Coa Reviewers

NUR 151 RAD Block Examination Part 1

Total points 22/36

INSTRUCTIONS:
-This is a 35 ITEM MULTIPLE CHOICE EXAMS
-Students are GIVEN 30 MINUTES TO ANSWER THE EXAM
-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, TEXTS, MESSAGES OR CHATS
UNLESS IT IS AN EMERGENCY SITUATION
-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY
REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR LEVEL OF
HONESTY
-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON

The respondent's email ([email protected]) was recorded on submission of

this form.
0 of 1 points
FULL NAME (LAST NAME, FIRST NAME MIDDLE INITIAL): *
ARCAYAN, TRIXIE D.
PROGRAM AND SECTION (EX: BSN 3-A1): * ···/1
BSN 3-A1
STUDENT NUMBER; *
05-1920-08824
MULTIPLE CHOICE QUESTIONS 1-35 22 of 35 points
The nurse identifies that which of the following changes in the pattern of urinary 1/1
elimination is usually associated with aging *
Decreased frequency
Incontinence
. Formation of bladder stones
Sphincter reflexes decreased
Of the following, which is most likely the cause of your 85-year-old patient's senile 0/1
cataracts? *
Sudden increase in intraocular pressure. .
Hardening of the lens
Gradual onset of increased intraocular pressure.
Lens clouding.
Patrick’s condition was explained by Nurse Mike, and helped his family member to 1/1
choose the best nursing home where to put Patrick. Nurse Mike is a/an: *
manager
teacher.
provider of care
advocate
The nurse is teaching the family of a patient diagnosed with Parkinson’s disease. 1/1
Which of the following statements by the family reflects a need for further
education *
“Dad is going to do his range-of-motion exercises three times a day.”
“We will buy lots of soup for dad.”
“The bath bars will be installed before dad comes home.”
“We are teaching dad posture exercises.”
The older adult’s libido does not decrease, however * 1/1
frequency of sexual activity may decline.
physical changes usually will not affect sexual functioning.
the sexual preferences of older adults are not as diverse.
the need to touch and be touched is decreased.
When administering drug therapy to a male geriatric patient, the nurse must stay 1/1
especially alert for adverse effects. Which factor makes geriatric patients prone to
develop adverse drug effects? *
Increased amount of neurons
E h d bl d fl t th GI t t
Enhanced blood flow to the GI tract
Aging-related physiological changes
Faster drug clearance
The nurse knows that an elderly patient with a severe hearing deficit is most likely 1/1
to exhibit which of the following characteristics? *
The patient is difficult to understand.
The patient is suspicious of other people.
The patient prefers to be alone.
The patient communicates best by writing.
Which of the following is true about the theories of aging? * 1/1
There is no single theory that explains aging. D. Disease causes a decline in

function.
Disease causes a decline in function
Environment is the main factor.
Genetic changes are solely responsible.
A 60-year-old man is presently employed as a night watchman. He comes for a 0/1

clinic visit and complains to the nurse of an inability to sleep and easy fatigability.
Which of the following is the best initial response of the nurse? *
“You probably sleep when you can during your night tour.”
“This is normal for your age group.”

y g g p
“Working the night shift is known to disrupt sleep patterns
“Tell me about your usual sleeping habits.”
Health maintenance is part of the role of the GNP. All of the following are things 1/1
that a Certified Gerontological Nurse would recommend to an older client for
health maintenance, except: *
eating without restrictions.
avoiding individuals who are ill, especially with infectious diseases.
having periodic health appraisals as recommended.
maintaining physical and mental activities.
The three common conditions affecting cognition in elderly are * 1/1
blindness, hearing loss, and stroke.
cancer, Alzheimer’s disease, and stroke.
delirium, depression, and dementia. .
stroke, heart attack, and cancer of the brain.
In terms of symptoms of infection, older adults tend to have a diminished febrile 1/1
response to infection. *
True statement, febrile response decreases with aging.
Maybe, I don’t know.

False statement, febrile response is still effective with age.
Requires scientific research.
An 83-year-old woman has several ecchymotic areas on her right arm. The bruises 1/1
are probably caused by *
elder abuse.
increased capillary fragility and permeability.
self inflicted injury.
increased blood supply to the skin.
Taste buds atrophy and lose sensitivity. The older adult is less able to discern: * 1/1
salty, sweets, sour, and bitter tastes.
hot and cold temperatures.
moist and dryness.
spice and bland.
The goal of the therapeutic psychiatric environment for the elderly, confused client 1/1
is to: *
help the staff to help the client.
help the client become popular in a controlled setting.

assist the client to relate to others.
make the hospital atmosphere more home-like.
An elderly man is admitted to the hospital from a nursing home. The nurse 0/1
establishes a nursing diagnosis of fluid volume deficit related to decreased intake
and fever. Which of the following symptoms would substantiate this nursing
diagnosis? *
The patient has difficulty breathing in the supine position or with minimal activity.
The patient’s skin is pale and cool to touch with pitting edema in dependent
areas.
The patient’s pulse is 120, BP 90/60, temperature 101.2OF, respirations 22 and deep.
There is a decrease in the patient’s level of consciousness, and ascites.
The nurse develops a nursing diagnosis of self-care deficit for an older client with 0/1
dementia. Which of the following is the most appropriate goal for this client? *
The client will complete all activities of daily living independently within an hour time
frame.
The nursing staff will attend to all the client’s activities of daily living needs
during the hospitalization stay.
The client will be admitted to a long-term care facility to have activities of daily living
needs met.
The client will function at the highest level of independence possible.

Visual acuity declines with age. Presbyopia, is a progressive decline in: * 1/1
the ability to see in darkness.
adaptation to abrupt changes from dark areas to light areas.
distinguishing between blues and greens and among pastel shades.
the ability of the eyes to accommodate for close, detailed work.
An elderly client with pneumonia may appear with which of the following 1/1
symptoms first? *
Pleuritic chest pain and cough
Fever and chills
Hemoptysis and dyspnea
Altered mental status and dehydration
An elderly male client on the psychiatric unit becomes upset in the day room. When 1/1
attempting to deal with the situation, the nurse should: *
instruct the client to be quiet.
lead the client from the room by taking him by his arm.
allow the client to act out until he tires.

give directions in a firm, low-pitched voice.
Which of the following best describes GERONTOLOGY? * 1/1
Defined as the study of aging and the aged.
Concerned with social aspects of aging versus the biological or psychological.
Study of pharmacology as it relates to older adults.
Refers to medical care of the aged.
It is important for a team working with clients who have a diagnosis of dementia to 1/1
adopt a common approach of care because these clients need to: *
have sameness and consistency in their environment
accept external controls that are fairly applied.
relate in a consistent manner to staff.
learn that the staff cannot be manipulated.
A patient with Parkinson’s disease has tremors of both upper arms. The nurse 1/1
observes that the tremors disappear as e unbuttons his shirt. Which of the following
statements shows the most accurate understanding of the tremors? *
Tremors are unexplainable.
Tremors disappear with rest.

Tremors are psychological and can be controlled at will.
Tremors decrease in severity when attention is diverted by activity.
A common age-related change in auditory acuity is called: * 0/1
macular degeneration.
presbycusis. .
presbyopia
retinal detachment
The nurse observes that a client is pacing, agitated, and presenting aggressive 0/1
gestures. The client’s speech pattern is rapid and affect is belligerent. Based on these
observations, the nurse’s immediate priority of care is to: *
provide safety for the client and other clients on the unit.
offer the client a less stimulated area to calm down and gain control.
provide the clients on the unit with a sense of comfort and safety.
assist the staff in caring for the client in a controlled environment.
The nurse is assessing a client with dementia. To effectively elicit information about 0/1
the client’s ability to provide self-care, the nurse should: *
ask, “Can you show me how you would open the door if you had a key?”
state “I notice that your shoes do not match your dress ”

state, I notice that your shoes do not match your dress.
ask, “Can you find your way from the bed to the bathroom?”
state, “continue to knit and I shall observe you for a while.”
Two factors contribute to the projected increase in the number of older adults; they 1/1
are: *
financial success and improved environment.
improved medication plan and increase in Medicare funding.
greater acceptance of elderly and medical problems.
the aging of the “baby boom” generation and the growth of the population
segment over age 85.
Nurse Brenda is teaching a patient about a newly prescribed drug. What could cause 1/1
a geriatric patient to have difficulty retaining knowledge about prescribed
medications? *
History of Tourette syndrome
Decreased plasma drug levels
Lack of family support
Sensory deficits
The home care nurse is teaching the daughter of an elderly patient about her 0/1
father’s hydration status. The nurse would be most concerned if the daughter made
which of the following statements? *
“I should check my father’s eyes for dryness.”
“I should pinch a fold of skin on the back of my father’s hand.”
“I should ensure that my father stands up slowly.”
“I should check my father’s mouth for dryness.”
Your patient, a 72-year-old man, indicates that he is not urinating very often 1/1
because it is painful and difficult to do so. He reports a burning sensation when he
urinates as well. This patient should be further assessed for which of the following?
*
Enlarged prostate. .
Bladder cancer
Urinary tract infection.
Sexually transmitted infections
Sexuality is recognized as a factor in the care of older adults, thus: * 0/1
any expression of sexuality should be discouraged.

all older adults, whether healthy or frail, need to express sexual feelings.
a decrease in an older adult’s libido does occur.
the need to touch and be touched is decreased
Which of the following statements of the student nurse would indicate a better 0/1
understanding about the physiological changes occurring with Alzheimer’s? *
“Several biochemicals involved in the brain activity are out-of-control.
“Cerebrovascular stiffness caused by excessive alcoholism leading to increased

memory deficit.”
“The pathological hallmarks are beta-amyloid plaques and neurofibrillary tangles.”
“Patient on late stage becomes very agitated due to diminished levels of

dopamine in the brain.”
A home care nurse is developing a plan of care for an elderly client with diabetes 0/1
mellitus who has gastroenteritis. In order to maintain food and fluid intake to
prevent dehydration, the nurse plans to: *
encourage the client to take 8 – 12 ounces of fluid every hour while awake.
withhold all fluids until vomiting has ceased for at least 4 hours.
offer water, only until the client is able to tolerate solid foods.
maintain a clear liquid diet for at least 5 days before advancing to solids to allow
inflammation of the bowel to dissipate.
Aging patients sometimes suddenly experience delirium caused by illness or 0/1
medications. As a Gerontological Nurse you would do all of the following for this
type of patient except: *
help maintain body awareness.
put patient on a liquid diet
establish a meaningful environment. .
help patient cope with confusion and/or delusions.
An older man is admitted to the hospital for treatment of a fractured femur. His 0/1
wife tells the nurse that he is very hard of hearing. The nurse should develop a plan
of care that provides an opportunity for *
social interaction.
private visits with his wife.
intellectual challenges. .
learning sign language
This form was created inside of Phinma Education.
Forms
Total points 17/35
INSTRUCTIONS:
-Students are GIVEN 30 MINUTES TO ANSWER THE EXAMS
HONESTY

this form.
0 of 0 points
ARCAYAN, TRIXIE D.
STUDENT NUMBER: *
05-1920-08824
PROGRAM AND SECTION (EX: BSN 3-A1) *
BSN 3-A1

Which of the following patients is at high risk for dysphagia? * 0/1
A patient who’s taking anticholinergics
A patient with stomach tumor
A patient who’s physical assessment reveals weakness of cranial nerves V, VII, X,

and XII.
A patient with paraplegia manifestation of stroke
Which of the following is the CORRECT statement about andropause in men? * 1/1
Physiological symptoms include ability to maintain erectile functioning and

increased libido.
It occurs in all men, just like menopause in women.
Evidently decreased FSH and increased inhibin B.
Results from decrease production of testosterone in aging men.

Wet-to-dry dressing changes are ordered for a patient. After the first dry dressing is 0/1
removed, the elderly patient yells at the nurse, “Ouch, that really hurts. Are you sure
you’re doing it right?” Which of the following statements is the BEST response of
the nurse? *
“I know it hurts and I am really sorry to have to do it, but sometimes things have
to hurt before they get better.”
“I’m peeling away the dead tissue. It hurts more the first time. Next time will be more
comfortable, I promise.”
“Yes, I’m doing it right. The dead tissue is supposed to stick to the dry dressing, but
perhaps if I wet it a bit, it won’t hurt so much.”
“This type of dressing cleans the wound so that it can heal. If it continues to hurt I’ll
bring you some pain medication.”
An elderly client with a chronic illness, who had been incontinent of urine at home, 0/1
has not been incontinent since being hospitalized. When discussing past and
present elimination patterns, the client also tells the nurse about being angry at
being bedridden and unable to go anywhere or see anyone. The nurse deduces that
the client’s incontinence at home may have been related to: *
a physiologic response expected with the elderly.
an unconscious expression of hostility.
a method to determine the family’s love.
a way of maintaining control.

Dysphagia is a significant risk factor for aspiration. Which of the following diseases 1/1
would have the diagnosis “Risk for aspiration related to inability to swallow
effectively”? *
Stroke, especially in the midbrain and anterior cortical areas
Parkinson's disease and Alzheimer's disease
All of the above
Muscular dystrophy and myasthenia gravis
An elderly client with Alzheimer's disease begins supplemental tube feedings 1/1
through a gastrostomy tube to provide adequate calorie intake. The nurse should be
concerned most with the potential for: *
aspiration
hyperglycemia. .
. fluid volume excess
. constipation.
Diminished ability to concentrate urine, associated with aging of the urinary 1/1
system, is attributed to *
decrease function of the loop of Henle and tubules.

a decrease in bladder sensory receptors.
an increase in the number of functioning nephrons.
thinning of the basement membrane of Bowman’s capsule
A nurse assessing abdominal distention is correct when she does which of the 0/1
following *
Passes the tape measure from the symphysis pubis to the xiphoid process.
Places the tape measure from iliac crest to iliac crest.
Passes the tape measure at the back of the abdomen and the navel.
Passes the tape measure at the umbilicus.
A significant deficiency in testosterone levels that causes eventual clinical 1/1

symptoms like Mr. McDonald’s condition is known as *
SITUATION: Patrick McDonald, a 69 year-old was admitted in your department due to stress-like
symptoms. His testosterone levels were checked and have found out a significant decline.
Testosteropause
Menopause
Andropause
Fatigue Syndrome
The nurse observes the nurse’s aide perform mouth care on an 86-year-old man 0/1
admitted to the hospital with a fever of unknown origin (FUO). Which of the
following actions, if performed by the nurse’s aide, would require an intervention by
the nurse? *
The nurse’s aide applies petroleum jelly to the patient’s lips.
The nurse’s aide rinses the patient’s mouth with an alcohol-based mouthwash.
The nurse’s aide flushes the patient’s mouth with a 50:50 dilution of hydrogen
peroxide and normal saline.
The nurse’s aide uses a soft bristled tooth brush to clean the patient’s teeth.
An 80-year-old man states that although he adds a lot of salt to his food it does not 0/1
have much taste. The nurse’s response is based on the knowledge that the older
adult *
should not experience changes in taste.
loses the sense of taste because the ability to smell is also lost.
has a loss of taste buds, especially for salty and bitter.
has some loss of taste but no difficulty chewing food.

The nurse uses bladder diary to identify potentially reversible causative factors and 1/1
contributing risk factors for UI. BLADDER DIARY means? *
Can determine the status of severity of urinary incontinence.
Outlining the timing, amount, and type of fluid intake with the timing, amount,
and continence status.
Can record the patterns to the occurrence of incontinence to make negative

changes.
Collection of information regarding voiding cycle for a week.
Which of the following symptoms is the characteristic of esophageal dysphagia? * 0/1
Food that feels being stuck in the throat
Inability to move food at the back of the throat
Food sticking after a swallow
Cough that occurs early after swallow
The nurse sits with an elderly depressed client twice a day, although there is little 1/1
verbal communication. One afternoon, the client asks, “Do you think they’ll ever let
me out of here?” The nurse’s best response would be: *
“Why, do you think you are ready to leave?”

“Why don’t you ask your doctor?”
“Everyone says you’re doing just fine.”
“You have the feeling that you might not leave?”
Preventing urinary incontinence through healthy bladder habits include the 1/1
following, except for one: *
emptying the bladder on an irregular schedule.
maintaining hydration.
avoiding bladder irritants.
strengthening and toning the pelvic floor muscles.
The nurse understands that which of the following is the primary reason why 1/1
elderly adults have constipation? *
They eat a small volume of food with decreased bulk.
They have less activity and decreased muscle tone.
They have neurological changes in the gastrointestinal tract.
They have decreased sensation in the gastrointestinal tract
nurse is preparing to administer an intermittent tube feeding to an elderly client 0/1

through a nasogastric tube. The nurse assesses gastric residual volume before
administering the tube feeding to: *
evaluate absorption of the last feeding.
assess fluid and electrolyte status

assess fluid and electrolyte status.
confirm proper nasogastric tube placement.
determine patency of the tube.
The following are interventions or strategies for care for patients whose taking 0/1
several medications at the same time, except: *
monitor creatinine clearance.
instruct the patient to obtain all medications to at one pharmacy.
suggest to the patient to ask for free drug samples from the physician.
discourage patients to use generic drugs as cheaper drugs are less effective.
Nursing care for anxiety includes the following, except: * 1/1
reassure the patient that the problem can be solved.
avoid reciprocal anxiety.
don’t confront or argue with the patient.
make demands and ask the patient to make decisions.
The nurse notes that an elderly patient has a reddened area on the coccyx. Which of 0/1
the following actions should the nurse take first? *
B. Massage the reddened area four times per day.
A. Continue assessing the area.
D. Place the patient in a semi-circling position

. ace t e pat e t a se c c g pos t o
C. Reposition the patient every hour.
Which of the following is not a sign of depression in an older adult? * 0/1
She worries about lapses in memory.
She neglects personal grooming.
She often becomes lost even in familiar places.
She has difficulty concentrating.
The nurse assesses a 70-year-old in the outpatient clinic. The nurse would expect 1/1
the client to make which of the following statements? *
“I seem to get less colds than I did before.”
“I’ve been sleeping with fewer blankets lately.”
“I think that I am a little taller than I used to be.”
“Eating just does not appeal to me anymore.”

The nurse plans of using aromatherapy in inducing sleep to an 80-year old client 0/1
complaining of difficulty staying asleep. The nurse knows that the mechanism of
action of this therapy is that: *
it decreases central nervous system arousal, stimulates alpha waves, and decreases
the amount of endorphins.
the molecules travel to the olfactory bulb and then to the limbic system producing
sedation.
the molecules travel to the acoustic nerve and induce sedative effect leading to
relaxation of the client.
aromatherapy stimulates sympathetic system that results to relaxation of

muscular system.
Clarissa has lost 2 lbs in just a week. Which of the following behaviors of Clarissa 0/1
would give a hint to the nurse a significant factor that contributed to weight loss? *
Complaints of food that has no taste at all.
Milkshakes are consumed in excessive amounts.
Ability to recognize foods.
Coughing before, during, or after swallowing a food.

A patient was admitted in your department with complaint of dyphagia. On the 0/1
assessment findings, the patient says that every time she swallows food, she coughs
immediately and regurgitates the food. The type of dysphagia the patient
experiences is? *
Esophageal dysphagia
Pyloric dysphagia
Oropharyngeal dysphagia
Nasopharyngeal dysphagia
When a continent, bedridden elderly client with a chronic illness expresses anger 0/1
through urinary incontinence, the nurse should: *
create an environment that prevents sensory monotony.
frequently ask if the client needs the bedpan to void.
provide television or radio for the client when alone.
limit the client’s fluid intake in the evening.

The nurse can best reassure an elderly depressed client who is concerned about 1/1
many fears that are upsetting and frightening and expresses a feeling of having
committed the “unpardonable sin” by stating *
“Your family loves you very much.”
“You know, those ideas of yours are in your imagination.”
“Your ideas are part of your illness and they will change as you improve.”
“You know that you are not a bad person.”
56. The nurse identifies a nursing diagnosis of “Altered nutrition: less than body 0/1
requirements related to inability to feed self”, for a patient with right-sided
hemiplegia. Which of the following interventions is most appropriate to improve
the patient’s nutrition? *
Stroke the patient’s throat.
Provide a wide variety of food choices on the meal tray
Provide a pureed diet.
Assist the patient to eat with his left hand.

The community health nurse visits a client who recently retired. The client states, 1/1
“Lately I’m getting forgetfulness about things. Do you think I’m getting Alzheimer’s
disease?” Which response by the nurse would be most therapeutic? *
“Tell me more about your forgetfulness. It isn’t unusual for forgetfulness to occur
if memory is not exercised. Are you staying socially active?”
“Oh, I’m certain it’s not Alzheimer’s disease because there’s no family history of it.”
“Now, I’m not going to discuss this with you because I think you’re just normal.”
“I am so forgetful too. I have to make out lists now to go shopping.”
Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter, 1/1
predisposing older persons to risk for impaired swallowing. In managing the
symptoms associated with GERD, the nurse should assign the highest priority to
which of the following interventions? *
Decrease daily intake of vegetables and water, and ambulate frequently.
Avoid over-the-counter drugs that have antacids in them.
Eat small, frequent meals, and remain in an upright position for at least 30
minutes after eating.
Drink coffee diluted with milk at each meal, and remain in an upright position for 30
minutes.
Frontotemporal dementia has an insidious onset and progresses slowly. Early 1/1
symptoms include: *
Fluctuating cognition, visual and/or auditory hallucinations.
Poor hygiene, lack of social tact, and sexual disinhibition.
Motor features of parkinsonism.
More involvement in surroundings and social situations.
Nursing intervention to help the late middle-aged individual deal with the 0/1
emotional aspects of aging would include: *
focusing on the individual’s past experiences.
Dattentive listening to what the elderly individual says.
assisting the individual with plans for the future.
having the individual attend lectures on aging.
Nurse Oliver checks for residual volume before administering a bolus tube feeding 1/1
to a client with a nasogastric tube and obtains a residual amount of 200 mL. What is
appropriate action for the nurse to take? *
Elevate the client’s head at least 45 degrees and administer the feeding.
Discard the residual amount and proceed with administering the feeding
Discard the residual amount and proceed with administering the feeding.
Hold the feeding.
Reinstill the amount and continue with administering the feeding.
An 80-year-old man is admitted to the hospital to undergo abdominal surgery. His 0/1
admitting orders include activity as desired, standard bowel prep, and an
intravenous infusion of 5% dextrose in water to infuse at 75 cc/hr starting at 6 pm
on the evening before surgery. The nurse understands that the primary purpose of
administering intravenous fluids to a patient prior to surgery is to: *
avoid the need for inserting it on the morning of surgery.
decrease the patient’s desire to take fluids by mouth.
have a route for administering medications rapidly.
assure that the patient remains adequately hydrated.
A male elderly client with delirium becomes disoriented and confused in his room 1/1
at night. The best initial nursing intervention is to: *
move the client immediately next to the nurse’s station.
play soft music during the night, and maintain a well-lit room.
use a night light and turn off the television.
keep the television and a soft light on during the night.
Forms
Total points 17/30
INSTRUCTIONS:
-Students are GIVEN 25 MINUTES TO ANSWER THE EXAMS
HONESTY

this form.
0 of 0 points
ARCAYAN, TRIXIE D.
STUDENT NUMBER: *
05-1920-08824
PROGRAM AND SECTION (EX: BSN 3-A1): *
BSN 3-A1

Which of the following interventions is appropriate for a patient with sundowner’s 0/1
syndrome commonly seen in Alzheimer’s dementia? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.
Keeping the person busy and active during the day to avoid napping so that the
normal sleep patterns will be maintained.
Giving the patient an anti-anxiety medication during this time.
Keeping the lights off in the room to minimize wandering.
Make a bedtime experience wonderful thru television viewing and/or reading.
SITUATION: You are admitting a patient in a long-term care facility due to involuntary leakage of urine
for 5-days now. Significant others verbalized frustrations about patient care, hence the admission.
Patient looks depressed and is withdrawn.

The major difference of delirium from dementia is that dementia * 1/1
has an impaired orientation.
has an insidious onset.
is associated with language impairment.
sometimes with hallucinations and delusions.
frame.
The nursing staff will attend to all the client’s activities of daily living needs during
the hospitalization stay.
needs met.
Undergarments are used to absorb urine from the incontinent patient. The 0/1
following should be part of the nursing interventions in taking care of this patient,
except: *
choosing indwelling catheter as primary means for managing urinary incontinence.
proper hydration, while restricting fluids at bedtime.
meticulous skin care.
use of moisture barriers and no-rinse cleansers.
When the patient becomes agitated, restless and very anxious due to possible 1/1
delirium, which should be AVOIDED as this will worsen the panic and agitation of
adults and can result in serious injury. *
Discover and treat the cause
Physical restraints
Providing one-to-one care and supervision
Providing quite environment

Nurse Vanessa heard her student using a reminiscence therapy. She knows that the 1/1
purpose of this is: *
to enhance understanding of the behavior of the patient through validation of the

feelings.
a systematic use of family member as a support group.
to promote adjustment and integrity for older adults through structured

remembering and reflecting on the past.
to minimize unnecessary stress and prevent behavioral outbursts.
The nurse recognizes that dementia of the Alzheimer’s type is characterized by: * 1/1
periodic remissions and exacerbations.
areas of brain destruction called senile plaques
aggressive acting out behavior.
hypoxia of selected areas of brain tissue.

