Adult health Exam Questions and Correct
Answers
Question 1
A nurse who provides care to many older adults recognizes the importance of
implementing a wellness approach to care. What principle underlies this approach to
the health care of older adults?
A) Older adults have decreasing expectations for wellness as they move through the
aging process.
B) Health problems are a Western cultural construct that has no objective, physiologic
basis.
C) Older adults must come to accept a decline in wellness as they age.
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
Correct Answer
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
Question 2
A nurse has recently begun to provide care to older adults in a large, urban hospital.
Having lived until recently in an ethnically homogeneous region, the nurse has begun
to recognize the significant differences in priorities and perspectives of clients from
other cultural groups and has taken action to learn about these groups. What stage of
cultural self-assessment is this nurse demonstrating?
A) Unconsciously incompetent
B) Consciously incompetent
C) Consciously competent
D) Unconsciously competent
Correct Answer
B) Consciously incompetent
Page 1 of 270
,Question 3
A nursing administrator of the long-term care facility implements a performance
improvement program. Which of the following activities should be included in the
program?
A) Develop a dementia care unit.
B) Decrease the use of intramuscular medications.
C) Emphasize safety and medical care.
D) Measure outcomes focusing on personal choice.
Correct Answer
D) Measure outcomes focusing on personal choice.
Question 4
A nurse at the aging center organizes exercise classes including tai chi. Which of the
following principles is the nurse incorporating?
A) Disease prevention
B) Environmental modification
C) Health promotion
D) Spiritual awakening
Correct Answer
C) Health promotion
Question 5
A 79-year-old client has been admitted to a long-term care facility because of the
progression of Alzheimer disease from mild to the moderate stage. How should the
nurse proceed with functional assessment?
A) Document the fact that it is not possible to accurately gauge the woman's ADLs.
B) Obtain assessment data from the woman's family members and friends.
C) Perform assessment passively by observing and recording the woman's behavior
and actions over the next several days.
D) Use an assessment tool that is specifically designed for use with cognitively
impaired clients.
Correct Answer
D) Use an assessment tool that is specifically designed for use with cognitively
impaired clients.
Page 2 of 270
,Question 6
An 89-year-old adult is dismayed that his primary care provider referred him for a
driving evaluation because he experiences vision problems and slower reaction time.
Which of the following concepts is illustrated in this example?
A) Risk factors
B) Age-related changes
C) Positive functional consequences
D) Wellness outcomes
Correct Answer
B) Age-related changes
Question 7
A nurse works with a program that performs interviews, blood work, and digital rectal
examinations aimed at identifying older men with benign prostatic hyperplasia (BPH).
The program also facilitates bathroom alterations in older adults' homes to ensure
men with BPH have easy access to a toilet. Which of the following components of
health promotion has yet to be implemented in the program?
A) Screening
B) Risk assessment
C) Environmental modification
D) Risk-reduction interventions
Correct Answer
D) Risk-reduction interventions
Question 8
A nurse teaches an older adult client about the use of the telehealth equipment to
monitor congestive heart failure. Which of the following statements by the client
shows understanding?
A) "I will call the primary health care office everyday with my weight, and blood
pressure."
B) "I won't touch this fancy equipment unless you are here."
C) "I need to step on this scale and use this automatic cuff each day."
D) "I will watch the prescribed television show every afternoon."
Correct Answer
C) "I need to step on this scale and use this automatic cuff each day."
Page 3 of 270
, Question 9
A graduate nurse expresses an interest in focusing future study to healthy aging.
Toward which of the following fields should the experienced nurse steer the graduate
nurse?
A) Palliative care
B) Gerontological nursing
C) Nursing home administration
D) Social work
Correct Answer
B) Gerontological nursing
Question 10
A nurse assesses a 71-year-old person who has smoked for 43 years. Which of the
following is a negative functional consequence of smoking for this person? (Select all
that apply.)
A) Children are exposed to secondhand smoke
B) Low oxygen-carrying capacity
C) Abnormal breath sounds
D) The ability to run a 5-K race
E) Pulmonary disease
Correct Answer
B) Low oxygen-carrying capacity
Question 11
A nurse cares for an older adult at risk for a venous stasis ulcer. Which interventions
should the nurse include in the teaching with this older adult? (Select all that apply.)
A) Health promotion interventions
B) Functional consequences
C) Wellness outcomes
D) Environmental modifications
Correct Answer
A) Health promotion interventions
D) Environmental modifications
Page 4 of 270
Answers
Question 1
A nurse who provides care to many older adults recognizes the importance of
implementing a wellness approach to care. What principle underlies this approach to
the health care of older adults?
