1. An older adult client is brought to the emergency department a er inges ng an unknown
substance. The
appears to have demen a, has tremors, ataxia of the upper and lower extremi es, depression,
and confusion.
suspects inges on of which of the following? -correct answersLead- This can lead to these
symptoms which includes tremors, demen a and ataxia.
The nurse is assessing a client who has received a tenta ve diagnosis of delirium. The nurse is
explaining
about the major cause of the client's condi on. Which statement by the nurse would be most
appropriate -correct answersHis diagnosis is primarily based on the rapid onset of his change in
consciousness
4. As part of a follow-up home visit to an 80-year-old client who has had surgery, the nurse
discusses the
delirium with his family members. Which of the following would the nurse include as placing
the clie
risk? Select all that apply -correct answers
Which of the following statements is NOT true about pallia ve care
teams? -correct answersA:
Provide weekly home visits
,A 55-year-old women has type 2 DM she had three UTIs in the
last 9 months and she is concerned about her kidneys. She has no
report of dysuria, frequency or urgency at this me. Which of the
following is the best ac on to follow? -correct answersA:
Recheck UA dips ck today
According to the sexuality presenta on, atrophic vagini s (AV) -correct answersA:
Is a contribu ng factor for frequent UTI
A 68-year-old women is being worked up for stress incon nence.
UA reveals posi ve leukocyte esterase, posi ve nitrites, 15 WBCs,
no RBS, no protein, no casts. She denies frequency, urgency suprapubic pressure or urgency.
What is the first treatment for her US results? -correct answersno treatment is necessary
The elderly are at higher risk for delirium because of: -correct answersAll of the above
A 63-year-old man is seen in the clinic with a c/o nocturia.
Which of the following should be included in the differen al diagnosis? -correct answersBenign
prosta c hypertrophy
(BPH)
When a 63-year-old man complains of having to wake up at night to urinate, one possible cause
could be an enlarged prostate, which is like a traffic jam in the urinary system
,75-year-old man is being treated as an outpa ent for metasta c prostate cancer. Which of the
following statements is true regarding the management of pain with opioids in the elderly? -
correct answersnone of the above
The highest level of evidence with the use of adjuvant analgesics is with: -correct
answersneuropathic pain pa ents are candidates for adjuvant analgesia
A 50-year-old female pa ent screened for diabetes has a fas ng plasma glucose level of 124
mg/dl. The NP plan includes -correct answersrepeat fas ng plasma glucose in one year
When assessing a pa ent who complains of a tremor, the NP must differen ate essen al tremor
from the tremor of Parkinson's disease. Which of the following findings are consistent with
essen al tremor? -correct answersThe tremor occurs with purposeful movement
Which characteris c of delirium helps to dis nguish it from demen a? -correct answersabrupt
or Acute onset
According to the sexuality presenta on, the biggest barrier to appropriate sexual evalua on in
the older pa ent -correct answersAgeist a tudes
reason
Ageist a tudes are the biggest barrier to appropriately evalua ng the sexual health of older
pa ents, meaning that nega ve stereotypes and biases about age can prevent healthcare
professionals from addressing this important aspect of their well-being
Mrs. Smith a 65-year-old women presents to the clinic for the first
me and c/o UI and dyspareunia, she went through menopause 10
years ago without any hormone replacement therapy and had a
hysterectomy for fibroid. Her mother had a hip fracture at 82, pt
, had mammogram 5 years ago and no known fam hx of breast
cancer......you decide to begin topical hormone replacement
therapy. Which of the following evalua ons would be necessary
prior ini a ng hormone replacement therapy? -correct answersMammogram
Mr. A experienced a brief onset of right-sided weakness, slurred speech and confusion
yesterday.
The symptom has resolved. What should the NP do? -correct answersiden fy modifiable
cardiovascular risk factors
Any women with a complicated cys s or symptoms of upper tract disease needs a urine
culture and -correct answerssensi vity test
If a woman has a complicated cys s or symptoms of upper tract disease, it's like having a
puzzle in her urinary system, so she needs a urine culture and sensi vity test to figure out which
an bio c will solve the puzzle.
A middle-aged pa ent has been diagnosed with Parkinson's disease. What influences the NP's
decision to begin pharmacological treatment for this pa ent? -correct answerssymptom
interfering with func onal ability
The Mini-cog is a short screening tool used to assess cogni on. Which of the following
statements pertaining to the test is a true statement -correct answersA score of 0-2 is a posi ve
screen for demen a
Age related changes in bladder, urethra and ureters include all of the following in older women
except -correct answersincreased estrogen produc on's influence on the bladder and ureter
The majority of pa ents enrolled in hospice care die: -correct answersAT HOME
substance. The
appears to have demen a, has tremors, ataxia of the upper and lower extremi es, depression,
and confusion.
suspects inges on of which of the following? -correct answersLead- This can lead to these
symptoms which includes tremors, demen a and ataxia.
