BASIC GERIATRIC NURSING EXAM
WITH CORRECT ANSWERS
CHAPTER 8 NOTES - correct answer z z z z z z
Which assessment tool is most highly regarded and often used to determine the mental status of the older
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adult? - correct answer The Mini-Cog
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When assessing the respiratory system of an older adult, the nurse hears continuous, coarse, low-pitched
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sounds. How would these sounds be reported? - correct answer Gurgles (low-pitched wheezes)
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When taking a racial pulse of an older adult, the nurse finds it difficult to count a weak and thready pulse. What
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should the nurse do? - correct answer Take an apical pulse instead.
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When performing an assessment of the gastrointestinal system of an older adult, the nurse would proceed in
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what order? Place the parts of a gastrointestinal system assessment in sequence from first to last. - correct
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answer 1.) Obtain a health history z z z z z
2.) Inspect the oral cavity
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3.) Observe abdomen for scars
z z z z
4.) Auscultate bowel sounds
z z z
5.) Palpate abdomen
z z
When performing an interview with an older adult, the nurse should consider physical environment factors
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by: - correct answer *Explaining what will take place during the assessment
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,*Ensuring privacy and minimum noise levels z z z z z
*Selecting a room with a comfortable temperature z z z z z z
*Seeking a location in close proximity to a restroom
z z z z z z z z
The nurse is preparing to assess the blood pressure of a patient and measures the patient s arm to determine
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the proper sized cuff. The diameter of the patient s arm is 50 cm. How wide should the blood pressure cuff be? -
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correct answer 60 z z
Older adults developing various disease processes may present with different symptoms from younger
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adults. The nurse would be concerned about which disease if the patient were to demonstrate a decreased
z z z z z z z z z z z z z z z z z
appetite, constipation, and changes to his sleep pattern in which he is awake at night and sleeps during the
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day? - correct answer Depression
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The nurse is assessing a patient and counts a respiratory rate of 8 breaths per minute. The nurse should be
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concerned about which condition? - correct answer Impending infection z z z z z z z z
The 71-year-old patient presents to the clinic for her routine exam. While reviewing the patient's chart, the
z z z z z z z z z z z z z z z z z
nurse notes the patient's most recent blood pressure screening, mammogram, and clinical breast exam were
z z z z z z z z z z z z z z z
performed at age 70. She last had her cholesterol levels checked at age 68. Her last guaiac test and
z z z z z z z z z z z z z z z z z z z
colonoscopy were performed at age 69. The nurse knows this patient should have which screening test(s)
z z z z z z z z z z z z z z z z
performed? - correct answer * Guaiac test z z z z z z
* Blood pressure
z z
* Screening for obesity
z z z
The patient presents to the clinic complaining of abdominal pain. Which information should be charted as
z z z z z z z z z z z z z z z z
objective data? - correct answer Patient is hunched in her chair, clutching her abdomen
z z z z z z z z z z z z z
The nurse is recording subjective data of a patient recently admitted following a myocardial infarction. The
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patient states, "I have never been so scared in my life. On Tuesday, it felt like an elephant was sitting on my
z z z z z z z z z z z z z z z z z z z z z z
chest and I couldn't catch my breath." How should the nurse chart this information? - correct answer "The
z z z z z z z z z z z z z z z z z z
patient stated, 'I have never been so scared in my life. On Tuesday, it felt like an elephant was sitting on my
z z z z z z z z z z z z z z z z z z z z z z
chest and I couldn't catch my breath'"
z z z z z z
, The nurse is interviewing the patient who has recently been admitted to the long term care facility with the
z z z z z z z z z z z z z z z z z z z
patient's son present. Although the nurse directly addresses the patient with each question, the patient's son
z z z z z z z z z z z z z z z z
interrupts and answers the question for the patient. How should the nurse best handle this situation? - correct
z z z z z z z z z z z z z z z z z z
answer Request the patient's son allow the patient to answer the questions
z z z z z z z z z z z
The nurse in the long term care facility knows each resident will be assessed using which comprehensive tool
z z z z z z z z z z z z z z z z z z
to determine care needs and appropriate interventions? - correct answer Minimum Data Set 3.0
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The nurse palpates for the 78-year-old patient's radial pulse and counts 82 beats in one minute. Then, the
z z z z z z z z z z z z z z z z z z
nurse auscultates the patient's apical pulse and counts 94 beats per minute. The nurse knows which term
z z z z z z z z z z z z z z z z z
describes this discrepancy? - correct answer Pulse deficit z z z z z z z
The nurse is assessing the older adult patient using the SPICES screening tool. Which questions would be
z z z z z z z z z z z z z z z z z
helpful to complete the screening tool? - correct answer * "Have you fallen in the past 3 months?"
