TESTBANK FOR GERI EXAM 1 WITH
CORRECT ANSWERS
Which of the following phenomena should the nurse take into account when planning for the future?
z z z z z z z z z z z z z z z
a. While life expectancy will continue to rise, the percentage of older adults in the United States relative to the
z z z z z z z z z z z z z z z z z z z z
overall population will decrease. z z z
b. By 2020, it is expected that over one-third of Americans will be over the age of 65.
z z z z z z z z z z z z z z z z z
c. Both life expectancy and the percentage of people over 65 in the population will increase in coming decades.
z z z z z z z z z z z z z z z z z z
d. Chronic conditions, such as diabetes, are expected to bring a gradual decrease in the number of older adults
z z z z z z z z z z z z z z z z z z z
by 2020. - correct answer c. Both life expectancy and the percentage of people over 65 in the population will
z z z z z z z z z z z z z z z z z z z z
increase in coming decades. z z z
The board of a large chain of hospitals has commissioned a strategic plan in order to meet the care needs of
z z z z z z z z z z z z z z z z z z z z z
baby boomers in coming years. Which of the following trends constitute a sound basis for understanding the
z z z z z z z z z z z z z z z z z
baby boomer generation and conducting future planning? Select all that apply.
z z z z z z z z z z
a. Baby boomers tend to have fewer children than members of earlier generations.
z z z z z z z z z z z z z
b. Adjusted for inflation, baby boomers have lower incomes than their parents had.
z z z z z z z z z z z z z
c. Due to technology, baby boomers have more leisure time than other adults.
z z z z z z z z z z z z z
d. Baby boomers perform physical exercise more frequently than older adults
z z z z z z z z z z z
e. Baby boomers are more informed healthcare consumers than other older adults - correct answer a. Baby
z z z z z z z z z z z z z z z z z
boomers tend to have fewer children than members of earlier generations.
z z z z z z z z z z z
d. Baby boomers perform physical exercise more frequently than older adults
z z z z z z z z z z z
e. Baby boomers are more informed healthcare consumers than other older adults
z z z z z z z z z z z
, A 78-year-old man has received a recent diagnosis of community-acquired pneumonia. Potential
z z z z z z z z z z z z
pathological findings on a recent chest x-ray have prompted his physician to order a bronchoscopy and lung z z z z z z z z z z z z z z z z z
function tests. Which of the following findings would be most likely suggestive of pathological processes
z z z z z z z z z z z z z z z
rather than normal, age-related respiratory changes? z z z z z
a. The client has fewer cilia than would be found in a younger client.
z z z z z z z z z z z z z
b. Lung function tests reveal that both maximum breathing and vital capacity are diminished since his last test.
z z z z z z z z z z z z z z z z z
c. There is an accumulation of serous fluid between the lungs and the pleural membrane.
z z z z z z z z z z z z z z
d. The lungs are smaller than younger adults' and there are fewer alveoli. - correct answer c. There is an
z z z z z z z z z z z z z z z z z z z z
accumulation of serous fluid between the lungs and the pleural membrane. z z z z z z z z z z
An 80-year-old resident of an assisted living facility is proud of the fact that he was an elite athlete during his
z z z z z z z z z z z z z z z z z z z z z
younger years. Despite his concerted efforts to remain physically active and maintain his stamina, he is
z z z z z z z z z z z z z z z z
lamenting his loss of exercise tolerance in recent years. How can his nurse best respond to these concerns? z z z z z z z z z z z z z z z z z
a. "It's inevitable that your heart increases in size as you age, and this is associated with a loss of cardiac
z z z z z z z z z z z z z z z z z z z z z
efficiency."
b. "It's normal for your heart to contract less strongly as you age, and this makes you somewhat less able to
z z z z z z z z z z z z z z z z z z z z z
exercise vigorously." z
c. "As you age, it's common for your heart rate becomes less regular and this often results in fatigue."
z z z z z z z z z z z z z z z z z z
d. "The normal increase in blood pressure that accompanies aging leaves you with less cardiac reserve
z z z z z z z z z z z z z z z z
capacity than when you were young." - correct answer b. "It's normal for your heart to contract less strongly as
z z z z z z z z z z z z z z z z z z z z
you age, and this makes you somewhat less able to exercise vigorously."
z z z z z z z z z z z
Which of the following diagnostic and assessment findings from among the patients on a geriatric medical unit
z z z z z z z z z z z z z z z z z
most warrants further investigation? z z z
a. An 81-year-old woman's glomerular filtration rate (GFR) is low.
z z z z z z z z z
b. A 78-year-old male's stomach pH is increased.
z z z z z z z
c. A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy.
z z z z z z z z z z
d. A 78-year-old man has recently developed urinary incontinence. - correct answer d. A 78-year-old man has
z z z z z z z z z z z z z z z z z
recently developed urinary incontinence. z z z
Bone fractures are a serious risk to the elderly. Which of the following is a contributing factor?
z z z z z z z z z z z z z z z z
a. Diminished calcium absorption
z z z
b. Shortening of the long bones in the lower extremities
z z z z z z z z z
c. Formation of points and spurs
z z z z z
d. Deterioration of cartilage surfaces - correct answer a. Diminished calcium absorption
z z z z z z z z z z z
Decreased renal mass and reduced glomerular filtration make it especially important that nurses: z z z z z z z z z z z z
CORRECT ANSWERS
Which of the following phenomena should the nurse take into account when planning for the future?
