Question 1
An older resident is newly admitted to an assisted living community. Which actions should
the registered nurse (RN) implement to provide the resident ways to maintain safe
medication administration? (Select all that apply.)
A. Locked medication storage in the client's room.
B. Medication administration record (MAR).
C. Payment forms for prescribed medications.
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
CORRECT ANSWER
A. Locked medication storage in the client's room.
B. Medication administration record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
-(A, B, D, and E) are correct. For safe self-medication in an assisted living community, the
resident should be provided a locked storage box (A), create a medication administration
record to monitor medication (B), establish adequate medication supply (D), and a
reference to evaluate the effectiveness of medications (E). (C) is not the responsibility of
the nurse.
Question 2
When assessing an older client, which age-related changes in the cardiovascular system
should the registered nurse (RN) document? (Select all that apply.)
1
,A. Dyspnea.
B. Chest pain.
C. Cardiac murmurs.
D. Widening pulse pressure.
E. Irregular heart rate.
CORRECT ANSWER
C. Cardiac murmurs.
D. Widening pulse pressure.
-For older clients the expected age-related changes in the cardiovascular system include
murmurs (C) and widening pulse pressure (D). (A, B, and E) are not normal findings and
require further evaluation.
Question 3
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 registered nurse
(RN) focus on during the next examination?
A. Anxiety.
B. Depression.
C. Exhaustion.
D. Confusion.
CORRECT ANSWER
B. Depression.
-Depression (B) is a symptom that an older client is likely to experience with a sudden
change in living accommodations when a loss of personal identity can create low self-
2
, esteem. (A, C, and D) are other symptoms that the client can exhibit, but with the sudden
change in life style, (B) is most likely and most important for the RN to focus on.
Question 4
The registered nurse (RN) is caring for an elderly client with functional incontinence who
lives in an assisted living community. The client is alert and mildly confused and can self
ambulate. Which nursing intervention should the RN implement?
A. Offer assistance with toileting q2 hours.
B. Use protective disposal undergarment instead of underwear.
C. Ask if the client has attempted to void q2 hours.
D. Obtain a prescription for intermittent catheterization.
CORRECT ANSWER
A. Offer assistance with toileting q2 hours.
-Maintaining independence and self esteem is important for an older client with
incontinence. Toilet assistance (A) decreases the client's chances of accidents and
embarrassment by introducing a toilet training program. (B) is not implemented unless
the toileting program is unsuccessful and the client's mental status declines. A confused
client will not remember how many times he or she frequented the toilet, so (C) is not
helpful for the client. (D) is not indicated for clients with functional incontinence and
who can ambulate.
Question 5
The healthcare provider prescribes a new medication, atrovastatin (Lipitor), for an older
client who arrives at the clinic for an annual physical examination. What common side
effect should the registered nurse (RN) advise the client to observe for with this
medication?
3
, A. Constipation.
B. Headaches.
C. Muscle weakness.
D. Nausea and vomiting.
CORRECT ANSWER
B. Headaches.
-Headaches (B) are the most common side effect with this medication, which the RN
should direct the client to report. (A and C) are rare occurrences with this medication. (D)
is not considered a side affect of this medication.
Question 6
The registered nurse (RN) 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?
A. Increase protein and carbohydrates in the daily diet.
B. Limit activity to bed rest for the first week and increase mobility incrementally each week.
C. Report abdominal distention, constipation, or any nausea and vomiting to the healthcare
provider.
D. Drink liquids 2 hours after meals instead of during meals.
CORRECT ANSWER
C. Report abdominal distention, constipation, or any nausea and vomiting to the
healthcare provider.
-(C) are symptoms that occur with intestinal obstruction and should be addressed
immediately. (A, B and D) are not indicated for a client who has been discharged for
intestinal obstruction.
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An older resident is newly admitted to an assisted living community. Which actions should
the registered nurse (RN) implement to provide the resident ways to maintain safe
medication administration? (Select all that apply.)
A. Locked medication storage in the client's room.
B. Medication administration record (MAR).
C. Payment forms for prescribed medications.
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
CORRECT ANSWER
A. Locked medication storage in the client's room.
B. Medication administration record (MAR).
D. Delivery of adequate supply of medication.
E. List of findings indicating medication effectiveness.
-(A, B, D, and E) are correct. For safe self-medication in an assisted living community, the
resident should be provided a locked storage box (A), create a medication administration
record to monitor medication (B), establish adequate medication supply (D), and a
reference to evaluate the effectiveness of medications (E). (C) is not the responsibility of
the nurse.
Question 2
When assessing an older client, which age-related changes in the cardiovascular system
should the registered nurse (RN) document? (Select all that apply.)
1
,A. Dyspnea.
B. Chest pain.
C. Cardiac murmurs.
D. Widening pulse pressure.
E. Irregular heart rate.
CORRECT ANSWER
C. Cardiac murmurs.
D. Widening pulse pressure.
-For older clients the expected age-related changes in the cardiovascular system include
murmurs (C) and widening pulse pressure (D). (A, B, and E) are not normal findings and
require further evaluation.
Question 3
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 registered nurse
(RN) focus on during the next examination?
A. Anxiety.
B. Depression.
C. Exhaustion.
D. Confusion.
CORRECT ANSWER
B. Depression.
-Depression (B) is a symptom that an older client is likely to experience with a sudden
change in living accommodations when a loss of personal identity can create low self-
2
, esteem. (A, C, and D) are other symptoms that the client can exhibit, but with the sudden
change in life style, (B) is most likely and most important for the RN to focus on.
Question 4
The registered nurse (RN) is caring for an elderly client with functional incontinence who
lives in an assisted living community. The client is alert and mildly confused and can self
ambulate. Which nursing intervention should the RN implement?
A. Offer assistance with toileting q2 hours.
B. Use protective disposal undergarment instead of underwear.
C. Ask if the client has attempted to void q2 hours.
D. Obtain a prescription for intermittent catheterization.
CORRECT ANSWER
A. Offer assistance with toileting q2 hours.
-Maintaining independence and self esteem is important for an older client with
incontinence. Toilet assistance (A) decreases the client's chances of accidents and
embarrassment by introducing a toilet training program. (B) is not implemented unless
the toileting program is unsuccessful and the client's mental status declines. A confused
client will not remember how many times he or she frequented the toilet, so (C) is not
helpful for the client. (D) is not indicated for clients with functional incontinence and
who can ambulate.
Question 5
The healthcare provider prescribes a new medication, atrovastatin (Lipitor), for an older
client who arrives at the clinic for an annual physical examination. What common side
effect should the registered nurse (RN) advise the client to observe for with this
medication?
3
, A. Constipation.
B. Headaches.
C. Muscle weakness.
D. Nausea and vomiting.
CORRECT ANSWER
B. Headaches.
-Headaches (B) are the most common side effect with this medication, which the RN
should direct the client to report. (A and C) are rare occurrences with this medication. (D)
is not considered a side affect of this medication.
Question 6
The registered nurse (RN) 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?
A. Increase protein and carbohydrates in the daily diet.
B. Limit activity to bed rest for the first week and increase mobility incrementally each week.
C. Report abdominal distention, constipation, or any nausea and vomiting to the healthcare
provider.
D. Drink liquids 2 hours after meals instead of during meals.
CORRECT ANSWER
C. Report abdominal distention, constipation, or any nausea and vomiting to the
healthcare provider.
-(C) are symptoms that occur with intestinal obstruction and should be addressed
immediately. (A, B and D) are not indicated for a client who has been discharged for
intestinal obstruction.
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