z z z z z z z z z z z z z z z z z
* "Do you have difficulty getting to the bathroom on time?"
z z z z z z z z z z
* "Have you noticed your sleep patterns have changed in the past year?"
z z z z z z z z z z z z
Health screenings are done to - correct answer identify older adults who need further assessment.
z z z z z z z z z z z z z z
Which of the following statements is an example of objective data? - correct answer Blood pressure is 150/65
z z z z z z z z z z z z z z z z z z
mm Hg. z
Why is it essential to collect accurate and complete data? - correct answer Nursing diagnoses and plan of care
z z z z z z z z z z z z z z z z z z z
are formulated based on data
z z z z
It is more precise to - correct answer take a temperature reading.
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Which environment would be best for conducting an interview with an older adult? - correct answer A warm,
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diffusely lit patient room with access to a bathroom z z z z z z z z
At first contact, the proper way to address the older adult women is - correct answer Ms., Mrs.
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WITH CORRECT ANSWERS
CHAPTER 8 NOTES - correct answer z z z z z z
Which assessment tool is most highly regarded and often used to determine the mental status of the older
z z z z z z z z z z z z z z z z z z
adult? - correct answer The Mini-Cog
z z z z z
When assessing the respiratory system of an older adult, the nurse hears continuous, coarse, low-pitched
z z z z z z z z z z z z z z z
sounds. How would these sounds be reported? - correct answer Gurgles (low-pitched wheezes)
z z z z z z z z z z z z
When taking a racial pulse of an older adult, the nurse finds it difficult to count a weak and thready pulse. What
z z z z z z z z z z z z z z z z z z z z z z
should the nurse do? - correct answer Take an apical pulse instead.
z z z z z z z z z z z
When performing an assessment of the gastrointestinal system of an older adult, the nurse would proceed in
z z z z z z z z z z z z z z z z z
what order? Place the parts of a gastrointestinal system assessment in sequence from first to last. - correct
z z z z z z z z z z z z z z z z z z
answer 1.) Obtain a health history z z z z z
2.) Inspect the oral cavity
z z z z
3.) Observe abdomen for scars
z z z z
4.) Auscultate bowel sounds
z z z
5.) Palpate abdomen
z z
When performing an interview with an older adult, the nurse should consider physical environment factors
z z z z z z z z z z z z z z z
by: - correct answer *Explaining what will take place during the assessment
z z z z z z z z z z z
,*Ensuring privacy and minimum noise levels z z z z z
*Selecting a room with a comfortable temperature z z z z z z
*Seeking a location in close proximity to a restroom
z z z z z z z z
The nurse is preparing to assess the blood pressure of a patient and measures the patient s arm to determine
z z z z z z z z z z z z z z z z z z z z
the proper sized cuff. The diameter of the patient s arm is 50 cm. How wide should the blood pressure cuff be? -
z z z z z z z z z z z z z z z z z z z z z z z
correct answer 60 z z
Older adults developing various disease processes may present with different symptoms from younger
z z z z z z z z z z z z z
adults. The nurse would be concerned about which disease if the patient were to demonstrate a decreased
z z z z z z z z z z z z z z z z z
appetite, constipation, and changes to his sleep pattern in which he is awake at night and sleeps during the
z z z z z z z z z z z z z z z z z z z
day? - correct answer Depression
z z z z
The nurse is assessing a patient and counts a respiratory rate of 8 breaths per minute. The nurse should be
z z z z z z z z z z z z z z z z z z z z
concerned about which condition? - correct answer Impending infection z z z z z z z z
The 71-year-old patient presents to the clinic for her routine exam. While reviewing the patient's chart, the