A relative caring for a client with Alzheimer’s and wanted to know how she can 0/1
help the client at home. Which of the following would be a priority to include in
the plan of care for a client with Alzheimer’s who is experiencing difficulty
processing and completing complex tasks? *
Maintaining the routine and structure of the daily activities.
Demonstrating for client how to perform the task.
Asking the client to perform one task at a time.
Repeating the directions until the client follows them.

. help patient cope with confusion and/or delusions.
put patient on a liquid diet.
establish a meaningful environment.

The following are triad of symptoms of Normal pressure hydrocephalus-dementia, 1/1
except: *
slowed cognitive processes.
urinary incontinence.
gait disturbances.
sundowner syndrome
Which of the following pathological findings is specifically related to Lewy body 1/1
dementia? *
Abnormal deposits of a protein, alpha-synuclein
Due to hyperlipidemia, smoking, and hypertension
Beta-amyloid plaques and neurofibrillary tangles
Frontal and temporal affectation

You are about to enter Clara’s room when she tells you, “did you steal my gold 0/1
earrings here”? You know that she experiences paranoia sometimes. Which of the
following interventions should you avoid as this may escalate her condition? *
Avoid arguing with the person.
Argue with the person that she doesn’t really have gold earrings.
Maintain calm manner.
Avoid defensiveness
state, “I notice that your shoes do not match your dress.”
Gretchen, 70 years old and 5 years living in nursing home now, was diagnosed with 0/1
Alzheimer’s dementia. She’s having eating problems. Which of the following
interventions is inappropriate? *
Use “hand-over-hand” feeding (your hand guides theirs).
Force the person to eat, and as much as possible you feed them yourself.
Offer small, frequent meals and snacks.
DAvoid making comments about manners or messiness.
Which of the following interventions should be observed when a client experiences 1/1
delusion/paranoia? *
Argue with the client. .
Assist the person to keep tract of personal items.
Whispering in front of the person.
None of the above

When answering questions from the family of a client with Alzheimer’s disease, the 0/1
nurse explains that this disease is: *
a functional disorder that occurs in the later years.
a slow, relentless deterioration of the mind.
a disease that first emerges in the fourth decade of life.
easily diagnosed through laboratory and psychological tests.
When communicating with an elderly person who has a hearing impairment, it is 0/1
most important for the nurse to: *
Speak with hands, face, and eyes.
Place the person in good light so that he can see the nurse’s mouth.
Verify that the person understands the message by having him write what is said.
Speak slowly.
Nurse Vanessa is now explaining stages of Alzheimer’s. Moderate stage is 1/1
characterized by sundowner’s syndrome. She is correct when she says: *
“Restlessness, agitation, anxiety, tearfulness and wandering especially in the late

afternoon or at night.”
“It’s the impulsivity. It’s like saying or doing things he or she wouldn’t normally do.”
“It is repetitive statements, questions, or movements.”
“It is characterized by hallucinations, delusions, paranoia and irritability.”
Which of the following nursing interventions for eating/feeding issues is correct? * 1/1
Telling the client that the food she’s eating has not yet been paid.
If agitation develops during feeding, continue feeding the client.
Leave the client to feed self.
Provide nutritious finger food.

While Mrs. Linney, an Alzheimer’s client, is interacting with her relatives, she 0/1
suddenly climbed atop the table and took off her clothes. To help the families to
cope with sexual behaviors, which of the following responses by Nurse Francis
would be most appropriate? *
Give feedback on the inappropriateness of the behaviors.
Ignore the behavior, but try to determine the purpose.
Administer tranquilizers.
Administer the prescribed Risperidone (Risperdal).
A 78-year-old resident of a long-term care facility insists on wearing high heels and 1/1
miniskirts to the dining room for meals and will not leave her room without first
applying glamorous makeup. The gerontological nurse assesses that the behavior is
related to: *
trying to cope with the changes of aging.
denial concerning her advancing age.
insecurity about her appearance.
her fashion consciousness.

Which of the following nursing diagnoses is appropriate? * 0/1
Involuntary urine leakage
Anxiety
. Urinary incontinence
Urinary retention
While the student is communicating with her patient, Nurse Vanessa is concerned 1/1
the most with which of the following behaviors of the student? *
She keeps the pace of the conversation slow.
She raised her voice to accommodate age-related hearing changes.
She maintains eye-to-eye contact.
She speaks to the patient distinctly and in simple phrases or sentences.

Clara, who is on moderate stage of Alzheimer’s dementia is now developing 1/1
“sundowner syndrome” – wandering especially in the late afternoon or at night.
Which of the following suggested interventions would you NOT consider? *
Restraint her during late afternoon until late at night to prevent wandering.
Reassure her that she is in the right place.
Provide alternative activities.
Use identification bracelet (in case she gets lost).
The best approach in helping a very confused, elderly client is to provide an 1/1
environment with: *
a specific routine.
activities that are varied.
group involvement.
a trusting relationship.
The approach that would be most helpful in meeting the needs of an elderly client ···/1
hospitalized with the diagnosis of dementia of the Alzheimer’s type is: *
providing an opportunity for many alternative choices in daily schedule to stimulate

interest.
simplifying the environment as much as possible while eliminating need for

choices.
developing a consistent nursing plan with fixed time schedules to provide for
physical and emotional needs.
providing a nutritious diet high in carbohydrates and proteins.
The nurse explains that the effects of aging on the nervous system result in: * 0/1
a loss of long-term memory.
decreased conduction speed of neurons.
gradually declining loss of intellectual capability.
an accelerated loss of neurons in the brain.

Gareth, 66-year old patient, experiences symptoms of dementia following stroke. 1/1
This type of dementia is likely? *
Parkinson’s dementia
Alzheimer’s dementia
Huntington’s dementia
Vascular dementia
Forms
CoOA Quiz 5
[email protected] Switch account
Draft saved
Your email will be recorded when you submit this form
* Indicates required question
MCQ 1 to 60
When assessing for drug effects in the older adult, which phase of pharmacokinetics is the
greatest concern?
*
Excretion
Absorption
Distribution
Metabolism
A client wants to wear a pair of sunglasses in the facility at night time. Which of the following is
the appropriate action of the home health nurse?
*
The sunglasses will impair the vision; so the home health aide should not allow the client to
wear the sunglasses
None of the other options
Let the client wear the sunglasses in the hopes that he or she will run into something due to
impaired vision
Allow the client to wear the sunglasses since it is his or her right to do so
The nurse is caring for an elderly patient who is in the final stages of his terminal disease. The
patient is very weak but refuses to use a bedpan, and wants to get up to use the bedside
commode. What should the nurse do?
*
Put the patient on a bedpan and stay with him until he is finished
Explain to the patient that he is too weak and needs to use the bedpan.
Enlist assistance from family members if possible and assist the patient to get up.
Insert a rectal tube so that the patient no longer needs to actively defecate.
Nurse Beth explains medical and nursing procedures to Mr. Dela Cruz’s family
members. What role did Nurse Beth play in this situation?
*
Provider of Care
Teacher
Manager
Advocate
While bathing an elderly client who has limited abilities for self-care, the nurse notices several
patches of dry skin on the client’s heels, elbows, and coccyx. The nurse cleans and dries all the
areas well and applies a moisturizing lotion. The most appropriate immediate follow-up by the
nurse to ensure appropriate nursing care for this clients skin is to:
*
Encourage the client to tell whomever bathes her to apply the moisturizing lotion to her areas
of dry skin
Assume personal responsibility to apply the moisturizing lotion daily to the client's skin
Inform the staff that the client's skin is showing signs of breakdown and moisturizing lotion
needs to be applied daily
Revise the client's care plan to show the need for the application of moisturizing lotion
The single most important thing we can do as healthcare providers to prevent polypharmacy
is:
*
Educate our patients on each of their new medications

Tell our patient to appoint a lead doctor
Encourage our patients to carry a list of home medications in their wallet
Tell our patients to Google all of their medications
Which of the following is NOT a priority for patients with a life-limiting illness receiving
palliative care?
*
Prolonging life at all costs

Obtaining a sense of control
Relieving burden
Strengthening relationships with loved ones
The nurse is engaging the patient in social conversation. What is the benefit of social
conversation in the health care setting?
*
It encourages sharing of intimate details.

It lets the patient know that he or she is considered to be a person, not just a patient.
It blocks more meaningful therapeutic communication
It establishes the nurse's role as a health care provider.

The nurse clarifies to a group of clients that the field of nursing interest that specializes
in disease prevention, increasing autonomy and self-care, and maintenance of function
for older adults is
*
geriatrics.
gerontology.
public health.
developmental psychology.
In performing a physical assessment for an older adult, the nurse anticipates finding which of
the following normal physiological changes of aging?
*
Increased pitch discrimination

Increased perspiration
Increased airway resistance
Increased salivary secretions
The nurse is performing an assessment on an older client who is having difficulty breathing
during morning exercise. What is the best advice the nurse can give to the client?
*
“You are not allowed to exercise with your condition.”

. “Go on, you can do it.”
“Give yourself time to rest between exercise routine.”
“You need to finish the exercise routines to facilitate lung expansion.”

A long-term care facility sponsors a discussion group on the administration of medications. The
participants have a number of questions concerning their medications. The nurse responds
most appropriately by saying:
*
"Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of
your medications."
"Feel free to ask your physician why you are receiving the medications that are prescribed for
you."
"Don't worry about the medication's name if you can identify it by its color and shape."
"Unless you have severe side affects, don't worry about the minor changes in the way you feel."
The student understands the ANA Code of Ethics for Nurses when she identifies which
statement as incorrect? The Code of Ethics for Nurses
*
helps with professional self-regulation

is not applicable to most practice settings.
provides a framework for ethical decision-making.
is non-negotiable.
You are asked by your supervisor to take photographs of the residents and their family
members who are attending a holiday dinner and celebration at your long term care facility.
What should you do?
*
Take the photographs because all of the residents are properly attired and in a dignified
condition
Take the photographs because these photographs are part of the holiday tradition at this
facility
Refuse to take the photographs because this is not part of the nurse’s role
Refuse to take the photographs unless you have the consent of all to do so
The nurse noted that an older patient complains of always feeling cold. Which age- related
change to the skin could be causing this in the patient?
*
Fewer protein stores

Decreased subcutaneous tissue
Slower blood flow to the skin layers
Reduced levels of immune cells
A home health aide is dressing a client. Which of the following is not true regarding this care?
*
Encourage the client to choose his or her own clothes

Overextend the extremities if necessary when undressing and dressing
Never force the extremities when undressing and dressing
Assist the client to don pants, shirt with sleeves, and socks
The RN student has been studying ethics in health care. Based on what she has learned, how
would she explain the bioethical principle of autonomy?
*
It states that the physician knows what is best for the patient.
It refers to patient self-determination.
It states that every patient has a right to health care.
It does not apply to informed consent.
Person-centered communication strategies with older people might involve:

*
Prioritizing staff safety, comfort and well-being

Speaking too quickly.
Avoiding assumptions about their capacity to communicate effectively
Giving too much information at once.
The nurse is setting up an education session with an 85-year-old patient who will be going
home on anticoagulant therapy. Which strategy would reflect consideration of aging changes
that may exist with this patient?
*
Present all the information in one session just before discharge.

Show a colorful video about anticoagulation therapy.
Develop large-print handouts that reflect the verbal information presented.
Give the patient pamphlets about the medications to read at home.
The family member of a patient asks if vitamin C will prevent aging. In formulating an
appropriate response, the nurse considers what theory?
*
autoimmune theory.
continuity theory
free radical theory.
wear-and-tear theory.
When interviewing a client, which nonverbal behavior should a nurse employ?

*
Providing space by leaning back away from the client

Sitting squarely, facing the client
Maintaining open posture with arms and legs crossed
Maintaining indirect eye contact with the client

A new nurse complains to her preceptor that she has no time for therapeutic communication
with her patients. Which of the following is the best strategy to help the nurse find more time for
this communication?
*
Ask Pastoral care to come back a little later in the day.

Remind the nurse to complete all her tasks and then set up remaining time for communication
Ask the patient if you can talk during the last few minutes of visiting hours.
Include communication while performing tasks such as changing dressings and checking vital
signs.
Problems that the potential burden on aging society contribute on the care-giving system and
public finances are the following except
*
More health care workers

Challenge of assuring sufficient resources
Quality of Long-term care
Effectivity of service system
The nurse asks a newly admitted client, “What can we do to help you?” What is the purpose of
this therapeutic communication technique?
*
To reframe the client’s thoughts about mental health treatment

To explore a subject, idea, experience, or relationship
To put the client at ease
To communicate that the nurse is listening to the conversation

Enteric coated tablets are designed to avoid being dissolved in the highly acidic stomach.
Instead, they dissolve in the intestine. Knowing this and what you know about gastrointestinal
changes associated with age, what can you conclude about enteric coated tablets and older
patients?
*
The enteric coated tablets are unaffected by changes associated with age
These tablets may dissolve more quickly
The tablets will need to be given intravenously instead
These tablets will probably dissolve more slowly
When working with an older adult who is hearing-impaired, the use of which techniques would
improve communication? (Select all that apply.
*
Keep communication short and to the point.

Give the patient time to respond to questions.
Exaggerate lip movements to help the patient lip read.
Communicate only through written information.
Check for needed adaptive equipment.
A 90-year-old patient comes to the clinic with a family member. During the health history, the
patient is unable to
respond to questions in a logical manner. The gerontological nurse's action is to:
*
determine if the patient knows the name of the current president.

rephrase the questions slightly, and slowly repeat them in a lower voice.
ask the same questions in a louder and lower voice.
ask the family member to answer the questions.

What is the leading cause of catastrophic out-of-pocket costs for families and involves
substantial government spending, primarily through Medicaid and Medicare?
*
Hospice Care
Long-term care
Home Care
Palliative-care
A 67-year-old woman was recently diagnosed with inoperable pancreatic cancer. Before the
diagnosis, she was very active in her neighborhood association. Her husband is concerned
because his wife is staying at home and missing her usual community activities. Which common
end-of-life (EOL) psychologic manifestation is she most likely demonstrating?
*
Peacefulness
Decreased socialization
Anxiety about unfinished business
Decreased decision-making
Which information obtained by the home health nurse when making a visit to an 88-year-old
with mild forgetfulness is of the most concern?
*
The patient is cared for by a daughter during the day and stays with a son at night.
The patient has lost 10 pounds (4.5 kg) during the last month.
The patient’s son uses a marked pillbox to set up the patient’s medications weekly.
The patient tells the nurse that a close friend recently died
An older patient asks why a wound is taking so long to heal. What explanation should the
nurse provide to this patient?
*
“There is less protein in the skin with aging”

“The amount of blood flow to the skin is slower with aging.”
“The number of immune cells in the skin reduces with aging.”
“The tissue between the skin cells is weaker.”
An 87-year-old man, who has been living independently, is entering a nursing home. To
help him adjust, the most effective action is to:
*
move him as quickly as possible so that he does not have time to think.
restrict family visits for the first two weeks to give him time to adjust.
involve him in as many activities as possible so he can meet other residents.
suggest that he bring his favorite things from home to make his room seem familiar
An assisted living facility has provided its clients with an educational program on safe
administration of prescribed medications. Which statement made by an older-adult client reflects
the best understanding of safe self-administration of medications?
*
"I'm lucky since my daughter is really good about keeping up with my medications."
"I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
"It shouldn't be too hard to keep it straight since I don't have any really serious health issues."
. "I don't seem to have problems with side effects, but I'll let my doctor know if something
happens."
Based on the free theory of aging, what would be an appropriate behavior that might increase
one’s life expectancy?
*
Eat food rich in antioxidants.

Exercise for 45 minutes at least three times a week.
Do nothing. Life expectancy is determined through genetic programming
Eat a low-calorie, high protein diet.
Which of the following is NOT a barrier to the optimum use of palliative care at the end of life?
*
Reimbursement policies
Lack of well-trained healthcare professionals
Easily determined prognoses
Attitudes of patients, families, and clinicians
As a student nurse, you understand that it is important to study Gerontological Nursing

because"
*
it gives positive outlook to older adults

it provides a way to understand the aging process and provide quality care to older adults.
it can help predict the responses that the body can do in during aging.
it is fixed and unchanging.
The nurse is admitting a patient to the hospital. The patient states that he is a very spiritual
person but does not practice any specific religion. The nurse understands that these
statements
*
Are reasonable.
. Are contradictory.
Indicate a strong religious affiliation.
Indicate a lack of faith.
Nurse Clara asked Mrs. Ramirez about how her day went. Mrs. Ramirez crossed her arms and
rolled her eyes but did not say anything. Nurse Clara nodded her head up and left the room.
Have they communicated?
*
) No, at this stage it is one-way communication

No, but they are being rude
Yes, they have used non-verbal communication
No, when they answer you they will have communicated back, completing two-way
communication
In an older population we can expect that drugs will be:

*
Metabolized more quickly

Excreted less readily
Excreted more rapidly by the kidneys
Absorbed more quickly
Which statement made by the graduate nurse working in the hospice unit with a patient near
the end of life requires intervention by the preceptor nurse?
*
"The family seems comfortable with the long periods of silence."
"The physician ordered an increase in the dosage of morphine; I will administer the new dose
right away."
"The blood pressure is lower this afternoon than it was this morning; I will communicate the
changes to the family.
"The patient has eaten only small amounts the past 48 hours; will the physician consider
placing a feeding tube?"
A client states, “You won’t believe what my husband said to me during visiting hours. He has
no right treating me that way.” Which nursing response would best assess the situation that
occurred?
*
“Describe what happened during your time with your husband.”

“What do you think is your role in this relationship?”
“Why do you think he behaved like that?”
. “Does your husband treat you like this very often?”
The nurse is caring for a patient who has been diagnosed with a terminal illness. The patient
states, "I just don't feel like going to work. I have no energy, and I can't eat or sleep." The patient
shows no interest in taking part in his care. The nurse should:
*
Ignore individual patient goals until the current crisis is over.

Assess the potential for suicide and make appropriate referrals
Not be concerned about self-harm because the patient has not indicated any desire toward
suicide.
Encourage the patient to purchase over-the-counter sleep aids to help him sleep.
A home health nurse is assisting a client to transfer from the bed to a wheelchair. Which of the
following is not true regarding this process?
*
If needed, when the client stands to go to the wheelchair, grasp the gait belt from underneath
at each side
Stand in front of the client as he or she stands up to go to the wheelchair
On the count of three, assist the client to stand up to walk to the wheelchair
Take large steps to a position so that the client's knee caps are touching the front of the
wheelchair
A client is experiencing tachycardia. The nurse’s understanding of the physiological basis for
this symptom is explained by which of the following statements?
*
The inflammatory process causes the body to demand more oxygen to meet its needs.
Respirations are labored.
The demand for oxygen is decreased because of pleural involvement
The heart has to pump faster to meet the demand for oxygen when there is lowered arterial
oxygen tension.
When caring for a terminally ill, 90 yr old patient, the nurse should focus on the fact that
*
The nurse's relationship with the patient allows for an understanding of patient priorities.
Members of the church or synagogue play no part in the patient's plan of care
Spiritual needs often need to be sacrificed for physical care priorities.
Spiritual care is possibly the least important nursing intervention.

.The patient assigned to you has pneumonia. You are reviewing the age-related changed
involved with the older adult. Select all age-related changes of the respiratory system that
apply.
*
Decreased cough efficiency

Decreased gas exchange
Increased gas exchange
.Decreased in residual lung volume
The nurse is caring for a patient who is terminally ill with very little time left to live. The patient
states, "I always believed that there was life after death. Now, I'm not so sure. Do you think
there is?" The nurse states, "I believe there is." The nurse has attempted to
*
Support the patient's agnostic beliefs.

Strengthen the patient's religion.
Support the horizontal dimension of spiritual well-being
Provide hope.
Which of the following statements, made by the daughter of an older adult client concerning
bringing her mother home to live with her family, presents the greatest concern for the nurse?
*
"My children will just have to adjust to having their grandmother with us."
"I don't think she will react very well to me making decisions for her."
"I'm afraid that mom will be depressed and miss her home."
"If this doesn't work out, she can always go to live with my sister."
An example of an environmental barrier to effective communication is:
*
Noisy clinical settings

Staff shortages
Medical jargon
Inflexible appointment systems
The home health nurse visits a 40-year-old breast cancer patient with metastatic breast cancer
who is receiving palliative care. The patient is experiencing pain at a level of 7 (on a 10-point
scale). In prioritizing activities for the visit, you would do which of the following first?
*
Check pressure points for skin breakdown.

Administer prn pain medication.
Auscultate for breath sounds.
Ask family members about patient's dietary intake
A student nurse is learning about the appropriate use of touch when communicating with
clients diagnosed with psychiatric disorders. Which statement by the instructor best provides
information about this aspect of therapeutic communication?
*
“Touch is used to convey interest and warmth.”

“Touch is best combined with empathy when dealing with anxious clients.”
“Touch carries a different meaning for different individuals.”
“Touch is often used when deescalating volatile client situations.”

Of the following options, which is the greatest barrier to providing quality health care to the
older-adult client?
*
Poor client compliance resulting from generalized diminished capacity

Inadequate health insurance coverage for the group as a whole
Preconceived assumptions regarding the lifestyles and attitudes of this group
Insufficient research to provide a basis for effective geriatric health care
Which of the following statements accurately reflects data that the nurse should use in
planning care to meet the needs of the older adult?
*
Cancer is the most common cause of death among older adults.

Nutritional needs for both younger and older adults are essentially the same.
Adults older than 65 years of age are the greatest users of prescription medications.
50% of older adults have two chronic health problems
Mr. Gonzales, 72 years old, is admitted to the emergency room with a diagnosis of acute
myocardial infarction. The client tells the nurse, “I’m scared. I think I’m going to die.” Which of
the following responses by the nurse would be MOST appropriate?
*
“I’ll call your doctor so you can discuss it with him.”

“Everything is going to be fine. We’ll take good care of you.”
“It’s normal to feel frightened. We’re doing everything we can for you.”
“I know what you mean. I thought I was having a heart attack once.”
A hospice nurse is visiting with a dying patient. During the interaction, the patient is silent for
some time. What is the best response?
*
Change the subject, and try to stimulate conversation.

