Ch 20,21,22 PMCQ
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1. Which of the following individuals is likely at the highest risk for orthostatic
hypotension?
A) A 75-year-old woman who uses a walker
B) An 80-year-old man who strains to void when using the bedside commode
C) A 60-year-old who has a long leg cast on his right leg
D) An 80-year-old woman who is taking Premarin: B
Rationale: Orthostatic HOTN rises significantly after the age of 75. A risk factor for OHOTN is doing a Valsalva Maneuver
while voiding
2. Which of the following statements by an older adult indicates the need for
further teaching related to cholesterol reduction?
A) "I will decrease my intake of food high in polyunsaturated fatty acids."
B) "I will increase my intake of soybeans, walnuts, and canola oil."
C) "I will eat fish four times a week."
D) "I will limit my intake of trans fatty acids and saturated fat.": A
3. An older adult is admitted to the emergency department with dyspnea and
a sudden change in level of consciousness. The nurse should assess first for
which of the following disorders?
A) Myocarditis
B) Aortic aneurysm
C) Cor pulmonale
D) Myocardial infarction: D
4. Which of the following considerations should a nurse prioritize when assess-
ing an older adult who has arrhythmias?
A) Assess the client for adverse medication reactions.
B) Check the client's electrolytes immediately.
C) Make an assessment in relation to the client's medical history.
D) Perform auscultation before collecting the client's history.: C
5. Which of the following is the most important remediable risk factor for
cardiovascular disease in older adults?
A) Smoking
B) Stress
, Ch 20,21,22 PMCQ
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C) Sedentary lifestyle
D) Aggressive personality: A
6. Older adults experience a number of changes in the structure or function of
their cardiovascular system. Which of the following changes is considered to
be a normal, age-related change?
A) Veins become thinner and more elastic.
B) Regulation of blood pressure and heart rate becomes less efficient.
C) Heart valves become atrophied and regurgitation occurs.
D) Heart rate becomes slower and ejection fraction increases.: B
7. The nurses who provide care in a long-term care setting are aware of the high
prevalence and risks of cardiovascular disease among the older adults who live
at the facility. Which of the following measures is most likely to prevent heart
disease among older adults?
A) Advocating for organic dietary choices for residents
B) Establishing an exercise program
C) Teaching about the relationships between family history and heart disease
D) Teaching residents to reduce their stress levels: B
8. A 79-year-old client recently experienced a syncopal (fainting) episode after
standing up quickly while gardening. Which assessment is the nurse's priority?
A) "Did you experience any fatigue or blurred vision?"
B) "What did you doctor say about this?"
C) "What medications do you take?"
D) "When did you last eat a meal?": C
9. A nurse who works on a geriatric long-term care unit is aware that many of
the older adult clients on the unit have a documented history of orthostatic
hypotension. What measure should the nurse prioritize in order to ensure the
safety of such clients?
A) Mobilize clients within 2 hours of eating a meal.
B) Have clients take several deep breaths before standing to their feet.
C) Have clients sit on the edge of their beds for a minute or two before
ambulating.
Study online at https://quizlet.com/_hztmy5
1. Which of the following individuals is likely at the highest risk for orthostatic
hypotension?
A) A 75-year-old woman who uses a walker
B) An 80-year-old man who strains to void when using the bedside commode
C) A 60-year-old who has a long leg cast on his right leg
D) An 80-year-old woman who is taking Premarin: B
Rationale: Orthostatic HOTN rises significantly after the age of 75. A risk factor for OHOTN is doing a Valsalva Maneuver
while voiding
2. Which of the following statements by an older adult indicates the need for
further teaching related to cholesterol reduction?
A) "I will decrease my intake of food high in polyunsaturated fatty acids."
B) "I will increase my intake of soybeans, walnuts, and canola oil."
C) "I will eat fish four times a week."
D) "I will limit my intake of trans fatty acids and saturated fat.": A
3. An older adult is admitted to the emergency department with dyspnea and
a sudden change in level of consciousness. The nurse should assess first for
which of the following disorders?
A) Myocarditis
B) Aortic aneurysm
C) Cor pulmonale
D) Myocardial infarction: D
4. Which of the following considerations should a nurse prioritize when assess-
ing an older adult who has arrhythmias?
A) Assess the client for adverse medication reactions.
B) Check the client's electrolytes immediately.
C) Make an assessment in relation to the client's medical history.
D) Perform auscultation before collecting the client's history.: C
5. Which of the following is the most important remediable risk factor for
cardiovascular disease in older adults?
A) Smoking
B) Stress
, Ch 20,21,22 PMCQ
Study online at https://quizlet.com/_hztmy5
C) Sedentary lifestyle
D) Aggressive personality: A
6. Older adults experience a number of changes in the structure or function of
their cardiovascular system. Which of the following changes is considered to
be a normal, age-related change?
A) Veins become thinner and more elastic.
B) Regulation of blood pressure and heart rate becomes less efficient.
C) Heart valves become atrophied and regurgitation occurs.
D) Heart rate becomes slower and ejection fraction increases.: B
7. The nurses who provide care in a long-term care setting are aware of the high
prevalence and risks of cardiovascular disease among the older adults who live
at the facility. Which of the following measures is most likely to prevent heart
disease among older adults?
A) Advocating for organic dietary choices for residents
B) Establishing an exercise program
C) Teaching about the relationships between family history and heart disease
D) Teaching residents to reduce their stress levels: B
8. A 79-year-old client recently experienced a syncopal (fainting) episode after
standing up quickly while gardening. Which assessment is the nurse's priority?
A) "Did you experience any fatigue or blurred vision?"
B) "What did you doctor say about this?"
C) "What medications do you take?"
D) "When did you last eat a meal?": C
9. A nurse who works on a geriatric long-term care unit is aware that many of
the older adult clients on the unit have a documented history of orthostatic
hypotension. What measure should the nurse prioritize in order to ensure the
safety of such clients?
A) Mobilize clients within 2 hours of eating a meal.
B) Have clients take several deep breaths before standing to their feet.
C) Have clients sit on the edge of their beds for a minute or two before
ambulating.
