Final Exam Review (Geriatric Nursing Pre-Test) Questions and Answers

Final Exam Review (Geriatric Nursing Pre-Test) Questions and Answers For an individual with age-related hearing loss, which sound is most difficult to hear? - Ans:-A young child talking in a cafeteria line Pain of gastrointestinal origin is best differentiated from pain of cardiac origin by the presence of: - Ans:-substernal chest discomfort The progression of intermittent claudication is measured by the: - Ans:-distance walked before leg pain starts. An early sign of alcohol withdrawal is: - Ans:-diaphoresis. A stage III pressure ulcer is characterized by: - Ans:-deep craters with or without undermining and full-thickness skin loss involving subcutaneous tissue The primary risk factor for the development of pressure ulcers in older adult patients is: - Ans:- immobility. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/12 An 80-year-old resident of a retirement center states that something is wrong with the lighting in the room because colored rings appear around the light bulbs. The resident most likely has: - Ans:- glaucoma. The most common cause of chronic pain in older adults is: - Ans:-arthritis. A 72-year-old man with asthma, chronic obstructive pulmonary disease, and chronic anxiety is admitted to a nursing home. Care plan objectives for this man include: - Ans:-adherence to his medication regimen, inhalation therapy, and instruction about methods of conserving energy. A 65-year-old man with a 45-year history of smoking complains of a change in his cough pattern, a nonproductive cough, and an ache in his chest. The man's chest x-ray reveals an infiltrate. The gerontological nurse suspects: - Ans:-a lung tumor. Which symptom in older adults is most indicative of a urinary tract infection? - Ans:-Confusion Which is a risk factor for vaginitis in older adult women? - Ans:-Prolonged antibiotic therapy Which condition might be indicated by an increase in hemoglobin values? - Ans:-Dehydration An 83-year-old female patient underwent a total hip replacement three days ago. She should not cross her legs because: - Ans:-adduction of the hip can cause dislocation of the prosthesis. A 76-year-old patient with osteoarthritis complains of pain, stiffness, and deformities of the fingers. The gerontological nurse recommends - Ans:-exercise ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/12 A factor that contributes to hypothermia in older adults is: - Ans:-decreased activity Heat stroke is a serious form of hyperthermia that is characterized by - Ans:-absence of sweating A gerontological nurse is teaching dressing techniques to a patient with right hemiplegia and a severe speech impairment. An appropriate first step in the nurse's teaching would be to: - Ans:-demonstrate the proper way to put on a shirt. Older adults with Parkinson disease exhibit: - Ans:-rigidity and tremor at rest. To prevent injury, a gerontological nurse advises an older adult who is taking tricyclic antidepressants to: - Ans:-stand up slowly from sitting or lying positions. Persons who are taking anticholinergic drugs are at high risk for: - Ans:-dry mouth. Age-related changes in which two organs most affect an older adult's reaction to m