NUR 255 Exam 3 Questions and
Answers 2025-2026
A nurse working with older adults in the community plans programming to
improve morale and emotional health in this population. What activity would
best meet this goal?
a. Exercise program to improve physical function
b. Financial planning seminar series for older adults
c. Social events such as dances and group dinners
d. Workshop on prevention from becoming an abuse victim
Exercise program to improve physical function
All activities would be beneficial for the older population in the community.
However, failure in performing ones own activities of daily living and
participating in society has direct effects on morale and life satisfaction.
Those who lose the ability to function independently often feel worthless and
empty. An exercise program designed to maintain and/or improve physical
functioning would best address this need.
A nurse caring for an older client on a medical-surgical unit notices the client
reports frequent constipation and only wants to eat softer foods such as rice,
bread, and puddings. What assessment should the nurse perform first?
a. Auscultate bowel sounds.
b. Check skin turgor.
c. Perform an oral assessment.
d. Weigh the client.
Perform an oral assessment
Poorly fitting dentures and other dental problems are often manifested by a
preference for soft foods and constipation from the lack of fiber. The nurse
should perform an oral assessment to determine if these problems exist. The
other assessments are important, but will not yield information specific to the
clients food preferences as they relate to constipation.
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A nursing faculty member working with students explains that the fastest
growing subset of the older population is which group?
a. Elite old
b. Middle old
c. Old old
d. Young old
Old old
The old old is the fastest growing subset of the older population. This is the
group comprising those 85 to 99 years of age. The young old are between 65
and 74 years of age; the middle old are between 75 and 84 years of age; and
the elite old are over 100 years of age.
A nurse is working with an older client admitted with mild dehydration. What
teaching does the nurse provide to best address this issue?
a. Cut some sodium out of your diet.
b. Dehydration can cause incontinence.
c. Have something to drink every 1 to 2 hours.
d. Take your diuretic in the morning.
Have something to drink every 1 to 2 hours.
Older adults often lose their sense of thirst. Since they should drink 1 to 2
liters of water a day, the best remedy is to have the older adult drink
something each hour or two, whether or not he or she is thirsty. Cutting some
sodium from the diet will not address this issue. Although dehydration can
cause incontinence from the irritation of concentrated urine, this information
will not help prevent the problem of dehydration. Instructing the client to take
a diuretic in the morning rather than in the evening also will not directly
address this issue.
A nurse caring for an older adult has provided education on high-fiber foods.
Which menu selection by the client demonstrates a need for further review?
a. Barley soup
b. Black beans
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c. White rice
d. Whole wheat bread
White rice
Older adults need 25 to 50 grams of fiber a day. White rice is low in fiber.
Foods high in fiber include barley, beans, and whole wheat products.
A home health care nurse is planning an exercise program with an older client
who lives at home independently but whose mobility issues prevent much
activity outside the home. Which exercise regimen would be most beneficial
to this adult?
a. Building strength and flexibility
b. Improving exercise endurance
c. Increasing aerobic capacity
d. Providing personal training
Building strength and flexibility
This older adult is mostly homebound. Exercise regimens for homebound
clients include things to increase functional ability for activities of daily
living. Strength and flexibility will help the client to be able to maintain
independence longer. The other plans are good but will not specifically
maintain the clients functional abilities.
An older adult recently retired and reports being depressed and lonely. What
information should the nurse assess as a priority?
a. History of previous depression
b. Previous stressful events
c. Role of work in the adults life
d. Usual leisure time activities
Role of work in the adults life
Often older adults lose support systems when their roles change. For instance,
when people retire, they may lose their entire social network, leading them to
feeling depressed and lonely. The nurse should first assess the role that work
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played in the clients life. The other factors can be assessed as well, but this
circumstance is commonly seen in the older population.
A nurse is assessing coping in older women in a support group for recent
widows. Which statement by a participant best indicates potential for
successful coping?
a. I have had the same best friend for decades.
b. I think I am coping very well on my own.
c. My kids come to see me every weekend.
d. Oh, I have lots of friends at the senior center.
I have had the same best friend for decades.
Friendship and support enhance coping. The quality of the relationship is
what is most important, however. People who have close, intimate, stable
relationships with others in whom they confide are more likely to cope with
crisis.
A home health care nurse has conducted a home safety assessment for an
older adult. There are five concrete steps leading out from the front door.
Which intervention would be most helpful in keeping the older adult safe on
the steps?
a. Have the client use a walker or cane on the steps.
b. Install contrasting color strips at the edge of each step.
c. Instruct the client to use the garage door instead.
d. Tell the client to use a two-footed gait on the steps.
Install contrasting color strips at the edge of each step.
As a person ages, he or she may experience a decreased sense of touch. The
older adult may not be aware of where his or her foot is on the step. Installing
contrasting color strips at the end of each step will help increase awareness. If
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