Try distraction with the patient.
Leave the patient alone for a period
Recognize the patient’s need for silence, and sit quietly at the bedside.
Which is the most effective method of managing polypharmacy? Select all that applies:
*
a. Review of medications at each office visit, to ensure an accurate med list.

d. A & C
c. Regularly assess patient adherence to the medication regimen
b. Limit your patients’ medication list to no more than 4 medicines.
Which theory suggests that older people who have low levels of social activity have a high
degree of life satisfaction?
*
Disengagement
. Activity
Exchange
Age stratification
One of the roles of the registered nurse in terms of informed consent is to:
*
Get and witness the durable power of attorney for health care decisions’ signature on an
informed consent.
None of the above
Serve as the witness to the client’s signature on an informed consent.
Get and witness the client’s signature on an informed consent.
The family of a client with a terminal illness hesitates to agree to palliative care because of not
wanting to give up on a possible cure. How should the nurse respond while also including a
principle of palliative care?
*
"Most people don't realize that palliative care means there is no cure."
"The client can continue to receive treatment intended to cure the disease."
"There will not be another opportunity if palliative care is refused now."
"Palliative care and curative treatments cannot be provided at the same time."
The American Nurses Association's Gerontological Nursing: Scope and Standards of Practice
emphasizes:
*
that the health status data of older adult patients be documented in a retrievable form.
the unchanging nature of the goals and plans of care for older adult patients.
that abnormal responses to the aging process determine the appropriate nursing diagnoses.
the role of the older adult patient as the sole decision maker in planning his or her care.
Back
Submit
Page 2 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southwestern University. Report Abuse
Forms
9/4/2021 NUR 151 P2 EXAMINATION PART 1
NUR 151 P2 EXAMINATION PART 1

Total points 49/50
INSTRUCTIONS:
-This is a 50 ITEM MULTIPLE CHOICE EXAMS.
-Students are GIVEN 1 HOUR TO ANSWER THE EXAMS
-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNLAS, OR ANY
REFERENCES FOR THIS IS A FORM F CHEATING. THIS COULD ENFOURCE YOUR LEVEL OF
HONESTY.
-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, MESSAGES, CHATS, TEXTS
-STUDENTS ARE REMINDED TO ENCODE THEIR NAME AND SECTION ON THE BOX
PROVIDED
The respondent's email ([email protected]) was recorded on submission

of this form.
0 of 0 points
BSN 3-A1
STUDENT NUMBER *
05-1920-08102
FULL NAME (LASTNAME, FIRST NAME MIDDLE INTIAL) *
STA. CRUZ, JOE HANNAH B.
https://docs.google.com/forms/d/e/1FAIpQLSdNYKXNqC5HQYjPZs4KXptFdAgDfTmFR6P9_tMCNB8Le_Ls-A/viewscore?viewscore=AE0zAgAgGyC… 1/19
MULTIPLE CHOICE QUESTIONS 1 - 50 49 of 50 points
In a client with diarrhea, which outcome indicates that fluid resuscitation 1/1
is successful? *
The client no longer experiences perianal burning.
The client passes formed stools at regular intervals
The client reports a decrease in stool frequency and liquidity
The client exhibits firm skin turgor
Which statement would be most appropriate to ask when assessing an 1/1

aging adult for cognitive function? *
Have you noticed anything different about your memory or thinking in the past
few months?
What is today's date?
Can you count to 10 for me?
Who is the president of the Philippines?
Which of the following responses by an older-adult client is most 1/1

reflective of a need for further education by the nurse regarding the
physiological changes associated with the older adult? *
"I can't help worrying about becoming forgetful."2
"I have my eyes checked regularly. Can't afford to fall."
"I really enjoy eating good vanilla ice cream, but I have cut way down."
"I call a cab if I want to go out after dark."
After her bath, a 62-year-old patient asks the nurse for a perineal pad, 1/1
saying that she uses them because sometimes she leaks urine when she
laughs or coughs. Which intervention is most appropriate to include in
the care plan for the patient? *
Place commode at the patient's bedside.
Demonstrate how to perform Credé's maneuver.
Assist the patient to the bathroom q3hr.
Teach the patient how to perform Kegel exercises.
What factors can cause premature menopause? * 1/1
All of the above
Smoking
Autoimmune disorders
A woman's mother had early menopause
Which statement demonstrates normal cognitive function for an aging 1/1

adult? *
Occasional memory lapses
Unable to recall the names of their children or siblings

Unable to recall current address or phone number
Unable to count to 10 or repeat a series of consecutive numbers
Hormone therapy eases some of the negative effects of menopause. 1/1

Which of these hormones is used? *
Estrogen
Testosterone
Estrogen and progesterone
Prostaglandin
Changes in the immune system that accompany aging include: * 1/1
higher levels of antibodies after initial exposure to antigens.
more cytotoxic T cells responding to infections.
T cells becoming less responsive to antigens.
increased numbers of T helper cells.
The nurse recognizes that involuntary movements may appear in the 1/1
elderly patient and be normal. These normal involuntary movements may
present as which of the following? *
Eye twitches and spasms
Tongue protrusions
Seizures
Resting tremors
A client with microcytic anemia is having trouble selecting food items 1/1
from the hospital menu. Which food is best for the nurse to suggest for
satisfying the client’s nutritional needs and personal preferences? *
Egg yolks
Vegetables
Brown rice
Tea
When caring for an older adult patient, the nurse uses the following 1/1
interventions to accommodate visual changes with age: *
Adequate lighting and uncluttered walkways.
Keep bedside rails down.
Draw drapes in room to prevent glare.
Eye glasses in the bedside table.
When teaching an elderly client how to prevent constipation, which of 1/1

the following instructions should the nurse include? *
“Be sure to get regular exercise.”
“Avoid grain products and nuts.”
“Drink 6 glasses of fluid each day.”
“Add at least 4 grams of bran to your cereal each morning.”
A 76-year-old patient with osteoarthritis complains of pain, stiffness, and 1/1

deformities of *
exercise.
vitamin therapy.
cold packs.
meditation therapy.
What is the serious adverse effect of menopause? * 1/1
Osteoporosis
Hot flashes
NONE OF THE CHOICES
Heart disease
Changes in bone and muscle in the aging population have the greatest 1/1
effect on? *
Appearance
Pain tolerance
Immunity
y
Stature, posture, and function
Mr. Domingo, a 72-year-old, verbalizes his feelings of pain in his fingers. 1/1
When a client complains of pain, your initial response is: *
Record the description of pain
Change to a more comfortable position
Refer the complaint to the doctor
Verbally acknowledge the pain
Which of the following symptoms would a patient exhibit with 1/1

hyperthyroidism? *
Slow heart rate
Intolerance to cold
Decreased bowl movements
None of the above
Nurse Liza is teaching a group of old-aged men about peptic ulcers. 1/1
When discussing risk factors for peptic ulcers, the nurse should mention:
*
a sedentary lifestyle and smoking.
a history of hemorrhoids and smoking.
alcohol abuse and a history of acute renal failure.
alcohol abuse and smoking.
The most common cause of chronic pain in older adults is: * 1/1
Neuropathy.
Arthritis.
Headaches.
Fractures.
A nursing measure to promote sleep in older adults is to: * 1/1
Encourage quiet activities prior to bed time.
Encourage television watching
Make sure the room is dark and quiet
Encourage evening exercise
For an individual with age-related hearing loss, which sound is most 1/1
difficult to hear: *
The voice of a man speaking in an elevator
A young child talking in a cafeteria line
A recording of a march played softly
Hammering during construction of a house next door
Which item would not be a focus of a cognitive-perceptual pattern 1/1

assessment for the older client? *
Financial--Have you had any financial hardships over the past several months?
Communication--Have you had any difficulty speaking or forming ideas?
Orientation--Do you know what day, month, and year it is?
Cognition--Have you experienced any changes in your memory?
An 80-year-old resident of a retirement center states that something is 1/1

wrong with the lighting in the room because colored rings appear around
the light bulbs. The resident most likely has: *
increased intracranial pressure.
cataracts.
delusions.
glaucoma.
A female client verbalizes that she has been having trouble sleeping and 1/1
feels wide awake as soon as getting into bed. The nurse recognizes that
there are many interventions the promote sleep. Check all that apply. *
Leave the bedroom if you are unable to sleep
Eat a heavy snack before bedtime
Drink a cup of warm tea with milk at bedtime
Exercise in the afternoon rather than the evening
Count backwards from 100 to 0 when your mind is racing.
Read in bed before shutting out the light
Mr. Santos, 79-years-old, was admitted with iron deficiency anemia. 1/1
Which question is most appropriate for the nurse to ask in determining
the extent of the client’s activity intolerance? *
“What activities were you able to do 6 months ago compared to the present?”
“Have you been able to keep up with all your usual activities?”
“Are you more tired now than you used to be?”
“How long have you had this problem?”
https://docs.google.com/forms/d/e/1FAIpQLSdNYKXNqC5HQYjPZs4KXptFdAgDfTmFR6P9_tMCNB8Le_Ls-A/viewscore?viewscore=AE0zAgAgGy… 10/19
When assessing the patient who has a lower urinary tract infection (UTI), 1/1
the nurse will initially ask about *
Nausea.
Flank pain.
Pain with urination.
Poor urine output.
There are factors that influence the musculoskeletal system associated 1/1
with aging. The nurse recognizes that with age: *
Weight-bearing exercise reduces the loss of bone mass
Muscle fibers increase in size and become tighter
Men have the greatest incidence of osteoporosis
Muscle strength does not diminish as much as muscle mass
Decrease bone density is one of the effects of aging in the 1/1

musculoskeletal system. What independent nursing intervention should
the nurse do to address this? *
Promote safe and sensible exercise programs
Prescribe multivitamins
Avoid sun exposure
Prepare diet rich in calcium and vitamin D
With advancing age, the immune system * 1/1
becomes more responsive to antigens.
becomes less effective at combating disease.
remains the same and is not affected by the aging process.
becomes more effective at combating disease.
A vegetarian client was referred to a dietitian for nutritional counseling 1/1

for anemia. Which client outcome indicates that the client does not
understand nutritional counseling? The client: *
Adds vitamin C to all meals
Adds dried fruit to cereal and baked goods
Drinks coffee or tea with meals
Cooks tomato-based foods in iron pots
Which of the following interventions should be taken to help an older 1/1

client to prevent osteoporosis? *
Encourage regular exercise.
Decrease dietary calcium intake.
Increase sedentary lifestyles
Increase dietary protein intake.
When caring for an older adult patient, the nurse uses the following 1/1
interventions to accommodate decreased touch sensation except *
Give patients hot beverages.
Check the thermometer to decide how and what to dress,
Lower the water heater temperature to no higher than 120°F (49°C)
Treat seen injuries even if it is not painful
Which of the following substances is a natural hormone produced by the 1/1

pineal gland that induces sleep? *
Pemoline
Melatonin
Methylphenidate
Amphetamine
What laboratory finding is the primary diagnostic indicator for 1/1

pancreatitis? *
Increased lactate dehydrogenase (LD)
Elevated serum lipase

e ated se u pase
Elevated blood urea nitrogen (BUN)
Elevated aspartate aminotransferase (AST)
The nurse would instruct the client to eat which of the following foods to 1/1
obtain the best supply of vitamin B12? *
Green leafy vegetables
Broccoli and Brussels sprouts
Whole grains
Meats and dairy products
A female client with dysphagia is being prepared for discharge. Which 1/1
outcome indicates that the client is ready for discharge? *
The client doesn’t exhibit rectal tenesmus.
The client reports diminished duodenal inflammation.
The client is free from esophagitis and achalasia.
The client has normal gastric structures.
A 69-year-old female presents with knee pain. The nurse hears a dry 1/1
crackling or grating sound and the client feels the same sensation on
exam. The nurse recognizes this as: *
Fluid-filled spaces in the knee joint
Osteoporosis and a softening of the knee joint

Osteoporosis and a softening of the knee joint
Nothing abnormal for the age of the client
Crepitation, the sound of osteoarthritis in the knee joint
A 67-year-old male client has been complaining of sleeping more, 1/1

increased urination, anorexia, weakness, irritability, depression, and bone
pain that interferes with her going outdoors. Based on these assessment
findings, nurse Richard would suspect which of the following disorders? *
Diabetes mellitus
Hyperparathyroidism
Hypoparathyroidism
Diabetes insipidus
A patient in the hospital has a history of urinary incontinence. Which 1/1

nursing action will be included in the plan of care? *
Teach the use of Kegel exercises to strengthen the pelvic floor.
Use an ultrasound scanner to check urine residual after the patient voids.
Demonstrate the use of the Credé maneuver to the patient.
Place a bedside commode near the patient's bed.
client has urge incontinence. Which of the following signs and symptoms 1/1
would the nurse expect to find in this client? *
Involuntary urination with minimal warning

Inability to empty the bladder
Loss of urine when coughing
Frequent dribbling of urine
The nurse may recommend which of the following for the older client 1/1
with mild arthritis? *
A mild exercise program including walking
No exercise will improve arthritis
Rest and ice for the joints affected
Complete bedrest
Nurse Kate is providing dietary instructions to a male client with 1/1

hypoglycemia. To control hypoglycemic episodes, the nurse should
recommend *
Increasing intake of vitamins B and D and taking iron supplements.
Eating a candy bar if lightheadedness occurs.
Consuming a low-carbohydrate, high protein diet and avoiding fasting.
Increasing saturated fat intake and fasting in the afternoon.
A 78-year-old patient is admitted to the hospital with dehydration and 1/1

electrolyte imbalance. The patient is confused and incontinent of urine
on admission. In developing a plan of care for the patient, an appropriate
nursing intervention for the patient's incontinence is to *
Restrict fluids after the evening meal.
Insert an indwelling catheter.
Apply absorbent incontinent pads.
he increased incidence of cancer in the elderly reflects the fact that * 0/1
everyone is prone to disease.
immune surveillance declines with age.
their diets do not meet nutritional standards.
immune surveillance increases.
The nurse recognizes the most common eye-related disease affecting 1/1
the older adult is: *
cataracts
glaucoma
glaucoma
near-sighted visual disturbances
far-sighted visual disturbances
Laboratory studies are performed for an elderly suspected of having iron 1/1
deficiency anemia. The nurse reviews the laboratory results, knowing
that which of the following results would indicate this type of anemia? *
Red blood cells that are microcytic and hypochromic
A decreased reticulocyte count
An elevated RBC count
An elevated hemoglobin leveln 1
The nurse is assessing a client’s activity intolerance by having the client 1/1
walk on a treadmill for 5 minutes. Which of the following indicates an
abnormal response? *
Pulse rate increased by 20 bpm immediately after the activity
Respiratory rate decreased by 5 breaths/minute
Diastolic blood pressure increased by 7 mm Hg
Pulse rate within 6 bpm of resting phase after 3 minutes of rest.
The nurse caring for the elderly population understands that movement 1/1
slows with aging. This is most likely due to *
A recent change in medical condition

Laziness and a feeling that life is over
Cognitive function
Changes in musculoskeletal and nervous systems
The nurse recognizes that a client is experiencing insomnia when the 1/1
client reports (select all that apply): *
Extended time to fall asleep
Difficulty staying asleep
Feeling tired after a night’s sleep
Falling asleep at inappropriate times
Which of the following blood components is decreased in anemia? * 1/1
Leukocytes
Erythrocytes
Platelets
Granulocytes
Forms

Total points 49/50
INSTRUCTIONS:
-Students are GIVEN 1 HOUR TO ANSWER THE EXAMS.
-Students are HIGHLY DISCOURAGE to open books, modules, journals or any references for
this is a form of cheating. THIS COULD ENFORCE YOUR LEVEL OF HONESTY.
-Students are HIGHLY DISCOURAGE to entertain calls, messages, chats, texts UNLESS IT IS
AN EMERGENCY SITUATION.
-Students are REMINDED TO ENCODE THEIR NAME AND SECTION on the BOX PROVIDED

this form.
0 of 0 points
PROGRAM AND SECTION (EX:BSN 3-A1) *
BSN 3-A1
FULL NAME (LAST NAME, FIRST NAME MIDDLE NAME) *
NOVAL, LYN-JE KIRSTENE M.
STUDENT NUMBER *
05-1819-06232

https://docs.google.com/forms/d/e/1FAIpQLSf7po-EFzUO0he_2pRPx8n6bdYxCFQaqjdyL5NTFJJo4UN5TA/viewscore?viewscore=AE0zAgCZlfB5OH… 1/20
A 79-year-old patient recently fractured her hip and had a Hemiarthroplasty 1/1
bipolar hip repair. Her daughter works during the day but provides care in the
evening. Which service agency is most appropriate to provide for this patients daily
care? *
Home health agency
Nursing home facility
Outpatient rehabilitation agency
Private duty agency
A 78-year-old patient is admitted to the hospital with dehydration and electrolyte 1/1
imbalance. The patient is confused and incontinent of urine on admission. In
developing a plan of care for the patient, an appropriate nursing intervention for
the patient's incontinence is to *
Restrict fluids after the evening meal.
Apply absorbent incontinent pads.
Insert an indwelling catheter.
Which patient is most at risk for developing delirium? * 1/1
A 50-year-old woman with cholecystitis
A 42-year-old woman having an elective hysterectomy
A 19-year-old man with a fractured femur
DA 78-year-old man admitted to the medical unit with complications related to

heart failure
Older people don't need to drink as much fluid during exercise as younger people. * 1/1
False
True
What are the benefits of telehealth? (Select all that apply) * 1/1
Centralized health records
Continuity of care
Low quality of care
Collaboration among healthcare professionals
Which of the following symptoms would a patient exhibit with hyperthyroidism? * 1/1
Slow heart rate
None of the above
Decreased bowl movements
Intolerance to cold
An older woman is asking the nurse about her husband's sexual functioning. Which 1/1
statement by the nurse is most accurate? *
"His testosterone levels will decrease only slightly until he is quite old."
"Men his age tend to have a rapid decline in sexual abilities."
"You are lucky your husband is healthy enough for sexual activity."
"Changes in testosterone levels do not affect sexual performance."
When developing a teaching session on glaucoma for the senior community, which 1/1
of the following statements would the nurse stress? *
Glaucoma is easily corrected with eyeglasses
Glaucoma can be painless and vision may be lost before the person is aware of a
problem
Yearly screening for people ages 20-40 years is recommended.
White and Asian individuals are at the highest risk for glaucoma.
Which statement demonstrates normal cognitive function for an aging adult? * 1/1
Unable to recall current address or phone number
Occasional memory lapses
Unable to count to 10 or repeat a series of consecutive numbers
What factors can cause premature menopause? * 1/1
Smoking
Autoimmune disorders
All of the above
A woman's mother had early menopause
A nursing measure to promote sleep in older adults is to: * 1/1
Encourage evening exercise
Encourage quiet activities prior to bed time.
Encourage television watching
Make sure the room is dark and quiet

q
The most common cause of chronic pain in older adults is: * 1/1
Headaches.
Neuropathy.
Fractures.
Arthritis.
The home health nurse has been assigned to provide care for a patient with cultural 1/1
values that differ from the nurse's. What is the BEST action for the nurse to take?
(Select all that apply) *
Ask for an assignment change to allow a colleague who has cultural values more in
line with those of the patient to be assigned
Take time to consider the differences between the values held and those of the
assigned patient
Research the culture of the assigned patient
Accept the assignment and provide the patient with information on the values of the
nurse to facilitate communication.
The nurse is counseling a postmenopausal woman about her new stress 1/1
incontinence. Which statement by the nurse is most important? *
"I can refer you to a good incontinence clinic."

"It will be important to keep that area clean and dry."
"Unfortunately, incontinence is common in women your age."
"You can try a variety of briefs and undergarments."
Mrs. Quezon noticed a rash on her face. She immediately took a picture and send it 1/1
to her dermatologist. What type of telehealth applications is she using? *
Store-and-Forward
Remote Patient Monitoring
Mobile Health
Synchronous
A 68-year-old patient is recovering from an abdominoperineal Resection with a 1/1

permanent Colostomy. Her physician has ordered home health care nursing on her
discharge. What is the primary patient goal? *
The patient will establish self-care and independence.
The patient will avoid dependency on medication therapy.
The patient will maintain a friendly relationship with family members.
The patient will be able to return to previous lifestyle.
Nurse Abbie is assigned to home health care for an 83-year-old patient with a stroke 1/1
who has right-sided hemiplegia, difficulty swallowing, and speech impairment. He is
receiving care in his home from his wife and daughter. What should the home care
nurse provide? *
Holistic, nonjudgemental philosophy
Teaching plan for all family members
Strict egimen and care plan
Means of transporting the patient to his physician
Which statement(s) accurately describe(s) mild cognitive impairment (select all that 0/1
apply)? *
Should be aggressively treated with acetylcholinesterase drugs
Always progresses to AD
Patient is usually not aware that there is a problem with his or her memory
Caused by vascular infarcts that, if treated, will delay progression to AD
Caused by variety of factors and may progress to AD
The nurse would instruct the client to eat which of the following foods to obtain 1/1
the best supply of vitamin B12? *
Whole grains
Meats and dairy products
Green leafy vegetables
Broccoli and Brussels sprouts
What is the serious adverse effect of menopause? * 1/1
NONE OF THE CHOICES
Hot flashes
Heart disease
Osteoporosis
The nurse is performing an assessment in a 70-year-old client with a suspected 1/1

diagnosis of cataract. The chief clinical manifestation that the nurse would expect
to note in the early stages of cataract formation is: *
Eye pain
Floating spots
Blurred vision
Diplopia
Hormone therapy eases some of the negative effects of menopause. Which of these 1/1
hormones is used? *
Prostaglandin
Testosterone
Estrogen
Estrogen and progesterone
A postmenopausal client says that she is experiencing difficulty with vaginal dryness1/1
during intercourse and wonders what might be causing this. Which is the nurse's
best response? *
"Drinking at least 3 liters of water each day will make all your tissues less dry."
"Try using a water-soluble lubricant during intercourse."
"The less frequently you have intercourse, the drier the vaginal tissues become."
"Estrogen deficiency causes the vaginal tissues to become drier and thinner."
Mr. Domingo, a 72-year-old, verbalizes his feelings of pain in his fingers. When a 1/1
client complains of pain, your initial response is: *
Record the description of pain
https://docs.google.com/forms/d/e/1FAIpQLSf7po-EFzUO0he_2pRPx8n6bdYxCFQaqjdyL5NTFJJo4UN5TA/viewscore?viewscore=AE0zAgCZlfB5O… 10/20
Refer the complaint to the doctor
Verbally acknowledge the pain
Change to a more comfortable position
A long-term care patient with moderate dementia develops increased restlessness 1/1
and agitation. The nurse's initial action should be to *
have a nursing assistant stay with the patient to ensure safety.
administer the PRN dose of lorazepam (Ativan).
assess for factors that might be causing discomfort.
reorient the patient to time, place, and person.
A female client verbalizes that she has been having trouble sleeping and feels wide 1/1
awake as soon as getting into bed. The nurse recognizes that there are many
interventions the promote sleep. Check all that apply. *
Leave the bedroom if you are unable to sleep
Count backwards from 100 to 0 when your mind is racing.
Drink a cup of warm tea with milk at bedtime
Exercise in the afternoon rather than the evening
Read in bed before shutting out the light
Eat a heavy snack before bedtime
When performing an assessment of the external genitalia of an older man, the nurse 1/1
observes the scrotum to have smooth skin and to be very pendulous. Which action
by the nurse is most appropriat *
Document the observation and continue the assessment.
Ask the client if he has been treated for a sexually transmitted disease.
Suggest to the client that he should wear an athletic supporter while awake.
Notify the health care provider and facilitate a scrotal ultrasound.
A vegetarian client was referred to a dietitian for nutritional counseling for anemia. 1/1
Which client outcome indicates that the client does not understand nutritional
counseling? The client: *
Cooks tomato-based foods in iron pots
Adds vitamin C to all meals
Adds dried fruit to cereal and baked goods
Drinks coffee or tea with meals
After instituting a new system for recording patient data, a nurse evaluates the 1/1
"usability" of the system. Which actions by the nurse BEST reflect this goal? Select
all that apply. *
The nurse reorders the screen sequencing to maximize effective use of the system.
The nurse ensures that the computers can be used by specified users effectively.
The nurse checks that the system is intuitive, and supportive of nurses.
The nurse checks that the screens are formatted to allow for ease of data entry.
The nurse is teaching a postmenopausal woman about nutrition. Which statement 1/1
by the nurse is most appropriate? *
"Be sure to eat cereal fortified with folic acid and B vitamins."
"Vitamin C is important for the postmenopausal woman."
"You can get all the iron you need in two daily meat servings."
"Make sure you take a calcium supplement every day."
Which of the following responses by an older-adult client is most reflective of a 1/1

need for further education by the nurse regarding the physiological changes
associated with the older adult? *
"I call a cab if I want to go out after dark."
"I have my eyes checked regularly. Can't afford to fall."
"I really enjoy eating good vanilla ice cream, but I have cut way down."
"I can't help worrying about becoming forgetful."2
An older person's exercise program should include activities that develop flexibility, 1/1
balance, strength training, and endurance *
False
True
82-year-old Mr. Robeson together with his daughter arrived at the medical-surgical 1/1
unit for diagnostic confirmation and management of probable delirium. Which
statement by the client’s daughter best supports the diagnosis? *
“Maybe it’s just caused by aging. This usually happens by age 82.”
“Dad just didn’t seem to know what he was doing. He would forget what he had for
breakfast.”
“Dad has always been so independent. He’s lived alone for years since mom died.”
“The changes in his behavior came on so quickly! I wasn’t sure what was
happening.”
Which of the following substances is a natural hormone produced by the pineal 1/1
gland that induces sleep? *
Pemoline
Melatonin
Methylphenidate
Amphetamine
Telehealth differs from telemedicine in that _____. * 1/1
Telemedicine uses the Internet to provide professionals with information while

telehealth does not
Telemedicine is a broader term than telehealth and emphasizes the provision of

information to healthcare providers and consumers
Telehealth encompasses telemedicine, but is a broader term that emphasizes

the provision of information to health care providers and consumers
Telehealth is a narrow term referring only to wellness behaviors
Mr. Sanchez is using telehealth services. He can talk with this physician via videocall 1/1
about his condition. What type of telehealth applications is he using? *
Remote Patient Monitoring
Store-and-Forward
Synchronous
Mobile Health
The nurse lists the age-related changes in the female reproductive system that affect 1/1
sexual intercourse, which are __________. (Select all that apply.) *
a. pruritus vulvae
d dyspareunia
d. dyspareunia
b. atrophic vaginitis
c. frequent yeast infections
When using a Snellen alphabet chart, the nurse records the client’s vision as 20/40. 1/1
Which of the following statements best describes 20/40 vision? *
The client has alterations in near vision and is legally blind.
The client has a 20% decrease in acuity in one eye, and a 40% decrease in the other
eye.
The client can see at 20 feet what the person with normal vision can see at 40
feet.
The client can see at 40 feet what the person with normal vision sees at 20 feet.
The nurse is conducting a reproductive assessment of a postmenopausal woman. 1/1

Which assessment finding reported by the client requires immediate intervention
by the nurse? *
Painful intercourse
Returning periods
Vaginal dryness
Urinary incontinence
The nurse evaluates a need for further instruction to reduce the symptoms of 1/1
vaginal dryness when the 70-year-old patient says: *
"I'll let you know how wild yams work for vaginal dryness."
"I use a water-soluble lubricant to aid intercourse."
"I'm trying an estrogen cream to see if it works."
"Vaseline was good enough for my mother. It's good enough for me."
student nurse asks her nurse educator why there is an increased demand for home 1/1
health care. Which response is the MOST accurate for the nurse educator? *
Most family members want to care for their ill members at home.
There is a shortage of nurses who want to work in acute hospital care settings.
There is an increase in the number of older patients with chronic illnesses
There is increased technology in hospitals which provokes anxiety to many patients.
The nurse recognizes that a client is experiencing insomnia when the client reports 1/1
(select all that apply): *
Extended time to fall asleep
Difficulty staying asleep
Falling asleep at inappropriate times
Feeling tired after a night’s sleep
The nurse counsels the 70-year-old female who has remained on hormone 1/1
replacement therapy (HRT) that she needs to have a: *
Pap smear annually.
mammogram biannually.
liver function assessment annually.
semiweekly douche to wash out cervical debris.
A female client with dysphagia is being prepared for discharge. Which outcome 1/1
indicates that the client is ready for discharge? *
The client has normal gastric structures.
The client reports diminished duodenal inflammation.
The client doesn’t exhibit rectal tenesmus.
The client is free from esophagitis and achalasia.
Which of the following interventions should be taken to help an older client to 1/1
prevent osteoporosis? *
Increase sedentary lifestyles
Decrease dietary calcium intake.
Encourage regular exercise.
Increase dietary protein intake.
During the morning change-of-shift report at the long-term care facility, the nurse 1/1
learns that the patient with dementia has had sundowning. Which nursing action
should the nurse take while caring for the patient? *
Have the patient take a brief mid-morning nap
P id h l i t ti t ti fd
Provide hourly orientation to time of day.
Move the patient to a quieter room at night.
Keep blinds open during the daytime hours.
After her bath, a 62-year-old patient asks the nurse for a perineal pad, saying that 1/1
she uses them because sometimes she leaks urine when she laughs or coughs. Which
intervention is most appropriate to include in the care plan for the patient? *
Teach the patient how to perform Kegel exercises.
Demonstrate how to perform Credé's maneuver.
Place commode at the patient's bedside.
client has urge incontinence. Which of the following signs and symptoms would the 1/1
nurse expect to find in this client? *
Involuntary urination with minimal warning
Frequent dribbling of urine
Inability to empty the bladder
Loss of urine when coughing
The nurse identifies the person most likely to experience erectile dysfunction as the 1/1
65-year-old who has _____ sexually active in earlier years. *
chronic pancreatitis and was very
osteoarthritis and was moderately

osteoarthritis and was moderately
irritable bowel syndrome and was minimally
diabetes and was very
When assessing the patient who has a lower urinary tract infection (UTI), the nurse 1/1
will initially ask about *
Poor urine output.
Nausea.
Pain with urination.
Flank pain.
Forms
9/5/2021 NUR 151: P1 EXAMINATION PART 1
NUR 151: P1 EXAMINATION PART 1

