, NUR 257 Exams 1–4 – Concepts of Aging &
Chronic Illness – Actual Questions &
Answers (GCN) 100% Guarantee Pass
NUR 257 Exam 1: Foundations of Aging & Chronic Illness
Q1: You are caring for an older client who has HIV.
Which action by the nurse is most effective to prevent
exposure?
A) Wear a mask whenever entering the room
B) Use contact isolation for all care
C) Wear gloves for contact with blood and body fluids
D) Double-glove only when starting an IV
Answer: C) Wear gloves for contact with blood and body
fluids
Rationale: Standard precautions, including gloves for
contact with blood and body fluids, are sufficient for HIV-
positive clients. HIV transmission requires exposure to
specific body fluids; routine airborne or contact isolation
is not indicated.
Q2: Which of the following is an example of an
Instrumental Activity of Daily Living (IADL)?
A) Bathing and dressing
,B) Feeding and toileting
C) Shopping, preparing meals, doing housework, and
taking medication
D) Turning in bed and transferring from bed to chair
Answer: C) Shopping, preparing meals, doing
housework, and taking medication
Rationale: Instrumental Activities of Daily Living (IADLs)
include complex skills needed for independent living. ADLs
(Activities of Daily Living) include basic self-care tasks like
bathing, dressing, and toileting.
Q3: You are planning a health education about elderly
abuse. Which information should the nurse include?
A) Only clients with no family are at risk
B) The client who has a history of Alzheimer's is at
highest risk
C) Abuse rarely occurs in cognitively impaired elders
D) Only physical injury indicates abuse
Answer: B) The client who has a history of Alzheimer's is
at highest risk
Rationale: Cognitive impairment, including Alzheimer's
disease, greatly increases vulnerability to elder abuse.
, Risk factors for abuse include dementia, social isolation,
caregiver stress, and dependency.
Q4: You are caring for an older adult female client.
Which of the following findings would make the nurse
further question regarding possible HIV infection?
A) One vaginal yeast infection in the past year
B) Recurrent bacterial pneumonia
C) Occasional headaches
D) Mild osteoarthritis
Answer: B) Recurrent bacterial pneumonia
Rationale: Older adults with HIV may present with
atypical or opportunistic infections. Recurrent bacterial
pneumonia is a common and serious complication of HIV
in older adults and should prompt further assessment.
Q5: Which of the following is a classic sign of elder
abuse?
A) A single bruise on the shin
B) Bruises in various stages of healing and an inconsistent
explanation
C) A history of falls
D) A broken arm from a known accident
Answer: B) Bruises in various stages of healing and an
Chronic Illness – Actual Questions &
Answers (GCN) 100% Guarantee Pass
NUR 257 Exam 1: Foundations of Aging & Chronic Illness
Q1: You are caring for an older client who has HIV.
Which action by the nurse is most effective to prevent
exposure?
A) Wear a mask whenever entering the room
B) Use contact isolation for all care
C) Wear gloves for contact with blood and body fluids
D) Double-glove only when starting an IV
Answer: C) Wear gloves for contact with blood and body
fluids
Rationale: Standard precautions, including gloves for
contact with blood and body fluids, are sufficient for HIV-
positive clients. HIV transmission requires exposure to
specific body fluids; routine airborne or contact isolation
is not indicated.
Q2: Which of the following is an example of an
Instrumental Activity of Daily Living (IADL)?
A) Bathing and dressing
,B) Feeding and toileting
C) Shopping, preparing meals, doing housework, and
taking medication
D) Turning in bed and transferring from bed to chair
Answer: C) Shopping, preparing meals, doing
housework, and taking medication
Rationale: Instrumental Activities of Daily Living (IADLs)
include complex skills needed for independent living. ADLs
(Activities of Daily Living) include basic self-care tasks like
bathing, dressing, and toileting.
Q3: You are planning a health education about elderly
abuse. Which information should the nurse include?
A) Only clients with no family are at risk
B) The client who has a history of Alzheimer's is at
highest risk
C) Abuse rarely occurs in cognitively impaired elders
D) Only physical injury indicates abuse
Answer: B) The client who has a history of Alzheimer's is
at highest risk
Rationale: Cognitive impairment, including Alzheimer's
disease, greatly increases vulnerability to elder abuse.
, Risk factors for abuse include dementia, social isolation,
caregiver stress, and dependency.
Q4: You are caring for an older adult female client.
Which of the following findings would make the nurse
further question regarding possible HIV infection?
A) One vaginal yeast infection in the past year
B) Recurrent bacterial pneumonia
C) Occasional headaches
D) Mild osteoarthritis
Answer: B) Recurrent bacterial pneumonia
Rationale: Older adults with HIV may present with
atypical or opportunistic infections. Recurrent bacterial
pneumonia is a common and serious complication of HIV
in older adults and should prompt further assessment.
Q5: Which of the following is a classic sign of elder
abuse?
A) A single bruise on the shin
B) Bruises in various stages of healing and an inconsistent
explanation
C) A history of falls
D) A broken arm from a known accident
Answer: B) Bruises in various stages of healing and an
