypertensive medications.
D)educates the patient to the possible side effects of clonidine therapy.
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Page 22
Chapter 21: Cardiovascular Function
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Sample Questions
Q1) A patient has peripheral vascular disease.What statement by the patient indicates a need for further teaching?
A)I will have the podiatrist cut my toenails.
B)I will be sure to wear sturdy shoes.
C)I can only walk limited distances now.
D)I will report any injury to my foot or leg.
Q2) An older patient is prescribed nifedipine (Procardia).What teaching topic is most important to discuss with this patient?
A)Need to monitor blood pressure
B)Need to follow low-salt diet
C)Need to change positions slowly
D)Need to add exercise to daily routine
Q3) A 76-year-old patient has been recently diagnosed with cardiac valvular disease.The nurse assesses the patient and recognizes that the medical diagnosis is supported by:
A)cyanotic fingertips.
B)weight loss of 10 pounds in 3 months.
C)angina pain.
D)shortness of breath with activity.
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Page 23
Chapter 22: Respiratory Function
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Sample Questions
Q1) The nurse is preparing information for the caregivers of a patient with chronic respiratory issues.The nurse will make the greatest impact on their ability to provide quality care while maintaining the patient's emotional well-being by including:
A)suggestions regarding proper nutrition and exercise for the caregiver.
B)an explanation on how to preserve the patient'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 the patient experiences.
Q2) An older patient admitted to the hospital with symptoms strongly suggestive of tuberculosis (TB)has a negative Mantoux test.The nurse correctly anticipates that:
A)the purified protein derivative (PPD)test will be administered.
B)a chest x-ray will be ordered to detect possible infiltration.
C)therapy consisting of a combination of bactericidal drugs will be initiated.
D)the skin test will be repeated to achieve a booster effect.
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24
Chapter 23: Endocrine Function
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Sample Questions
Q1) A patient has been admitted with new atrial fibrillation.What additional diagnostic testing does the nurse anticipate?
A)Thyroid hormones
B)Platelet count
C)Urinalysis
D)Blood glucose
Q2) An older patient has been diagnosed with metabolic syndrome.What action by the nurse takes priority?
A)Educate the patient on medications.
B)Teach lifestyle changes the patient can manage.
C)Encourage 60 minutes of aerobic activity daily.
D)Instruct the patient on a low-fat diet.
Q3) An older patient has osteoporosis and is reluctant to exercise because "I already have a bone problem,so how will it help?" What response by the nurse is best?
A)It can improve posture,balance,and reduce falls.
B)It will give you heart-healthy benefits.
C)Exercise will make you feel younger.
D)If you join a gym,you can socialize with new people.
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Chapter 24: Gastrointestinal Function
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Sample Questions
Q1) An older adult patient reports episodes of fecal incontinence.The nurse provides appropriate emotional support when assuring the patient that:
A)it is a common problem that occurs in response to normal aging.
B)the incontinence is rarely a result of a serious problem.
C)disposable absorbent underwear will help manage the problem.
D)the problem generally responds well to bowel control programs.
Q2) The daughter of a dependent older patient reports to the nurse that the patient requires regular soapsud enemas to manage 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.
Q3) An 80-year-old patient has nausea and vomiting related to a gastrointestinal disorder.The nursing intervention most likely to help the patient is to:
A)offer sips of soda every 15 minutes until more is tolerated.
B)encourage the patient to lie in a prone position while nauseated.
C)encourage the intake of high-calorie foods such as milkshakes.
D)keep the patient on a nothing-by-mouth (NPO)order until the nausea subsides.
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Page 26
Chapter 25: Musculoskeletal Function
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23 Flashcards
Source URL: https://quizplus.com/quiz/35251
Sample Questions
Q1) After a below-the-knee amputation,a patient has disturbed body image.What action by the patient indicates movement toward resolution of this diagnosis?
A)The patient names his stump "Pete."
B)The patient attends physical therapy.
C)The patient begins to change dressings.
D)The patient asks questions about prosthetics.