A) Older adults have decreasing expectations for wellness as they move through the
aging process.
B) Health problems are a Western cultural construct that has no objective, physiologic
basis.
C) Older adults must come to accept a decline in wellness as they age.
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
Correct Answer
D) A holistic approach to caring for older adults can foster their well-being at every
stage of life.
Question 2
A nurse has recently begun to provide care to older adults in a large, urban hospital.
Having lived until recently in an ethnically homogeneous region, the nurse has begun
to recognize the significant differences in priorities and perspectives of clients from
other cultural groups and has taken action to learn about these groups. What stage of
cultural self-assessment is this nurse demonstrating?
A) Unconsciously incompetent
B) Consciously incompetent
C) Consciously competent
D) Unconsciously competent
Correct Answer
B) Consciously incompetent
Page 1 of 270
,Question 3
A nursing administrator of the long-term care facility implements a performance
improvement program. Which of the following activities should be included in the
program?
A) Develop a dementia care unit.
B) Decrease the use of intramuscular medications.
C) Emphasize safety and medical care.
D) Measure outcomes focusing on personal choice.
Correct Answer
D) Measure outcomes focusing on personal choice.
Question 4
A nurse at the aging center organizes exercise classes including tai chi. Which of the
following principles is the nurse incorporating?
A) Disease prevention
B) Environmental modification
C) Health promotion
D) Spiritual awakening
Correct Answer
C) Health promotion
Question 5
A 79-year-old client has been admitted to a long-term care facility because of the
progression of Alzheimer disease from mild to the moderate stage. How should the
nurse proceed with functional assessment?
A) Document the fact that it is not possible to accurately gauge the woman's ADLs.
B) Obtain assessment data from the woman's family members and friends.
C) Perform assessment passively by observing and recording the woman's behavior
and actions over the next several days.
D) Use an assessment tool that is specifically designed for use with cognitively
impaired clients.
Correct Answer
D) Use an assessment tool that is specifically designed for use with cognitively
impaired clients.
Page 2 of 270
,Question 6
An 89-year-old adult is dismayed that his primary care provider referred him for a
driving evaluation because he experiences vision problems and slower reaction time.
Which of the following concepts is illustrated in this example?
A) Risk factors
B) Age-related changes
C) Positive functional consequences
D) Wellness outcomes
Correct Answer
B) Age-related changes
Question 7
A nurse works with a program that performs interviews, blood work, and digital rectal
examinations aimed at identifying older men with benign prostatic hyperplasia (BPH).
The program also facilitates bathroom alterations in older adults' homes to ensure
men with BPH have easy access to a toilet. Which of the following components of
health promotion has yet to be implemented in the program?
A) Screening
B) Risk assessment
C) Environmental modification
D) Risk-reduction interventions
Correct Answer
D) Risk-reduction interventions
Question 8
A nurse teaches an older adult client about the use of the telehealth equipment to
monitor congestive heart failure. Which of the following statements by the client
shows understanding?
A) "I will call the primary health care office everyday with my weight, and blood
pressure."
B) "I won't touch this fancy equipment unless you are here."
C) "I need to step on this scale and use this automatic cuff each day."
D) "I will watch the prescribed television show every afternoon."
Correct Answer
C) "I need to step on this scale and use this automatic cuff each day."
Page 3 of 270
, Question 9
A graduate nurse expresses an interest in focusing future study to healthy aging.
Toward which of the following fields should the experienced nurse steer the graduate
nurse?
A) Palliative care
B) Gerontological nursing
C) Nursing home administration
D) Social work
Correct Answer
B) Gerontological nursing
Question 10
A nurse assesses a 71-year-old person who has smoked for 43 years. Which of the
following is a negative functional consequence of smoking for this person? (Select all
that apply.)
A) Children are exposed to secondhand smoke
B) Low oxygen-carrying capacity
C) Abnormal breath sounds
D) The ability to run a 5-K race
E) Pulmonary disease
Correct Answer
B) Low oxygen-carrying capacity
Question 11
A nurse cares for an older adult at risk for a venous stasis ulcer. Which interventions
should the nurse include in the teaching with this older adult? (Select all that apply.)
A) Health promotion interventions
B) Functional consequences
C) Wellness outcomes
D) Environmental modifications
Correct Answer
A) Health promotion interventions
D) Environmental modifications
Page 4 of 270