The nurse is assessing a client who has received a tenta ve diagnosis of delirium. The nurse is
explaining
about the major cause of the client's condi on. Which statement by the nurse would be most
appropriate -correct answersHis diagnosis is primarily based on the rapid onset of his change in
consciousness
4. As part of a follow-up home visit to an 80-year-old client who has had surgery, the nurse
discusses the
delirium with his family members. Which of the following would the nurse include as placing
the clie
risk? Select all that apply -correct answers
Which of the following statements is NOT true about pallia ve care
teams? -correct answersA:
Provide weekly home visits
,A 55-year-old women has type 2 DM she had three UTIs in the
last 9 months and she is concerned about her kidneys. She has no
report of dysuria, frequency or urgency at this me. Which of the
following is the best ac on to follow? -correct answersA:
Recheck UA dips ck today
According to the sexuality presenta on, atrophic vagini s (AV) -correct answersA:
Is a contribu ng factor for frequent UTI
A 68-year-old women is being worked up for stress incon nence.
UA reveals posi ve leukocyte esterase, posi ve nitrites, 15 WBCs,
no RBS, no protein, no casts. She denies frequency, urgency suprapubic pressure or urgency.
What is the first treatment for her US results? -correct answersno treatment is necessary
The elderly are at higher risk for delirium because of: -correct answersAll of the above
A 63-year-old man is seen in the clinic with a c/o nocturia.
Which of the following should be included in the differen al diagnosis? -correct answersBenign
prosta c hypertrophy
(BPH)
When a 63-year-old man complains of having to wake up at night to urinate, one possible cause
could be an enlarged prostate, which is like a traffic jam in the urinary system
,75-year-old man is being treated as an outpa ent for metasta c prostate cancer. Which of the
following statements is true regarding the management of pain with opioids in the elderly? -
correct answersnone of the above
The highest level of evidence with the use of adjuvant analgesics is with: -correct
answersneuropathic pain pa ents are candidates for adjuvant analgesia
A 50-year-old female pa ent screened for diabetes has a fas ng plasma glucose level of 124
mg/dl. The NP plan includes -correct answersrepeat fas ng plasma glucose in one year
When assessing a pa ent who complains of a tremor, the NP must differen ate essen al tremor
from the tremor of Parkinson's disease. Which of the following findings are consistent with
essen al tremor? -correct answersThe tremor occurs with purposeful movement
Which characteris c of delirium helps to dis nguish it from demen a? -correct answersabrupt
or Acute onset
According to the sexuality presenta on, the biggest barrier to appropriate sexual evalua on in
the older pa ent -correct answersAgeist a tudes
reason
Ageist a tudes are the biggest barrier to appropriately evalua ng the sexual health of older
pa ents, meaning that nega ve stereotypes and biases about age can prevent healthcare
professionals from addressing this important aspect of their well-being
Mrs. Smith a 65-year-old women presents to the clinic for the first
me and c/o UI and dyspareunia, she went through menopause 10
years ago without any hormone replacement therapy and had a
hysterectomy for fibroid. Her mother had a hip fracture at 82, pt
, had mammogram 5 years ago and no known fam hx of breast
cancer......you decide to begin topical hormone replacement
therapy. Which of the following evalua ons would be necessary
prior ini a ng hormone replacement therapy? -correct answersMammogram
Mr. A experienced a brief onset of right-sided weakness, slurred speech and confusion
yesterday.
The symptom has resolved. What should the NP do? -correct answersiden fy modifiable
cardiovascular risk factors
Any women with a complicated cys s or symptoms of upper tract disease needs a urine
culture and -correct answerssensi vity test
If a woman has a complicated cys s or symptoms of upper tract disease, it's like having a
puzzle in her urinary system, so she needs a urine culture and sensi vity test to figure out which
an bio c will solve the puzzle.
A middle-aged pa ent has been diagnosed with Parkinson's disease. What influences the NP's
decision to begin pharmacological treatment for this pa ent? -correct answerssymptom
interfering with func onal ability
The Mini-cog is a short screening tool used to assess cogni on. Which of the following
statements pertaining to the test is a true statement -correct answersA score of 0-2 is a posi ve
screen for demen a
Age related changes in bladder, urethra and ureters include all of the following in older women
except -correct answersincreased estrogen produc on's influence on the bladder and ureter
The majority of pa ents enrolled in hospice care die: -correct answersAT HOME