Q2) The nurse caring for an older patient diagnosed with spinal stenosis encourages the patient to notify her physician if she experiences:
A)sharp pain when turning her neck side-to-side.
B)stabbing pain in her lower back.
C)a cramping sensation in her feet.
D)a burning sensation in either one or both legs.
Q3) A patient has polymyalgia rheumatica.When teaching about medications,what information does the nurse provide?
A)"Take the full dose of antibiotics even if you are feeling better."
B)"You need to remain upright 1 hour after taking the medication."
C)"Stay away from large crowds and avoid people who are sick."
D)"Do not drink alcohol while taking this medication."
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Chapter 26: Urinary Function
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23 Flashcards
Source URL: https://quizplus.com/quiz/35252
Sample Questions
Q1) A patient in a long-term care facility has incontinence.What assessment by the nurse is most important before designing interventions for this problem?
A)Cognitive status
B)Ambulatory status
C)Cardiovascular status
D)History of childbirth
Q2) A male patient has benign prostatic enlargement.He is at risk for what type of acute kidney injury?
A)Prerenal
B)Intrarenal
C)Postrenal
D)Combined form
Q3) What information does the nurse share with the student about normal age-related changes in the kidneys?
A)Renal mass increases.
B)The glomerular filtration rate decreases.
C)Poor renal function occurs after age 65.
D)There are no real age-related changes.
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Chapter 27: Cognitive and Neurologic Function
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/35253
Sample Questions
Q1) When assessing an older patient displaying symptoms of delirium,the nurse focuses the assessment on:
A)the degree and duration of the symptoms.
B)the amount of self-care deficiency the symptoms cause.
C)identifying processes that commonly result in the symptoms.
D)physiologic dysfunction resulting from the symptoms.
Q2) A nurse is caring for an older patient diagnosed with acute depression.What action by the nurse is most important to help prevent delirium in this patient?
A)Reorienting the patient to the day,time and place frequently
B)Being physically present to help the patient with eating meals
C)Providing the patient with opportunities to discuss depression
D)Administering antidepressive medication as prescribed
Q3) The nurse familiar with the old adult population recognizes that the patient who has the greatest potential for successfully committing suicide is the:
A)63-year-old Asian female.
B)86-year-old Caucasian male.
C)76-year-old Hispanic female.
D)67-year-old African-American male.
To view all questions and flashcards with answers, click on the resource link above.
29
Chapter 28: Integumentary Function
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/35254
Sample Questions
Q1) For which patient does the nurse add compression therapy to the nursing care plan?
A)Taut,white,shiny skin
B)Faint pedal pulses
C)Brownish skin and edema
D)Large ulcer with skin graft
Q2) The nurse explains that the plan of care for an older adult patient with seborrheic dermatitis of the scalp should include:
A)cleaning lesions with a weak hydrogen peroxide solution daily.
B)cleaning the scalp with a low-dose steroidal shampoo.
C)applying hydrocortisone 10% to scalp lesions.
D)applying selenium shampoo to the scalp.
Q3) The presence of which skin assessment finding,if noted on an older adult patient,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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Sensory Function
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/35255
Sample Questions
Q1) Which of the following are appropriate steps to take when removing cerumen from an older person's ear? (Select all that apply. )
A)Instill a softening agent first.
B)Use hot water and hydrogen peroxide.
C)Use a Waterpik inserted just inside the meatus.
D)Have the patient lean backward.
E)Drain water by having the patient lean forward toward the affected side.
Q2) The preferred way for the nurse to communicate with a 72-year-old hearing-impaired patient is to:
A)speak loudly into the patient'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.
Q3) A 96-year-old patient reports symptoms of xerostomia.The nurse attempts to minimize the effects of the condition by:
A)providing appropriate fluids with the patient's meals.
B)cutting the patient's meat into small bite-sized pieces.
C)elevating the head of the patient's bed at mealtimes.
D)assisting the patient with oral care before each meal.
To view all questions and flashcards with answers, click on the resource link above.
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