NUR 257 Exam 3 (Latest 2026/ 2027
Update) Concepts of Aging & Chronic
Illness 100% Correct [Grade A] - Galen
A family member asks the RN how to best communicate with a loved one who has
moderate Alzheimer's disease. What is best? - Correct answer "Use short, simple
sentences and give one instruction at a time."
Pt w sudden severe headache described as the worst headache of my life, & confused.
Why would RN suspect a hemorrhagic? - Correct answer sudden onset of severe
headache with focal neurological deficits
82 yr old w delirium returns to hospital after surgery. Which intervention is most
appropriate to help reduce delirium? - Correct answer provide a clock and calendar
and ensure familiar objects are in the room
A 90 yr old w/moderate Alzheimer's disease wanders frequently and attempts to leave
the unit. What action should RN take - Correct answer place patient in room near the
nurses' station and provide supervision
,85 yr old w/advanced dementia is becoming increasingly agitated and aggressive in
evening. What action should RN take? - Correct answer provide a calming, quiet
environment with reduced stimuli
76yr old with mild cognitive impairment & recent pneumonia is suddenly confused w/
difficulty focusing. RN's best action - Correct answer reorient the patient to person,
place, and time and assess for the causes
Pt w right-sided weakness, facial droop & difficulty speaking. Started 45 mins ago.
What type of stroke is this? - Correct answer ischemic stroke
The primary cause of Hemorrhagic stroke is Low blood pressure - Correct answer
false
The majority of Cerebrovascular events are Hemorrhagic in nature - Correct answer
false
,When a patient is taking warfarin post stroke, the most critical lab to monitor is INR.
Target range is 2.0-3.0 - Correct answer true
When taking warfarin renal function must be monitored. It can impair renal function. -
Correct answer true
The nurse notices that an older female nursing home resident is not eating and that
her heart rate is faster than usual. Which should the nurse do to determine if
pneumonia is a potential cause of the change in her status? - Correct answer Analyze
sputum for color, texture, and volume.
An older has adult diagnosed with heart failure (HF) reports increasing dyspnea over 2
days. Which of the following should the nurse assess to help determine whether the
client has adhered to prescribed therapy? (Select all that apply.)
A. Compare current weight to baseline.
B. Ask about bowel pattern.
C. Determine coughing frequency.
D. Check for peripheral edema.
, E. Assess diet over last 48 hours.
F. Auscultate the lungs bilaterally. - Correct answer ADEF
A nurse is educating a group of older adults on the impact of lifestyle changes on
hypertension. The nurse includes which of the following in the education? (Select all
that apply.)
A. The actions of calcium channel blocker medications on hypertension
B. The importance of adhering to pharmacological regimens for treatment of
hypertension
C. Discussion of smoking cessation techniques
D. Techniques to incorporate more physical activity into the daily routine
E. Strategies for reaching a healthy weight - Correct answer CDE
Which of the following is the most important goal in the nursing plan of care to
decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF)
in older adults? - Correct answer Control fluid balance.
Update) Concepts of Aging & Chronic
Illness 100% Correct [Grade A] - Galen
A family member asks the RN how to best communicate with a loved one who has
moderate Alzheimer's disease. What is best? - Correct answer "Use short, simple
sentences and give one instruction at a time."
Pt w sudden severe headache described as the worst headache of my life, & confused.
Why would RN suspect a hemorrhagic? - Correct answer sudden onset of severe
headache with focal neurological deficits
82 yr old w delirium returns to hospital after surgery. Which intervention is most
appropriate to help reduce delirium? - Correct answer provide a clock and calendar
and ensure familiar objects are in the room
A 90 yr old w/moderate Alzheimer's disease wanders frequently and attempts to leave
the unit. What action should RN take - Correct answer place patient in room near the
nurses' station and provide supervision
,85 yr old w/advanced dementia is becoming increasingly agitated and aggressive in
evening. What action should RN take? - Correct answer provide a calming, quiet
environment with reduced stimuli
76yr old with mild cognitive impairment & recent pneumonia is suddenly confused w/
difficulty focusing. RN's best action - Correct answer reorient the patient to person,
place, and time and assess for the causes
Pt w right-sided weakness, facial droop & difficulty speaking. Started 45 mins ago.
What type of stroke is this? - Correct answer ischemic stroke
The primary cause of Hemorrhagic stroke is Low blood pressure - Correct answer
false
The majority of Cerebrovascular events are Hemorrhagic in nature - Correct answer
false
,When a patient is taking warfarin post stroke, the most critical lab to monitor is INR.
Target range is 2.0-3.0 - Correct answer true
When taking warfarin renal function must be monitored. It can impair renal function. -
Correct answer true
The nurse notices that an older female nursing home resident is not eating and that
her heart rate is faster than usual. Which should the nurse do to determine if
pneumonia is a potential cause of the change in her status? - Correct answer Analyze
sputum for color, texture, and volume.
An older has adult diagnosed with heart failure (HF) reports increasing dyspnea over 2
days. Which of the following should the nurse assess to help determine whether the
client has adhered to prescribed therapy? (Select all that apply.)
A. Compare current weight to baseline.
B. Ask about bowel pattern.
C. Determine coughing frequency.
D. Check for peripheral edema.
, E. Assess diet over last 48 hours.
F. Auscultate the lungs bilaterally. - Correct answer ADEF
A nurse is educating a group of older adults on the impact of lifestyle changes on
hypertension. The nurse includes which of the following in the education? (Select all
that apply.)
A. The actions of calcium channel blocker medications on hypertension
B. The importance of adhering to pharmacological regimens for treatment of
hypertension
C. Discussion of smoking cessation techniques
D. Techniques to incorporate more physical activity into the daily routine
E. Strategies for reaching a healthy weight - Correct answer CDE
Which of the following is the most important goal in the nursing plan of care to
decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF)
in older adults? - Correct answer Control fluid balance.
