Exam Prep Pack
Geriatric Nursing 6th
Edition
(2026-2027)
Complete Questions with 100%
Correct Answers | Verified
Guaranteed Pass | Grade A+
,Chapter 22 Endocrine Function
The nurse caring for an older adult with type 2 diabetes Skin temperature and hair growth pattern on the legs.
mellitus places importance on assessing the patient for: (Insulin resistance causes increased production of inflammatory cytokines
correlating with the development of
type 2 diabetes mellitus, Atherosclerotic vascular disease, therefore skin
temperature and hair growth pattern on the legs should be assessed.)
The nurse recognizes that an older adult on both an effective history focusing on sexual function.
antihypertensive and antidepressant drug therapies has (Drugs such as: Oral contraceptives, Hormone replacement, Antihypertensives,
a specific need for: Antidepressants, Sedatives can cause sexual arousal disorder as a side effect).
Female: manifest as female sexual dysfunction (FSD), Men: manifest as Erectile
Dysfunction (ED)).
The nurse observes signs that a patient being assessed Muscle cramps, Fatigue,Cold Intolerance.
may have an underactive thyroid (HyPOthyroidism). The
data supporting this suspicion includes: (Older patients are seen with complaints of Fatigue, Cold Intolerance, Weight
gain, Muscle cramps, Paresthesias, Confusion, symptoms of hypothyroidism
often attributed to old age. Heat Intolerance is often associated with
hyperthyroidism).
The nurse is preparing to provide an older, newly asks if the patient prefers a video or a pamphlet.
diagnosed diabetic patient with information regarding
type 2 diabetes. The nurse initially: (Cognitive function and learning styles: vary, so knowing the patient's preferred
learning style facilitates
education. Some prefer to learn by visual methods, others by listening, or
experiencing contact in a hands-on approach.)
Which documentation demonstrates that the nurse BP 126/78 recumbent and 122/78 sitting.
effectively assessed an older adult diabetic patient's
cardiac (To assess circulation, the nurse should take an apical pulse, noting rate and
status? rhythm; check pedal pulses
bilaterally; and note the presence of hair on the lower extremities. The nurse
should take blood pressure
measurements with the patient in both recumbent (left lateral and right lateral
position), and sitting positions, note any dizziness associated with a change of
position, and assess the respiratory rate, depth, and chest sounds.)
The nurse teaching a 79-year-old with type 2 diabetes Walk on the treadmill each morning for 30 minutes.
about the importance of regular exercise suggests that
the (Older adults may derive the greatest benefit from morning exercise because that
patient: is the time of greatest insulin resistance. However, any exercise is better than no
exercise at all).
What assessment findings support an older patient's A patient report that "I always wear a sweater"
diagnosis of hypothyroidism?
(Older patients are seen with complaints of fatigue, cold intolerance, weight gain,
muscle cramps, paresthesias,
and confusion).
Which assessment findings support the suspicion that an The patient is inch shorter than at his or her previous physical.
older patient has osteoporosis?
(Dorsal kyphosis, chronic back pain, and loss of height are common signs of
primary osteoporosis in older
persons. The other signs do not relate to this disorder).
An older patient has been diagnosed with metabolic Teach lifestyle changes the patient can manage.
syndrome. What action by the nurse takes priority?
(Lifestyle changes are the mainstay of treatment for this disorder. Nurses have
the primary responsibility for
teaching. The patient should be included in planning so that lifestyle changes are
reasonable and "doable" for the older patient).
A patient has type 2 diabetes. The family reports the "Forgetfulness is a common sign in diabetes."
patient has become very forgetful. What response by the
nurse is best? (Many diabetics report depression and memory problems, so the nurse explains
this fact).
, The family of a patient who has type 2 diabetes calls the Have the patient come to the clinic today.
clinic to report a very small sore on the patient's foot.
What action by the nurse is best? (Any ulcer or sore on a foot requires medical attention because on superficial
inspection, the true degree of injury can be hidden. The patient should come to
the clinic today).
A patient has been admitted with new atrial fibrillation. Thyroid hormones.
What additional diagnostic testing does the nurse
anticipate? (Hyperthyroidism is often seen with atrial fibrillation).
An older patient has osteoporosis and is reluctant to It can improve posture, balance, and reduce falls.
exercise because "I already have a bone problem, so
how (Exercise not only improves bone health but improves posture, balance, and
will it help?" What response by the nurse is best? reduces falls. The nurse should
educate the patient on these benefits)
Test Friday Review Teacher Test Friday Review Teacher
A nurse is preparing to administer metoprolol (Toprol) to Say, "Many men experience ED with this drug."
an older male patient. What action by the nurse is best
regarding endocrine disorders? (Nurse instruct patients on side effects of medications. The nurse can assess if
the patient wants to discuss this issue by opening the conversation with a
"normalizing" statement, such as "many men have ED on this drug. Is this
something you would like to discuss?")
