NUR 210 Pharmacology Exam Questions and Correct Answers (Already Passed)
The student nurse examines a 62-year-old patient and reports to the preceptor that the patient appears
to have an infection in an untreated laceration on the calf. The student is unsure of the assessment
because the patient does not have a fever. The preceptor correctly explains that the older adult often
does not have a fever with an infection. - Answers T
The nurse uses the mnemonic DIAPERS to assess for urinary incontinence in an older adult patient. The
"P" indicates pharmaceuticals. - Answers T
Mr. Chin, 82 years old, comes to the office for a routine examination. The nurse notices a somewhat
high-pitched murmur in the second right intercostal space during systole. It does not radiate, and the
rest of his examination findings are within expected parameters for age. Which is true of the most likely
cause of this murmur? - Answers It carries with it increased risk for cardiovascular disease.
A nurse assesses a client's blood pressure and the findings suggest orthostatic hypotension. Which area
should the nurse emphasize during client education? - Answers Prevention of falls
A nurse assesses the skin of an older adult's forearms and observes purpura. The nurse interprets this
finding as indicative of which issue? - Answers Vascular fragility
A client has come to the clinic for a routine checkup. The client is 77 years old, weighs 198 pounds (89.8
kg), stands 5'4" (162.5 cm), and lives alone. The client's B/P is 147/89, pulse is 80, and respirations 18.
The nurse is planning client teaching. What is an appropriate topic to include in the teaching plan? -
Answers Encouraging a diet that supports a normal BMI
Mrs. Geller is somewhat quiet today. She has several bruises of different colours on the ulnar aspects of
her forearms and on her abdomen. She otherwise has no complaints, and her diabetes and
hypertension are well managed. Her son from out of state accompanies her today and has recently
moved in to help her. What should the nurse suspect? - Answers Elder abuse
With a client suspected of suffering from presbycusis, the nurse would expect difficulty hearing: -
Answers High-pitched sounds
The nurse is assessing an older adult. Which assessment finding would the nurse recognize as a finding
associated with aging? - Answers Kyphosis
An elderly client visits her community health clinic with an outbreak of vesicles on her skin. She tests
positive for the herpes zoster virus. The nurse should recognize this condition as which of the following?
- Answers Shingles
Which intervention should the nurse suggest to a client to improve the condition of dry skin? - Answers
Use lanolin-based products
A nurse is working with an 88-year-old client who has developed stress incontinence. In this case, as in
all cases, the nurse should understand that which of the following is the key to recognizing pathology
, and illness in the very old? - Answers Knowing the person's baseline functional status and recognizing
deviations from it
A nurse assesses a client's blood pressure and the findings suggest orthostatic hypotension. Which area
should the nurse emphasize during client education? - Answers Prevention of falls
An older adult client has come to the clinic with new complaints of fatigue, constipation, and cold
intolerance. The nurse would refer the client for what type of testing? - Answers Assessment of thyroid
function
The nurse has assessed and informed the healthcare provider of a brown-colored lesion on an older
client's left cheek. The lesion is diagnosed as solar lentigines. What is the nurse's best action? - Answers
Encourage the client to wear sunscreen daily.
A hospitalized client develop thrombocytopenia. Which lab result does the nurse expect in this client? -
Answers Platelet count less than 100,000
A sign of infection in the elder that is more common than fever is - Answers confusion
Some symptoms are common in elderly clients. Which of the following is less likely to be a common
problem in old age? - Answers Fever
A key area to assess in older adults with chronic respiratory or cardiac problems and some constant
degree of dyspnea is - Answers the degree to which dyspnea affects daily function.
An older client demonstrates mental status changes after being diagnosed with a urinary tract infection.
Which finding suggests that this client is experiencing delirium? - Answers experiencing visual
hallucinations
An older client who typically weights 160 lbs. appears withdrawn and disheveled and causes the nurse
to be concerned since the last visit a month ago. For which body weight should the nurse conduct a
complete nutritional assessment? - Answers 152 lbs.
