The practical nurse is implementing a self-medication program for an older resident who is
newly admitted to an assisted living community. Which actions should the PN implement to
provide the resident ways to maintain safe medication administration? - ANSWER •
Locked medication storage in the clients room
• Medication administration record(MAR)
• Delivery of adequate supply of medication
• List of findings indicating medication effectiveness
Which age-related changes in the cardiovascular system should the practical nurse docu-
ment when evaluating an older client? - ANSWER • Cardiac Murmurs
• Widening pulse pressure
An older client who recently moved into an assisted living community refuses to eat or join
any activities. When evaluating the client further what should the practical nurse focus on
during the next examination? - ANSWER depression
The practical nurse is caring for an elderly client with functional incontinence who lives in an
assisted living community. The client is alert, mildly confused, and can self ambulate. Which
nursing intervention should the PN implement? - ANSWER • Offer assistance with toiling
q2 hours.
The healthcare provider prescribes a new medication, atrovastatin(Lipitor), for an older cli-
ent who arrives at the clinic for an annual physical examination. What common side effect
should the practical nurse advise the client to observe for with this medication? - AN-
SWER headaches
1
, The practical nurse is re-enforcing discharge instructions with the family of an older client
who was recently admitted for an intestinal obstruction. Which statement indicates that the
family understands the instructions? - ANSWER Report abdominal distention, constipa-
tion or any nausea and vomiting to the health care provider.
An older male client asks the practical nurse how he can reduce his incidents of hemorrhoi-
dal flare ups. What information should the PN offer the client to prevent rectal discomfort? -
ANSWER • Increase fiber and liquids in diet to help prevent constipation and straining
• Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
• Take frequent warm sitz baths and use non abrasive tissue that can tramatize tissues.
• Establish bowel habits by scheduling time where the client is not rushed to defecate daily
An older male client is seeking counseling about his recent sexual issues with his partner.
What issue should the practical nurse explore in this discussion? - ANSWER • Certain
medications may impact sexual function
During the quarterly evaluations of the clients in the assisted living community, the practical
nurse observes for findings of failure to thrive in the gerian population. Which findings
should the PN document and report as manifestations related to failure to thrive? - AN-
SWER • Unintentional weight loss
• Increased weakness
• Increased amounts of sleep
The practical nurse is reinforcing discharge instructions to the family of an older client with
failure to thrive. What information should the PN include to promote nutritional intake for
the client? - ANSWER • Minimize stress level by providing the client quite environment
during meals
• Provide food variations that the client can manage without assistance
An older woman asks the practical nurse how she can decrease her chances of getting cysti-
tis. What information should the PN provide? - ANSWER • Void and empty bladder com-
pletely q2 to 3 hours
2
newly admitted to an assisted living community. Which actions should the PN implement to
provide the resident ways to maintain safe medication administration? - ANSWER •
Locked medication storage in the clients room
• Medication administration record(MAR)
• Delivery of adequate supply of medication
• List of findings indicating medication effectiveness
Which age-related changes in the cardiovascular system should the practical nurse docu-
ment when evaluating an older client? - ANSWER • Cardiac Murmurs
• Widening pulse pressure
An older client who recently moved into an assisted living community refuses to eat or join
any activities. When evaluating the client further what should the practical nurse focus on
during the next examination? - ANSWER depression
The practical nurse is caring for an elderly client with functional incontinence who lives in an
assisted living community. The client is alert, mildly confused, and can self ambulate. Which
nursing intervention should the PN implement? - ANSWER • Offer assistance with toiling
q2 hours.
The healthcare provider prescribes a new medication, atrovastatin(Lipitor), for an older cli-
ent who arrives at the clinic for an annual physical examination. What common side effect
should the practical nurse advise the client to observe for with this medication? - AN-
SWER headaches
1
, The practical nurse is re-enforcing discharge instructions with the family of an older client
who was recently admitted for an intestinal obstruction. Which statement indicates that the
family understands the instructions? - ANSWER Report abdominal distention, constipa-
tion or any nausea and vomiting to the health care provider.
An older male client asks the practical nurse how he can reduce his incidents of hemorrhoi-
dal flare ups. What information should the PN offer the client to prevent rectal discomfort? -
ANSWER • Increase fiber and liquids in diet to help prevent constipation and straining
• Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting.
• Take frequent warm sitz baths and use non abrasive tissue that can tramatize tissues.
• Establish bowel habits by scheduling time where the client is not rushed to defecate daily
An older male client is seeking counseling about his recent sexual issues with his partner.
What issue should the practical nurse explore in this discussion? - ANSWER • Certain
medications may impact sexual function
During the quarterly evaluations of the clients in the assisted living community, the practical
nurse observes for findings of failure to thrive in the gerian population. Which findings
should the PN document and report as manifestations related to failure to thrive? - AN-
SWER • Unintentional weight loss
• Increased weakness
• Increased amounts of sleep
The practical nurse is reinforcing discharge instructions to the family of an older client with
failure to thrive. What information should the PN include to promote nutritional intake for
the client? - ANSWER • Minimize stress level by providing the client quite environment
during meals
• Provide food variations that the client can manage without assistance
An older woman asks the practical nurse how she can decrease her chances of getting cysti-
tis. What information should the PN provide? - ANSWER • Void and empty bladder com-
pletely q2 to 3 hours
2
