ELIOPOULOS FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
STUDY SHEET
●● 2. A health-conscious resident of an assisted living facility is
promoting the value of fiber to a fellow resident. Which statement made
by the resident about the benefits of fiber is accurate?
A) Improved bowel activity and increased metabolic rate
B) Improved bowel activity and decreased serum cholesterol
C) Improved gastric emptying and prevention of colon cancer
D) Increased nutrient absorption and decreased glucose tolerance
Answer: Ans: B
Feedback: Fiber is noted to lower serum cholesterol and promote good
bowel activity. It is not noted to improve nutrient absorption or gastric
emptying or to increase overall metabolic rate.
●● 3. During a home visit, the nurse is asked by an older couple if
vitamin and nutritional supplements can compensate for poor food
intake. What should the nurse respond to this question?
A) "Supplements can be useful but avoid those that contain calcium."
,B) "The risks of excess dosages mean that supplements are best avoided
entirely."
C) "Supplements should be thought of as supplements, not replacements,
so it's best not use them."
D) "Vitamin and nutrient supplements can be a useful short-term
nutritional measure, but only if they don't interact with prescribed
medications."
Answer: Ans: D
Feedback: There is a valid role for supplements in meeting the
nutritional needs of older adults, but the risk of medication interactions
must be taken into account. It would be unnecessary to recommend
complete avoidance of all supplements or of those that contain calcium.
●● 4. An older woman asks what she can do to reduce the risk of
developing osteoporosis. What should the nurse respond to this patient?
A) "The key to preventing osteoporosis is to remain physically active on
a regular basis."
B) "For women who have complete menopause, vitamin D supplements
are the best form of prevention."
C) "The best thing that you can do is to maximize your calcium intake
by including dairy at most meals and taking supplements as well."
D) "You need to make sure you are getting the recommended daily dose
of calcium, which may involve taking supplements at each meal."
Answer: Ans: D
, Feedback: Postmenopausal women need to ensure a daily intake of
calcium of at least 1 g. Supplements may be required. It would be
inaccurate to encourage the woman to consume as much calcium as
possible given the risks associated with excess calcium intake. Neither
vitamin D supplementation nor exercise is the primary preventative
measure for the development of osteoporosis.
●● 5. An older patient with a history of renal failure is admitted with
dehydration and hyponatremia. The nurse identifies which assessment
findings as being consistent with the diagnosis of dehydration? (Select
all that apply.)
A) Confusion
B) Shortness of breath
C) Decreased skin elasticity
D) Increased blood urea nitrogen (BUN)
E) Adventitious lung sounds on auscultation
Answer: Ans: A, C, D
Feedback: Confusion, decreased skin elasticity, and increased BUN are
all associated with dehydration. Adventitious lung sounds and shortness
of breath are not associated with dehydration but rather with
overhydration.
●● 6. An older patient is demonstrating signs of dehydration. Which
action should the nurse initiate first?
CORRECT ANSWERS ALREADY PASSED
STUDY SHEET
●● 2. A health-conscious resident of an assisted living facility is
promoting the value of fiber to a fellow resident. Which statement made
by the resident about the benefits of fiber is accurate?
A) Improved bowel activity and increased metabolic rate
B) Improved bowel activity and decreased serum cholesterol
C) Improved gastric emptying and prevention of colon cancer
D) Increased nutrient absorption and decreased glucose tolerance
Answer: Ans: B
Feedback: Fiber is noted to lower serum cholesterol and promote good
bowel activity. It is not noted to improve nutrient absorption or gastric
emptying or to increase overall metabolic rate.
●● 3. During a home visit, the nurse is asked by an older couple if
vitamin and nutritional supplements can compensate for poor food
intake. What should the nurse respond to this question?
A) "Supplements can be useful but avoid those that contain calcium."
,B) "The risks of excess dosages mean that supplements are best avoided
entirely."
C) "Supplements should be thought of as supplements, not replacements,
so it's best not use them."
D) "Vitamin and nutrient supplements can be a useful short-term
nutritional measure, but only if they don't interact with prescribed
medications."
Answer: Ans: D
Feedback: There is a valid role for supplements in meeting the
nutritional needs of older adults, but the risk of medication interactions
must be taken into account. It would be unnecessary to recommend
complete avoidance of all supplements or of those that contain calcium.
●● 4. An older woman asks what she can do to reduce the risk of
developing osteoporosis. What should the nurse respond to this patient?
A) "The key to preventing osteoporosis is to remain physically active on
a regular basis."
B) "For women who have complete menopause, vitamin D supplements
are the best form of prevention."
C) "The best thing that you can do is to maximize your calcium intake
by including dairy at most meals and taking supplements as well."
D) "You need to make sure you are getting the recommended daily dose
of calcium, which may involve taking supplements at each meal."
Answer: Ans: D
, Feedback: Postmenopausal women need to ensure a daily intake of
calcium of at least 1 g. Supplements may be required. It would be
inaccurate to encourage the woman to consume as much calcium as
possible given the risks associated with excess calcium intake. Neither
vitamin D supplementation nor exercise is the primary preventative
measure for the development of osteoporosis.
●● 5. An older patient with a history of renal failure is admitted with
dehydration and hyponatremia. The nurse identifies which assessment
findings as being consistent with the diagnosis of dehydration? (Select
all that apply.)
A) Confusion
B) Shortness of breath
C) Decreased skin elasticity
D) Increased blood urea nitrogen (BUN)
E) Adventitious lung sounds on auscultation
Answer: Ans: A, C, D
Feedback: Confusion, decreased skin elasticity, and increased BUN are
all associated with dehydration. Adventitious lung sounds and shortness
of breath are not associated with dehydration but rather with
overhydration.
●● 6. An older patient is demonstrating signs of dehydration. Which
action should the nurse initiate first?