Total points 47/50
INSTRUCTIONS:
-Students are GIVEN 1 HOUR TO ANSWER THE EXAM
HONESTY.
-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, CHATS, MESSAGES, TEXTS
UNLESS IT IS AN EMERGENCY SITUATION.
-Students are REMINDED TO ENCODE THEIR NAME AND SECTION ON THE BOX PROVIDED
Email *
[email protected]
An ethical principles that involves on telling the truth to the patient is: * 1/1
Justice
Non-maleficence
Veracity
Autonomy
https://docs.google.com/forms/d/e/1FAIpQLSeC2cDlUVvYObdlSxL5dzBhRL-aj8sylxlP-vkLdWGKTKxDxA/viewscore?viewscore=AE0zAgDayG0FCs… 1/22
Since the patient has a plan to have a copy of his/her own record, as a 1/1
student nurse you are KNOWLEDGEABLE that the status of the patient’s
record is: *
Either the patient or the hospital owns the patient’s medical record, therefore the
patient and the hospital can only have a selected part of the patient’s record
The patient’s record is owned by the hospital in which the hospital has the right not
to release a copy to the patient.
Neither the patient nor the hospital own the patient’s medical record, therefore the
hospital has the right to throw it away right after the patient will be discharge from
the hospital.
Patient’s chart is owned by the patient, that indicates that the patient has a right
to have a copy of his./her own record.
What should the nurse do when planning nursing care for a client with a 1/1
different cultural background? The nurse should *
Explain how the client must adapt to hospital routines to be effectively cared for
while in the hospital
Speak slowly and show pictures to make sure the client always understands
Identify how these cultural variables affect the health problem
Allow the family to provide care during the hospital stay so no rituals or customs are
broken
What ethical principle below is accurately paired with a way that ethical 1/1
principle is applied into nursing practice? *
Veracity: Fully answering the client’s questions without any withholding of

information
Fidelity: Upholding the American Nurses Association’s Code of Ethics
Beneficence: Doing no harm during the course of nursing care
Justice: Equally dividing time and other resources among a group of clients
Which of the following improves attitudes toward aging and older 1/1
adults? *
Travelling to older communities
Watching the portrayals of older adults in movies and on TV
Education about older adults
Staying away from older adults
In the concepts of the informed consent, ideally nurses should be more 1/1
at least two in obtaining an informed consent to a patient who will
undergo a certain kind of invasive procedure. As a student nurse, you’re
rationale is CORRECT if you states that: *
It is not necessary that there should be two nurses, it is just only a protocol from the
hospital institution that need to be followed
There should be at least two nurses, in order for the other one to witness if there
is really a proper implementation in obtaining an informed consent.
.At least two nurse, in order to pressure the patient in signing the informed consent.
Two nurses should be there in obtaining an informed consent to reinforce the

physician if the physician can’t explain properly.
Which of the following BEST describes about autonomy * 1/1
Maintain strict information sharing of the patient.
Telling the truth to the patient.
The will to decide.
Loyalty of one’s job to accomplished.
All of the following are NOT CORRECT about the explanation about 1/1
mores EXCEPT one *
Mores focuses on the social issues that are not accepted within the society.
Mores is one of the seven different ethical principles.
Mores concentrates on the different issues within the society that are widely
accepted.
mores is on the practical issues that happens within the society.
Which of the following symptoms is the best indicator of imminent 1/1

death? *
A weak, slow pulse
Increased muscle tone
Fixed, dilated pupils
Slow, shallow respirations
Right after explaining about the procedure to the patient, he/she directly 1/1
signs the informed consent. Nurse Wa-el keep those informed consent in
the patient’s chart and instructed the patient to wear the OR gown.
Signing the informed consent from the patient does what indicate? *
Once the informed consent is already signed, it is an indication that the healthcare
professional can do anything to the patient’s body with no accountability or any form
of liability
Signing an informed consent means that the patient has no choice of his/her
treatment regimen.
An informed consent is signifies that the patient surrender his/her body to the
healthcare professional for a specific treatment and still they are liable if there
are any negligence or malpractice happens to the patient.
Once the patient signs the informed consent, the healthcare professional is no
longer liable for any kind of negligence or malpractice happens to the patient.
An 80-year-old patient, who lives at home with a spouse, is instructed to 1/1

follow a 2 g sodium diet. The patient states, "I've always eaten the same
way all my life, and I'm not going to change now." To promote optimal
dietary adherence, the gerontological nurse's initial approach is to: *
list the variety of foods that are allowed on the diet.
provide dietary instruction to the patient's spouse, who prepares the meals
inform the patient about the need to follow
inquire about the patient's current food preferences and eating habits.
A scenario that involve about telling facts of the medical condition that 1/1
the patient wants to know is what roles and functions of a professional
nurse? *
Counselor
Case manager
Change agent
Client advocate
In obtaining an informed consent to a certain patient, what will be the 1/1

BEST intervention for the nurses towards the patient *
Nurses will explain the procedure to the patient.
Nurses will do nothing, as if there is nothing happens.
Nurses will take a group picture with the patient that clearly document that there is
really an obtaining of an informed consent to the patient.
Nurses will witness that the procedure is properly explained and the patient
understand the procedure.
Which is most closely aligned with ethics? *
Morals
Client rights
Laws
Statutes
Which of the following is NOT a priority for patients with a life-limiting 1/1
illness receiving palliative care? *
Relieving burden
A home care nurse is performing an environmental assessment in the 1/1

home of an elderly client. Which of the following, if observed by the
nurse, requires immediate attention? *
Clear exit passageways
An operable smoke detector
A prefilled medication cassette
Unsecured scatter rugs
When teaching an independent older adult patient how to self- 0/1

administer insulin, the most productive approach is to: *
provide frequent, competitive skills testing to enhance learning.
gather information about the patient's family health history.
facilitate involvement in a small group where the skill is being taught.
use repeated return demonstrations to promote the patient's retention of the

involved tasks.
The family of a client with a terminal illness hesitates to agree to palliative 1/1
care because of not wanting to give up on a possible cure. How should
the nurse respond while also including a principle of palliative care? *
Nurse Wa-el is still assessing the level of awareness of the relative of the 1/1
patient to the patient’s condition, and knowing that the relative has really
no idea at all. Nurse Wa-el only shares the information that he knew of
the patient’s condition. As a student nurse, you are AWARE that Nurse
Wa-el is doing is related to what kind of ethical principles? *
The ethical principle that could relate to the situation of Nurse Wa-el is based on
the veracity.
. The ethical principle that could is aligned to the actions of Nurse Wa-el is based on
the concepts of veracety
Nurse Wa-el’s action towards relative of the patient is based on the principle of
justice.
It is on the principle of the veracitty that could related to the action of Nurse Wa-el
towards the relative of the patient.
What best describes nurses as a care provider? * 1/1
Determine client’s need
Provide direct nursing care
Works in combined effort with all those involved in patient’s care
Help client recognize and cope with stressful psychological situation
Cultural awareness is an in-depth self-examination of one’s * 1/1
Engagement in cross-cultural interactions
Social, cultural, and biophysical factors
Background, recognizing biases and prejudices
Motivation and commitment to caring
Which best describes what guides the appropriate nursing care of an 1/1
aging adult? *
General nursing care previously practices
Physician orders for patient complaints
Evidence-based practice developed with ongoing research into the needs and
outcomes of older adults
Facility policies and procedures
One of the rights that the patient has is the right to know his/her medical 1/1
condition. Which of the following is the BEST statements that
corresponds to this kind of situation? *
None of the choices
One of the rights of the patient is know his/her medical condition which is part of
the Patient’s Bill of Rights.
Knowing the rights of his/her medical condition is part of the International Council
Nurses.
Knowing his/her medical condition is part of the Nurse’s Bill of Rights.
5Which of the following choices below that needed to have an informed 1/1
consent? *
A rape victim that need to undergo a stress debriefing.
Patient that has scheduled of every hour vital signs taking, input and output
monitoring.
. The patient decided to transfer room from medical surgical ward to a private room.
Patient that has STAT order from the surgeon that is suspected with the ruptured
appendix
. Nurses and other health care provides often have difficulty helping a 0/1
terminally ill patient through the necessary stages leading to acceptance
of death. Which of the following strategies is most helpful to the nurse in
achieving this goal? *
Reflecting on the significance of death
Taking psychology courses related to gerontology
Reviewing varying cultural beliefs and practices related to death
Reading books and other literature on the subject of thanatology
Which of the following is NOT a barrier to the optimum use of palliative 1/1
care at the end of life? *
Which of the following is NOT a barrier to the optimum use of palliative 1/1
care at the end of life? *
A nurse is working with elderly clients in a long-term care facility. Which 1/1
of the following activities performed by the nurse fosters reminiscence
among these clients? *
Displaying calendars and clocks
Having story telling hours
Encouraging client participation in pottery class
Setting up pet therapy sessions
Ethical principles that have a concept of do no harm refers to which of 1/1

the following choices below? *
Beneficence
Non-maleficence
Benefecence
Benificence
A nurse is providing instructions to a nursing assistant about care to an 1/1

elderly client with hearing loss. The nurse tells the assistant that clients
with a hearing loss: *
are often distracted
develop moist cerumen production
have middle ear discharges
respond to low pitched tones
Nurse Beth explains medical and nursing procedures to Mr. Dela Cruz’s 1/1
family members. What role did Nurse Beth play in this situation? *
Advocate
Manager
Teacher
Provider of Care
A terminally ill patient usually experiences all of the following feelings 1/1
during the anger stage except: *
Rage
Numbness
Envy
Resentment
A home health nurse is planning to teach a client with osteoporosis about 1/1
home modifications to reduce risk of falls. Which of the following
recommendations would be unnecessary to include in the teaching plan?
*
Placing hand rails in the bathroom
Removing wall to wall carpeting
Use of staircase railings
Use of night lights
On the following choices below, which of the choices that strictly follows 1/1
the ethical concepts of confidentiality? *
The staff nurses of the hospital institution allows the record of the patient to be
exposed in the hallway
The hospital institution only allows the patient will only process his/her
respective medical records.
Nurses upload the patient’s medical record to a certain social media websites.
Physician and nurses shares the patient information in the elevator.
In the ICU, Nurse Wa-el is assigned to a stroke patient with a mechanical 1/1
ventilator. He observed that an infusion pump alarm and immediately he
assess the condition and found out that the IVF bottle is already empty.
So automatically, he directly check the patient’s chart for the possible
order of an IVF bottle. Based on the condition of Nurse Wa-el, he is using
his own judgement that is in-line with his job descriptions every-time he
performs patient care. What ethical principle that Nurse-Wael is
performing to his assigned patient? *
His actions is based on the concepts on the ethical principle of justice.
Using his own judgement is aligned to the concepts of autonomy as part of the
ethical principles.
the situation that Nurse Wa-el is performing a patient care is related to the ethical
principle of veracity.
Nurse Wa-el is doing the ethical principle of role fidelity.
You are asked by your supervisor to take photographs of the residents 1/1
and their family members who are attending a holiday dinner and
celebration at your long term care facility. What should you do? *
Take the photographs because these photographs are part of the holiday tradition at
this facility
Take the photographs because all of the residents are properly attired and in a
dignified condition
In the concepts of the informed consent, when will the informed consent 1/1
generally be applicable to the patient? *
Informed consent will be applicable to the patient if the patient will undergo non-
invasive procedure.
It is necessary that the patient is needed to sign the informed consent prior to
any invasive surgical procedure.
Patient will need to sign the informed consent, if he/she has a complain to the
healthcare services given from the healthcare professional that are not satisfying.
Informed consent is necessary as part of the hospital protocol prior to admission of

the patient.
The resident physician of the hospital gives a possible options for the 1/1
treatment regimen for the patient. Nurse Wa-el’s rationale is CORRECT if
he states that: *
The relative of the patient has the right to choose the treatment for the patient.
The healthcare professional gives an informed consent to the patient for the
possible treatment that the patient will undergone.
The patient has the right to choose his/her own treatments.
The patient has no right to choose his/her own treatments.
An elderly female client confides to the visiting nurse that she is afraid 1/1
she will fall while going to the bathroom at night. Which suggestion, if
made by the nurse indicates that the nurse understands visual changes
affecting the elderly? *
”Use bell to call your daughter if you need to get up”
“Limit your fluid intake during the day”
“Use a commode in your bedroom at night”
“Keep a red light on in the bathroom at night”
An elderly client immobilized in skeletal leg traction complains of being 1/1

bored and restless. Based on these complaints, the nurse formulates
which of the following nursing diagnoses for this client? *
Self-Care Deficit
Impaired Physical Mobility
Powerlessness
. Diversional Activity deficit
How many nurses should be there in obtaining an informed consent? * 1/1
One nurse is already accepted in obtaining the informed consent.
As much as possible, all nurses in the hospital institution that has a duty on that
specific shift, to pressure the patient to sign the informed consent.
It is not necessary that nurses should be there, since the physician will be the to
explain the procedure to the patient.
Two nurses are already accepted once there is an obtaining of informed consent.
A nurse has given a client instruction about crutch safety. The nurse 1/1
evaluates that the client needs reinforcement of information if the client
states: *
Not to use someone else’s crutches
The need to have spare crutches and tips available
That crutch tips will not slip even when wet
That crutch tips should be inspected periodically for wear
Nurse Beth told Mr. Dela Cruz about ways to decrease the risk of heart 1/1
disease. What role of a gerontologic nurse did Nurse Beth portray? *
Advocate
Teacher
Provider of Care
Manager
A family member expresses concern to a nurse about behavioral 1/1

changes in an elderly aunt. Which would cause the nurse to suspect a
cognitive impairment disorder? *
Problems with preparing a meal or balancing her checkbook
Increased complaints of physical ailments
Decreased interest in activities that she once enjoyed
Fearfulness of being alone at night
In the OPD, Nurse Wa-el is taking all the vital signs of 100 patients and 0/1
assesses them individually. As nurse, he is aware that is doing his job in
accordance to the job descriptions. The way he performs his duties
towards the patient is an example of what ethical principle? *
Justice
Role fidelity
Autonomy
Role fedelity
All of the following are the CORRECT description of justice as part of the 1/1
ethical principles EXCEPT one: *
Equal treatment to all patients.
No selective care given to the patient.
No special treatment are given to the patient.
Discrimination of the patient’s status such as economic, races and even gender.
Which of the following choices below that the hospital employees are 1/1
properly practicing on the ethical principles of justice? *
The hospital has a protocol that there is a ward for rich as well as for poor patient.
The staff nurses most spend of their time in taking good care the patients that are
well educated compared to the patient that are not educated.
Nurses gives more attention to the patients who their food to them.
Physicians and nurse of the hospital cater the health care needs of the patients
equally and properly.
A prima facie duty that may be capsulized in the dictum “ Do good to 1/1
others.” *
Duty of Performance
Duty of Beneficence
Duty of Gratitude
Duty of Self Improvement
A nurse is teaching an elderly client about measures to prevent 1/1

constipation. Which statement, if made by the client, indicates that
further teaching about bowel elimination is necessary? *
“I drink 6 to 8 glasses of water per day”
“I walk 1 to 2 miles per day”
“I have a bowel movement every other day”
“I need to decrease fiber in my diet”
A client’s family member says to the nurse, “The doctor said he will 1/1
provide palliative care. What does that mean?” The nurse’s best response
is: *
"Palliative care is given to those who have less than 6 months to live.”
“The goal of palliative care is to affect a cure of a serious illness or disease.”
“Palliative care means the client and family take a more passive role and the doctor
focuses on the physiological needs of the client. The location of death will most
likely occur in the hospital setting.”
“Palliative care aims to relieve or reduce the symptoms of a disease.”
As a student nurse, you understand that it is important to study 1/1

Gerontological Nursing because: *
it provides a way to understand the aging process and provide quality care to
older adults
it gives positive outlook to older adults.
Forms

Total points 48/50
INSTRUCTIONS:
-Students are GIVEN 1 HOUR TO ANSWER THE EXAM
HONESTY.
-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, CHATS, MESSAGES, TEXTS
UNLESS IT IS AN EMERGENCY SITUATION.
-Students are REMINDED TO ENCODE THEIR NAME AND SECTION ON THE BOX PROVIDED

this form.
0 of 0 points
BSN 3-A1
NAME (LAST NAME, FIRST NAME MIDDLE INITIAL) *
ARCAYAN, TRIXIE D.
MULTIPLE CHOICE: QUESTIONS 1 - 50 48 of 50 points
https://docs.google.com/forms/d/e/1FAIpQLSeI40x67D37afzPv1BOhGombldSa172bEM7AQhIbkSWH6IBIg/viewscore?viewscore=AE0zAgAUqrOB4… 1/22
A home health nurse is assisting a client to transfer from the bed to a 1/1
wheelchair. Which of the following is not true regarding this process? *
If needed, when the client stands to go to the wheelchair, grasp the gait belt from
underneath at each side
Take large steps to a position so that the client's knee caps are touching the
front of the wheelchair
Which of the following statement about religion and spirituality is true? * 1/1
Spirituality is unique to the individual.
Religion is a unifying theme in people's lives.
Spirituality encompasses religion.
Religion and spirituality are synonymous
After fasting from 10 p.m. the previous evening, a client finds out that the 1/1
blood test has been canceled. The client swears at the nurse and states,
“You are incompetent!” Which is the nurse’s best response? *
“I see that you are upset, but I feel uncomfortable when you swear at me.”
“Do you believe that I was the cause of your blood test being canceled?”
“I'll give you some space. Let me know if you need anything.”
“Have you ever thought about ways to express anger appropriately?”
The nurse is admitting a patient to the hospital. The patient states that he 1/1
is a very spiritual person but does not practice any specific religion. The
nurse understands that these statements *
Are reasonable.
Are contradictory.
Which of the following can be a barrier to communication? * 1/1
A hot room
A nurse using slang
All of the above
A nurse talking while the patient is talking
Factors that may further decrease lung function besides aging include all 1/1
but: *
Smoking
Exercise
Obesity
Immobility
According to the best available evidence, which one of the following 1/1
lifestyle interventions for reducing primary hypertension is not likely to
be effective? *
Fish oil supplementation
Physical activity and Weight loss
Dietary salt restriction
Magnesium supplementation
When interviewing a client, which nonverbal behavior should a nurse 1/1

employ? *
When caring for a terminally ill, 90 yr old patient, the nurse should focus 1/1
on the fact that *
The nurse's relationship with the patient allows for an understanding of patient
priorities.
Members of the church or synagogue play no part in the patient's plan of care.
A student nurse is learning about the appropriate use of touch when 1/1
communicating with clients diagnosed with psychiatric disorders. Which
statement by the instructor best provides information about this aspect
of therapeutic communication? *
The nurse is evaluating a 64-year-old male for coronary artery disease 0/1
(CAD). Understanding that CAD is the leading cause of mortality, which
risk factor would not be related to CAD? *
Sexual orientation
Dyslipidemia
Diabetes
Hypertension
The nurse asks a newly admitted client, “What can we do to help you?” 1/1
What is the purpose of this therapeutic communication technique? *
What are the two parts to communication? * 1/1
When someone says something while using non-verbal communication
When someone says something, and the other person has understood
There only needs to be one part, when someone says something
When someone says something, and the other person has replied
The nurse is providing an educational session to new employees, and the 1/1
topic is abuse to the older client. The nurse tells the employees that
which client is most characteristic of a victim of abuse *
A 70-year-old woman with early diagnosed Lyme’s disease
A 74-year-old man with moderate hypertension
A 68-year-old man with newly diagnosed cataracts
A 90-year-old woman with advanced Parkinson’s disease
Which information obtained by the home health nurse when making a 1/1
visit to an 88-year-old with mild forgetfulness is of the most concern? *
The patient tells the nurse that a close friend recently died.
The nurse creates a referral to pastoral care when he/she realizes that 1/1
the patient is in need of *
Return to religious affiliation.
Psychiatric care.
Spiritual care.
Transfer to the psychiatric unit.
A client wants to wear a pair of sunglasses in the facility at night time. 1/1
Which of the following is the appropriate action of the home health
nurse? *
Let the client wear the sunglasses in the hopes that he or she will run into something
due to impaired vision
The sunglasses will impair the vision; so the home health aide should not allow
the client to wear the sunglasses
When working with an older adult who is hearing-impaired, the use of 1/1
which techniques would improve communication? (Select all that apply.)
*
Communicate only through written information
This provides the “best guess” of the future size of the frail older 1/1
population, does not assume any particular trend in disability rates. *
Intermediate disability projection
Low disability scenario
Middle disability scenario
High disability scenario
An older patient asks why a wound is taking so long to heal. What 1/1
explanation should the nurse provide to this patient? *
There is less protein in the skin with aging”
The nurse is setting up an education session with an 85-year-old patient 1/1

who will be going home on anticoagulant therapy. Which strategy would
reflect consideration of aging changes that may exist with this patient? *
A client is experiencing tachycardia. The nurse’s understanding of the 1/1

physiological basis for this symptom is explained by which of the
following statements? *
The heart has to pump faster to meet the demand for oxygen when there is
lowered arterial oxygen tension.
The inflammatory process causes the body to demand more oxygen to meet its
needs.
The home care nurse is visiting an older female client whose husband 1/1
died six (6) months ago. Which behavior, by the client, indicates
ineffective coping? *
Participating in a senior citizens program
Visiting her husband’s grave once a month
Looking at old snapshots of her family
Neglecting her personal grooming
https://docs.google.com/forms/d/e/1FAIpQLSeI40x67D37afzPv1BOhGombldSa172bEM7AQhIbkSWH6IBIg/viewscore?viewscore=AE0zAgAUqrOB… 10/22
A new nurse complains to her preceptor that she has no time for 1/1
therapeutic communication with her patients. Which of the following is
the best strategy to help the nurse find more time for this
communication? *
Include communication while performing tasks such as changing dressings and

checking vital signs
Remind the nurse to complete all her tasks and then set up remaining time for
communication.
Person-centered communication strategies with older people might 1/1

involve: *
Speaking too quickly
Giving too much information at once c
Which of the following statements accurately reflects data that the nurse 1/1
should use in planning care to meet the needs of the older adult? *
50% of older adults have two chronic health problems.
Adults older than 65 years of age are the greatest users of prescription
medications.
Which nursing statement is a good example of the therapeutic 1/1

communication technique of focusing? *
“Your counseling session is in 30 minutes. I’ll stay with you until then.”
“You mentioned your relationship with your father. Let’s discuss that further
“Describe one of the best things that happened to you this week.”
“I’m having a difficult time understanding what you mean.”
The primary reason an older adult client is more likely to develop a 1/1
pressure ulcer on the elbow as compared to a middle-age adult is: *
The older client has less subcutaneous padding on the elbows
A reduced skin elasticity is common in the older adult
Older adults have a poor diet that increases risk for pressure ulcers
The attachment between the epidermis and dermis is weaker
When evaluating a patient's risk for spiritual crises, which of the following 1/1
are part of the evaluation process? (Select all that apply.) *
Review the patient's self-perception regarding spiritual health.
Discuss with family and associates the patient's connectedness.
Ask whether the patient's expectations are being met.
Review the patient's view of his/her purpose in life.
Impress on the patient that spiritual health is permanent once obtained.
The nurse is caring for an elderly patient who is in the final stages of his 0/1
terminal disease. The patient is very weak but refuses to use a bedpan,
and wants to get up to use the bedside commode. What should the
nurse do? *
Put the patient on a bedpan and stay with him until he is finished.
long-term care facility sponsors a discussion group on the administration 1/1

of medications. The participants have a number of questions concerning
their medications. The nurse responds most appropriately by saying: *
"Remember that the hepatic system is primarily responsible for the

pharmacotherapeutics of your medications."
"Feel free to ask your physician why you are receiving the medications that are
prescribed for you."
"Unless you have severe side affects, don't worry about the minor changes in the way
you feel."
"Don't worry about the medication's name if you can identify it by its color and
shape."
In performing a physical assessment for an older adult, the nurse 1/1

