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NR 226/ NR226: Exam 2: Fundamentals: Patient Care Prep |
(Latest 2026/ 2027 Update) Questions & Answers| Grade A|
100% Correct (Verified Solutions).
Question 1
A nurse is educating a group of older adults about age-related physiological changes.
Which statement by a participant indicates an understanding of presbyopia?
A. "My pupils are larger now, which lets in more light."
B. "I have trouble hearing my grandchildren's high-pitched voices."
C. "I need reading glasses because it's harder to focus on close objects."
D. "I've noticed my heart rate is slower when I exercise."
CORRECT ANSWER: C
Rationale: Presbyopia is the age-related loss of the eye's ability to focus on close
objects, often requiring reading glasses. Hearing loss relates to presbycusis, not
presbyopia.
Question 2
A client reports increasing difficulty hearing, especially in crowded rooms and with high-
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pitched voices. The nurse recognizes this as most consistent with which age-related
change?
A. Presbyopia
B. Delirium
C. Presbycusis
D. Dementia
CORRECT ANSWER: C
Rationale: Presbycusis is age-related sensorineural hearing loss, typically affecting the
ability to hear high-frequency sounds and understand speech, particularly in noisy
environments.
Question 3
Which client is at highest risk for developing delirium?
A. A 70-year-old with stable hypertension.
B. An 85-year-old with a urinary tract infection and dehydration.
C. A 65-year-old with a history of osteoarthritis.
D. A 90-year-old with mild, chronic cognitive impairment.
CORRECT ANSWER: B
Rationale: Delirium is an acute, potentially reversible confusional state often triggered
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by acute conditions like infection (UTI), electrolyte imbalances, and dehydration in older
adults.
Question 4
When comparing dementia and delirium, which characteristic is unique to dementia?
A. Acute onset
B. Potentially reversible
C. Gradual and progressive decline
D. Often caused by a urinary tract infection
CORRECT ANSWER: C
Rationale: Dementia involves a gradual, progressive, and irreversible decline in cognitive
function. Delirium is acute, potentially reversible, and often has a specific physiological
cause.
Question 5
A nurse is reviewing causes of mortality in older adults. Which condition is the leading
cause of death in this population?
A. Stroke
B. Heart disease
C. Chronic lung disease
D. Accidents
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CORRECT ANSWER: B
Rationale: Heart disease is the leading cause of death in older adults, followed by
cancer, chronic lower respiratory diseases, and stroke.
Question 6
The primary goal of restorative care for an older adult is to:
A. Cure all chronic illnesses.
B. Provide comfort at the end of life.
C. Regain or improve prior level of independence in ADLs.
D. Isolate the client to prevent infection.
CORRECT ANSWER: C
Rationale: The goal of restorative care is to help clients regain or improve their prior
level of function and independence in activities of daily living (ADLs) following an acute
illness or while managing chronic conditions.
Question 7
A nurse is explaining circadian rhythms to a client. Which factor is the primary regulator
of this cycle?
A. Social activities
B. Hypothalamus
C. Work routines
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NR 226/ NR226: Exam 2: Fundamentals: Patient Care Prep |
(Latest 2026/ 2027 Update) Questions & Answers| Grade A|
100% Correct (Verified Solutions).
Question 1
A nurse is educating a group of older adults about age-related physiological changes.
Which statement by a participant indicates an understanding of presbyopia?
A. "My pupils are larger now, which lets in more light."
B. "I have trouble hearing my grandchildren's high-pitched voices."
C. "I need reading glasses because it's harder to focus on close objects."
D. "I've noticed my heart rate is slower when I exercise."
CORRECT ANSWER: C
Rationale: Presbyopia is the age-related loss of the eye's ability to focus on close
objects, often requiring reading glasses. Hearing loss relates to presbycusis, not
presbyopia.
Question 2
A client reports increasing difficulty hearing, especially in crowded rooms and with high-
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pitched voices. The nurse recognizes this as most consistent with which age-related
change?
A. Presbyopia
B. Delirium
C. Presbycusis
D. Dementia
CORRECT ANSWER: C
Rationale: Presbycusis is age-related sensorineural hearing loss, typically affecting the
ability to hear high-frequency sounds and understand speech, particularly in noisy
environments.
Question 3
Which client is at highest risk for developing delirium?
A. A 70-year-old with stable hypertension.
B. An 85-year-old with a urinary tract infection and dehydration.
C. A 65-year-old with a history of osteoarthritis.
D. A 90-year-old with mild, chronic cognitive impairment.
CORRECT ANSWER: B
Rationale: Delirium is an acute, potentially reversible confusional state often triggered
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by acute conditions like infection (UTI), electrolyte imbalances, and dehydration in older
adults.
Question 4
When comparing dementia and delirium, which characteristic is unique to dementia?
A. Acute onset
B. Potentially reversible
C. Gradual and progressive decline
D. Often caused by a urinary tract infection
CORRECT ANSWER: C
Rationale: Dementia involves a gradual, progressive, and irreversible decline in cognitive
function. Delirium is acute, potentially reversible, and often has a specific physiological
cause.
Question 5
A nurse is reviewing causes of mortality in older adults. Which condition is the leading
cause of death in this population?
A. Stroke
B. Heart disease
C. Chronic lung disease
D. Accidents
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CORRECT ANSWER: B
Rationale: Heart disease is the leading cause of death in older adults, followed by
cancer, chronic lower respiratory diseases, and stroke.
Question 6
The primary goal of restorative care for an older adult is to:
A. Cure all chronic illnesses.
B. Provide comfort at the end of life.
C. Regain or improve prior level of independence in ADLs.
D. Isolate the client to prevent infection.
CORRECT ANSWER: C
Rationale: The goal of restorative care is to help clients regain or improve their prior
level of function and independence in activities of daily living (ADLs) following an acute
illness or while managing chronic conditions.
Question 7
A nurse is explaining circadian rhythms to a client. Which factor is the primary regulator
of this cycle?
A. Social activities
B. Hypothalamus
C. Work routines
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