N582 ACTUAL FINAL PAPER QUESTIONS AND ANSWERS
GRADED A+
✔✔20. The nurse is assisting an older adult patient out of bed when suddenly the
patient begins to fall. This could be caused by:
a. fever.
b. orthostatic hypotension.
c. dehydration.
d. a decrease in venous return. - ✔✔ANS: B
Orthostatic hypotension occurs when the patient changes position. In the older adult,
the loss of elasticity in the vessels slows the vascular accommodation to sudden
postural changes to a standing position.
REF: Page 1115 TOP: Musculoskeletal alterations
✔✔21. To help prevent falls related to muscle weakness, the nurse helps the patient
select exercises that must be:
a. done each day.
b. muscle strengthening.
c. weight-bearing.
d. 1/2 an hour in length. - ✔✔ANS: C
Appropriate interventions to increase muscle strength begin with weight-bearing
exercises.
REF: Page 1115 TOP: Musculoskeletal alterations
✔✔22. The postmenopausal woman asks the nurse about the risk of osteoporosis and
how to find out if she is at risk. The nurse tells her the best test for this is:
a. skeletal x-ray.
b. bone density scan.
c. calcium blood level.
d. CAT scan. - ✔✔ANS: B
Bone density testing can identify women at risk for fractures.
REF: Page 1102 TOP: Osteoporosis
✔✔23. When counseling a group of retirees, the nurse states that what percentage of
newly diagnosed type 2 diabetic adult patients are middle-aged or older?
a. 30% to 40%
b. 40% to 50%
c. 60% to 70%
d. 85% to 90% - ✔✔ANS: D
Of adult diabetics, 85% to 90% have type 2 diabetes mellitus, which often begins in
middle age.
, REF: Page 1103 TOP: Diabetes
✔✔24. When an older female patient complains of painful sexual intercourse, the nurse
recognizes that the probable cause is:
a. urinary incontinence.
b. arthritic joints.
c. kyphosis.
d. mucosal drying. - ✔✔ANS: D
Sexual intercourse may be uncomfortable because of drying of the mucosa of the
vagina.
REF: Page 1104 TOP: Reproductive alterations
✔✔25. The nurse explains that as a result of loss of elasticity of the lens, an age-related
vision change occurs called:
a. nearsightedness.
b. cataracts.
c. presbyopia.
d. blepharitis. - ✔✔ANS: C
Age-related changes include presbyopia and farsightedness resulting from a loss of
elasticity of the lens. Cataracts are due to opacity of the lens.
REF: Page 1105
TOP: Sensory alterations
✔✔26. When communicating with an older adult patient who has difficulty hearing, the
nurse should:
a. speak very loudly.
b. speak rapidly.
c. lower the tone of the voice.
d. raise the tone of the voice. - ✔✔ANS: C
To communicate with a patient with a hearing loss, the nurse should lower the tone of
the voice.
REF: Page 1107 TOP: Sensory alterations
✔✔27. The nurse prepares the older adult patient with diabetes for which symptom of
the disease that distorts tactile sensation?
a. Proprioception
b. Loss of visual acuity
c. Progressive paresis
d. Peripheral neuropathy - ✔✔ANS: D
Peripheral neuropathy is the presence of abnormal sensation.
GRADED A+
✔✔20. The nurse is assisting an older adult patient out of bed when suddenly the
patient begins to fall. This could be caused by:
a. fever.
b. orthostatic hypotension.
c. dehydration.
d. a decrease in venous return. - ✔✔ANS: B
Orthostatic hypotension occurs when the patient changes position. In the older adult,
the loss of elasticity in the vessels slows the vascular accommodation to sudden
postural changes to a standing position.
REF: Page 1115 TOP: Musculoskeletal alterations
✔✔21. To help prevent falls related to muscle weakness, the nurse helps the patient
select exercises that must be:
a. done each day.
b. muscle strengthening.
c. weight-bearing.
d. 1/2 an hour in length. - ✔✔ANS: C
Appropriate interventions to increase muscle strength begin with weight-bearing
exercises.
REF: Page 1115 TOP: Musculoskeletal alterations
✔✔22. The postmenopausal woman asks the nurse about the risk of osteoporosis and
how to find out if she is at risk. The nurse tells her the best test for this is:
a. skeletal x-ray.
b. bone density scan.
c. calcium blood level.
d. CAT scan. - ✔✔ANS: B
Bone density testing can identify women at risk for fractures.
REF: Page 1102 TOP: Osteoporosis
✔✔23. When counseling a group of retirees, the nurse states that what percentage of
newly diagnosed type 2 diabetic adult patients are middle-aged or older?
a. 30% to 40%
b. 40% to 50%
c. 60% to 70%
d. 85% to 90% - ✔✔ANS: D
Of adult diabetics, 85% to 90% have type 2 diabetes mellitus, which often begins in
middle age.
, REF: Page 1103 TOP: Diabetes
✔✔24. When an older female patient complains of painful sexual intercourse, the nurse
recognizes that the probable cause is:
a. urinary incontinence.
b. arthritic joints.
c. kyphosis.
d. mucosal drying. - ✔✔ANS: D
Sexual intercourse may be uncomfortable because of drying of the mucosa of the
vagina.
REF: Page 1104 TOP: Reproductive alterations
✔✔25. The nurse explains that as a result of loss of elasticity of the lens, an age-related
vision change occurs called:
a. nearsightedness.
b. cataracts.
c. presbyopia.
d. blepharitis. - ✔✔ANS: C
Age-related changes include presbyopia and farsightedness resulting from a loss of
elasticity of the lens. Cataracts are due to opacity of the lens.
REF: Page 1105
TOP: Sensory alterations
✔✔26. When communicating with an older adult patient who has difficulty hearing, the
nurse should:
a. speak very loudly.
b. speak rapidly.
c. lower the tone of the voice.
d. raise the tone of the voice. - ✔✔ANS: C
To communicate with a patient with a hearing loss, the nurse should lower the tone of
the voice.
REF: Page 1107 TOP: Sensory alterations
✔✔27. The nurse prepares the older adult patient with diabetes for which symptom of
the disease that distorts tactile sensation?
a. Proprioception
b. Loss of visual acuity
c. Progressive paresis
d. Peripheral neuropathy - ✔✔ANS: D
Peripheral neuropathy is the presence of abnormal sensation.