anticipates finding which of the following normal physiological changes
of aging? *
What is the single most cost-effective discovery made in the past 30 1/1
years that has influenced the prevention and treatment of cardiovascular
events? *
Antismoking campaigns
The development of oral hypoglycemic drugs
Zero tolerance for drug and alcohol abuse in older adults
Recognizing the need to lower blood pressure in older adults
The nurse who volunteers at a senior citizens center is planning activities 1/1
for the members who attend the center. Which activity would best
promote health and maintenance for these senior citizens? *
Sculpting twice a week for 60 minutes
Walking 3 to 5 times a week for 30 minutes
Aerobics 3 times a week for 30 minutes
Gardening every day for an hour
A hospice nurse is visiting with a dying patient. During the interaction, 1/1
the patient is silent for some time. What is the best response? *
Leave the patient alone for a period.
What is the most appropriate nursing diagnosis for an older adult who is 1/1
bedridden because of progressed Parkinson disease? *
Impaired skin integrity related to incontinence
Immobility related to Parkinson disease
Ischemia related to disuse syndrome
Risk for impaired skin integrity related to immobility
The nurse is caring for a patient who has been diagnosed with a terminal 1/1
illness. The patient states, "I just don't feel like going to work. I have no
energy, and I can't eat or sleep." The patient shows no interest in taking
part in his care. The nurse should *
Not be concerned about self-harm because the patient has not indicated any desire
toward suicide.
Assess the potential for suicide and make appropriate referrals.
While bathing an elderly client who has limited abilities for self-care, the 1/1
nurse notices several patches of dry skin on the client’s heels, elbows,
and coccyx. The nurse cleans and dries all the areas well and applies a
moisturizing lotion. The most appropriate immediate follow-up by the
nurse to ensure appropriate nursing care for this clients skin is to: *
Encourage the client to tell whomever bathes her to apply the moisturizing lotion to
her areas of dry skin
Inform the staff that the client's skin is showing signs of breakdown and
moisturizing lotion needs to be applied daily
Assume personal responsibility to apply the moisturizing lotion daily to the client's
skin
Revise the client's care plan to show the need for the application of moisturizing
lotion
During a nurse-client interaction, which nursing statement may belittle 1/1

the client’s feelings and concerns? *
“Don’t worry. Everything will be alright.”
“You appear uptight.”
“I notice you have bitten your nails to the quick.”
“You are jumping to conclusions.”
The nurse is caring for an agitated older client with Alzheimer’s disease. 1/1
Which nursing intervention would most likely calm the client? *
Putting an arm around the client’s waist
Encouraging group participation
. Playing a radio
Turning the lights out
The nurse is caring for residents in a long-term care setting for the 1/1
elderly. Which of the following activities based on Erickson’s theory will
be most effective in meeting the growth and development needs of a
person in this age group? *
Regularly scheduled social activities
Boardgame
Reminiscence groups
Mentor other elderly clients
What is the leading cause of catastrophic out-of-pocket costs for 1/1

families and involves substantial government spending, primarily through
Medicaid and Medicare? *
Home Care
Palliative-care
Long-term care
Hospice Care
The nurse is examining a 76-year-old female with the complaints of 1/1

fatigue, ankle swelling, and mild shortness of breath over a three-week
period. An appropriate nursing diagnosis might include: *
Decreased urinary output due to poor kidney perfusion
Activity tolerances due to compensation of oxygen supply
Increased cardiac output related to an aging heart muscle
Decreased cardiac output related to altered contractility and elasticity of cardiac

muscle
When using an interpreter to speak with an 84-year-old Chinese patient, 1/1

on what should the nurse focus? *
Listening to the words, not emotional toneion 1
The patient, not the interpreter
Limiting questions from the patient
Encouraging the interpreter to paraphrase
Which of the following statements, made by the daughter of an older 1/1

adult client concerning bringing her mother home to live with her family,
presents the greatest concern for the nurse? *
A client states, “You won’t believe what my husband said to me during 1/1
visiting hours. He has no right treating me that way.” Which nursing
response would best assess the situation that occurred? *
“Does your husband treat you like this very often?”
When assessing an older adult., the nurse may expect an increase in: * 1/1
Skin turgor
Urine residual
Nail growth
Nerve conduction velocity
The following are the different disability projection scenarios except: * 1/1
Middle disability scenario
High disability scenario
Intermediate disability projection
Low disability scenario
The nurse is performing an assessment on an older client who is having 1/1

difficulty breathing during morning exercise. What is the best advice the
nurse can give to the client? *
“Go on, you can do it.”
The nurse noted that an older patient complains of always feeling cold. 1/1
Which age- related change to the skin could be causing this in the
patient? *
Forms
COA QUIZZES
1. The nurse caring for the elderly population understands that movement slows with aging.
This is most likely due to:
a. A recent change in medical condition
b. Changes in musculoskeletal and nervous systems
c. Cognitive function
d. Laziness and a feeling that life is over
2. The nurse recognizes that involuntary movements may appear in the elderly patient and be
normal. These normal involuntary movements may present as which of the following?
a. Seizures
b. Tongue protrusions
c. Eye twitches and spasms
d. Resting tremors
3. Which item would NOT be a focus of a * cognitive-perceptual pattern assessment for the
older client?
a. Orientation-Do you know what day, month, and year it is?
b. Financial--Have you had any financial hardships over the past several months?
c. Cognition-Have you experienced any changes in your memory?
d. Communication--Have you had any difficulty speaking or forming ideas?
4. When caring for an older adult patient, the nurse uses the following interventions to
accommodate decreased touch sensation EXCEPT:*
a. Check the thermometer to decide how and what to dress,
b. Treat seen injuries even if it is not painful
c. Give patients hot beverages.
d. Lower the water heater temperature to no higher than 120F (49C)
5. Which of the following responses by an older-adult client is most reflective of a need for
further education by the nurse regarding the physiological changes associated with the older
adult?
a. " really enjoy eating good vanilla ice cream, but I have cut way down."
b. "I can't help worrying about becoming forgetful.”
c. "I call a cab if I want to go out after dark."
d. “I have my eyes checked regularly. Can't afford to fall."
accommodate visual changes with age:*
a. Adequate lighting and uncluttered walkways.
b. Draw drapes in room to prevent glare.
c. Eye glasses in the bedside table.
d. Keep bedside rails down.
7. The most common cause of chronic pain in older adults is:
a. Fractures.
b. Arthritis.
c. Neuropathy.
d. Headaches.
8. Changes in the immune system that accompany aging include:
a. increased numbers of T helper cells.
b. higher levels of antibodies after initial exposure to antigens.
c. more cytotoxic T cells responding to infections.
d. T cells becoming less responsive to antigens.
9. With advancing age, the immune system:
a. becomes more responsive to antigens.
b. becomes more effective at combating disease
c. becomes less effective at combating disease.
d. remains the same and is not affected by the aging process.
10. Which of the following interventions should be taken to help an older client to prevent
osteoporosis?
a. Decrease dietary calcium intake.
b. Encourage regular exercise.
c. Increase sedentary lifestyles
d. Increase dietary protein intake.
11. Mr. Santos, 79-years-old, was admitted with iron deficiency anemia. Which question is most
appropriate for the nurse to ask in determining the extent of the client's activity intolerance?*
a. "Have you been able to keep up with all your usual activities?"
b. "Are you more tired now than you used to be?"
c. "What activities were you able to do 6 months ago compared to the present?"
d. "How long have you had this problem?"
12. The nurse may recommend which of the following for the older client with mild arthritis?
a. A mild exercise program including walking
b. Rest and ice for the joints affected
c. No exercise will improve arthritis
d. Complete bedrest
13. Changes in bone and muscle in the aging population have the greatest effect on?
a. Stature, posture, and function
b. Appearance
c. Pain tolerance
d. Immunity
14. The increased incidence of cancer in the elderly reflects the fact that
a. immune surveillance declines with age.
b. immune surveillance increases.
c. everyone is prone to disease.
d. their diets do not meet nutritional standards.
15. Which statement demonstrates normal cognitive function for an aging adult?
a. Unable to count to 10 or repeat a series of consecutive numbers
b. Occasional memory lapses
c. Unable to recall current address or phone number
d. Unable to recall the names of their
children or siblings
16. A vegetarian client was referred to a dietitian for nutritional counseling for anemia. Which
client outcome indicates the client does not understand nutritional counseling? The client:
a. Drinks coffee or tea with meals
b. Cooks tomato-based foods in iron pots
c. Adds vitamin C to all meals
d. Adds dried fruit to cereal and baked goods
17. Which of the following blood components is decreased in anemia?
a. Granulocytes
a. Erythrocytes
b. Leukocytes
c. Platelets
18. Which statement would be most appropriate to ask when assessing an aging adult for
cognitive function?
a. What is today's date?
b. Have you noticed anything different about your memory or thinking in the past
few months?
c. Can you count to 10 for me?
d. Who is the president of the Philippines?
18. The nurse is assessing a client's activity intolerance by having the client walk on a treadmill
for 5 minutes. Which of the following indicates an abnormal response?
a. Diastolic blood pressure increased by 7 mm Hg
a. Respiratory rate decreased by 5 breaths/minute
b. Pulse rate within 6 bpm of resting phase after 3 minutes of rest.
c. Pulse rate increased by 20 bpm immediately after the activity
19. Decrease bone density is one of the effects of aging in the musculoskeletal system. What
independent nursing intervention should the nurse do to address this?*
a. Promote safe and sensible exercise programs
b. Prepare diet rich in calcium and vitamin D
c. Prescribe multivitamins
d. Avoid sun exposure
20. Laboratory studies are performed for an elderly suspected of having iron deficiency anemia.
The nurse reviews the laboratory results, knowing that which of the following results would
indicate this type of anemia?
a. An elevated RBC count
b. Red blood cells that are microcytic and hypochromic
c. A decreased reticulocyte count
d. An elevated hemoglobin level
21. A 76-year-old patient with osteoarthritis complains of pain, stiffness, and deformities of the
fingers. The gerontological nurse recommends:
a. meditation therapy.
b. cold packs.
c. exercise.
d. vitamin therapy.
22. An 80-year-old resident of a retirement center states that something is wrong with the
lighting in the room because colored rings appear around the light bulbs. The resident most
likely has:
a. glaucoma.
b. delusions.
c. increased intracranial pressure.
d. cataracts.
23. A female client with dysphagia is being prepared for discharge. Which outcome indicates
that the client is ready for discharge?
a. The client doesn't exhibit rectal tenesmus.
b. The client has normal gastric Structures.
c. The client reports diminished duodenal inflammation.
d. The client is free from esophagitis and achalasia.
24. Which patient is at greatest risk for developing a urinary tract infection (UTI)?
a. A35 yo. woman with a fractured wrist
b. A 50 yo. postmenopausal woman
c. A 28 y.o. with angina
d. A 20 yo. woman with asthma
25. You have a patient that might have a urinary tract infection (UTI). Which statement by the
patient suggests that a UTI is likely?
a. "It burns when I pee."
b. "I pee a lot."
c. " go hours without the urge to pee."
d. • "My pee smells sweet."
26. An elderly patient reports a loss of interest in eating. When providing information to the
patient, which action by the nurse is likely to be most helpful in increasing the patient's intake?
a. Giving the patient a list of high-calorie foods.
b. Suggesting to the patient's family members that someone join the patient for
meals.
c. Reminding the patient of the importance of eating.
d. Having the patient keep a food diary.
27. A client with microcytic anemia is having trouble selecting food items from the hospital
menu. Which food is best for the nurse to suggest for satisfying the client's nutritional needs and
personal preferences?
a. Tea
b. Brown rice
c. Vegetables
d. Egg yolks
28. Mr. Domingo, a 72-year-old, verbalizes his feelings of pain in his fingers. When a client
complains of pain, your initial response is:*
a. Refer the complaint to the doctor

b. Verbally acknowledge the pain
c. Record the description of pain
d. Change to a more comfortable position
29. When planning care for the patient with acute pancreatitis, the nurse knows that which
intervention is a priority of care?
a. Observation for intestinal obstruction

b. Nutritional supplementation
c. Pain control
d. Observation for mental changes
30. When assessing the patient who has a lower urinary tract infection (UTI), the nurse will
initially ask about
a. Nausea.
b. Poor urine output.
c. Pain with urination.
d. Flank pain.
31. The nurse recognizes the most common eye-related disease affecting the older adult is:
a. cataracts
b. glaucoma
c. near-sighted visual disturbances
d. far-sighted visual disturbances
32. Nurse Liza is teaching a group of old-aged men about peptic ulcers. When discussing risk
factors for peptic ulcers, the nurse should mention:
a. a history of hemorrhoids and smoking.

b. alcohol abuse and smoking.
c. a sedentary lifestyle and smoking.
d. alcohol abuse and a history of acute renal failure.
33. What factors can cause premature menopause?
a. Smoking
b. Autoimmune disorders
c. A woman's mother had early menopause
d. All of these
e. None of these
34. Nurse Gil is aware that the following statements describing urinary incontinence in the
elderly is true?
a. Urinary incontinence isn't a disease.
b. Urinary Incontinence is a disease.
c. Urinary incontinence is a normal part of aging.
d. Urinary incontinence in the elderly can’t be treated.
35. For an individual with age-related hearing loss, which sound is most difficult to hear:
a. A young child talking in a cafeteria line

b. A recording of a march played softly
c. Harmeting during construction of a
d. The voice of a man speaking in an elevator
36. A 69-year-old female presents with knee pain. The nurse hears a dry crackling or grating
sound and the client feels the same sensation on exam. The nurse recognizes this as:
a. Osteoporosis and a softening of the knee joint

b. Fluid-filled spaces in the knee joint
c. Nothing abnormal for the age of the client
d. Crepitation, the sound of osteoarthritis in the knee joint
37. The nurse would instruct the client to eat which of the following foods to obtain the best
supply of vitamin B12?
a. Green leafy vegetables

b. Meats and dairy products
c. Whole grains
d. Broccoli and Brussels sprouts
38. There are factors that influence the musculoskeletal system associated with aging. The
nurse recognizes that with age:
a. Muscle fibers increase in size and become tighter

b. Weight-bearing exercise reduces the loss of bone mass
c. Men have the greatest incidence of osteoporosis
d. Muscle strength does not diminish as much as muscle mass
39. Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To control
hypoglycemic episodes, the nurse should recommend:
a. Eating a candy bar if lightheadedness occurs.

b. Increasing intake of vitamins B and D and taking iron supplements.
c. Consuming a low-carbohydrate, high protein diet and avoiding fasting.
d. Increasing saturated fat intake and fasting in the afternoon.
40. Which of the following substances is a natural hormone produced by the pineal gland that
induces sleep?
a. Melatonin
b. Pemoline
c. Methylphenidate
d. Amphetamine
41. An adult is admitted with chronic renal failure. Strict intake and output is ordered. The client
is sometimes incontinent, so it is Impossible to obtain an accurate record of output. How can the
nurse best assess the client's fluid status?
a. Observe her skin turgor

b. Weigh the client daily.
c. Estimate the amount voided each time.
d. Record the number of voidings
42. When teaching an elderly client how to prevent constipation, which of the following
instructions should the nurse include?*
a. “Add at least 4 grams of bran to your cereal each morning.”

b. "Drink 6 glasses of fluid each day."
c. "Avoid grain products and nuts."
d. "Be sure to get regular exercise."
43. When developing a plan of care for the client with stress incontinence, the nurse should take
into consideration that stress incontinence is best defined as the involuntary loss of urine
associated with:
a. Obstruction of the urethra

b. Overdistention of the bladder
c. A strong urge to urinate
d. Activities that increase abdominal pressure
44. The nurse is caring for an older adult patient who reports continued problems with
constipation. What intervention can be implemented to promote timely bowel movements?
a. Take a mild over the-counter laxative each evening.

b. Increase fiber intake.
c. Limit fluid intake to 1500 mL daily
d. Administration of an oil retention enema weekly
45. A nursing measure to promote sleep in older adults is to:
a. Encourage evening exercise

b. Encourage quiet activities prior to bed
c. Encourage television watching
d. Make sure the room is dark and quiet
46. Which of the following symptoms would patient exhibit with hyperthyroidism?
a. Intolerance to cold
b. Decreased bowel movements
c. Slow heart rate
d. None of these
47. A patient in the hospital has a history of urinary incontinence. Which nursing action will be
included in the plan of care?
a. Demonstrate the use of the Credé maneuver to the patient.

b. Teach the use of Kegel exercises to strengthen the pelvic floor.
c. Place a bedside commode near the patient's bed.
d. Use an ultrasound scanner to check urine residual after the patient voids.
48. A 67-year-old male client has been complaining of sleeping more, increased urination,
anorexia, weakness, irritability, depression, and bone pain that interferes with her going
outdoors. Based on these assessment findings, nurse Richard would suspect which of the
following disorders?
a. Diabetes mellitus
b. Diabetes insipidus
c. Hypoparathyroidism
d. Hyperparathyroidism
49. The nurse recognizes that a client is experiencing insomnia when the client reports (select
all that apply):
a. Falling asleep at inappropriate times

b. Feeling tired after a night's sleep
c. Difficulty staying asleep
d. Extended time to fall asleep
50. A female client verbalizes that she has been having trouble sleeping and feels wide awake
as soon as getting into bed. The nurse recognizes that there are many interventions the
promote sleep.Check all that apply.
a. Drink a cup of warm tea with milk at bedtime

b. Read in bed before shutting out the light
c. Exercise in the afternoon rather than the evening
d. Count backwards from 100 to 0 when your mind is racing.
e. Leave the bedroom if you are unable to sleep
f. Eat a heavy snack before bedtime
51. The nurse is presenting an information session on nutritional guidelines at a senior living
center. Incorporated into the discussion are the recommendations for nutritional intake for
individuals of this age-group, which include a reduction in:
a. Refined sugars
b. Fiber
c. Vitamin A
d. Protein
52. In a client with diarrhea, which outcome indicates that fluid resuscitation is successful?
a. The client exhibits firm skin turgor

b. The client reports a decrease in stool frequency and liquidity
c. The client no longer experiences perianal burning.
d. The client passes formed stools at regular intervals
53. What is the serious adverse effect of menopause?
a. Hot flashes
b. Osteoporosis
c. Heart disease
d. B and C
54. What laboratory finding is the primary diagnostic indicator for pancreatitis?
a. Elevated serum lipase

b. Elevated aspartate aminotransferase (AST)
c. Increased lactate dehydrogenase (LD)
d. Elevated blood urea nitrogen (BUN)
55. A client has urge incontinence. Which of the
following signs and symptoms would the nurse expect to find in this client?
a. Inability to empty the bladder

b. Loss of urine when coughing
c. Involuntary urination with minimal warning
d. Frequent dribbling of urine
56. The nurse is developing a teaching plan for a client with stress incontinence. Which of the
following instructions should be included?
a. Limit physical exertion

b. Avoid activities that are stressful and upsetting
c. Avoid caffeine and alcohol
d. Do not wear a girdle
57. After her bath, a 62-year-old patient asks the nurse for a perineal pad, saying that she uses
them because sometimes she leaks urine when she laughs or coughs. Which intervention is
most appropriate to include in the care plan for the patient?
a. Demonstrate how to perform Credês maneuver

b. Teach the patient how to perform Kegel exercises.
c. Place commode at the patient's bedside.
d. Assist the patient to the bathroom q3hr.
58. The specific cause of dysphagia can be determined more easily when the nurse obtains
which information about the patient?
a. Patients vital signs, especially rate and depth

b. Patient's bowel habits and whether laxatives are taken habitually
c. Level of physical activity tolerated by the patient
d. Observing conditions under which the patient experiences difficulty swallowing
59. A 78-year-old patient is admitted to the hospital with dehydration and electrolyte imbalance.
The patient is confused and incontinent of urine on admission. In developing a plan of care for
the patient, an appropriate nursing intervention for the patient's incontinence is to
a. Apply absorbent incontinent pads.

b. Assist the patient to the bathroom q2hr.
c. Insert an indwelling catheter.
d. Restrict fluids after the evening meal.
60. During the morning change-of-shift report at the long-term care facility, the nurse learns that
the patient with dementia has had sundowning. Which nursing action should the nurse take
while caring for the patient?
a. Provide hourly orientation to time of

b. Move the patient to a quieter room at night.
c. Keep blinds open during the daytime hours.
d. Have the patient take a brief mid-morning nap.
61. Which statements accurately describe(s) mild cognitive impairment (select all that apply)?
a. Should be aggressively treated with acetylcholinesterase drugs

b. Caused by variety of factors and may progress to AD
c. Always progresses to AD
d. Caused by vascular infarcts that, if treated, will delay progression to AD
e. Patient is usually not aware that there is a problem with his or her memory
62. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal
dryness when the 70-year-old patient says:
a. "I'll let you know how wild yams work for vaginal dryness."
b. "Vaseline was good enough for my mother. It's good enough for me."
c. "I use a water-soluble lubricant to aid intercourse.
d. “I'm trying an estrogen cream to see if it works."
63. After instituting a new system for recording patient data, a nurse evaluates the "usability of
the system. Which actions by the nurse BEST reflect this goal? Select all that apply.
a. The nurse checks that the screens are formatted to allow for ease of data entry.
b. The nurse checks that the system is intuitive, and supportive of nurses.
c. The nurse reorders the screen sequencing to maximize effective use of the system.
d. The nurse ensures that the computers can be used by specified users effectively.
e. The nurse improves end-user skills and satisfaction with the new system.
f. The nurse ensures patient data is able to be shared across health care systems.
64. A postmenopausal client says that she is experiencing difficulty with vaginal dryness during
intercourse and wonders what might be causing this. Which is the nurse's best response?*
a. "Drinking at least 3 liters of water each day will make all your tissues less dry."
b. "The less frequently you have intercourse, the drier the vaginal tissues become."
c. "Try using a water-soluble lubricant during intercourse."
d. "Estrogen deficiency causes the vaginal tissues to become drier and thinner."
65. The nurse is teaching a postmenopausal woman about nutrition. Which statement by the
nurse is most appropriate?
a. "Make sure you take a calcium supplement every day."

b. "You can get all the iron you need in two daily meat servings.
c. "Vitamin C is important for the postmenopausal woman."
d. “Be sure to eat cereal fortified with folic acid and B vitamins.”
66. The nurse lists the age-related changes * in the female reproductive system that affect
sexual intercourse, which are ____. (Select all that apply.)
a. pruritus vulvae
b. dyspareunia
c. atrophic vaginitis
d. frequent yeast infections
e. decreased response time
67. When performing an assessment of the external genitalia of an older man, the nurse
observes the scrotum to have smooth skin and to be very pendulous. Which action by the nurse
is most appropriate?
a. Suggest to the client that he should wear an athletic supporter while awake.
b. Notify the health care provider and facilitate a scrotal ultrasound.
c. Ask the client if he has been treated for a sexually transmitted disease.
d. Document the observation and continue the assessment.
68. Mr. Sanchez is using telehealth services. He can talk with this physician via videocall about
his condition. What type of telehealth applications is he using?
a. Synchronous
b. Remote Patient Monitoring
c. Store-and-Forward
d. Mobile Health
69. An 82-year-old Mr. Robeson together with his daughter arrived at the medical-surgical unit
for diagnostic confirmation and management of probable delirium. Which statement by the
client's daughter best supports the diagnosis?
a. "Dad has always been so independent. He's lived alone for years since mom died."
b. "The changes in his behavior came on so quickly! I wasn't sure what was
happening."
c. "Dad just didn't seem to know what he was doing. He would forget what he had for
breakfast.”
d. "Maybe its just caused by aging. This usually happens by age 82.”
70. The nurse identifies the person most likely to experience erectile dysfunction as the
65-year-old who has ____ sexually active in earlier years.
a. chronic pancreatitis and was very

b. irritable bowel syndrome and was minimally
c. diabetes and was very
d. osteoarthritis and was moderately
71. Nurse Abbie is assigned to home health care for an 83-year-old patient with a stroke who
has right-sided hemiplegia, difficulty swallowing, and speech impairment. He is receiving care in
his home from his wife and daughter. What should the home care nurse provide?
a. Strict regimen and care plan

b. Holistic, nonjudgmental philosophy
c. Teaching plan for all family members
d. Means of transporting the patient to his physician
72. A student nurse asks her nurse educator why there is an increased demand for home
health care. Which response is the MOST accurate for the nurse educator?
a. Most family members want to care for their ill members at home.
b. There is a shortage of nurses who want to work in acute hospital care settings.
c. There is increased technology in
d. hospitals which provokes anxiety to many patients.
e. There is an increase in the number of older patients with chronic illnesses.
73. The nurse counsels the 70-year-old female who has remained on hormone replacement
therapy (HRT) that she needs to have a:
a. Pap smear annually.

b. liver function assessment annually.
c. mammogram biannually.
d. semiweekly douche to wash out cervical debris
74. Which patient is most at risk for developing delirium?
a. A 50 year old woman with cholecystitis

b. A 19 year old man with a fractured femur
c. A 42 year old woman having an elective hysterectomy
d. A 78 year old man admitted to the ICU with complications related to heart failure
75. A 68-year-old patient is recovering from an abdominoperineal Resection with a permanent

Colostomy. Her physician has ordered home health care nursing on her discharge. What is the
primary patient goal?
a. The patient will maintain a friendly relationship with family members.

b. The patient will establish self-care and independence.
c. The patient will avoid dependency on medication therapy.
d. The patient will be able to return to previous lifestyle.
76. A long-term care patient with moderate dementia develops increased restlessness and
agitation. The nurse's initial action should be to:
a. administer the PRN dose of lorazepam (Ativan).