An elderly male client presents to the health care clinic with reports of urinary frequency, nocturia, and
difficulty starting his stream. A nurse knows that the most common cause of these symptoms is what
condition? - Answers Benign prostatic hypertrophy
A nurse assesses an elderly client and determines that the client is at risk for falls. Which interventions
are appropriate to reduce the incidence of actual falls the client incurs? Select all that apply. - Answers
Remind the client to ask for assistance
Remove rugs or other loose carpet
Assist with exercise to strengthen lower extremities
The student nurse examines a 62-year-old patient and reports to the preceptor that the patient appears
to have an infection in an untreated laceration on the calf. The student is unsure of the assessment
because the patient does not have a fever. The preceptor correctly explains that the older adult often
does not have a fever with an infection. - Answers T
The nurse uses the mnemonic DIAPERS to assess for urinary incontinence in an older adult patient. The
"P" indicates pharmaceuticals. - Answers T
Mr. Chin, 82 years old, comes to the office for a routine examination. The nurse notices a somewhat
high-pitched murmur in the second right intercostal space during systole. It does not radiate, and the
rest of his examination findings are within expected parameters for age. Which is true of the most likely
cause of this murmur? - Answers It carries with it increased risk for cardiovascular disease.
A nurse assesses a client's blood pressure and the findings suggest orthostatic hypotension. Which area
should the nurse emphasize during client education? - Answers Prevention of falls
A nurse assesses the skin of an older adult's forearms and observes purpura. The nurse interprets this
finding as indicative of which issue? - Answers Vascular fragility
A client has come to the clinic for a routine checkup. The client is 77 years old, weighs 198 pounds (89.8
kg), stands 5'4" (162.5 cm), and lives alone. The client's B/P is 147/89, pulse is 80, and respirations 18.
The nurse is planning client teaching. What is an appropriate topic to include in the teaching plan? -
Answers Encouraging a diet that supports a normal BMI
Mrs. Geller is somewhat quiet today. She has several bruises of different colours on the ulnar aspects of
her forearms and on her abdomen. She otherwise has no complaints, and her diabetes and
hypertension are well managed. Her son from out of state accompanies her today and has recently
moved in to help her. What should the nurse suspect? - Answers Elder abuse
With a client suspected of suffering from presbycusis, the nurse would expect difficulty hearing: -
Answers High-pitched sounds
The nurse is assessing an older adult. Which assessment finding would the nurse recognize as a finding
associated with aging? - Answers Kyphosis
An elderly client visits her community health clinic with an outbreak of vesicles on her skin. She tests
positive for the herpes zoster virus. The nurse should recognize this condition as which of the following?
- Answers Shingles
Which intervention should the nurse suggest to a client to improve the condition of dry skin? - Answers
Use lanolin-based products
A nurse is working with an 88-year-old client who has developed stress incontinence. In this case, as in
all cases, the nurse should understand that which of the following is the key to recognizing pathology
, and illness in the very old? - Answers Knowing the person's baseline functional status and recognizing
deviations from it
A nurse assesses a client's blood pressure and the findings suggest orthostatic hypotension. Which area
should the nurse emphasize during client education? - Answers Prevention of falls
An older adult client has come to the clinic with new complaints of fatigue, constipation, and cold
intolerance. The nurse would refer the client for what type of testing? - Answers Assessment of thyroid
function
The nurse has assessed and informed the healthcare provider of a brown-colored lesion on an older
client's left cheek. The lesion is diagnosed as solar lentigines. What is the nurse's best action? - Answers
Encourage the client to wear sunscreen daily.
A hospitalized client develop thrombocytopenia. Which lab result does the nurse expect in this client? -
Answers Platelet count less than 100,000
A sign of infection in the elder that is more common than fever is - Answers confusion
Some symptoms are common in elderly clients. Which of the following is less likely to be a common
problem in old age? - Answers Fever
A key area to assess in older adults with chronic respiratory or cardiac problems and some constant
degree of dyspnea is - Answers the degree to which dyspnea affects daily function.
An older client demonstrates mental status changes after being diagnosed with a urinary tract infection.
Which finding suggests that this client is experiencing delirium? - Answers experiencing visual
hallucinations
An older client who typically weights 160 lbs. appears withdrawn and disheveled and causes the nurse
to be concerned since the last visit a month ago. For which body weight should the nurse conduct a
complete nutritional assessment? - Answers 152 lbs.
An elderly male client presents to the health care clinic with reports of urinary frequency, nocturia, and
difficulty starting his stream. A nurse knows that the most common cause of these symptoms is what
condition? - Answers Benign prostatic hypertrophy
A nurse assesses an elderly client and determines that the client is at risk for falls. Which interventions
are appropriate to reduce the incidence of actual falls the client incurs? Select all that apply. - Answers
Remind the client to ask for assistance
Remove rugs or other loose carpet
Assist with exercise to strengthen lower extremities
