NUR 257
EXAM 1
Tested Questions with Rationales
Concepts of Aging and Chronic Illness
Galen College of Nursing
This Document Description:
This document contains a collection of 50
tested and verified questions with accurate
answers from EXAM 1 of NUR 257 at the Galen
College of Nursing. It covers core topics assessed
in the course and reflects the actual exam format
and question style. Ideal for exam preparation and concept
reinforcement.
,1. You are caring for an older client who has HIV. Which of the following 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. The nurse needs to wear gloves.
D. Double-glove only when starting an IV.
Answer: C. The nurse needs to wear gloves.
Expert Rationale:
Standard precautions, including gloves for contact with blood and body fluids, are
sufficient for HIV-positive clients. Transmission requires exposure to specific body
fluids; routine airborne or contact isolation is not indicated.
1.2 You are caring for an older adult female client. Which of the following
findings make the nurse further question their client regarding possible infection
of HIV?
A. One vaginal yeast infection in the past year.
B. Six vaginal yeast infections within the last 12 months.
C. Occasional urinary tract infections every few years.
D. Mild hot flashes at night.
Answer: B. Six vaginal yeast infections within the last 12 months.
Expert Rationale:
Recurrent or persistent vaginal candidiasis can be a sign of immune compromise,
including HIV infection. Multiple infections in a short period warrant further
assessment and possible screening in older adults with risk factors.
1.3 Teaching an older client who has arthritis about interventions to improve
sexual functions; which statement requires further teaching?
A. “I should take my prescribed pain medicine before sexual activity.”
B. “I should choose positions that put less stress on my sore joints.”
, C. “I should plan sexual activity at the time of day when I feel best.”
D. “I should apply an icepack on my affected joint, before sexual activity.”
Answer: D. “I should apply an icepack on my affected joint, before sexual activity.”
Expert Rationale:
Cold can increase stiffness and discomfort in arthritis, which may interfere with
intimacy. Heat and pre-medication usually provide better joint comfort. The
statement about using an ice pack signals a need for further teaching about
symptom management.
1.4 You are working in ED caring for a psych client w/ dehydration, which client
does the nurse identify as the most likely underlying cause?
A. Client who has depression and reports drinking 8 glasses of water daily.
B. Client who has 8.2 A1C, and tingling in their toes.
C. Client who has generalized anxiety and carries a water bottle.
D. Client who has insomnia and drinks herbal tea every night.
Answer: B. Client who has 8.2 A1C, and tingling in their toes.
Expert Rationale:
An elevated A1C and neuropathy suggest poorly controlled diabetes, which is
associated with osmotic diuresis and dehydration. Older adults with diabetes are
at high risk for fluid volume deficit and associated complications.
1.5 You are providing health education for a client who has a chronic venous
stasis wound which of the following instruction should the nurse include?
A. “Refrain from crossing your legs and ankles.”
B. “Lie flat in bed as much as possible.”
C. “Increase your salt intake to improve circulation.”
D. “Wear tight knee-high stockings at all times.”
Answer: A. “Refrain from crossing your legs and ankles.”
EXAM 1
Tested Questions with Rationales
Concepts of Aging and Chronic Illness
Galen College of Nursing
This Document Description:
This document contains a collection of 50
tested and verified questions with accurate
answers from EXAM 1 of NUR 257 at the Galen
College of Nursing. It covers core topics assessed
in the course and reflects the actual exam format
and question style. Ideal for exam preparation and concept
reinforcement.
,1. You are caring for an older client who has HIV. Which of the following 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. The nurse needs to wear gloves.
D. Double-glove only when starting an IV.
Answer: C. The nurse needs to wear gloves.
Expert Rationale:
Standard precautions, including gloves for contact with blood and body fluids, are
sufficient for HIV-positive clients. Transmission requires exposure to specific body
fluids; routine airborne or contact isolation is not indicated.
1.2 You are caring for an older adult female client. Which of the following
findings make the nurse further question their client regarding possible infection
of HIV?
A. One vaginal yeast infection in the past year.
B. Six vaginal yeast infections within the last 12 months.
C. Occasional urinary tract infections every few years.
D. Mild hot flashes at night.
Answer: B. Six vaginal yeast infections within the last 12 months.
Expert Rationale:
Recurrent or persistent vaginal candidiasis can be a sign of immune compromise,
including HIV infection. Multiple infections in a short period warrant further
assessment and possible screening in older adults with risk factors.
1.3 Teaching an older client who has arthritis about interventions to improve
sexual functions; which statement requires further teaching?
A. “I should take my prescribed pain medicine before sexual activity.”
B. “I should choose positions that put less stress on my sore joints.”
, C. “I should plan sexual activity at the time of day when I feel best.”
D. “I should apply an icepack on my affected joint, before sexual activity.”
Answer: D. “I should apply an icepack on my affected joint, before sexual activity.”
Expert Rationale:
Cold can increase stiffness and discomfort in arthritis, which may interfere with
intimacy. Heat and pre-medication usually provide better joint comfort. The
statement about using an ice pack signals a need for further teaching about
symptom management.
1.4 You are working in ED caring for a psych client w/ dehydration, which client
does the nurse identify as the most likely underlying cause?
A. Client who has depression and reports drinking 8 glasses of water daily.
B. Client who has 8.2 A1C, and tingling in their toes.
C. Client who has generalized anxiety and carries a water bottle.
D. Client who has insomnia and drinks herbal tea every night.
Answer: B. Client who has 8.2 A1C, and tingling in their toes.
Expert Rationale:
An elevated A1C and neuropathy suggest poorly controlled diabetes, which is
associated with osmotic diuresis and dehydration. Older adults with diabetes are
at high risk for fluid volume deficit and associated complications.
1.5 You are providing health education for a client who has a chronic venous
stasis wound which of the following instruction should the nurse include?
A. “Refrain from crossing your legs and ankles.”
B. “Lie flat in bed as much as possible.”
C. “Increase your salt intake to improve circulation.”
D. “Wear tight knee-high stockings at all times.”
Answer: A. “Refrain from crossing your legs and ankles.”