b. reorient the patient to time, place, and person.
c. assess for factors that might be causing discomfort.
d. have a nursing assistant stay with the patient to ensure safety.
77. The home health nurse has been assigned to provide care for a patient with cultural values
that differ from the nurse's. What is the BEST action for the nurse to take? (Select all that apply)
a. Research the culture of the assigned patient

b. Accept the assignment and provide the patient with information on the values of the
nurse to facilitate communication.
c. Ask for an assignment change to allow a colleague who has cultural values more in line
with those of the patient to be assigned.
d. Take time to consider the differences between the values held and those of the
assigned patient.
e. Review past experiences with cultural dilemmas.
78. An older woman is asking the nurse about her husband's sexual functioning. Which
statement by the nurse is most accurate?
a. "Men his age tend to have a rapid decline in sexual abilities."

b. "Changes in testosterone levels do not affect sexual performance.
c. "You are lucky your husband is healthy enough for sexual activity."
d. "His testosterone levels will decrease only slightly until he is quite old."
79. A 79-year-old patient recently fractured * her hip and had a Hemiarthroplasty bipolar hip
repair. Her daughter works during the day but provides care in the evening. Which service
agency is most appropriate to provide for this patients daily care?
a. Outpatient rehabilitation agency

b. Home health agency
c. Nursing home facility
d. Private duty agency
80. The nurse is counseling a postmenopausal woman about her new stress incontinence.
Which statement by the nurse is most important?
a. "You can try a variety of briefs and undergarments.

b. "It will be important to keep that area clean and dry."
c. "I can refer you to a good incontinence clinic."
d. "Unfortunately, incontinence is common in women your age."
81. Telehealth differs from telemedicine in that __.
a. Telehealth encompasses telemedicine, but is a broader term that emphasizes the

provision of information to health care providers and consumers.
b. Telehealth is a narrow term referring only to wellness behaviors.
c. Telemedicine is a broader term than telehealth and emphasizes the provision of
information to healthcare providers and consumers.
d. Telemedicine uses the Internet to provide professionals with information while telehealth
does not.
82. Mrs. Quezon noticed a rash on her face. She immediately took a picture and send it to her
dermatologist. What type of telehealth applications is she using?
a. Mobile Health
b. Synchronous
c. Store-and-Forward
d. Remote Patient Monitoring
83. The nurse is conducting a reproductive assessment of a postmenopausal woman. Which

assessment finding reported by the client requires immediate intervention by the nurse?*
a. Returning periods
b. Painful intercourse
c. Urinary incontinence
d. Vaginal dryness
84. Which among the following statements made by the student denotes understood the
concept of indirect transmission?*
a. "I should be wearing gloves when taking care of a patient with gonorrhea."
b. "Unprotected sexual intercourse may result to sexual transmitted disease.”
c. "I will advise mothers not to let their children walk barefooted. "
d. "I will not eat street foods."
85. On the other hand, Cora described their toilet as pit latrine with a screened air vent installed
directly over the pit. This is a
a. Aqua privy
b. VIP latrine
c. Chemical privy
d. Overhung latrine
86. The specific vector of malaria: *
a. Oncomelania quadrasi
b. Aedes aegypti
c. Plasmodium falciparum
d. Female anopheles mosquito
87. Which among is the triad signs of malaria:
a. Profuse sweating, fever and abdominal

b. Fever, chills and profuse sweating
c. Fever, rash and abdominal pain
d. Chills, fever and cough
88. The minimum air space that shall be provided for school rooms must be:
a. School Rooms - 3.00 cu. meters with 1.00 sq. meter of floor area per person
b. 12.00 sq. meters of floor area per person
c. Habitable Rooms - 14.00 cu. meters of air space per person
d. Workshop, Factories, and Offices - 12.00 cu. meters of air space per person
89. This act mandates that communicable diseases must be reported:
a. RA 3573
b. RA 9173
c. RA 4073
d. RA 1136
90. A patient is receiving a treatment of Intensive - HRZE (2 months) Maintenance - HR (4

months). This patient can be: (select all that apply)
a. Return after default (RAD)

b. New Smear - PTB with extensive lesions
c. Extrapulmonary PTB
d. Relapse
91. The following are rules of food safety: (select all that apply)
a. Must have no history of diarrhea

b. A food establishment must have a sanitary permit
c. Person employed in a food establishment shall not be allowed to handle food
when suffering of gastrointestinal upset.
d. Person employed in any food establishment must have a health certificate from
health officer
92. The best way to control Schistosomiasis is:
a. Protect self from insect bites.

b. Do not swim in rivers and other bodies of water.
c. Do not walk barefooted.
d. Snails must be killed.
93. This refers to the manner in which a pathogen enters a susceptible host:
a. Portal of exit
b. Causative agent
c. Reservoir
d. Portal of entry
94. Select all early signs of leprosy: *
a. Loss of sweating
b. gynecomastia
c. Madarosis
d. Reddish or white change in skin color
95. After proper washing, the utensils must be subjected to bactericidal treatments such as:
(select all that apply)
a. Immersion for a least half a minute in clean hot water (77°C)

b. Exposure to steam for at least half a minute to a 200 °C
c. C. Exposure to steam for at least 5 minutes to 77 °C
d. Immersion for a least a minute in lukewarm water containing 55-100 pm of chlorine
solution
96. Which among the following statement is true to communicable disease? (select all that
apply)
a. Contagious diseases are sometimes called as infectious diseases.

b. Communicable diseases could either be contagious or infectious.
c. An infectious disease is transmitted through indirect physical contact.
d. An infectious disease can be contagious because the latter can be transmitted indirectly.
97. This law regulates the importation, use, movement, treatment and disposal of toxic
chemicals and hazardous and nuclear wastes in the Philippines:
a. RA 6969
b. RA 8749
c. RA 9003
d. RA 9275
98. It is a law that requires all motor vehicles * to pass the smoke emission standards:
a. RA 8749
b. PD 856
c. RA 9275
d. RA 6969
99. Which among the following can be a host of Mycobacterium?
a. Humans
b. Cattles
c. Monkeys
d. Dogs
100. The student nurse knows that a host is susceptible to diseases because of: (select all that
apply)
a. Malnutrition
b. Old age
c. Not alcoholic
d. Present existing disease (co-morbidity)
101. To prevent transmission of diseases, the best way is to:
a. Immunize all people

b. Remove any elements to prevent the onset of a communicable disease
c. Eradicate the causative agent
d. Enhance the immune system of the susceptible host
102. Upon interview, Aling Neneth mentioned that their toilet is known as Antipolo toilet. Antipolo
toilet is best describe as:
a. Fecal matter is collected into a built septic tank that is not connected to a sewerage
system.
b. fecal matter is collected in a can or bucket, which is periodically removed for emptying
and cleaning
c. As made up of an elevated pit privy that has a covered latrine.
d. fecal matter is eliminated into a hole in the ground that leads to a dug pit
103. Which among the following method is friendly to nature in controlling vermin: (select all that
apply)
a. Biological and genetic control

b. Chemical control
c. Naturalistic control
d. Integrated control
104. This is the habitat of causative agents: *
a. Portal of exit
b. Susceptible Host
c. Reservoir
d. Portal of entry
105. This refers to any organism capable of causing disease:
a. Reservoir
b. Susceptible Host
c. Causative agent
d. Portal of exit
106. Which among the following is NOT true to the epidemiologic triangle model?
a. Environmental elements can tilt the balance in favor of the agent.

b. As long as the balance is maintained or is tilted in favor of the host, disease does not
occur.
c. If the balance is tilted in favor of the agent, disease does not occur.
d. The model suggests that the agent and the susceptible host interact freely in a common
environment.
107. The causative agent of leprosy is: *

a. Mycobacterium leprae
b. Mycobacterium tubercle
c. Mycobacterium
d. All of these
108. This oral malarial treatment is given to resistant case of P. falciparum:*
a. Sulfadoxine 50 mg
b. Chloroquine phosphate 250mg
c. Quinine hydrochloride 300mg/mL, 2mL
d. Primaquine
COA LONG QUIZ
1. When planning care for the patient with acute pancreatitis, the nurse knows that which
intervention is a priority of care?
a. Observation for mental changes
b. Observation for intestinal obstruction
c. Nutritional supplementation
d. Pain control
2. A 67-year-old male client has been complaining of sleeping more, increased urination,
anorexia, weakness, irritability, depression, and bone pain that interferes with her going
outdoors. Based on these assessment findings, nurse Richard would suspect which of the
following disorders? *
a. Hypoparathyroidism
b. Diabetes insipidus
c. Hyperparathyroidism
d. Diabetes mellitus
3. The nurse may recommend which of the following for the older client with mild arthritis?
a. Rest and ice for the joints affected.

b. A mild exercise program including walking.
c. No exercise will improve arthritis.
d. Complete bedrest
4. A client has been recently diagnosed with Alzheimer’s disease. When teaching the family
about the prognosis, the nurse must explain that:*
a. Many individuals can be cured if the diagnosis is made early.

b. It usually progresses gradually with a deterioration of function.
c. Diet and exercise can slow the process considerably.
d. Few clients live more than 3 years after the diagnosis.
accommodate decreased touch sensation except;*
a. Give patients hot beverages.

b. Check the thermometer to decide how and what to dress,
c. Lower the water heater temperature to no higher than 120°F (49°C)
d. Treat seen injuries even if it is not painful.
6. You have a patient that might have a urinary tract infection (UTI). Which statement by the
patient suggests that a UTI is likely?*
a. “I pee a lot.”
b. “It burns when I pee.”
c. “My pee smells sweet.”
d. “I go hours without the urge to pee.”
7. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness
when the 70-year-old patient says:*
a. "I'm trying an estrogen cream to see if it works."

b. "I use a water-soluble lubricant to aid intercourse."
c. "Vaseline was good enough for my mother. It's good enough for me."
d. "I'll let you know how wild yams work for vaginal dryness."
8. A client has urge incontinence. Which of the following signs and symptoms would the nurse
expect to find in this client?*
a. Inability to empty the bladder.

b. Frequent dribbling of urine
c. Loss of urine when coughing
d. Involuntary urination with minimal warning
9. Which statement demonstrates normal cognitive function for an aging adult?*
a. Unable to recall current address or phone number.

b. Occasional memory lapses
c. Unable to recall the names of their children or siblings.
d. Unable to count to 10 or repeat a series of consecutive numbers
10. Mr. Domingo, a 72-year-old, verbalizes his feelings of pain in his fingers. When a client
complains of pain, your initial response is:*
a. Verbally acknowledge the pain

b. Record the description of pain.
c. Change to a more comfortable position.
d. Refer the complaint to the doctor.
11. For an individual with age-related hearing loss, which sound is most difficult to hear:*
a. Hammering during construction of a house next door

b. A young child talking in a cafeteria line.
c. A recording of a march played softly.
d. The voice of a man speaking in an elevator
12. Hormone therapy eases some of the negative effects of menopause. Which of these
hormones is used?*
a. Testosterone
b. Prostaglandin
c. Estrogen
d. Estrogen and progesterone
13. In a client with diarrhea, which outcome indicates that fluid resuscitation is successful? *
a. The client no longer experiences perianal burning.

b. The client passes formed stools at regular intervals.
c. The client reports a decrease in stool frequency and liquidity.
d. The client exhibits firm skin turgor.
center. Which of the following foods meets the recommended nutritional guidelines for older
adults?*
a. Hamburger and French fries

b. Grilled chicken
c. Hot dog with dill pickle relish
d. Baked potato with cheese and bacon bits
15. What laboratory finding is the primary diagnostic indicator for pancreatitis?*
a. Increased lactate dehydrogenase (LD)

b. Elevated aspartate aminotransferase (AST)
c. Elevated serum lipase
d. Elevated blood urea nitrogen (BUN)
16. In reviewing changes in the older adult, the nurse recognizes that which of the following
statements related to cognitive functioning in the older client is true?*
a. Cognitive deterioration is an inevitable outcome of the human aging process .

b. Delirium is usually easily distinguished from irreversible dementia.
c. Therapeutic drug intoxication is a common cause of senile dementia.
d. Reversible systemic disorders are often implicated as a cause of delirium.
17. After her bath, a 62-year-old patient asks the nurse for a perineal pad, saying that she uses
them because sometimes she leaks urine when she laughs or coughs. Which intervention is
most appropriate to include in the care plan for the patient?*
a. Assist the patient to the bathroom q3hr.

b. Place commode at the patient's bedside.
c. Teach the patient how to perform Kegel exercises.
d. Demonstrate how to perform Credé's maneuver.
18. Changes in the immune system that accompany aging include:*
a. higher levels of antibodies after initial exposure to antigens

b. T cells becoming less responsive to antigens.
c. increased numbers of T helper cells.
d. more cytotoxic T cells responding to infections.
19. When developing a plan of care for the client with stress incontinence, the nurse should take
into consideration that stress incontinence is best defined as the involuntary loss of urine
associated with:*
a. Overdistention of the bladder

b. Obstruction of the urethra
c. Activities that increase abdominal pressure
d. A strong urge to urinate.
20. The nurse works with elderly clients in a wellness screening clinic on a weekly basis. Which
of the following statements made by the nurse is the most therapeutic regarding their mobility?*
a. “Don’t worry about taking that combination of medications since your doctor has
prescribed them.”
b. “Your shoulder pain is normal for your age.”
c. “Why don’t you begin walking 3 to 4 miles a day and we’ll evaluate how you feel next
week.”
d. “Continue to exercise your joints regularly to your tolerance level.”
21. The nurse recognizes that a client is experiencing insomnia when the client reports (select
all that apply):*
a. Difficulty staying asleep.
b. Extended time to fall asleep.
c. Feeling tired after a night’s sleep
d. Falling asleep at inappropriate times
22. Which of the following blood components is decreased in anemia?*
a. Leukocytes
b. Granulocytes
c. Platelets
d. Erythrocytes
23. An older woman is asking the nurse about her husband's sexual functioning. Which
statement by the nurse is most accurate?*
a. "His testosterone levels will decrease only slightly until he is quite old."
b. "Changes in testosterone levels do not affect sexual performance."
c. "Men his age tend to have a rapid decline in sexual abilities."
d. "You are lucky your husband is healthy enough for sexual activity."
24. The nurse identifies the person most likely to experience erectile dysfunction as the
65-year-old who has _ sexually active in earlier years*
a. osteoarthritis and was moderately

b. diabetes and was very.
c. chronic pancreatitis and was very.
d. irritable bowel syndrome and was minimally.
25. The increased incidence of cancer in the elderly reflects the fact that. *
a. immune surveillance increases.

b. Their diets do not meet nutritional standards.
c. Everyone is prone to disease.
d. immune surveillance declines with age
26. The nurse is developing a teaching plan for a client with stress incontinence. Which of the
following instructions should be included?*
a. Do not wear a girdle.

b. Limit physical exertion.
c. Avoid caffeine and alcohol.
d. Avoid activities that are stressful and upsetting.
27. The nurse is counseling a postmenopausal woman about her new stress incontinence.
Which statement by the nurse is most important?*
a. "It will be important to keep that area clean and dry."
b. "You can try a variety of briefs and undergarments."
c. "Unfortunately, incontinence is common in women your age."
d. "I can refer you to a good incontinence clinic."
28. The nurse is teaching a postmenopausal woman about nutrition. Which statement by the
nurse is most appropriate?*
a. "You can get all the iron you need in two daily meat servings."
b. "Make sure you take a calcium supplement every day."
c. "Vitamin C is important for the postmenopausal woman."
d. "Be sure to eat cereal fortified with folic acid and B vitamins."
29. The nurse caring for the elderly population understands that movement slows with aging.
This is most likely due to:*
a. Laziness and a feeling that life is over.

b. Changes in musculoskeletal and nervous systems
c. A recent change in medical condition
30. Which of the following symptoms would a patient exhibit with hyperthyroidism?*
a. None of these
b. Intolerance to cold
c. Slow heart rate
d. Decreased bowel movements
31. An elderly patient reports a loss of interest in eating. When providing information to the
patient, which action by the nurse is likely to be most helpful in increasing the patient's intake?*
a. Giving the patient a list of high-calorie foods.

b. Reminding the patient of the importance of eating.
c. Having the patient keep a food diary.
d. Suggesting to the patient's family members that someone join the patient for meals.
32. Changes in bone and muscle in the aging population have the greatest effect on.*
a. Stature, posture, and function

b. Immunity
c. Appearance
d. Pain tolerance
33. To assist older adults to meet their needs for sexuality, the nurse should recognize that the
greatest impact on the sexuality of older adult is:*
a. Sexual interest declines and then fades completely with age.

b. Physiological changes do not adversely influence sexual activity.
c. Therapeutic medications may alter sexual function.
d. Prevention of sexually transmitted diseases is no longer an issue
nurse recognizes that with age:*
a. Muscle strength does not diminish as much as muscle mass.

b. Weight-bearing exercise reduces the loss of bone mass.
c. Men have the greatest incidence of osteoporosis
d. Muscle fibers increase in size and become tighter.
35. A postmenopausal client says that she is experiencing difficulty with vaginal dryness during
intercourse and wonders what might be causing this. Which is the nurse's best response?*
a. "The less frequently you have intercourse, the drier the vaginal tissues become."
b. "Try using a water-soluble lubricant during intercourse.""Drinking at least 3 liters of water
each day will make all your tissues less dry."
c. "Estrogen deficiency causes the vaginal tissues to become drier and thinner."
36. A nurse is performing a physical examination on an older adult client in an assisted living
facility. On completion of the examination, the nurse compares the results to findings expected
for individuals in this age group. An expected finding for this client is:*
a. Increased thoracic expansion during ventilation

b. Increased hearing acuity for higher tones
c. Increased sensitivity to visual glare
d. Increased tactile responsiveness.
37. Which statement would be most appropriate to ask when assessing an aging adult for
cognitive function?*
a. Can you count to 10 for me?

b. Who is the president of the Philippines?
c. What is today's date?
d. Have you noticed anything different about your memory or thinking in the past few
months?
center. Incorporated into the discussion are the recommendations for nutritional intake for
individuals of this age-group, which include a reduction in:*
a. Refined sugars
b. Fiber
c. Vitamin A
d. Protein
39. Which patient is at greatest risk for developing a urinary tract infection (UTI)?*
a. A 28 y.o. with angina

b. A 20 y.o. woman with asthma
c. A 35 y.o. woman with a fractured wrist
d. A 50 y.o. postmenopausal woman
40. When teaching an elderly client how to prevent constipation, which of the following
instructions should the nurse include?*
a. “Avoid grain products and nuts.”

b. “Add at least 4 grams of bran to your cereal each morning.”
c. “Be sure to get regular exercise.”
d. “Drink 6 glasses of fluid each day.”
nurse recognizes that with age:*
a. Weight-bearing exercise reduces the loss of bone mass.

b. Muscle fibers increase in size and become tighter.
c. Men have the greatest incidence of osteoporosis.
d. Muscle strength does not diminish as much as muscle mass.
42. A nursing measure to promote sleep in older adults is to:*
a. Encourage television watching.

b. Encourage quiet activities prior to bedtime
c. Encourage evening exercise.
d. Make sure the room is dark and quiet.
43. A patient in the hospital has a history of urinary incontinence. Which nursing action will be
included in the plan of care?*
a. Demonstrate the use of the Credé maneuver to the patient.

b. Teach the use of Kegel exercises to strengthen the pelvic floor.
c. Use an ultrasound scanner to check urine residual after the patient voids.
d. Place a bedside commode near the patient's bed.
44. An 80-year-old resident of a retirement center states that something is wrong with the
lighting in the room because colored rings appear around the light bulbs. The resident most
likely has:*
a. cataracts.
b. increased intracranial pressure
c. glaucoma.
d. delusions.
45. Nurse Liza is teaching a group of old-aged men about peptic ulcers. When discussing risk
factors for peptic ulcers, the nurse should mention:*
a. a history of hemorrhoids and smoking.

b. a sedentary lifestyle and smoking.
c. alcohol abuse and smoking
d. alcohol abuse and a history of acute renal failure.
46. Which of the following interventions should be taken to help an older client to prevent
osteoporosis?*
a. Increase sedentary lifestyles.

b. Decrease dietary calcium intake.
c. Encourage regular exercise.
d. Increase dietary protein intake.
47. The nurse is caring for an older adult patient who reports continued problems with
constipation. What intervention can be implemented to promote timely bowel movements?*
a. Increase fiber intake.

b. Administration of an oil retention enema weekly.
c. Limit fluid intake to 1500 mL daily.
d. Take a mild over-the-counter laxative each evening.
48. When performing an assessment of the external genitalia of an older man, the nurse
observes the scrotum to have smooth skin and to be very pendulous. Which action by the nurse
is most appropriate?*
a. Suggest to the client that he should wear an athletic supporter while awake.
b. Document the observation and continue the assessment.
c. Ask the client if he has been treated for a sexually transmitted disease.
d. Notify the health care provider and facilitate a scrotal ultrasound.
49. The nurse lists the age-related changes in the female reproductive system that affect sexual
intercourse, which are.(Select all that apply.)*
a. atrophic vaginitis
b. frequent yeast infections
c. dyspareunia
d. decreased response time
e. pruritus vulvae
50. A female client verbalizes that she has been having trouble sleeping and feels wide awake
as soon as getting into bed. The nurse recognizes that there are many interventions the
promote sleep. Check all that apply.*
a. Exercise in the afternoon rather than the evening
b. Read in bed before shutting out the light.
c. Leave the bedroom if you are unable to sleep.
d. Count backwards from 100 to 0 when your mind is racing.
e. Drink a cup of warm tea with milk at bedtime.
51. Sexuality is recognized as a factor in the care of older adults, thus:
a. the need to touch and be touched is decreased.

b. all older adults, whether healthy or frail, need to express sexual feelings.
c. any expression of sexuality should be discouraged.
d. a decrease in an older adult’s libido does occur.
52. It is important for a team working with clients who have a diagnosis of dementia to adopt a
common approach of care because these clients need to:*
a. accept external controls that are fairly applied.

b. learn that the staff cannot be manipulated.
c. have sameness and consistency in their environment.
d. relate in a consistent manner to staff.
53. Nurse Vanessa heard her student using a reminiscence therapy to her assigned client with
Alzheimer's Disease (AD). She knows that the purpose of this is:*
a. to enhance understanding of the behavior of the patient through validation of the

feelings.
b. a systematic use of family member as a support group.
c. to minimize unnecessary stress and prevent behavioral outbursts.
d. to promote adjustment and integrity for older adults through structured remembering and
reflecting on the past.
54. Which of the following statements made by a 75-year old client shows the best
understanding of how the aging process affects the musculoskeletal system?*
a. “I drink milk and eat cheese to get my calcium.”

b. “I wear sensible shoes so I won’t sprain an ankle.”
c. At my age, I might never fully recover from a hip fracture.”
d. “I walk 1 mile everyday to strengthen my bones.”
55. The family of an elderly client asks why their father puts so much salt on his food. The nurse
should include which information in the response?*
a. The body is attempting to compensate for lost fluids during the aging process.
b. The client is confused and does not remember putting salt on the food.
c. Elderly clients need more sodium to ensure adequate kidney function.
d. The taste buds become dulled as a person ages.
56. The client with newly diagnosed Rheumatoid arthritis asks what can happen if no treatment
is done. The nurse knows that if Rheumatoid arthritis is left untreated, which of the following
would be most apt to develop?*
a. Chronic osteomyelitis
b. Bony ankylosis
c. Pathological fractures
d. Joint hypermobility
57. An 88-year old woman in a long-term care facility is having difficulty remembering where her
room is. Which of the following solutions would best help her?*
a. Put a light blue painting on the door to her room.

b. Assign her a buddy who will help her when she gets lost.
c. Assign her the room next t the nurse’s station so that the staff can assist her.
d. Put her picture and her name in large letters on the door to her room.
58. The nurse recognizes that dementia of the Alzheimer’s type is characterized by:*
a. periodic remissions and exacerbations.

b. aggressive acting out behavior.
c. hypoxia of selected areas of brain tissue.
d. areas of brain destruction called senile plaques.
59. Diminished ability to concentrate urine, associated with aging of the urinary system, is
attributed to:*
a. a decrease in bladder sensory receptors.

b. thinning of the basement membrane of Bowman’s capsule.
c. decrease function of the loop of Henle and tubules.
d. an increase in the number of functioning nephrons.
60. Nurse Vanessa is now explaining stages of Alzheimer’s. Moderate stage is characterized by
sundowner’s syndrome. She is correct when she says:*
a. “It is repetitive statements, questions, or movements.”

b. “It’s the impulsivity. It’s like saying or doing things he or she wouldn’t normally do.”
c. “It is characterized by hallucinations, delusions, paranoia and irritability.”
d. “Restlessness, agitation, anxiety, tearfulness and wandering especially in the late
61. Of the following client statements made by an older adult client which best reflects an
understanding the educational materials on nutrition presented by the nurse?*
a. “I’ll keep this literature and read it again later.”

b. “I love rye bread. It’s good to know it’s high in fiber.”
c. “Nutrition and cooking has always been passions of mine.”
d. “Now I can see the connection between food and my health.”
62. When answering questions from the family of a client with Alzheimer’s disease, the nurse
explains that this disease is:*
a. a functional disorder that occurs in the later years.

