D. medulla oblongata
3. After a brain attack a client remains unresponsive to
sensory stimulation. Nurse Trisia understands general
sensations such as heat, cold, pain, and touch are
"NURSING registered in the: *
A. frontal lobe
PRACTICE V: B. parietal lobe
COMPREHENSIV
E ASSESSMENT
AND CARE FOR
OLDER ADULTS occipital lobe
C. temporal lobe
WITH SENSORY 4. The novice nurse who is administering a beta blocker
asks the Senior Staff Nurse about its effect on the
AND Autonomic Nervous System. When formulating a
response the nurse should understand which common
MUSCULOSKEL misconception about the Autonomic Nervous System? *
ETAL
A. both sympathetic and parasympathetic impulses
continually affect most visceral effectors B. the
LIMITATIONS"L
autonomic nervous systems is regulated by impulses
from the hypothalamus and other parts of the brain
ATEST 2025 C. sympathetic impulses stimulate while
parasympathetic impulses inhibit the functioning of any
VERSION visceral effector
D.
RECALLS 5: NURING PRACTICE V
Situation: In a Nursing Practice you are directly involved
in conducting a comprehensive physical assessment
especially to older clients with sensory limitations.
1. When formulating nursing care plans for older
adults, Nurse Trisia should include special measures
D. visceral effectors (e.g., cardiac muscle, smooth
to accommodate for age-related sensory losses such
muscle, glandular epithelial tissue) receive impulses
as: * A. difficulty in swallowing
only via autonomic
B. increased sensitivity to heat
C. diminished sensation of pain 5. Visual Acuity declines with age. Presbyopia is a
D. heightened response to stimuli progressive decline in: *
A. Distinguishing between blues and greens and among
2. The client with head injury is having problems with
pastel shades
several sensory functions. Nurse Trisia should
B. Ability to see in darkness
understand that the structure that acts as a relay center
, D. Adaptation to abrupt changes from dark areas to Situation; Cataracts develop at any age for a variety of
light areas causes. Visual impairment progresses at the same rate
in both eyes over many years or in a matter of months.
Situation: Injury to one part of the Musculoskeletal
system results in malfunction of muscles, joints and 11. A client’s child asks Nurse Weng what a
affects mobility of injured area. As an Orthopedic Nurse cataract is. What explanation should the nurse
you devise a nursing care that addresses the following provide? “A cataract is a / an: * A. Opacity of the
situations. lens.”
B. Thin film over the cornea.”
6. A 78 year old adult is admitted to the hospital after
C. Crystallinization of the pupil.”
sustaining hip fracture after a fall from home.
D. Increase in the density of the conjunctiva.”
When caring for this client the nurse understands that
older adults have a high incidence of hip 12. In preparation for cataract surgery Nurse Weng is to
fractures because of: * A. administer a prescribed cmedication.. The Nurse
carelessness reviews the Physician’s orders, expecting which type of
B. fragility of bone eye drops to be
C. sedentary existence prescribed? * A. An
D. rheumatoid disease Osmotic diuretic
B. A Miotic agent
7. The client is placed in a Buck’s extension traction with
C. A Mydriatic medication
a 5 lb. weight and scheduled for surgery the following
D. A thiazide diuretic
morning. Initial assessment of this client would most
likely reveal: * 13. After a client has cataract surgery, what should
A. Internal rotation and abduction of the right leg, Nurse Weng do? *
which is shorter than the left leg A. instruct the client to avoid driving for 2 weeks B.
B. Lateral rotation and adduction of the right leg , teach the client coughing and deep-breathing
which is shorter than the left leg techniques
C. encourage eye exercises to strengthen the ocular
C. Hat and redness over the fracture site
musculature
D. Fever chills and elevated white blood cell (WBC)
D. advise the client to refrain from vigorous
count
brushing of teeth and hair
8. A medical Nurse admitted a client with Osteoporosis.
14. Nurse Weng is performing an admission assessment
Which piece of information from the client’s history
to Mr. Kan with diagnosis of detached retina. Which of
does the nurse identify as a risk factor for developing
the following is associated with
Osteoporosis? The client: *
this eye disorder? * A. Pain in
A. receives long-term steroid therapy
the affected eye
B. has a history of hypoparathyroidism?
B. Total loss of vision
C. engages in strenuous physical activity
D. consumes high doses of the hormone estrogen C. A sense of curtain falling across the field of
vision
9. Mrs. Felipa 72 years old with degenerative joint
disease asks the nurse, “My doctor mentioned D. A yellow discoloration of the sclera
something about synovial fluid and the joint. What is 15. Mr. Kan is scheduled for surgery for a detached
that?” What is the nurse’s best response?” The synovial retina. Which client statement indicates that se Weng
fluid of the joints minimizes: * preoperative teaching is effective?
A. Efficiency “The goal of surgery is to : *
B. Work output A. Promote growth of new retinal cells.”
C. Friction in the joints B. Adhere the sclera to the choroid layer.”
D. Velocity of movements C. Graft a healthy piece of retina in place.”
10. A Nurse has given dietary instructions to Mrs. Felipa D. Create a scar that aids in healing retinal holes.”
to minimize the risk of Osteoporosis. The Nurse would Situation: Mrs. Kate 48 years old is admitted because of
evaluate that the client understands the recommended extreme fatigue on exertion . Her Physician suspects
dietary changes if the client stated she should increase Myasthenia Gravis.
intake of which food? *
16. A client with Myasthenia Gravis asks the nurse,
A. Rice
“What is going to happen to me and to my family?”