A type 2 diabetic patient is admitted to the hospital with a Ask if the patient took the diabetic medication.
gastrointestinal illness and a blood glucose of 480 (A frequent cause of hyperglycemia requiring hospitalization in diabetics is poor
mg/dL. After stabilizing the patient, what action by the sick day management. The type 2 diabetic still makes insulin and so needs
nurse is best? antihyperglycemic drugs even when ill. The nurse assesses the diabetic’s
knowledge of sick day management.)
A nurse is reviewing possible first-line medications for a Patient drinks three to four alcoholic drinks/day.
new, older type 2 diabetic. What contraindication does (Patients with Hepatic or Renal dysfunction should not take metformin. A
the nurse identify for metformin (Glucophage)? patient who drinks as much as three to four alcoholic drinks a day has a real risk
of liver disease).
The nurse is assessing an older patient with elevated (a) Blood pressure of 148/90 mm Hg
plasma triglyceride levels. What other assessment (b)A fasting blood glucose of 109 mg/dL
finding leads the nurse to suspect metabolic syndrome? (d).Weight measurement of 50 inches
(Select all that apply.) (e) HDL level of 52 mg/dL
Clinical criteria for Metabolic Syndrome includes increased waist circumference
(population specific) plus
any two of the following: (1) blood pressure greater than 129/84 mm
Hg or taking hypertension medication, (2)plasma triglyceride levels over 149
mg/dL or taking triglyceride medication, (3) High-density lipid levels less than 40
mg/dL in men or less than 50 mg/dL in women or taking HDL-C
medication, (4) fasting glucose greater
than 99 mg/dL (including patients with diabetes).
65 years old to receive Social security benefits
What assessment findings support a diagnosis of (a) Tremors
hyperthyroidism in the older adult? (Select all that apply.) (d) Palpable goiter
(e) Atrial fibrillation
(Classic geriatric presentation of hyperthyroidism is: Tachycardia, Fatigue,
Tremors, and Nervousness in Contrast to Tachycardia, Heat Intolerance, and
Fatigue in younger patients.
(An enlarged, palpable goiter is present in 60% of older adults with
hyperthyroidism.
The most common complication, occurring in 27% of geriatric hyperthyroid
patients, is atrial fibrillation that does not convert back to sinus rhythm when
a euthyroid state has been achieved.
The nurse assessing patients for diabetes looks for the (a)Polyuria
classic signs, including which of the following? (Select all (c) Polydipsia
that apply.) (d) Polyphagia
The classic signs of diabetes are Polyuria, Polydipsia, and Polyphagia.
Geriatric Nursing 6th
Edition
(2026-2027)
Complete Questions with 100%
Correct Answers | Verified
Guaranteed Pass | Grade A+
,Chapter 22 Endocrine Function
The nurse caring for an older adult with type 2 diabetes Skin temperature and hair growth pattern on the legs.
mellitus places importance on assessing the patient for: (Insulin resistance causes increased production of inflammatory cytokines
correlating with the development of
type 2 diabetes mellitus, Atherosclerotic vascular disease, therefore skin
temperature and hair growth pattern on the legs should be assessed.)
The nurse recognizes that an older adult on both an effective history focusing on sexual function.
antihypertensive and antidepressant drug therapies has (Drugs such as: Oral contraceptives, Hormone replacement, Antihypertensives,
a specific need for: Antidepressants, Sedatives can cause sexual arousal disorder as a side effect).
Female: manifest as female sexual dysfunction (FSD), Men: manifest as Erectile
Dysfunction (ED)).
The nurse observes signs that a patient being assessed Muscle cramps, Fatigue,Cold Intolerance.
may have an underactive thyroid (HyPOthyroidism). The
data supporting this suspicion includes: (Older patients are seen with complaints of Fatigue, Cold Intolerance, Weight
gain, Muscle cramps, Paresthesias, Confusion, symptoms of hypothyroidism
often attributed to old age. Heat Intolerance is often associated with
hyperthyroidism).
The nurse is preparing to provide an older, newly asks if the patient prefers a video or a pamphlet.
diagnosed diabetic patient with information regarding
type 2 diabetes. The nurse initially: (Cognitive function and learning styles: vary, so knowing the patient's preferred
learning style facilitates
education. Some prefer to learn by visual methods, others by listening, or
experiencing contact in a hands-on approach.)
Which documentation demonstrates that the nurse BP 126/78 recumbent and 122/78 sitting.
effectively assessed an older adult diabetic patient's
cardiac (To assess circulation, the nurse should take an apical pulse, noting rate and
status? rhythm; check pedal pulses
bilaterally; and note the presence of hair on the lower extremities. The nurse
should take blood pressure
measurements with the patient in both recumbent (left lateral and right lateral
position), and sitting positions, note any dizziness associated with a change of
position, and assess the respiratory rate, depth, and chest sounds.)
The nurse teaching a 79-year-old with type 2 diabetes Walk on the treadmill each morning for 30 minutes.
about the importance of regular exercise suggests that
the (Older adults may derive the greatest benefit from morning exercise because that
patient: is the time of greatest insulin resistance. However, any exercise is better than no
exercise at all).