b. easily diagnosed through laboratory and psychological tests.
c. a slow, relentless deterioration of the mind.
d. a disease that first emerges in the fourth decade of life.
63. The approach that would be most helpful in meeting the needs of an elderly client
hospitalized with the diagnosis of dementia of the Alzheimer’s type is:*
a. providing an opportunity for many alternative choices in daily schedule to stimulate

interest.
b. providing a nutritious diet high in carbohydrates and proteins.
c. simplifying the environment as much as possible while eliminating need for choices.
d. developing a consistent nursing plan with fixed time schedules to provide for physical
and emotional needs.
64. The older adult’s libido does not decrease, however:*
a. physical changes usually will not affect sexual functioning.

b. the sexual preferences of older adults are not as diverse.
c. frequency of sexual activity may decline.
d. the need to touch and be touched is decreased.
65. Preventing urinary incontinence through healthy bladder habits include the following, except
for one: *
a. maintaining hydration.
b. strengthening and toning the pelvic floor muscles.
c. emptying the bladder on an irregular schedule.
d. avoiding bladder irritants.
66. A 65-year old client is seen in an urgent care center for a sprained ankle. The client also
tells the nurse, “I don’t know what the problem is. “I’m tired all the time. I guess it’s just a sign of
getting old”. What is the best response for the nurse to make?*
a. It’s not normal for someone your age to be tired all the time. Have you had a physical
exam recently?”
b. “Sixty-five isn’t that old. Do you have enough activities to keep you from getting bored?”
c. “You sound depressed. Would you like the name of a psychiatrist?”
d. “It’s normal for someone your age to feel tired like that. Try taking a two-hour nap during
the day.”
67. The physician orders Prednisone for a client with Rheumatoid arthritis for a painful wrists
and joints. Which instruction is essential for the nurse to give the client?*
a. "Stop the pills at once if your face begins to get puffy."

b. “Your urine may turn pinkish while taking this."
c. "Be sure to take the medication between meals".
d. "Take the pills with milk or food".
68. Which of the following statements made by a family member of a client recently diagnosed
with Alzheimer’s disease is most reflective of an understanding of this disease process?*
a. “Dad has always been a fighter; he’ll fight this too. He won’t give up.”
b. “It usually progresses gradually so we are hoping it will be a while before his memory is
gone.”
c. “We have an appointment with his care provider to see about medication therapy.”
d. “Good thing we found out about this early so steps can be taken to keep it from getting
worse.”
69. The nurse in a retirement home has noticed that Mr.A and Ms. C have been holding hands
frequently.Oneday,thenurseentersMr.A’sroomand findsMr.AandMs.Chavingsexual intercourse.
Both residents are alert and oriented. What is the most appropriate action for the nurse to
take?*
a. Leave the room and close the door.

b. Notify the relatives of both residents.
c. Interrupt the couple and send Ms. C to her room.
d. Ask Ms. C if she is all right.
70. The client with Rheumatoid arthritis is to receive Prednisone 2.5 mg. P.O before meals and
at bedtime. What is the primary expected action of the drug?*
a. Production of androgen-like effects.

b. Interference with inflammatory reactions.
c. Improvement of carbohydrate metabolism.
d. Maintenance of sodium and potassium balance.
71. Undergarments are used to absorb urine from the incontinent patient. The following should
be part of the nursing interventions in taking care of this patient, except:*
a. choosing indwelling catheter as primary means for managing urinary incontinence.

b. meticulous skin care.
c. use of moisture barriers and no-rinse cleansers.
d. proper hydration, while restricting fluids at bedtime.
72. The nurse develops a nursing diagnosis of self-care deficit for an older client with dementia.
Which of the following is the most appropriate goal for this client?*
a. The client will complete all activities of daily living independently within an hour time
frame.
b. The client will function at the highest level of independence possible.
c. The nursing staff will attend to all the client’s activities of daily living needs during the
hospitalization stay.
d. The client will be admitted to a long-term care facility to have activities of daily living
needs met.
73. Which of the following responses by an older-adult client is most reflective of a need for
further education by the nurse regarding the physiological changes associated with the older
adult?*
a. “I have my eyes checked regularly. Can’t afford to fall.”

b. “I call a cab if I want to go out after dark.”
c. “I really enjoy eating good vanilla ice cream, but I have cut way down”
d. “I can’t help worrying about becoming forgetful.”
74. Which of the following statements made by an older adult regarding sexuality would be of
greatest concern for the nurse?*
a. “It’s so nice not to have to worry about an unwanted pregnancy.”

b. “What can I do to help with vaginal dryness?”
c. “Will this new medication affect my libido?”
d. “I really miss the intimacy my husband and I shared.”
75. The nurse identifies that which of the following changes in the pattern of urinary elimination
is usually associated with aging?*
a. Sphincter reflexes decreased

b. Decreased frequency
c. Formation of bladder stones
d. Incontinence
76. In the assessment of older adult clients, it is often difficulty to discriminate between delirium
and dementia. Delirium is characterized by:*
a. slow progression
b. A normal state of alertness
c. Occurrences at twilight or darkness
d. Lasting months to years
77. Your patient, a 72-year-old man, indicates that he is not urinating very often because it is
painful and difficult to do so. He reports a burning sensation when he urinates as well. This
patient should be further assessed for which of the following?*
a. Enlarged prostate.
b. Bladder cancer
c. Urinary tract infection
d. Sexually transmitted infections
78. Which of the following statements of the student nurse would indicate a better
understanding about the physiological changes occurring with Alzheimer’s?*
a. “Patient on late stage becomes very agitated due to diminished levels of dopamine in the
brain.”
b. “Cerebrovascular stiffness caused by excessive alcoholism leading to increased memory
deficit.”
c. “Several biochemicals involved in the brain activity are out-of-control”
d. “The pathological hallmarks are beta-amyloid plaques and neurofibrillary tangles.”
79. Which is NOT a clinical manifestation of Rheumatoid arthritis? Select all that applies.*
a. Low grade temperature & weakness

b. Normal X-ray of affected area
c. joint deformities
d. joint stiffness
e. Decreased ESR
f. Elevated ESR
80. The nurse is assessing a client with dementia. To effectively elicit information about the
client’s ability to provide self-care, the nurse should:*
a. state, “continue to knit and I shall observe you for a while.”

b. ask, “Can you show me how you would open the door if you had a key?”
c. state, “I notice that your shoes do not match your dress.”
d. ask, “Can you find your way from the bed to the bathroom?”
CoOA Quiz 5
[email protected] Switch account
Draft saved
Your email will be recorded when you submit this form
* Indicates required question
MCQ 1 to 60
When assessing for drug effects in the older adult, which phase of pharmacokinetics is the
greatest concern?
*
Excretion
Absorption
Distribution
Metabolism
A client wants to wear a pair of sunglasses in the facility at night time. Which of the following is
the appropriate action of the home health nurse?
*
The sunglasses will impair the vision; so the home health aide should not allow the client to
wear the sunglasses
Let the client wear the sunglasses in the hopes that he or she will run into something due to
impaired vision
The nurse is caring for an elderly patient who is in the final stages of his terminal disease. The
patient is very weak but refuses to use a bedpan, and wants to get up to use the bedside
commode. What should the nurse do?
*
Put the patient on a bedpan and stay with him until he is finished
Nurse Beth explains medical and nursing procedures to Mr. Dela Cruz’s family
members. What role did Nurse Beth play in this situation?
*
Provider of Care
Teacher
Manager
Advocate
While bathing an elderly client who has limited abilities for self-care, the nurse notices several
patches of dry skin on the client’s heels, elbows, and coccyx. The nurse cleans and dries all the
areas well and applies a moisturizing lotion. The most appropriate immediate follow-up by the
nurse to ensure appropriate nursing care for this clients skin is to:
*
Encourage the client to tell whomever bathes her to apply the moisturizing lotion to her areas
of dry skin
Assume personal responsibility to apply the moisturizing lotion daily to the client's skin
Inform the staff that the client's skin is showing signs of breakdown and moisturizing lotion
needs to be applied daily
Revise the client's care plan to show the need for the application of moisturizing lotion
The single most important thing we can do as healthcare providers to prevent polypharmacy
is:
*
Educate our patients on each of their new medications

Tell our patient to appoint a lead doctor
Encourage our patients to carry a list of home medications in their wallet
Tell our patients to Google all of their medications
Which of the following is NOT a priority for patients with a life-limiting illness receiving
palliative care?
*

Relieving burden
The nurse is engaging the patient in social conversation. What is the benefit of social
conversation in the health care setting?
*
It encourages sharing of intimate details.

It lets the patient know that he or she is considered to be a person, not just a patient.
It blocks more meaningful therapeutic communication
It establishes the nurse's role as a health care provider.

The nurse clarifies to a group of clients that the field of nursing interest that specializes
in disease prevention, increasing autonomy and self-care, and maintenance of function
for older adults is
*
geriatrics.
gerontology.
public health.
developmental psychology.
In performing a physical assessment for an older adult, the nurse anticipates finding which of
the following normal physiological changes of aging?
*

The nurse is performing an assessment on an older client who is having difficulty breathing
during morning exercise. What is the best advice the nurse can give to the client?
*

. “Go on, you can do it.”

A long-term care facility sponsors a discussion group on the administration of medications. The
participants have a number of questions concerning their medications. The nurse responds
most appropriately by saying:
*
"Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of
your medications."
"Feel free to ask your physician why you are receiving the medications that are prescribed for
you."
"Don't worry about the medication's name if you can identify it by its color and shape."
"Unless you have severe side affects, don't worry about the minor changes in the way you feel."
The student understands the ANA Code of Ethics for Nurses when she identifies which
statement as incorrect? The Code of Ethics for Nurses
*
helps with professional self-regulation

is not applicable to most practice settings.
provides a framework for ethical decision-making.
is non-negotiable.
You are asked by your supervisor to take photographs of the residents and their family
members who are attending a holiday dinner and celebration at your long term care facility.
What should you do?
*
Take the photographs because all of the residents are properly attired and in a dignified
condition
Take the photographs because these photographs are part of the holiday tradition at this
facility
The nurse noted that an older patient complains of always feeling cold. Which age- related
change to the skin could be causing this in the patient?
*

A home health aide is dressing a client. Which of the following is not true regarding this care?
*
Encourage the client to choose his or her own clothes

Overextend the extremities if necessary when undressing and dressing
Never force the extremities when undressing and dressing
Assist the client to don pants, shirt with sleeves, and socks
The RN student has been studying ethics in health care. Based on what she has learned, how
would she explain the bioethical principle of autonomy?
*
It states that the physician knows what is best for the patient.
It refers to patient self-determination.
It states that every patient has a right to health care.
It does not apply to informed consent.
Person-centered communication strategies with older people might involve:

*

Speaking too quickly.
Giving too much information at once.
The nurse is setting up an education session with an 85-year-old patient who will be going
home on anticoagulant therapy. Which strategy would reflect consideration of aging changes
that may exist with this patient?
*

The family member of a patient asks if vitamin C will prevent aging. In formulating an
appropriate response, the nurse considers what theory?
*
autoimmune theory.
continuity theory
free radical theory.
wear-and-tear theory.
When interviewing a client, which nonverbal behavior should a nurse employ?

*


A new nurse complains to her preceptor that she has no time for therapeutic communication
with her patients. Which of the following is the best strategy to help the nurse find more time for
this communication?
*

Remind the nurse to complete all her tasks and then set up remaining time for communication
Include communication while performing tasks such as changing dressings and checking vital
signs.
Problems that the potential burden on aging society contribute on the care-giving system and
public finances are the following except
*
More health care workers

Challenge of assuring sufficient resources
Quality of Long-term care
Effectivity of service system
The nurse asks a newly admitted client, “What can we do to help you?” What is the purpose of
this therapeutic communication technique?
*


Enteric coated tablets are designed to avoid being dissolved in the highly acidic stomach.
Instead, they dissolve in the intestine. Knowing this and what you know about gastrointestinal
changes associated with age, what can you conclude about enteric coated tablets and older
patients?
*
The enteric coated tablets are unaffected by changes associated with age
These tablets may dissolve more quickly
The tablets will need to be given intravenously instead
These tablets will probably dissolve more slowly
When working with an older adult who is hearing-impaired, the use of which techniques would
improve communication? (Select all that apply.
*

Communicate only through written information.
A 90-year-old patient comes to the clinic with a family member. During the health history, the
patient is unable to
respond to questions in a logical manner. The gerontological nurse's action is to:
*
determine if the patient knows the name of the current president.

rephrase the questions slightly, and slowly repeat them in a lower voice.
ask the same questions in a louder and lower voice.
ask the family member to answer the questions.

What is the leading cause of catastrophic out-of-pocket costs for families and involves
substantial government spending, primarily through Medicaid and Medicare?
*
Hospice Care
Long-term care
Home Care
Palliative-care
A 67-year-old woman was recently diagnosed with inoperable pancreatic cancer. Before the
diagnosis, she was very active in her neighborhood association. Her husband is concerned
because his wife is staying at home and missing her usual community activities. Which common
end-of-life (EOL) psychologic manifestation is she most likely demonstrating?
*
Peacefulness
Decreased socialization
Anxiety about unfinished business
Decreased decision-making
Which information obtained by the home health nurse when making a visit to an 88-year-old
with mild forgetfulness is of the most concern?
*
The patient tells the nurse that a close friend recently died
An older patient asks why a wound is taking so long to heal. What explanation should the
nurse provide to this patient?
*
“There is less protein in the skin with aging”

An 87-year-old man, who has been living independently, is entering a nursing home. To
help him adjust, the most effective action is to:
*
move him as quickly as possible so that he does not have time to think.
restrict family visits for the first two weeks to give him time to adjust.
involve him in as many activities as possible so he can meet other residents.
suggest that he bring his favorite things from home to make his room seem familiar
An assisted living facility has provided its clients with an educational program on safe
administration of prescribed medications. Which statement made by an older-adult client reflects
the best understanding of safe self-administration of medications?
*
"I'm lucky since my daughter is really good about keeping up with my medications."
"I'll be sure to read the inserts and ask the pharmacist if I don't understand something."
"It shouldn't be too hard to keep it straight since I don't have any really serious health issues."
. "I don't seem to have problems with side effects, but I'll let my doctor know if something
happens."
Based on the free theory of aging, what would be an appropriate behavior that might increase
one’s life expectancy?
*
Eat food rich in antioxidants.

Exercise for 45 minutes at least three times a week.
Do nothing. Life expectancy is determined through genetic programming
Eat a low-calorie, high protein diet.
Which of the following is NOT a barrier to the optimum use of palliative care at the end of life?
*
As a student nurse, you understand that it is important to study Gerontological Nursing

because"
*
it gives positive outlook to older adults

it provides a way to understand the aging process and provide quality care to older adults.
The nurse is admitting a patient to the hospital. The patient states that he is a very spiritual
person but does not practice any specific religion. The nurse understands that these
statements
*
Are reasonable.
. Are contradictory.
Nurse Clara asked Mrs. Ramirez about how her day went. Mrs. Ramirez crossed her arms and
rolled her eyes but did not say anything. Nurse Clara nodded her head up and left the room.
Have they communicated?
*
) No, at this stage it is one-way communication

No, but they are being rude
Yes, they have used non-verbal communication
No, when they answer you they will have communicated back, completing two-way
communication
In an older population we can expect that drugs will be:

*
Metabolized more quickly

Excreted less readily
Excreted more rapidly by the kidneys
Absorbed more quickly
Which statement made by the graduate nurse working in the hospice unit with a patient near
the end of life requires intervention by the preceptor nurse?
*
"The family seems comfortable with the long periods of silence."
"The physician ordered an increase in the dosage of morphine; I will administer the new dose
right away."
"The blood pressure is lower this afternoon than it was this morning; I will communicate the
changes to the family.
"The patient has eaten only small amounts the past 48 hours; will the physician consider
placing a feeding tube?"
A client states, “You won’t believe what my husband said to me during visiting hours. He has
no right treating me that way.” Which nursing response would best assess the situation that
occurred?
*

. “Does your husband treat you like this very often?”
The nurse is caring for a patient who has been diagnosed with a terminal illness. The patient
states, "I just don't feel like going to work. I have no energy, and I can't eat or sleep." The patient
shows no interest in taking part in his care. The nurse should:
*

Assess the potential for suicide and make appropriate referrals
Not be concerned about self-harm because the patient has not indicated any desire toward
suicide.
A home health nurse is assisting a client to transfer from the bed to a wheelchair. Which of the
following is not true regarding this process?
*
If needed, when the client stands to go to the wheelchair, grasp the gait belt from underneath
at each side
Take large steps to a position so that the client's knee caps are touching the front of the
wheelchair
A client is experiencing tachycardia. The nurse’s understanding of the physiological basis for
this symptom is explained by which of the following statements?
*
The inflammatory process causes the body to demand more oxygen to meet its needs.
The heart has to pump faster to meet the demand for oxygen when there is lowered arterial
oxygen tension.
When caring for a terminally ill, 90 yr old patient, the nurse should focus on the fact that
*
The nurse's relationship with the patient allows for an understanding of patient priorities.
Members of the church or synagogue play no part in the patient's plan of care

.The patient assigned to you has pneumonia. You are reviewing the age-related changed
involved with the older adult. Select all age-related changes of the respiratory system that
apply.
*
Decreased cough efficiency

Decreased gas exchange
Increased gas exchange
.Decreased in residual lung volume
The nurse is caring for a patient who is terminally ill with very little time left to live. The patient
states, "I always believed that there was life after death. Now, I'm not so sure. Do you think
there is?" The nurse states, "I believe there is." The nurse has attempted to
*
Support the patient's agnostic beliefs.

Strengthen the patient's religion.
Support the horizontal dimension of spiritual well-being
Provide hope.
Which of the following statements, made by the daughter of an older adult client concerning
bringing her mother home to live with her family, presents the greatest concern for the nurse?
*
An example of an environmental barrier to effective communication is:
*
Noisy clinical settings

Staff shortages
Medical jargon
Inflexible appointment systems
The home health nurse visits a 40-year-old breast cancer patient with metastatic breast cancer
who is receiving palliative care. The patient is experiencing pain at a level of 7 (on a 10-point
scale). In prioritizing activities for the visit, you would do which of the following first?
*
Check pressure points for skin breakdown.

Administer prn pain medication.
Auscultate for breath sounds.
Ask family members about patient's dietary intake
A student nurse is learning about the appropriate use of touch when communicating with
clients diagnosed with psychiatric disorders. Which statement by the instructor best provides
information about this aspect of therapeutic communication?
*


Of the following options, which is the greatest barrier to providing quality health care to the
older-adult client?
*
Poor client compliance resulting from generalized diminished capacity

Inadequate health insurance coverage for the group as a whole
Preconceived assumptions regarding the lifestyles and attitudes of this group
Insufficient research to provide a basis for effective geriatric health care
Which of the following statements accurately reflects data that the nurse should use in
planning care to meet the needs of the older adult?
*

Adults older than 65 years of age are the greatest users of prescription medications.
50% of older adults have two chronic health problems
Mr. Gonzales, 72 years old, is admitted to the emergency room with a diagnosis of acute
myocardial infarction. The client tells the nurse, “I’m scared. I think I’m going to die.” Which of
the following responses by the nurse would be MOST appropriate?
*
“I’ll call your doctor so you can discuss it with him.”

“Everything is going to be fine. We’ll take good care of you.”
“It’s normal to feel frightened. We’re doing everything we can for you.”
“I know what you mean. I thought I was having a heart attack once.”
A hospice nurse is visiting with a dying patient. During the interaction, the patient is silent for
some time. What is the best response?
*

Leave the patient alone for a period
Which is the most effective method of managing polypharmacy? Select all that applies:
*
a. Review of medications at each office visit, to ensure an accurate med list.

d. A & C
c. Regularly assess patient adherence to the medication regimen
b. Limit your patients’ medication list to no more than 4 medicines.
Which theory suggests that older people who have low levels of social activity have a high
degree of life satisfaction?
*
Disengagement
. Activity
Exchange
Age stratification
One of the roles of the registered nurse in terms of informed consent is to:
*
Get and witness the durable power of attorney for health care decisions’ signature on an
informed consent.
None of the above
Serve as the witness to the client’s signature on an informed consent.
Get and witness the client’s signature on an informed consent.
The family of a client with a terminal illness hesitates to agree to palliative care because of not
wanting to give up on a possible cure. How should the nurse respond while also including a
principle of palliative care?
*
The American Nurses Association's Gerontological Nursing: Scope and Standards of Practice
emphasizes:
*
that the health status data of older adult patients be documented in a retrievable form.
the unchanging nature of the goals and plans of care for older adult patients.
that abnormal responses to the aging process determine the appropriate nursing diagnoses.
the role of the older adult patient as the sole decision maker in planning his or her care.
Back
Submit
Page 2 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southwestern University. Report Abuse
Forms
The nurse identifies that which of the following changes in the pattern of urinary 1/1
elimination is usually associated with aging *
Decreased frequency
Incontinence
. Formation of bladder stones
Sphincter reflexes decreased
Of the following, which is most likely the cause of your 85-year-old patient's senile 0/1
cataracts? *
Sudden increase in intraocular pressure. .
Hardening of the lens
Gradual onset of increased intraocular pressure.
Lens clouding.
Patrick’s condition was explained by Nurse Mike, and helped his family member to 1/1
choose the best nursing home where to put Patrick. Nurse Mike is a/an: *
manager
teacher.
provider of care
advocate
The nurse is teaching the family of a patient diagnosed with Parkinson’s disease. 1/1
Which of the following statements by the family reflects a need for further
education *
“Dad is going to do his range-of-motion exercises three times a day.”
“We will buy lots of soup for dad.”
“The bath bars will be installed before dad comes home.”
“We are teaching dad posture exercises.”
The older adult’s libido does not decrease, however * 1/1
frequency of sexual activity may decline.
physical changes usually will not affect sexual functioning.
the sexual preferences of older adults are not as diverse.
the need to touch and be touched is decreased.
When administering drug therapy to a male geriatric patient, the nurse must stay 1/1
especially alert for adverse effects. Which factor makes geriatric patients prone to
develop adverse drug effects? *
Increased amount of neurons
E h d bl d fl t th GI t t
Enhanced blood flow to the GI tract
Aging-related physiological changes
Faster drug clearance
The nurse knows that an elderly patient with a severe hearing deficit is most likely 1/1
to exhibit which of the following characteristics? *
The patient is difficult to understand.
The patient is suspicious of other people.
The patient prefers to be alone.
The patient communicates best by writing.
Which of the following is true about the theories of aging? * 1/1
There is no single theory that explains aging. D. Disease causes a decline in

function.
Disease causes a decline in function
Environment is the main factor.
Genetic changes are solely responsible.
A 60-year-old man is presently employed as a night watchman. He comes for a 0/1

clinic visit and complains to the nurse of an inability to sleep and easy fatigability.
Which of the following is the best initial response of the nurse? *
“You probably sleep when you can during your night tour.”
“This is normal for your age group.”

y g g p
“Working the night shift is known to disrupt sleep patterns
“Tell me about your usual sleeping habits.”
Health maintenance is part of the role of the GNP. All of the following are things 1/1
that a Certified Gerontological Nurse would recommend to an older client for
health maintenance, except: *
eating without restrictions.
avoiding individuals who are ill, especially with infectious diseases.
having periodic health appraisals as recommended.
maintaining physical and mental activities.
The three common conditions affecting cognition in elderly are * 1/1
blindness, hearing loss, and stroke.
cancer, Alzheimer’s disease, and stroke.
delirium, depression, and dementia. .
stroke, heart attack, and cancer of the brain.
In terms of symptoms of infection, older adults tend to have a diminished febrile 1/1
response to infection. *
True statement, febrile response decreases with aging.
Maybe, I don’t know.

False statement, febrile response is still effective with age.
Requires scientific research.
An 83-year-old woman has several ecchymotic areas on her right arm. The bruises 1/1
are probably caused by *
elder abuse.
increased capillary fragility and permeability.
self inflicted injury.
increased blood supply to the skin.
Taste buds atrophy and lose sensitivity. The older adult is less able to discern: * 1/1
salty, sweets, sour, and bitter tastes.
hot and cold temperatures.
moist and dryness.
spice and bland.
The goal of the therapeutic psychiatric environment for the elderly, confused client 1/1
is to: *
help the staff to help the client.
help the client become popular in a controlled setting.

assist the client to relate to others.
make the hospital atmosphere more home-like.
An elderly man is admitted to the hospital from a nursing home. The nurse 0/1
establishes a nursing diagnosis of fluid volume deficit related to decreased intake
and fever. Which of the following symptoms would substantiate this nursing
diagnosis? *
The patient has difficulty breathing in the supine position or with minimal activity.
The patient’s skin is pale and cool to touch with pitting edema in dependent
areas.
The patient’s pulse is 120, BP 90/60, temperature 101.2OF, respirations 22 and deep.
There is a decrease in the patient’s level of consciousness, and ascites.
frame.
The nursing staff will attend to all the client’s activities of daily living needs
during the hospitalization stay.
needs met.