z z z z z z z z z z z z z z z
a. While life expectancy will continue to rise, the percentage of older adults in the United States relative to the
z z z z z z z z z z z z z z z z z z z z
overall population will decrease. z z z
b. By 2020, it is expected that over one-third of Americans will be over the age of 65.
z z z z z z z z z z z z z z z z z
c. Both life expectancy and the percentage of people over 65 in the population will increase in coming decades.
z z z z z z z z z z z z z z z z z z
d. Chronic conditions, such as diabetes, are expected to bring a gradual decrease in the number of older adults
z z z z z z z z z z z z z z z z z z z
by 2020. - correct answer c. Both life expectancy and the percentage of people over 65 in the population will
z z z z z z z z z z z z z z z z z z z z
increase in coming decades. z z z
The board of a large chain of hospitals has commissioned a strategic plan in order to meet the care needs of
z z z z z z z z z z z z z z z z z z z z z
baby boomers in coming years. Which of the following trends constitute a sound basis for understanding the
z z z z z z z z z z z z z z z z z
baby boomer generation and conducting future planning? Select all that apply.
z z z z z z z z z z
a. Baby boomers tend to have fewer children than members of earlier generations.
z z z z z z z z z z z z z
b. Adjusted for inflation, baby boomers have lower incomes than their parents had.
z z z z z z z z z z z z z
c. Due to technology, baby boomers have more leisure time than other adults.
z z z z z z z z z z z z z
d. Baby boomers perform physical exercise more frequently than older adults
z z z z z z z z z z z
e. Baby boomers are more informed healthcare consumers than other older adults - correct answer a. Baby
z z z z z z z z z z z z z z z z z
boomers tend to have fewer children than members of earlier generations.
z z z z z z z z z z z
d. Baby boomers perform physical exercise more frequently than older adults
z z z z z z z z z z z
e. Baby boomers are more informed healthcare consumers than other older adults
z z z z z z z z z z z
, A 78-year-old man has received a recent diagnosis of community-acquired pneumonia. Potential
z z z z z z z z z z z z
pathological findings on a recent chest x-ray have prompted his physician to order a bronchoscopy and lung z z z z z z z z z z z z z z z z z
function tests. Which of the following findings would be most likely suggestive of pathological processes
z z z z z z z z z z z z z z z
rather than normal, age-related respiratory changes? z z z z z
a. The client has fewer cilia than would be found in a younger client.
z z z z z z z z z z z z z
b. Lung function tests reveal that both maximum breathing and vital capacity are diminished since his last test.
z z z z z z z z z z z z z z z z z
c. There is an accumulation of serous fluid between the lungs and the pleural membrane.
z z z z z z z z z z z z z z
d. The lungs are smaller than younger adults' and there are fewer alveoli. - correct answer c. There is an
z z z z z z z z z z z z z z z z z z z z
accumulation of serous fluid between the lungs and the pleural membrane. z z z z z z z z z z
An 80-year-old resident of an assisted living facility is proud of the fact that he was an elite athlete during his
z z z z z z z z z z z z z z z z z z z z z
younger years. Despite his concerted efforts to remain physically active and maintain his stamina, he is
z z z z z z z z z z z z z z z z
lamenting his loss of exercise tolerance in recent years. How can his nurse best respond to these concerns? z z z z z z z z z z z z z z z z z
a. "It's inevitable that your heart increases in size as you age, and this is associated with a loss of cardiac
z z z z z z z z z z z z z z z z z z z z z
efficiency."
b. "It's normal for your heart to contract less strongly as you age, and this makes you somewhat less able to
z z z z z z z z z z z z z z z z z z z z z
exercise vigorously." z
c. "As you age, it's common for your heart rate becomes less regular and this often results in fatigue."
z z z z z z z z z z z z z z z z z z
d. "The normal increase in blood pressure that accompanies aging leaves you with less cardiac reserve
z z z z z z z z z z z z z z z z
capacity than when you were young." - correct answer b. "It's normal for your heart to contract less strongly as
z z z z z z z z z z z z z z z z z z z z
you age, and this makes you somewhat less able to exercise vigorously."
z z z z z z z z z z z
Which of the following diagnostic and assessment findings from among the patients on a geriatric medical unit
z z z z z z z z z z z z z z z z z
most warrants further investigation? z z z
a. An 81-year-old woman's glomerular filtration rate (GFR) is low.
z z z z z z z z z
b. A 78-year-old male's stomach pH is increased.
z z z z z z z
c. A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy.
z z z z z z z z z z
d. A 78-year-old man has recently developed urinary incontinence. - correct answer d. A 78-year-old man has
z z z z z z z z z z z z z z z z z
recently developed urinary incontinence. z z z
Bone fractures are a serious risk to the elderly. Which of the following is a contributing factor?
z z z z z z z z z z z z z z z z
a. Diminished calcium absorption
z z z
b. Shortening of the long bones in the lower extremities
z z z z z z z z z
c. Formation of points and spurs
z z z z z
d. Deterioration of cartilage surfaces - correct answer a. Diminished calcium absorption
z z z z z z z z z z z
Decreased renal mass and reduced glomerular filtration make it especially important that nurses: z z z z z z z z z z z z
