100
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES ALREADY GRADED A+)
Which of the following statements about falls in the
elderly is least accurate?
Black women are at higher risk for hip fractures than
white women.
,The majority of deaths from falls are among people
aged 65 years or older.
Injuries from falls include head injuries, pelvic
injuries, lacerations, and more.
About 90% of hip fractures are due to falls.
Correct Answer:
Black women are at higher risk for hip fractures than white
women.
It is white women, not black women, who are at higher risk
for hip fractures. Falls are one of the most common
adverse events that threaten the quality of life of older
adults. Falls among older adults are not a normal
consequence of aging.
Normal age-related changes of the skin may be
confused with which of the following clinical
abnormalities?
dehydration
,vitiligo
scabies
shingles Correct
Answer:
dehydration
Normal age-related changes of the skin may be confused
with dehydration. Sebaceous gland activity tends to
decrease with age, and the skin's natural hydrators decline
over the years. The skin's ability to regenerate lipids
compromising the protective lipid barrier layer of the
Stratum Corneum also declines with age, as does blood
flow to the skin, which may cause a drop in sebum
production.
A 29-year old woman who is 6 weeks postpartum
reports she is having rectal bleeding that she believes
is related to hemorrhoids. The Adult Nurse
Practitioner knows that this type of rectal bleeding is
usually described as:
, dark brown to black blood color with
normalappearing stool significant amounts
of bright red blood large blood clots and
mucus mixed with stool streaks of bright red
blood on the stool The Correct answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to
hemorrhoids is described as bright red, eliminating choice
A. Amount of blood with hemorrhoids is usually small or
scant, eliminating choices B and C. Internal hemorrhoids
can occur during or after childbirth. With chronically
protruding or prolapsing hemorrhoids, the patient often
reports mucous leaking and staining of the
undergarments. Other causes are obesity, constipation,
and prolonged sitting.
You have a patient with AIDS. You recognize that a low
CD4 T-cell count puts the patient at risk for
opportunistic infections. You are reviewing his lab
reports and see that his CD4 T-cell count is indeed