Visual acuity declines with age. Presbyopia, is a progressive decline in: * 1/1
the ability to see in darkness.
adaptation to abrupt changes from dark areas to light areas.
distinguishing between blues and greens and among pastel shades.
the ability of the eyes to accommodate for close, detailed work.
An elderly client with pneumonia may appear with which of the following 1/1
symptoms first? *
Pleuritic chest pain and cough
Fever and chills
Hemoptysis and dyspnea
Altered mental status and dehydration

Which of the following best describes GERONTOLOGY? * 1/1
Defined as the study of aging and the aged.
Concerned with social aspects of aging versus the biological or psychological.
Study of pharmacology as it relates to older adults.
Refers to medical care of the aged.
It is important for a team working with clients who have a diagnosis of dementia to 1/1
adopt a common approach of care because these clients need to: *
have sameness and consistency in their environment
accept external controls that are fairly applied.
relate in a consistent manner to staff.
learn that the staff cannot be manipulated.
A patient with Parkinson’s disease has tremors of both upper arms. The nurse 1/1
observes that the tremors disappear as e unbuttons his shirt. Which of the following
statements shows the most accurate understanding of the tremors? *
Tremors are unexplainable.
Tremors disappear with rest.

Tremors are psychological and can be controlled at will.
Tremors decrease in severity when attention is diverted by activity.
A common age-related change in auditory acuity is called: * 0/1
macular degeneration.
presbycusis. .
presbyopia
retinal detachment
state “I notice that your shoes do not match your dress ”

state, I notice that your shoes do not match your dress.
Two factors contribute to the projected increase in the number of older adults; they 1/1
are: *
financial success and improved environment.
improved medication plan and increase in Medicare funding.
greater acceptance of elderly and medical problems.
the aging of the “baby boom” generation and the growth of the population
segment over age 85.
Nurse Brenda is teaching a patient about a newly prescribed drug. What could cause 1/1
a geriatric patient to have difficulty retaining knowledge about prescribed
medications? *
History of Tourette syndrome
Decreased plasma drug levels
Lack of family support
Sensory deficits
The home care nurse is teaching the daughter of an elderly patient about her 0/1
father’s hydration status. The nurse would be most concerned if the daughter made
which of the following statements? *
“I should check my father’s eyes for dryness.”
“I should pinch a fold of skin on the back of my father’s hand.”
“I should ensure that my father stands up slowly.”
“I should check my father’s mouth for dryness.”
Your patient, a 72-year-old man, indicates that he is not urinating very often 1/1
because it is painful and difficult to do so. He reports a burning sensation when he
urinates as well. This patient should be further assessed for which of the following?
*
Enlarged prostate. .
Bladder cancer
Urinary tract infection.
Sexually transmitted infections
Sexuality is recognized as a factor in the care of older adults, thus: * 0/1
any expression of sexuality should be discouraged.

all older adults, whether healthy or frail, need to express sexual feelings.
a decrease in an older adult’s libido does occur.
the need to touch and be touched is decreased
Which of the following statements of the student nurse would indicate a better 0/1
understanding about the physiological changes occurring with Alzheimer’s? *
“Several biochemicals involved in the brain activity are out-of-control.
“Cerebrovascular stiffness caused by excessive alcoholism leading to increased

memory deficit.”
“The pathological hallmarks are beta-amyloid plaques and neurofibrillary tangles.”
“Patient on late stage becomes very agitated due to diminished levels of

dopamine in the brain.”
A home care nurse is developing a plan of care for an elderly client with diabetes 0/1
mellitus who has gastroenteritis. In order to maintain food and fluid intake to
prevent dehydration, the nurse plans to: *
encourage the client to take 8 – 12 ounces of fluid every hour while awake.
withhold all fluids until vomiting has ceased for at least 4 hours.
offer water, only until the client is able to tolerate solid foods.
maintain a clear liquid diet for at least 5 days before advancing to solids to allow
inflammation of the bowel to dissipate.
put patient on a liquid diet
establish a meaningful environment. .
help patient cope with confusion and/or delusions.
An older man is admitted to the hospital for treatment of a fractured femur. His 0/1
wife tells the nurse that he is very hard of hearing. The nurse should develop a plan
of care that provides an opportunity for *
social interaction.
private visits with his wife.
intellectual challenges. .
learning sign language
Forms
Which of the following patients is at high risk for dysphagia? * 0/1
A patient who’s taking anticholinergics
A patient with stomach tumor
A patient who’s physical assessment reveals weakness of cranial nerves V, VII, X,

and XII.
A patient with paraplegia manifestation of stroke
Which of the following is the CORRECT statement about andropause in men? * 1/1
Physiological symptoms include ability to maintain erectile functioning and

increased libido.
It occurs in all men, just like menopause in women.
Evidently decreased FSH and increased inhibin B.
Results from decrease production of testosterone in aging men.

Wet-to-dry dressing changes are ordered for a patient. After the first dry dressing is 0/1
removed, the elderly patient yells at the nurse, “Ouch, that really hurts. Are you sure
you’re doing it right?” Which of the following statements is the BEST response of
the nurse? *
“I know it hurts and I am really sorry to have to do it, but sometimes things have
to hurt before they get better.”
“I’m peeling away the dead tissue. It hurts more the first time. Next time will be more
comfortable, I promise.”
“Yes, I’m doing it right. The dead tissue is supposed to stick to the dry dressing, but
perhaps if I wet it a bit, it won’t hurt so much.”
“This type of dressing cleans the wound so that it can heal. If it continues to hurt I’ll
bring you some pain medication.”
An elderly client with a chronic illness, who had been incontinent of urine at home, 0/1
has not been incontinent since being hospitalized. When discussing past and
present elimination patterns, the client also tells the nurse about being angry at
being bedridden and unable to go anywhere or see anyone. The nurse deduces that
the client’s incontinence at home may have been related to: *
a physiologic response expected with the elderly.
an unconscious expression of hostility.
a method to determine the family’s love.
a way of maintaining control.

Dysphagia is a significant risk factor for aspiration. Which of the following diseases 1/1
would have the diagnosis “Risk for aspiration related to inability to swallow
effectively”? *
Stroke, especially in the midbrain and anterior cortical areas
Parkinson's disease and Alzheimer's disease
All of the above
Muscular dystrophy and myasthenia gravis
An elderly client with Alzheimer's disease begins supplemental tube feedings 1/1
through a gastrostomy tube to provide adequate calorie intake. The nurse should be
concerned most with the potential for: *
aspiration
hyperglycemia. .
. fluid volume excess
. constipation.
Diminished ability to concentrate urine, associated with aging of the urinary 1/1
system, is attributed to *
decrease function of the loop of Henle and tubules.

a decrease in bladder sensory receptors.
an increase in the number of functioning nephrons.
thinning of the basement membrane of Bowman’s capsule
A nurse assessing abdominal distention is correct when she does which of the 0/1
following *
Passes the tape measure from the symphysis pubis to the xiphoid process.
Places the tape measure from iliac crest to iliac crest.
Passes the tape measure at the back of the abdomen and the navel.
Passes the tape measure at the umbilicus.
A significant deficiency in testosterone levels that causes eventual clinical 1/1

symptoms like Mr. McDonald’s condition is known as *
SITUATION: Patrick McDonald, a 69 year-old was admitted in your department due to stress-like
symptoms. His testosterone levels were checked and have found out a significant decline.
Testosteropause
Menopause
Andropause
Fatigue Syndrome
The nurse observes the nurse’s aide perform mouth care on an 86-year-old man 0/1
admitted to the hospital with a fever of unknown origin (FUO). Which of the
following actions, if performed by the nurse’s aide, would require an intervention by
the nurse? *
The nurse’s aide applies petroleum jelly to the patient’s lips.
The nurse’s aide rinses the patient’s mouth with an alcohol-based mouthwash.
The nurse’s aide flushes the patient’s mouth with a 50:50 dilution of hydrogen
peroxide and normal saline.
The nurse’s aide uses a soft bristled tooth brush to clean the patient’s teeth.
An 80-year-old man states that although he adds a lot of salt to his food it does not 0/1
have much taste. The nurse’s response is based on the knowledge that the older
adult *
should not experience changes in taste.
loses the sense of taste because the ability to smell is also lost.
has a loss of taste buds, especially for salty and bitter.
has some loss of taste but no difficulty chewing food.

The nurse uses bladder diary to identify potentially reversible causative factors and 1/1
contributing risk factors for UI. BLADDER DIARY means? *
Can determine the status of severity of urinary incontinence.
Outlining the timing, amount, and type of fluid intake with the timing, amount,
and continence status.
Can record the patterns to the occurrence of incontinence to make negative

changes.
Collection of information regarding voiding cycle for a week.
Which of the following symptoms is the characteristic of esophageal dysphagia? * 0/1
Food that feels being stuck in the throat
Inability to move food at the back of the throat
Food sticking after a swallow
Cough that occurs early after swallow
The nurse sits with an elderly depressed client twice a day, although there is little 1/1
verbal communication. One afternoon, the client asks, “Do you think they’ll ever let
me out of here?” The nurse’s best response would be: *
“Why, do you think you are ready to leave?”

“Why don’t you ask your doctor?”
“Everyone says you’re doing just fine.”
“You have the feeling that you might not leave?”
Preventing urinary incontinence through healthy bladder habits include the 1/1
following, except for one: *
emptying the bladder on an irregular schedule.
maintaining hydration.
avoiding bladder irritants.
strengthening and toning the pelvic floor muscles.
The nurse understands that which of the following is the primary reason why 1/1
elderly adults have constipation? *
They eat a small volume of food with decreased bulk.
They have less activity and decreased muscle tone.
They have neurological changes in the gastrointestinal tract.
They have decreased sensation in the gastrointestinal tract
nurse is preparing to administer an intermittent tube feeding to an elderly client 0/1

through a nasogastric tube. The nurse assesses gastric residual volume before
administering the tube feeding to: *
evaluate absorption of the last feeding.
assess fluid and electrolyte status

assess fluid and electrolyte status.
confirm proper nasogastric tube placement.
determine patency of the tube.
The following are interventions or strategies for care for patients whose taking 0/1
several medications at the same time, except: *
monitor creatinine clearance.
instruct the patient to obtain all medications to at one pharmacy.
suggest to the patient to ask for free drug samples from the physician.
discourage patients to use generic drugs as cheaper drugs are less effective.
Nursing care for anxiety includes the following, except: * 1/1
reassure the patient that the problem can be solved.
avoid reciprocal anxiety.
don’t confront or argue with the patient.
make demands and ask the patient to make decisions.
The nurse notes that an elderly patient has a reddened area on the coccyx. Which of 0/1
the following actions should the nurse take first? *
B. Massage the reddened area four times per day.
A. Continue assessing the area.
D. Place the patient in a semi-circling position

. ace t e pat e t a se c c g pos t o
C. Reposition the patient every hour.
Which of the following is not a sign of depression in an older adult? * 0/1
She worries about lapses in memory.
She neglects personal grooming.
She often becomes lost even in familiar places.
She has difficulty concentrating.
The nurse assesses a 70-year-old in the outpatient clinic. The nurse would expect 1/1
the client to make which of the following statements? *
“I seem to get less colds than I did before.”
“I’ve been sleeping with fewer blankets lately.”
“I think that I am a little taller than I used to be.”
“Eating just does not appeal to me anymore.”

The nurse plans of using aromatherapy in inducing sleep to an 80-year old client 0/1
complaining of difficulty staying asleep. The nurse knows that the mechanism of
action of this therapy is that: *
it decreases central nervous system arousal, stimulates alpha waves, and decreases
the amount of endorphins.
the molecules travel to the olfactory bulb and then to the limbic system producing
sedation.
the molecules travel to the acoustic nerve and induce sedative effect leading to
relaxation of the client.
aromatherapy stimulates sympathetic system that results to relaxation of

muscular system.
Clarissa has lost 2 lbs in just a week. Which of the following behaviors of Clarissa 0/1
would give a hint to the nurse a significant factor that contributed to weight loss? *
Complaints of food that has no taste at all.
Milkshakes are consumed in excessive amounts.
Ability to recognize foods.
Coughing before, during, or after swallowing a food.

A patient was admitted in your department with complaint of dyphagia. On the 0/1
assessment findings, the patient says that every time she swallows food, she coughs
immediately and regurgitates the food. The type of dysphagia the patient
experiences is? *
Esophageal dysphagia
Pyloric dysphagia
Oropharyngeal dysphagia
Nasopharyngeal dysphagia
When a continent, bedridden elderly client with a chronic illness expresses anger 0/1
through urinary incontinence, the nurse should: *
create an environment that prevents sensory monotony.
frequently ask if the client needs the bedpan to void.
provide television or radio for the client when alone.
limit the client’s fluid intake in the evening.

The nurse can best reassure an elderly depressed client who is concerned about 1/1
many fears that are upsetting and frightening and expresses a feeling of having
committed the “unpardonable sin” by stating *
“Your family loves you very much.”
“You know, those ideas of yours are in your imagination.”
“Your ideas are part of your illness and they will change as you improve.”
“You know that you are not a bad person.”
56. The nurse identifies a nursing diagnosis of “Altered nutrition: less than body 0/1
requirements related to inability to feed self”, for a patient with right-sided
hemiplegia. Which of the following interventions is most appropriate to improve
the patient’s nutrition? *
Stroke the patient’s throat.
Provide a wide variety of food choices on the meal tray
Provide a pureed diet.
Assist the patient to eat with his left hand.

The community health nurse visits a client who recently retired. The client states, 1/1
“Lately I’m getting forgetfulness about things. Do you think I’m getting Alzheimer’s
disease?” Which response by the nurse would be most therapeutic? *
“Tell me more about your forgetfulness. It isn’t unusual for forgetfulness to occur
if memory is not exercised. Are you staying socially active?”
“Oh, I’m certain it’s not Alzheimer’s disease because there’s no family history of it.”
“Now, I’m not going to discuss this with you because I think you’re just normal.”
“I am so forgetful too. I have to make out lists now to go shopping.”
Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter, 1/1
predisposing older persons to risk for impaired swallowing. In managing the
symptoms associated with GERD, the nurse should assign the highest priority to
which of the following interventions? *
Decrease daily intake of vegetables and water, and ambulate frequently.
Avoid over-the-counter drugs that have antacids in them.
Eat small, frequent meals, and remain in an upright position for at least 30
minutes after eating.
Drink coffee diluted with milk at each meal, and remain in an upright position for 30
minutes.
Frontotemporal dementia has an insidious onset and progresses slowly. Early 1/1
symptoms include: *
Fluctuating cognition, visual and/or auditory hallucinations.
Poor hygiene, lack of social tact, and sexual disinhibition.
Motor features of parkinsonism.
More involvement in surroundings and social situations.
Nursing intervention to help the late middle-aged individual deal with the 0/1
emotional aspects of aging would include: *
focusing on the individual’s past experiences.
Dattentive listening to what the elderly individual says.
assisting the individual with plans for the future.
having the individual attend lectures on aging.
Nurse Oliver checks for residual volume before administering a bolus tube feeding 1/1
to a client with a nasogastric tube and obtains a residual amount of 200 mL. What is
appropriate action for the nurse to take? *
Elevate the client’s head at least 45 degrees and administer the feeding.
Discard the residual amount and proceed with administering the feeding
Discard the residual amount and proceed with administering the feeding.
Hold the feeding.
Reinstill the amount and continue with administering the feeding.
An 80-year-old man is admitted to the hospital to undergo abdominal surgery. His 0/1
admitting orders include activity as desired, standard bowel prep, and an
intravenous infusion of 5% dextrose in water to infuse at 75 cc/hr starting at 6 pm
on the evening before surgery. The nurse understands that the primary purpose of
administering intravenous fluids to a patient prior to surgery is to: *
avoid the need for inserting it on the morning of surgery.
decrease the patient’s desire to take fluids by mouth.
have a route for administering medications rapidly.
assure that the patient remains adequately hydrated.
A male elderly client with delirium becomes disoriented and confused in his room 1/1
at night. The best initial nursing intervention is to: *
move the client immediately next to the nurse’s station.
play soft music during the night, and maintain a well-lit room.
use a night light and turn off the television.
keep the television and a soft light on during the night.
Forms
Which of the following interventions is appropriate for a patient with sundowner’s 0/1
syndrome commonly seen in Alzheimer’s dementia? *
Keeping the person busy and active during the day to avoid napping so that the
normal sleep patterns will be maintained.
Giving the patient an anti-anxiety medication during this time.
Keeping the lights off in the room to minimize wandering.
Make a bedtime experience wonderful thru television viewing and/or reading.

The major difference of delirium from dementia is that dementia * 1/1
has an impaired orientation.
has an insidious onset.
is associated with language impairment.
sometimes with hallucinations and delusions.
frame.
The nursing staff will attend to all the client’s activities of daily living needs during
the hospitalization stay.
needs met.
Undergarments are used to absorb urine from the incontinent patient. The 0/1
following should be part of the nursing interventions in taking care of this patient,
except: *
choosing indwelling catheter as primary means for managing urinary incontinence.
proper hydration, while restricting fluids at bedtime.
meticulous skin care.
use of moisture barriers and no-rinse cleansers.
When the patient becomes agitated, restless and very anxious due to possible 1/1
delirium, which should be AVOIDED as this will worsen the panic and agitation of
adults and can result in serious injury. *
Discover and treat the cause
Physical restraints
Providing one-to-one care and supervision
Providing quite environment

Nurse Vanessa heard her student using a reminiscence therapy. She knows that the 1/1
purpose of this is: *
to enhance understanding of the behavior of the patient through validation of the

feelings.
a systematic use of family member as a support group.
to promote adjustment and integrity for older adults through structured

remembering and reflecting on the past.
to minimize unnecessary stress and prevent behavioral outbursts.
The nurse recognizes that dementia of the Alzheimer’s type is characterized by: * 1/1
periodic remissions and exacerbations.
areas of brain destruction called senile plaques
aggressive acting out behavior.
hypoxia of selected areas of brain tissue.

A relative caring for a client with Alzheimer’s and wanted to know how she can 0/1
help the client at home. Which of the following would be a priority to include in
the plan of care for a client with Alzheimer’s who is experiencing difficulty
processing and completing complex tasks? *
Maintaining the routine and structure of the daily activities.
Demonstrating for client how to perform the task.
Asking the client to perform one task at a time.
Repeating the directions until the client follows them.

. help patient cope with confusion and/or delusions.
put patient on a liquid diet.
establish a meaningful environment.

The following are triad of symptoms of Normal pressure hydrocephalus-dementia, 1/1
except: *
slowed cognitive processes.
urinary incontinence.
gait disturbances.
sundowner syndrome
Which of the following pathological findings is specifically related to Lewy body 1/1
dementia? *
Abnormal deposits of a protein, alpha-synuclein
Due to hyperlipidemia, smoking, and hypertension
Beta-amyloid plaques and neurofibrillary tangles
Frontal and temporal affectation

You are about to enter Clara’s room when she tells you, “did you steal my gold 0/1
earrings here”? You know that she experiences paranoia sometimes. Which of the
following interventions should you avoid as this may escalate her condition? *
Avoid arguing with the person.
Argue with the person that she doesn’t really have gold earrings.
Maintain calm manner.
Avoid defensiveness
state, “I notice that your shoes do not match your dress.”
Gretchen, 70 years old and 5 years living in nursing home now, was diagnosed with 0/1
Alzheimer’s dementia. She’s having eating problems. Which of the following
interventions is inappropriate? *
Use “hand-over-hand” feeding (your hand guides theirs).
Force the person to eat, and as much as possible you feed them yourself.
Offer small, frequent meals and snacks.
DAvoid making comments about manners or messiness.
Which of the following interventions should be observed when a client experiences 1/1
delusion/paranoia? *
Argue with the client. .
Assist the person to keep tract of personal items.
Whispering in front of the person.
None of the above

When answering questions from the family of a client with Alzheimer’s disease, the 0/1
nurse explains that this disease is: *
a functional disorder that occurs in the later years.
a slow, relentless deterioration of the mind.
a disease that first emerges in the fourth decade of life.
easily diagnosed through laboratory and psychological tests.
When communicating with an elderly person who has a hearing impairment, it is 0/1
most important for the nurse to: *
ammo
Speak with hands, face, and eyes.
Place the person in good light so that he can see the nurse’s mouth.
Verify that the person understands the message by having him write what is said.
Speak slowly.
Nurse Vanessa is now explaining stages of Alzheimer’s. Moderate stage is 1/1
characterized by sundowner’s syndrome. She is correct when she says: *
“Restlessness, agitation, anxiety, tearfulness and wandering especially in the late

“It’s the impulsivity. It’s like saying or doing things he or she wouldn’t normally do.”
“It is repetitive statements, questions, or movements.”
“It is characterized by hallucinations, delusions, paranoia and irritability.”
Which of the following nursing interventions for eating/feeding issues is correct? * 1/1
Telling the client that the food she’s eating has not yet been paid.
If agitation develops during feeding, continue feeding the client.
Leave the client to feed self.
Provide nutritious finger food.

While Mrs. Linney, an Alzheimer’s client, is interacting with her relatives, she 0/1
suddenly climbed atop the table and took off her clothes. To help the families to
cope with sexual behaviors, which of the following responses by Nurse Francis
would be most appropriate? *
Give feedback on the inappropriateness of the behaviors.
Ignore the behavior, but try to determine the purpose.
Administer tranquilizers.
Administer the prescribed Risperidone (Risperdal).
A 78-year-old resident of a long-term care facility insists on wearing high heels and 1/1
miniskirts to the dining room for meals and will not leave her room without first
applying glamorous makeup. The gerontological nurse assesses that the behavior is
related to: *
trying to cope with the changes of aging.
denial concerning her advancing age.
insecurity about her appearance.
her fashion consciousness.

Which of the following nursing diagnoses is appropriate? * 0/1
Involuntary urine leakage
Anxiety
. Urinary incontinence
Urinary retention
While the student is communicating with her patient, Nurse Vanessa is concerned 1/1
the most with which of the following behaviors of the student? *
She keeps the pace of the conversation slow.
She raised her voice to accommodate age-related hearing changes.
She maintains eye-to-eye contact.
She speaks to the patient distinctly and in simple phrases or sentences.

Clara, who is on moderate stage of Alzheimer’s dementia is now developing 1/1
“sundowner syndrome” – wandering especially in the late afternoon or at night.
Which of the following suggested interventions would you NOT consider? *
Restraint her during late afternoon until late at night to prevent wandering.
Reassure her that she is in the right place.
Provide alternative activities.
Use identification bracelet (in case she gets lost).
The best approach in helping a very confused, elderly client is to provide an 1/1
environment with: *
a specific routine.
activities that are varied.
group involvement.
a trusting relationship.
The approach that would be most helpful in meeting the needs of an elderly client ···/1
hospitalized with the diagnosis of dementia of the Alzheimer’s type is: *
providing an opportunity for many alternative choices in daily schedule to stimulate

interest.
simplifying the environment as much as possible while eliminating need for

choices.
developing a consistent nursing plan with fixed time schedules to provide for
physical and emotional needs.
providing a nutritious diet high in carbohydrates and proteins.
The nurse explains that the effects of aging on the nervous system result in: * 0/1
a loss of long-term memory.
decreased conduction speed of neurons.
gradually declining loss of intellectual capability.
an accelerated loss of neurons in the brain.

Gareth, 66-year old patient, experiences symptoms of dementia following stroke. 1/1
This type of dementia is likely? *
Parkinson’s dementia
Alzheimer’s dementia
Huntington’s dementia
Vascular dementia
Forms

Coa Reviewers

Uploaded by

Copyright:

Available Formats

Coa Reviewers

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Coa Reviewers

Uploaded by

Copyright:

Available Formats

NUR 151 RAD Block Examination Part 1

Total points 22/36

The respondent's email ([email protected]) was recorded on submission of

FULL NAME (LAST NAME, FIRST NAME MIDDLE INITIAL): *

PROGRAM AND SECTION (EX: BSN 3-A1): * ···/1

. Formation of bladder stones

Sphincter reflexes decreased

Sudden increase in intraocular pressure. .

Hardening of the lens

Gradual onset of increased intraocular pressure.

“Dad is going to do his range-of-motion exercises three times a day.”

“We will buy lots of soup for dad.”

“The bath bars will be installed before dad comes home.”

“We are teaching dad posture exercises.”

The older adult’s libido does not decrease, however * 1/1

frequency of sexual activity may decline.

physical changes usually will not affect sexual functioning.

the sexual preferences of older adults are not as diverse.

the need to touch and be touched is decreased.

Increased amount of neurons

Aging-related physiological changes

Faster drug clearance

The patient is difficult to understand.

The patient is suspicious of other people.

The patient prefers to be alone.

The patient communicates best by writing.

Which of the following is true about the theories of aging? * 1/1

There is no single theory that explains aging. D. Disease causes a decline in

Disease causes a decline in function

Environment is the main factor.

Genetic changes are solely responsible.

A 60-year-old man is presently employed as a night watchman. He comes for a 0/1

“This is normal for your age group.”

“Working the night shift is known to disrupt sleep patterns

“Tell me about your usual sleeping habits.”

eating without restrictions.

avoiding individuals who are ill, especially with infectious diseases.

having periodic health appraisals as recommended.

maintaining physical and mental activities.

The three common conditions affecting cognition in elderly are * 1/1

blindness, hearing loss, and stroke.

cancer, Alzheimer’s disease, and stroke.

delirium, depression, and dementia. .

stroke, heart attack, and cancer of the brain.

True statement, febrile response decreases with aging.

Maybe, I don’t know.

Requires scientific research.

increased capillary fragility and permeability.

self inflicted injury.

increased blood supply to the skin.

salty, sweets, sour, and bitter tastes.

hot and cold temperatures.

moist and dryness.

spice and bland.

help the staff to help the client.

help the client become popular in a controlled setting.

make the hospital atmosphere more home-like.

There is a decrease in the patient’s level of consciousness, and ascites.

The client will function at the highest level of independence possible.