B. Yogurt
When formulating a response, the nurse should
C. Sardines
understand that the prognosis for Myasthenia Gravis
3. After a brain attack a client remains unresponsive to
sensory stimulation. Nurse Trisia understands general
sensations such as heat, cold, pain, and touch are
"NURSING registered in the: *
A. frontal lobe
PRACTICE V: B. parietal lobe
COMPREHENSIV
E ASSESSMENT
AND CARE FOR
OLDER ADULTS occipital lobe
C. temporal lobe
WITH SENSORY 4. The novice nurse who is administering a beta blocker
asks the Senior Staff Nurse about its effect on the
AND Autonomic Nervous System. When formulating a
response the nurse should understand which common
MUSCULOSKEL misconception about the Autonomic Nervous System? *
ETAL
A. both sympathetic and parasympathetic impulses
continually affect most visceral effectors B. the
LIMITATIONS"L
autonomic nervous systems is regulated by impulses
from the hypothalamus and other parts of the brain
ATEST 2025 C. sympathetic impulses stimulate while
parasympathetic impulses inhibit the functioning of any
VERSION visceral effector
D.
RECALLS 5: NURING PRACTICE V
Situation: In a Nursing Practice you are directly involved
in conducting a comprehensive physical assessment
especially to older clients with sensory limitations.
1. When formulating nursing care plans for older
adults, Nurse Trisia should include special measures
D. visceral effectors (e.g., cardiac muscle, smooth
to accommodate for age-related sensory losses such
muscle, glandular epithelial tissue) receive impulses
as: * A. difficulty in swallowing
only via autonomic
B. increased sensitivity to heat
C. diminished sensation of pain 5. Visual Acuity declines with age. Presbyopia is a
D. heightened response to stimuli progressive decline in: *
A. Distinguishing between blues and greens and among
2. The client with head injury is having problems with
pastel shades
several sensory functions. Nurse Trisia should
B. Ability to see in darkness
understand that the structure that acts as a relay center
, D. Adaptation to abrupt changes from dark areas to Situation; Cataracts develop at any age for a variety of
light areas causes. Visual impairment progresses at the same rate
in both eyes over many years or in a matter of months.
Situation: Injury to one part of the Musculoskeletal
system results in malfunction of muscles, joints and 11. A client’s child asks Nurse Weng what a
affects mobility of injured area. As an Orthopedic Nurse cataract is. What explanation should the nurse
you devise a nursing care that addresses the following provide? “A cataract is a / an: * A. Opacity of the
situations. lens.”
B. Thin film over the cornea.”
6. A 78 year old adult is admitted to the hospital after
C. Crystallinization of the pupil.”
sustaining hip fracture after a fall from home.
D. Increase in the density of the conjunctiva.”
When caring for this client the nurse understands that
older adults have a high incidence of hip 12. In preparation for cataract surgery Nurse Weng is to
fractures because of: * A. administer a prescribed cmedication.. The Nurse
carelessness reviews the Physician’s orders, expecting which type of
B. fragility of bone eye drops to be
C. sedentary existence prescribed? * A. An
D. rheumatoid disease Osmotic diuretic
B. A Miotic agent
7. The client is placed in a Buck’s extension traction with
C. A Mydriatic medication
a 5 lb. weight and scheduled for surgery the following
D. A thiazide diuretic
morning. Initial assessment of this client would most
likely reveal: * 13. After a client has cataract surgery, what should
A. Internal rotation and abduction of the right leg, Nurse Weng do? *
which is shorter than the left leg A. instruct the client to avoid driving for 2 weeks B.
B. Lateral rotation and adduction of the right leg , teach the client coughing and deep-breathing
which is shorter than the left leg techniques
C. encourage eye exercises to strengthen the ocular
C. Hat and redness over the fracture site
musculature
D. Fever chills and elevated white blood cell (WBC)
D. advise the client to refrain from vigorous
count
brushing of teeth and hair
8. A medical Nurse admitted a client with Osteoporosis.
14. Nurse Weng is performing an admission assessment
Which piece of information from the client’s history
to Mr. Kan with diagnosis of detached retina. Which of
does the nurse identify as a risk factor for developing
the following is associated with
Osteoporosis? The client: *
this eye disorder? * A. Pain in
A. receives long-term steroid therapy
the affected eye
B. has a history of hypoparathyroidism?
B. Total loss of vision
C. engages in strenuous physical activity
D. consumes high doses of the hormone estrogen C. A sense of curtain falling across the field of
vision
9. Mrs. Felipa 72 years old with degenerative joint
disease asks the nurse, “My doctor mentioned D. A yellow discoloration of the sclera
something about synovial fluid and the joint. What is 15. Mr. Kan is scheduled for surgery for a detached
that?” What is the nurse’s best response?” The synovial retina. Which client statement indicates that se Weng
fluid of the joints minimizes: * preoperative teaching is effective?
A. Efficiency “The goal of surgery is to : *
B. Work output A. Promote growth of new retinal cells.”
C. Friction in the joints B. Adhere the sclera to the choroid layer.”
D. Velocity of movements C. Graft a healthy piece of retina in place.”
10. A Nurse has given dietary instructions to Mrs. Felipa D. Create a scar that aids in healing retinal holes.”
to minimize the risk of Osteoporosis. The Nurse would Situation: Mrs. Kate 48 years old is admitted because of
evaluate that the client understands the recommended extreme fatigue on exertion . Her Physician suspects
dietary changes if the client stated she should increase Myasthenia Gravis.
intake of which food? *
16. A client with Myasthenia Gravis asks the nurse,
A. Rice
“What is going to happen to me and to my family?”
B. Yogurt
When formulating a response, the nurse should
C. Sardines
understand that the prognosis for Myasthenia Gravis
