OLDER ADULT FINAL EXAM VERIFIED QUESTIONS & DETAILED
ANSWERS NEWEST
1. An 80-year-old patient has nausea and vomiting related to a
gastrointestinal disorder. The nursing intervention most likely to help
the patient is to:
A. Offer sips of soda every 15 minutes until more is tolerated.
B. Encourage the patient to lie in a prone position while nauseated.
C. Encourage the intake of high-calorie foods such as milkshakes.
D. Keep the patient on a nothing-by-mouth (npo) order until the
nausea subsides.
A
2. When preparing to discharge an older patient with mild dysphagia,
the nurse suggests that the patient can minimize symptoms by:
A. Eating small meals every 2 to 3 hours
B. Cutting a sandwich into bite-sized peicees.
C. Eating less but choosing nutrient-dense foods.
D. Drinking thin liquids instead of eating solids.
A
3. An older patient is being taught about oral gingivitis. The nurse has
included instruction about maintaining an oral hygiene program,
signs and symptoms of oral infection, and the importance of
,maintaining regular professional dental care. What important
teaching has been missed?
A. Information about when to have teeth removed and dentures
made
B. The necessity of using a hard-bristled toothbrush to maintain
cleanliness
C. The importance of avoiding meat and caffeine-containing products
D. The importance of adequate nutrition for maintaining oral health
D
4. An older adult patient has recently diagnosed gastritis. What
statement made by this patient indicates the need for further
teaching?
A. "the abdominal pain is caused by acidity."
B. "i should avoid taking aspirin."
C. "smoking has little effect on my stomach problem."
D. "i could develop pernicious anemia."
C
5. The nurse is planning to teach an older patient about diverticulitis.
What topic does the nurse include?
A. Dietary fiber and fluids will reduce the symptoms.
B. It is unusual to see diverticula in older persons.
C. Abdominal cramping and severe diarrhea should be reported.
,D. Diverticulosis rarely reoccurs once it has been treated.
A
6. The nurse caring for an older adult diagnosed with hyperplastic
polyps instructs him that:
A. This type of polyp is rarely malignant and usually does not require
treatment.
B. Follow-up colonoscopies should be performed every 3 to 4 years
after diagnosis.
C. Stool should be guaiac tested every week for 1 year after
diagnosis.
D. The presence of blood in the stool requires a repeat
sigmoidoscopy examination.
D
7. An older adult reports chronic constipation. When asked why this
problem has gotten worse with age, the nurse responds:
A. "as we age, our bodies require more fiber to bring about healthy
bowel function."
B. "we need to discuss the proper use of laxatives to minimize
constipation."
C. "it's possible that you have lost the ability to feel when you need
to move your bowels."
D. "aging brings about decreased gastric motility that often results in
constipation."
, A
8. An older adult patient reports episodes of fecal incontinence. The
nurse provides appropriate emotional support when assuring the
patient that:
A. It is a common problem that occurs in response to normal aging.
B. The incontinence is rarely a result of a serious problem.
C. Disposable absorbent underwear will help manage the problem.
D. The problem generally responds well to bowel control programs.
D
9. The daughter of a dependent older patient reports to the nurse
that the patient requires regular soapsud enemas to manage chronic
constipation. The nurse responds that:
A. An alternative management technique should be discussed.
B. Enemas are generally the most effective interventions for the
older adult.
C. Chronic constipation is best managed with oral medications.
D. Her mother's diet is the most likely cause of the constipation.
A
ANSWERS NEWEST
1. An 80-year-old patient has nausea and vomiting related to a
gastrointestinal disorder. The nursing intervention most likely to help
the patient is to:
A. Offer sips of soda every 15 minutes until more is tolerated.
B. Encourage the patient to lie in a prone position while nauseated.
C. Encourage the intake of high-calorie foods such as milkshakes.
D. Keep the patient on a nothing-by-mouth (npo) order until the
nausea subsides.
A
2. When preparing to discharge an older patient with mild dysphagia,
the nurse suggests that the patient can minimize symptoms by:
A. Eating small meals every 2 to 3 hours
B. Cutting a sandwich into bite-sized peicees.
C. Eating less but choosing nutrient-dense foods.
D. Drinking thin liquids instead of eating solids.
A
3. An older patient is being taught about oral gingivitis. The nurse has
included instruction about maintaining an oral hygiene program,
signs and symptoms of oral infection, and the importance of
,maintaining regular professional dental care. What important
teaching has been missed?
A. Information about when to have teeth removed and dentures
made
B. The necessity of using a hard-bristled toothbrush to maintain
cleanliness
C. The importance of avoiding meat and caffeine-containing products
D. The importance of adequate nutrition for maintaining oral health
D
4. An older adult patient has recently diagnosed gastritis. What
statement made by this patient indicates the need for further
teaching?
A. "the abdominal pain is caused by acidity."
B. "i should avoid taking aspirin."
C. "smoking has little effect on my stomach problem."
D. "i could develop pernicious anemia."
C
5. The nurse is planning to teach an older patient about diverticulitis.
What topic does the nurse include?
A. Dietary fiber and fluids will reduce the symptoms.
B. It is unusual to see diverticula in older persons.
C. Abdominal cramping and severe diarrhea should be reported.
,D. Diverticulosis rarely reoccurs once it has been treated.
A
6. The nurse caring for an older adult diagnosed with hyperplastic
polyps instructs him that:
A. This type of polyp is rarely malignant and usually does not require
treatment.
B. Follow-up colonoscopies should be performed every 3 to 4 years
after diagnosis.
C. Stool should be guaiac tested every week for 1 year after
diagnosis.
D. The presence of blood in the stool requires a repeat
sigmoidoscopy examination.
D
7. An older adult reports chronic constipation. When asked why this
problem has gotten worse with age, the nurse responds:
A. "as we age, our bodies require more fiber to bring about healthy
bowel function."
B. "we need to discuss the proper use of laxatives to minimize
constipation."
C. "it's possible that you have lost the ability to feel when you need
to move your bowels."
D. "aging brings about decreased gastric motility that often results in
constipation."
, A
8. An older adult patient reports episodes of fecal incontinence. The
nurse provides appropriate emotional support when assuring the
patient that:
A. It is a common problem that occurs in response to normal aging.
B. The incontinence is rarely a result of a serious problem.
C. Disposable absorbent underwear will help manage the problem.
D. The problem generally responds well to bowel control programs.
D
9. The daughter of a dependent older patient reports to the nurse
that the patient requires regular soapsud enemas to manage chronic
constipation. The nurse responds that:
A. An alternative management technique should be discussed.
B. Enemas are generally the most effective interventions for the
older adult.
C. Chronic constipation is best managed with oral medications.
D. Her mother's diet is the most likely cause of the constipation.
A
