NUR 521 Exam 4 Test Bank University of Alabama
Latest Update 2026 | Comprehensive Prep
1. If a 70-year-old patient reports difficulty sleeping due to leg discomfort, what
condition might you suspect based on their age and symptoms?
Sleep Apnea
Peripheral Neuropathy
Restless Leg Syndrome
Chronic Fatigue Syndrome
2. Urinary incontinence in bed at night is:
sleep wetting
REM sleep
NREM sleep
enuresis
3. What are the essential nutrients that older adults need to maintain their
health?
Protein, vitamins, and minerals
Carbohydrates and fats
Antioxidants and enzymes
Fiber and sugars
4. What is the primary concern related to fluid balance disorders in older
adults?
Higher metabolic rate
, Improved hydration levels
Changes in kidney function
Increased physical activity
5. The main goal of managing diabetes is to
to maintain blood glucose levels as near to normal as possible
just keep levels below 300 mg/dL
cure diabetes
6. Describe the role of personal protective equipment (PPE) in infection control
within healthcare environments.
PPE protects healthcare workers and patients from exposure to
infectious agents.
PPE is primarily for aesthetic purposes in healthcare settings.
PPE is used to enhance patient comfort during procedures.
PPE is only necessary during surgical procedures.
7. Cancer cachexia is a progressive wasting syndrome that is:
Most commonly seen developing in clients with breast cancer or
sarcoma
Correlated with the size of the tumor: the bigger the tumor, the more
severe the cachexia
Directly related to calorie intake: the fewer the calories consumed, the
more severe the cachexia
Estimated to cause 20% to 40% of cancer deaths
,8. Describe the primary risk associated with parenteral feeding and its
implications for patient care.
The primary risk associated with parenteral feeding is sepsis, which
can lead to serious complications.
The primary risk is nutrient deficiency, which is common in all feeding
methods.
The primary risk is dehydration, which can be easily managed.
The primary risk is allergic reactions, which are rare.
9. What are the main nutritional requirements of older adults?
protein, carbohydrates, fats
protein, sugar, carbohydrates
protein, fiber, calcium, fluids
protein, mineral, fats
10. What type of patients is a soft diet typically prescribed for?
Those who have difficulty chewing or swallowing solid food
Those seeking to gain weight rapidly
Those who are lactose intolerant
Those with dietary restrictions on sugar and carbohydrates
11. Describe the emotional outcomes associated with Erikson's Integrity vs
Despair stage.
Individuals focus on career achievements and social relationships.
Individuals reflect on their lives and may feel satisfaction or failure.
, Individuals prioritize financial stability and security.
Individuals seek new experiences and adventures.
12. Describe how Fluid Balance Disorders can impact overall health.
Fluid Balance Disorders only affect hydration levels without impacting
health.
Fluid Balance Disorders are primarily caused by dietary choices.
Fluid Balance Disorders can lead to dehydration or overhydration,
which can disrupt bodily functions and lead to serious health
issues.
Fluid Balance Disorders have no significant effect on health
outcomes.
13. If an individual aged 70 reflects on their life and feels a sense of fulfillment
and pride, which of Erikson's stages are they likely experiencing?
Generativity
Despair
Identity
Integrity
14. The patient's mother has heard a certain type of diet can help to improve
seizure control. Although usually used with children, the doctor believes a
ketogenic diet may be effective for James. When asked by the mother to
explain a ketogenic diet, what information would you provide?
"A ketogenic diet is high in carbohydrates and fats, but low in protein."
"A ketogenic diet is a balanced diet with equal values of fat,
carbohydrates, and protein."
Latest Update 2026 | Comprehensive Prep
1. If a 70-year-old patient reports difficulty sleeping due to leg discomfort, what
condition might you suspect based on their age and symptoms?
Sleep Apnea
Peripheral Neuropathy
Restless Leg Syndrome
Chronic Fatigue Syndrome
2. Urinary incontinence in bed at night is:
sleep wetting
REM sleep
NREM sleep
enuresis
3. What are the essential nutrients that older adults need to maintain their
health?
Protein, vitamins, and minerals
Carbohydrates and fats
Antioxidants and enzymes
Fiber and sugars
4. What is the primary concern related to fluid balance disorders in older
adults?
Higher metabolic rate
, Improved hydration levels
Changes in kidney function
Increased physical activity
5. The main goal of managing diabetes is to
to maintain blood glucose levels as near to normal as possible
just keep levels below 300 mg/dL
cure diabetes
6. Describe the role of personal protective equipment (PPE) in infection control
within healthcare environments.
PPE protects healthcare workers and patients from exposure to
infectious agents.
PPE is primarily for aesthetic purposes in healthcare settings.
PPE is used to enhance patient comfort during procedures.
PPE is only necessary during surgical procedures.
7. Cancer cachexia is a progressive wasting syndrome that is:
Most commonly seen developing in clients with breast cancer or
sarcoma
Correlated with the size of the tumor: the bigger the tumor, the more
severe the cachexia
Directly related to calorie intake: the fewer the calories consumed, the
more severe the cachexia
Estimated to cause 20% to 40% of cancer deaths
,8. Describe the primary risk associated with parenteral feeding and its
implications for patient care.
The primary risk associated with parenteral feeding is sepsis, which
can lead to serious complications.
The primary risk is nutrient deficiency, which is common in all feeding
methods.
The primary risk is dehydration, which can be easily managed.
The primary risk is allergic reactions, which are rare.
9. What are the main nutritional requirements of older adults?
protein, carbohydrates, fats
protein, sugar, carbohydrates
protein, fiber, calcium, fluids
protein, mineral, fats
10. What type of patients is a soft diet typically prescribed for?
Those who have difficulty chewing or swallowing solid food
Those seeking to gain weight rapidly
Those who are lactose intolerant
Those with dietary restrictions on sugar and carbohydrates
11. Describe the emotional outcomes associated with Erikson's Integrity vs
Despair stage.
Individuals focus on career achievements and social relationships.
Individuals reflect on their lives and may feel satisfaction or failure.
, Individuals prioritize financial stability and security.
Individuals seek new experiences and adventures.
12. Describe how Fluid Balance Disorders can impact overall health.
Fluid Balance Disorders only affect hydration levels without impacting
health.
Fluid Balance Disorders are primarily caused by dietary choices.
Fluid Balance Disorders can lead to dehydration or overhydration,
which can disrupt bodily functions and lead to serious health
issues.
Fluid Balance Disorders have no significant effect on health
outcomes.
13. If an individual aged 70 reflects on their life and feels a sense of fulfillment
and pride, which of Erikson's stages are they likely experiencing?
Generativity
Despair
Identity
Integrity
14. The patient's mother has heard a certain type of diet can help to improve
seizure control. Although usually used with children, the doctor believes a
ketogenic diet may be effective for James. When asked by the mother to
explain a ketogenic diet, what information would you provide?
"A ketogenic diet is high in carbohydrates and fats, but low in protein."
"A ketogenic diet is a balanced diet with equal values of fat,
carbohydrates, and protein."
