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NBME CBSE ACTUAL TEST QUESTIONS AND ANSWERS TEST BANK -
COMPLETE SOLUTION RATED A
Gerontological Nurses are expected to evaluate research to implement evidenced-
based practice. Which of the following studies provides the
strongest evidence to change practice? - CORRECT
ANSWER-RANDOMIZED CONTROL CLINICAL TRIALS
The biggest risk factor for developing a cognitive impairment is : - ANSWER-
AGE
An 85-year-old mterm-0an complains of nausea, sweating, and feeling "very
weak" over the last 8 hours. He presents in the ER with a history of GERD,
CAD, CABG within the last 3 months. He has no other complaints. After
taking vital signs, which are stable, your first action would be: A. take a finger
stick to assess blood sugar
B. perform an electrocardiogram
C. draw blood for chemistry and CBC
D. contract the geriatrician on call - CORRECT
ANSWER-PERFORM AN ELECRTROCARDIOGRAM
Mary Palmer has been admitted to your unit with CHF. Which of the following
symptoms are most likely to be present in this 93-year old?
A. cough
B. decreased cognitive status
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c. fever
d. sudden onset of pedal edema - CORRECT
ANSWER-DECREASED COGNITIVE STATUS
Herzberg (Herzberg's motivation-hygiene theory ) is an example of what type
of theory? A. Nursing Grand Theory
B. Sociological aging theory
C. Motivational theory
D. Eccentricity theory - CORRECT
ANSWERMOTIVATIONAL THEORY
The degree to which a patient follows a treatment regimen could best be defined
as: A. compliance B. adherence
C. deliverance
D. holism - ANSWER-COMPLIANCE
An 88-year old man complains of burning on the soles of his feet. He has a
complete physical examination and has no other significant findings. His
laboratory work returns with a decrease in:
A. Vitamin C
B. Vitamin B12 (Abnormal sensation, typically numbness, tingling or pricking
("pins and needles") of the lower legs and feet (both sides)
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Weakness in the legs
Increased risk of falling
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Dizziness
Memory loss
Attention deficits
Irritability
Depression
Mania
Psychosis (suspiciousness, persecutory or religious delusions, auditory and visual
hallucinations, and disorganized thought-processes) Sore, swollen, beefy red
tongue
Sores at the corners of the mouth
Recurrent canker sores
Burning sensation of the mouth
Fatigue
Shortness of breath on exertion
Decreased bone health and increased risk of fracture
Mild diarrhea or constipation
Impaired vision
Possible increased risk of cardiovascular disease
Possi - ANSWER-VITAMIN B 12
Many older adults have painful hips and knees and have osteoarthritis. An
appropriate intervention for them is :
A. application of heat/cold - whichever is effective
B. NSAIDS with food every 2 hours
NBME CBSE ACTUAL TEST QUESTIONS AND ANSWERS TEST BANK -
COMPLETE SOLUTION RATED A
Gerontological Nurses are expected to evaluate research to implement evidenced-
based practice. Which of the following studies provides the
strongest evidence to change practice? - CORRECT
ANSWER-RANDOMIZED CONTROL CLINICAL TRIALS
The biggest risk factor for developing a cognitive impairment is : - ANSWER-
AGE
An 85-year-old mterm-0an complains of nausea, sweating, and feeling "very
weak" over the last 8 hours. He presents in the ER with a history of GERD,
CAD, CABG within the last 3 months. He has no other complaints. After
taking vital signs, which are stable, your first action would be: A. take a finger
stick to assess blood sugar
B. perform an electrocardiogram
C. draw blood for chemistry and CBC
D. contract the geriatrician on call - CORRECT
ANSWER-PERFORM AN ELECRTROCARDIOGRAM
Mary Palmer has been admitted to your unit with CHF. Which of the following
symptoms are most likely to be present in this 93-year old?
A. cough
B. decreased cognitive status
,2 | Page
c. fever
d. sudden onset of pedal edema - CORRECT
ANSWER-DECREASED COGNITIVE STATUS
Herzberg (Herzberg's motivation-hygiene theory ) is an example of what type
of theory? A. Nursing Grand Theory
B. Sociological aging theory
C. Motivational theory
D. Eccentricity theory - CORRECT
ANSWERMOTIVATIONAL THEORY
The degree to which a patient follows a treatment regimen could best be defined
as: A. compliance B. adherence
C. deliverance
D. holism - ANSWER-COMPLIANCE
An 88-year old man complains of burning on the soles of his feet. He has a
complete physical examination and has no other significant findings. His
laboratory work returns with a decrease in:
A. Vitamin C
B. Vitamin B12 (Abnormal sensation, typically numbness, tingling or pricking
("pins and needles") of the lower legs and feet (both sides)
,3 | Page
Weakness in the legs
Increased risk of falling
, 4 | Page
Dizziness
Memory loss
Attention deficits
Irritability
Depression
Mania
Psychosis (suspiciousness, persecutory or religious delusions, auditory and visual
hallucinations, and disorganized thought-processes) Sore, swollen, beefy red
tongue
Sores at the corners of the mouth
Recurrent canker sores
Burning sensation of the mouth
Fatigue
Shortness of breath on exertion
Decreased bone health and increased risk of fracture
Mild diarrhea or constipation
Impaired vision
Possible increased risk of cardiovascular disease
Possi - ANSWER-VITAMIN B 12
Many older adults have painful hips and knees and have osteoarthritis. An
appropriate intervention for them is :
A. application of heat/cold - whichever is effective
B. NSAIDS with food every 2 hours
