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CHAMBERLAIN COLLEGE OF NURSING NR 601 FINAL
EXAM 2 – QUESTION WITH ANSWERS (LATEST,
GRADED A)
1. A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States
15 years ago lives alone but in an apartment complex where her sister lives as well.
She is being discharged home after a hospitalization for congestive heart failure
with prescriptions for 8 different medications. She is considered at risk for
noncompliance due to the following contributing factors except:
• Ethnic background
2. A 78-year-old patient who is dying of colon cancer with metastases to the liver is
refusing to eat or drink. He is alert and oriented, and states that he has no desire to
eat, which is causing the family great distress. In order to best address the client
and family, you should:
• Educate the family that this is normal behavior in this situation
3. A 79-year-old female client resides independently in the community. The client’s
daughter is concerned because her mother insists on wearing a sweater and keeps
all of the windows closed even though it is 90 degrees Fahrenheit outside. The
nurse practitioner initially recognizes that this behavior may be related to:
• age-related neurosensory changes that diminish awareness of
temperature changes
4. An 88-year-old, being admitted to rule out lung cancer, is assessed using the
short form of the Geriatric Depression Scale tool. When it is determines that the
earned score is 9, the nurse practitioner initially:
• asks if they have any thoughts of committing suicide
5. The area in which nurse practitioners have the greatest effect on the safe,
effective medication therapy of an older client is:
• educating the client to all aspects of the medication.
6. The Beers list is an effective tool for healthcare professionals prescribing and/or
managing the medication therapy of older adults since it identifies medications
that for this population:
• have a higher than usual risk for injury
7. A client who reported, “a problem sleeping” shows an understanding of good
sleep hygiene when:
• limiting the afternoon nap to just 30 minutes
8. Common causes of dyspnea in the older adult may include which of the following?
, 2
• Heart failure
Asthma
Chronic obstructive lung
disease Pneumonia
9. Common ethical issues in the nursing home may include which of the following?
• Quality of life
Decision-making capacity
Preservation of autonomy
Surrogate decision making
10. The cost of nursing home care is significant. The primary payer for nursing
home care is:
• Medicaid and private pay.
11. Each of the following assessment finding is a contributor to an older client’s risk
for falls except:
• client has a history of contact dermatitis and psoriasis
12. Each of the following data supports the diagnosis of sleep apnea in the older
adult except:
• followed a vegetarian diet for last 28 years
13. Factors that affect the pharmacokinetics of lipophilic medications in older include:
• greater adipose tissue ratio to body mass
14. The following precautions are beneficial in minimizing an older adult’s risk of
being a victim of fraud except:
• Rely on the advice of people who only friends have recommended.
15. In order to focus on the older population with the greatest risk for suicide the
nurse practitioner would conduct a depression that targets:
• White men
16. In planning teaching for a client with diabetes, which precaution related to
fall prevention is particularly important for the nurse practitioner to include?
• Rising slowly from the table after meals
17. It is imperative that nursing take a leadership role in providing effective health
care across the lifespan and in various health care settings. Which intervention will
have the greatest impact on achieving positive outcomes concerning that issue?
• A baccalaureate degree nursing program including a geriatric care
course into the curriculum
18. The nurse is most concerned by observing which of the following during an
older client’s physical assessment:
CHAMBERLAIN COLLEGE OF NURSING NR 601 FINAL
EXAM 2 – QUESTION WITH ANSWERS (LATEST,
GRADED A)
1. A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States
15 years ago lives alone but in an apartment complex where her sister lives as well.
She is being discharged home after a hospitalization for congestive heart failure
with prescriptions for 8 different medications. She is considered at risk for
noncompliance due to the following contributing factors except:
• Ethnic background
2. A 78-year-old patient who is dying of colon cancer with metastases to the liver is
refusing to eat or drink. He is alert and oriented, and states that he has no desire to
eat, which is causing the family great distress. In order to best address the client
and family, you should:
• Educate the family that this is normal behavior in this situation
3. A 79-year-old female client resides independently in the community. The client’s
daughter is concerned because her mother insists on wearing a sweater and keeps
all of the windows closed even though it is 90 degrees Fahrenheit outside. The
nurse practitioner initially recognizes that this behavior may be related to:
• age-related neurosensory changes that diminish awareness of
temperature changes
4. An 88-year-old, being admitted to rule out lung cancer, is assessed using the
short form of the Geriatric Depression Scale tool. When it is determines that the
earned score is 9, the nurse practitioner initially:
• asks if they have any thoughts of committing suicide
5. The area in which nurse practitioners have the greatest effect on the safe,
effective medication therapy of an older client is:
• educating the client to all aspects of the medication.
6. The Beers list is an effective tool for healthcare professionals prescribing and/or
managing the medication therapy of older adults since it identifies medications
that for this population:
• have a higher than usual risk for injury
7. A client who reported, “a problem sleeping” shows an understanding of good
sleep hygiene when:
• limiting the afternoon nap to just 30 minutes
8. Common causes of dyspnea in the older adult may include which of the following?
, 2
• Heart failure
Asthma
Chronic obstructive lung
disease Pneumonia
9. Common ethical issues in the nursing home may include which of the following?
• Quality of life
Decision-making capacity
Preservation of autonomy
Surrogate decision making
10. The cost of nursing home care is significant. The primary payer for nursing
home care is:
• Medicaid and private pay.
11. Each of the following assessment finding is a contributor to an older client’s risk
for falls except:
• client has a history of contact dermatitis and psoriasis
12. Each of the following data supports the diagnosis of sleep apnea in the older
adult except:
• followed a vegetarian diet for last 28 years
13. Factors that affect the pharmacokinetics of lipophilic medications in older include:
• greater adipose tissue ratio to body mass
14. The following precautions are beneficial in minimizing an older adult’s risk of
being a victim of fraud except:
• Rely on the advice of people who only friends have recommended.
15. In order to focus on the older population with the greatest risk for suicide the
nurse practitioner would conduct a depression that targets:
• White men
16. In planning teaching for a client with diabetes, which precaution related to
fall prevention is particularly important for the nurse practitioner to include?
• Rising slowly from the table after meals
17. It is imperative that nursing take a leadership role in providing effective health
care across the lifespan and in various health care settings. Which intervention will
have the greatest impact on achieving positive outcomes concerning that issue?
• A baccalaureate degree nursing program including a geriatric care
course into the curriculum
18. The nurse is most concerned by observing which of the following during an
older client’s physical assessment:
