An older women asks the practical nurse (PN0 how she can decrease her chances of getting
cystitis. What information should the PN provide? - ANSWER Void and empty bladder
completely q2 to 3 hours
The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on
complete bed rest. Which intervention is most important for the practical nurse (PN) to sug-
gest to the client to prevent complications related to immobility? - ANSWER Perform leg
exercises while in bed.
The practical nurse (PN) is caring for an older female with Raynaud's phenomenon. Which
exposure should the PN instruct the client to avoid? - ANSWER Cold climates
The practical nurse (PN) is giving medications through a gastric tube (GT) to an older client
who is a resident in a long-term care facility. The PN interrupts the continuous GT feeding. In
which sequence should the PN impalement these actions for administration of crushed med-
ications? - ANSWER 1. Crush the medication into a power or fine granules
2. Dissolve each crushed medication in a medicine cup
3. Flush the feeding tube of feeding solution
4. Administer each medication separately
5. Flush GT to clear medication from the tubing
6. Reconnect the gastric feeding tube
A family member brings their aging father to the clinic because he has been alert and ori-
ented during the day but agitated and disoriented in the evening. The registered nurse (RN)
reviews the client's list of current medications with the client and family. Which action taken
by the RN is most important? - ANSWER Multiple medications can contribute to sun-
downer-like symptoms
1
, The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older cli-
ent who arrives at the clinic for an annual physical examination. What common side effect
should the practical nurse (PN) advise the client to observe for with this medication? - AN-
SWER headaches
An older client is transferred to a telemetry unit after placement of a pacemaker. What ac-
tion should the practical nurse (PN) take first ? - ANSWER Establish telemetry monitor-
ing.
Older clients are at highest risk for abuse and neglect due to which factors? (select all that
apply.) - ANSWER A.Needs are greater than the caretaker's abilities.
B. Client's declining strength.
The hospice nurse is completing a focused assessment of an older female client with end
stage Alzheimer disease who recently fractured her hip. What technique should the practical
nurse (PN) use to determine the client's pain? - ANSWER Observe for facial grimacing.
An older male client who is a new resident in an assisted living community is having difficulty
going to sleep since his arrival. Which intervention should the practical nurse (PN) imple-
ment first? - ANSWER Ask the client what has helped him in the past.
An older client who is a new resident is an assisted living facility is having short-term
memory loss and confusion. Which activity should the practical nurse (PN) schedule the cli-
ent to do during the day? - ANSWER Daily exercise group.
An older female client is recently transferred to a rehabilitation facility after a total hip re-
placement and asks the practical nurse (PN) if she broke her hip because she is old. How
should the PN best respond? - ANSWER Older women commonly lose bone calcium
which increases the risk of fracture.
2
cystitis. What information should the PN provide? - ANSWER Void and empty bladder
completely q2 to 3 hours
The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on
complete bed rest. Which intervention is most important for the practical nurse (PN) to sug-
gest to the client to prevent complications related to immobility? - ANSWER Perform leg
exercises while in bed.
The practical nurse (PN) is caring for an older female with Raynaud's phenomenon. Which
exposure should the PN instruct the client to avoid? - ANSWER Cold climates
The practical nurse (PN) is giving medications through a gastric tube (GT) to an older client
who is a resident in a long-term care facility. The PN interrupts the continuous GT feeding. In
which sequence should the PN impalement these actions for administration of crushed med-
ications? - ANSWER 1. Crush the medication into a power or fine granules
2. Dissolve each crushed medication in a medicine cup
3. Flush the feeding tube of feeding solution
4. Administer each medication separately
5. Flush GT to clear medication from the tubing
6. Reconnect the gastric feeding tube
A family member brings their aging father to the clinic because he has been alert and ori-
ented during the day but agitated and disoriented in the evening. The registered nurse (RN)
reviews the client's list of current medications with the client and family. Which action taken
by the RN is most important? - ANSWER Multiple medications can contribute to sun-
downer-like symptoms
1
, The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older cli-
ent who arrives at the clinic for an annual physical examination. What common side effect
should the practical nurse (PN) advise the client to observe for with this medication? - AN-
SWER headaches
An older client is transferred to a telemetry unit after placement of a pacemaker. What ac-
tion should the practical nurse (PN) take first ? - ANSWER Establish telemetry monitor-
ing.
Older clients are at highest risk for abuse and neglect due to which factors? (select all that
apply.) - ANSWER A.Needs are greater than the caretaker's abilities.
B. Client's declining strength.
The hospice nurse is completing a focused assessment of an older female client with end
stage Alzheimer disease who recently fractured her hip. What technique should the practical
nurse (PN) use to determine the client's pain? - ANSWER Observe for facial grimacing.
An older male client who is a new resident in an assisted living community is having difficulty
going to sleep since his arrival. Which intervention should the practical nurse (PN) imple-
ment first? - ANSWER Ask the client what has helped him in the past.
An older client who is a new resident is an assisted living facility is having short-term
memory loss and confusion. Which activity should the practical nurse (PN) schedule the cli-
ent to do during the day? - ANSWER Daily exercise group.
An older female client is recently transferred to a rehabilitation facility after a total hip re-
placement and asks the practical nurse (PN) if she broke her hip because she is old. How
should the PN best respond? - ANSWER Older women commonly lose bone calcium
which increases the risk of fracture.
2