What assessment findings support an older patient's A patient report that "I always wear a sweater"
diagnosis of hypothyroidism?
(Older patients are seen with complaints of fatigue, cold intolerance, weight gain,
muscle cramps, paresthesias,
and confusion).
Which assessment findings support the suspicion that an The patient is inch shorter than at his or her previous physical.
older patient has osteoporosis?
(Dorsal kyphosis, chronic back pain, and loss of height are common signs of
primary osteoporosis in older
persons. The other signs do not relate to this disorder).
An older patient has been diagnosed with metabolic Teach lifestyle changes the patient can manage.
syndrome. What action by the nurse takes priority?
(Lifestyle changes are the mainstay of treatment for this disorder. Nurses have
the primary responsibility for
teaching. The patient should be included in planning so that lifestyle changes are
reasonable and "doable" for the older patient).
A patient has type 2 diabetes. The family reports the "Forgetfulness is a common sign in diabetes."
patient has become very forgetful. What response by the
nurse is best? (Many diabetics report depression and memory problems, so the nurse explains
this fact).
, The family of a patient who has type 2 diabetes calls the Have the patient come to the clinic today.
clinic to report a very small sore on the patient's foot.
What action by the nurse is best? (Any ulcer or sore on a foot requires medical attention because on superficial
inspection, the true degree of injury can be hidden. The patient should come to
the clinic today).
A patient has been admitted with new atrial fibrillation. Thyroid hormones.
What additional diagnostic testing does the nurse
anticipate? (Hyperthyroidism is often seen with atrial fibrillation).
An older patient has osteoporosis and is reluctant to It can improve posture, balance, and reduce falls.
exercise because "I already have a bone problem, so
how (Exercise not only improves bone health but improves posture, balance, and
will it help?" What response by the nurse is best? reduces falls. The nurse should
educate the patient on these benefits)
Test Friday Review Teacher Test Friday Review Teacher
A nurse is preparing to administer metoprolol (Toprol) to Say, "Many men experience ED with this drug."
an older male patient. What action by the nurse is best
regarding endocrine disorders? (Nurse instruct patients on side effects of medications. The nurse can assess if
the patient wants to discuss this issue by opening the conversation with a
"normalizing" statement, such as "many men have ED on this drug. Is this
something you would like to discuss?")
A type 2 diabetic patient is admitted to the hospital with a Ask if the patient took the diabetic medication.
gastrointestinal illness and a blood glucose of 480 (A frequent cause of hyperglycemia requiring hospitalization in diabetics is poor
mg/dL. After stabilizing the patient, what action by the sick day management. The type 2 diabetic still makes insulin and so needs
nurse is best? antihyperglycemic drugs even when ill. The nurse assesses the diabetic’s
knowledge of sick day management.)
A nurse is reviewing possible first-line medications for a Patient drinks three to four alcoholic drinks/day.
new, older type 2 diabetic. What contraindication does (Patients with Hepatic or Renal dysfunction should not take metformin. A
the nurse identify for metformin (Glucophage)? patient who drinks as much as three to four alcoholic drinks a day has a real risk
of liver disease).
The nurse is assessing an older patient with elevated (a) Blood pressure of 148/90 mm Hg
plasma triglyceride levels. What other assessment (b)A fasting blood glucose of 109 mg/dL
finding leads the nurse to suspect metabolic syndrome? (d).Weight measurement of 50 inches
(Select all that apply.) (e) HDL level of 52 mg/dL
Clinical criteria for Metabolic Syndrome includes increased waist circumference
(population specific) plus
any two of the following: (1) blood pressure greater than 129/84 mm
Hg or taking hypertension medication, (2)plasma triglyceride levels over 149
mg/dL or taking triglyceride medication, (3) High-density lipid levels less than 40
mg/dL in men or less than 50 mg/dL in women or taking HDL-C
medication, (4) fasting glucose greater
than 99 mg/dL (including patients with diabetes).
65 years old to receive Social security benefits
What assessment findings support a diagnosis of (a) Tremors
hyperthyroidism in the older adult? (Select all that apply.) (d) Palpable goiter
(e) Atrial fibrillation
(Classic geriatric presentation of hyperthyroidism is: Tachycardia, Fatigue,
Tremors, and Nervousness in Contrast to Tachycardia, Heat Intolerance, and
Fatigue in younger patients.
(An enlarged, palpable goiter is present in 60% of older adults with
hyperthyroidism.
The most common complication, occurring in 27% of geriatric hyperthyroid
patients, is atrial fibrillation that does not convert back to sinus rhythm when
a euthyroid state has been achieved.
The nurse assessing patients for diabetes looks for the (a)Polyuria
classic signs, including which of the following? (Select all (c) Polydipsia
that apply.) (d) Polyphagia
The classic signs of diabetes are Polyuria, Polydipsia, and Polyphagia.
