NUR 257 Exam 4 (Latest 2026/ 2027
Update) Concepts of Aging & Chronic
Illness 100% Correct [Grade A] - Galen
The nurse is conducting an admission assessment on an older adult and notes a small
lesion with a multicolor appearance. Which assessment approach should the nurse
use? - Correct answer ABCD (asymmetry, border, color, diameter) rule
The nurse cares for an older man who has a malignant melanoma. Which intervention
should the nurse implement for this man to prevent a recurrence or advancement of
this condition in the future? - Correct answer Instruct him to wear sun-protective
clothing and a hat at all times.
During the night, an older adult woman complains to the nurse that she has not slept
more than 2 hours since admission to the hospital. Which intervention should the
nurse implement to increase the duration of this woman's sleep? - Correct answer
Inquire about her sleep habits used at home.
,What is the difference between rest and sleep? - Correct answer Sleep is restorative
and recuperative.
A client who reported "a problem sleeping" shows an understanding of good sleep
hygiene when engaging in what action? - Correct answer Limiting the afternoon nap to
just 30 minutes
An older adult client asks a nurse, "I really have trouble sleeping and my doctor does
not want to prescribe a sleeping pill for me because they are not good for older people.
I really don't understand that. Can you help me?" What is the best response by the
nurse? - Correct answer "Sleeping medications have many adverse effects in older
people and only have minimal effects in improving sleep."
Which of the following is a true statement about impaired skin integrity? - Correct
answer Muscle and fat cannot regenerate.
,Which nursing intervention is most likely to prevent the creation of an environment
conducive to fungal growth? - Correct answer Use mild skin cleansing agents and blot
dry.
The nurse monitors for which clinical indicator when the older adult reports pruritus? -
Correct answer Itchy skin
Water exercises are prescribed for older adults as therapy to improve which one of
the following qualities? - Correct answer Muscle strength
The nurse completes an admission assessment on an older adult client. The nurse
identifies which factor that may contribute to sleep problems? - Correct answer
Polypharmacy
A nurse will be conducting an educational session on preventing skin cancer at a local
senior citizen's center. Which should the nurse include in the session? - Correct
answer Squamous cell cancer may appear similar to a wart.
, A fracture in which bone breaks into two or more fragments is referred to as - Correct
answer comminuted.
The chief pathologic features of osteoarthritis are - Correct answer degeneration of
articular cartilage, destruction of the bone under the cartilage, and thickening of the
synovium.
The earliest manifestation of scleroderma is - Correct answer Raynaud phenomenon.
The person at highest risk of a greenstick fracture from falling off a tall ladder is age -
Correct answer 8
The disease that is similar to osteomalacia and occurs in growing children is - Correct
answer rickets.
It is true that a conductive hearing loss - Correct answer is because of dysfunction of
outer and middle ear structures.
Update) Concepts of Aging & Chronic
Illness 100% Correct [Grade A] - Galen
The nurse is conducting an admission assessment on an older adult and notes a small
lesion with a multicolor appearance. Which assessment approach should the nurse
use? - Correct answer ABCD (asymmetry, border, color, diameter) rule
The nurse cares for an older man who has a malignant melanoma. Which intervention
should the nurse implement for this man to prevent a recurrence or advancement of
this condition in the future? - Correct answer Instruct him to wear sun-protective
clothing and a hat at all times.
During the night, an older adult woman complains to the nurse that she has not slept
more than 2 hours since admission to the hospital. Which intervention should the
nurse implement to increase the duration of this woman's sleep? - Correct answer
Inquire about her sleep habits used at home.
,What is the difference between rest and sleep? - Correct answer Sleep is restorative
and recuperative.
A client who reported "a problem sleeping" shows an understanding of good sleep
hygiene when engaging in what action? - Correct answer Limiting the afternoon nap to
just 30 minutes
An older adult client asks a nurse, "I really have trouble sleeping and my doctor does
not want to prescribe a sleeping pill for me because they are not good for older people.
I really don't understand that. Can you help me?" What is the best response by the
nurse? - Correct answer "Sleeping medications have many adverse effects in older
people and only have minimal effects in improving sleep."
Which of the following is a true statement about impaired skin integrity? - Correct
answer Muscle and fat cannot regenerate.
,Which nursing intervention is most likely to prevent the creation of an environment
conducive to fungal growth? - Correct answer Use mild skin cleansing agents and blot
dry.
The nurse monitors for which clinical indicator when the older adult reports pruritus? -
Correct answer Itchy skin
Water exercises are prescribed for older adults as therapy to improve which one of
the following qualities? - Correct answer Muscle strength
The nurse completes an admission assessment on an older adult client. The nurse
identifies which factor that may contribute to sleep problems? - Correct answer
Polypharmacy
A nurse will be conducting an educational session on preventing skin cancer at a local
senior citizen's center. Which should the nurse include in the session? - Correct
answer Squamous cell cancer may appear similar to a wart.
, A fracture in which bone breaks into two or more fragments is referred to as - Correct
answer comminuted.
The chief pathologic features of osteoarthritis are - Correct answer degeneration of
articular cartilage, destruction of the bone under the cartilage, and thickening of the
synovium.
The earliest manifestation of scleroderma is - Correct answer Raynaud phenomenon.
The person at highest risk of a greenstick fracture from falling off a tall ladder is age -
Correct answer 8
The disease that is similar to osteomalacia and occurs in growing children is - Correct
answer rickets.
It is true that a conductive hearing loss - Correct answer is because of dysfunction of
outer and middle ear structures.