z z z z z z z z z z z z z z z z z
nurse notes the patient's most recent blood pressure screening, mammogram, and clinical breast exam were
z z z z z z z z z z z z z z z
performed at age 70. She last had her cholesterol levels checked at age 68. Her last guaiac test and
z z z z z z z z z z z z z z z z z z z
colonoscopy were performed at age 69. The nurse knows this patient should have which screening test(s)
z z z z z z z z z z z z z z z z
performed? - correct answer * Guaiac test z z z z z z
* Blood pressure
z z
* Screening for obesity
z z z
The patient presents to the clinic complaining of abdominal pain. Which information should be charted as
z z z z z z z z z z z z z z z z
objective data? - correct answer Patient is hunched in her chair, clutching her abdomen
z z z z z z z z z z z z z
The nurse is recording subjective data of a patient recently admitted following a myocardial infarction. The
z z z z z z z z z z z z z z z z
patient states, "I have never been so scared in my life. On Tuesday, it felt like an elephant was sitting on my
z z z z z z z z z z z z z z z z z z z z z z
chest and I couldn't catch my breath." How should the nurse chart this information? - correct answer "The
z z z z z z z z z z z z z z z z z z
patient stated, 'I have never been so scared in my life. On Tuesday, it felt like an elephant was sitting on my
z z z z z z z z z z z z z z z z z z z z z z
chest and I couldn't catch my breath'"
z z z z z z
, The nurse is interviewing the patient who has recently been admitted to the long term care facility with the
z z z z z z z z z z z z z z z z z z z
patient's son present. Although the nurse directly addresses the patient with each question, the patient's son
z z z z z z z z z z z z z z z z
interrupts and answers the question for the patient. How should the nurse best handle this situation? - correct
z z z z z z z z z z z z z z z z z z
answer Request the patient's son allow the patient to answer the questions
z z z z z z z z z z z
The nurse in the long term care facility knows each resident will be assessed using which comprehensive tool
z z z z z z z z z z z z z z z z z z
to determine care needs and appropriate interventions? - correct answer Minimum Data Set 3.0
z z z z z z z z z z z z z
The nurse palpates for the 78-year-old patient's radial pulse and counts 82 beats in one minute. Then, the
z z z z z z z z z z z z z z z z z z
nurse auscultates the patient's apical pulse and counts 94 beats per minute. The nurse knows which term
z z z z z z z z z z z z z z z z z
describes this discrepancy? - correct answer Pulse deficit z z z z z z z
The nurse is assessing the older adult patient using the SPICES screening tool. Which questions would be
z z z z z z z z z z z z z z z z z
helpful to complete the screening tool? - correct answer * "Have you fallen in the past 3 months?"
z z z z z z z z z z z z z z z z z
* "Do you have difficulty getting to the bathroom on time?"
z z z z z z z z z z
* "Have you noticed your sleep patterns have changed in the past year?"
z z z z z z z z z z z z
Health screenings are done to - correct answer identify older adults who need further assessment.
z z z z z z z z z z z z z z
Which of the following statements is an example of objective data? - correct answer Blood pressure is 150/65
z z z z z z z z z z z z z z z z z z
mm Hg. z
Why is it essential to collect accurate and complete data? - correct answer Nursing diagnoses and plan of care
z z z z z z z z z z z z z z z z z z z
are formulated based on data
z z z z
It is more precise to - correct answer take a temperature reading.
z z z z z z z z z z z
Which environment would be best for conducting an interview with an older adult? - correct answer A warm,
z z z z z z z z z z z z z z z z z z
diffusely lit patient room with access to a bathroom z z z z z z z z
At first contact, the proper way to address the older adult women is - correct answer Ms., Mrs.
z z z z z z z z z z z z z z z z z
