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1. What is the primary reason older adults lose height as they age?
A. Decreased muscle mass
B. Thinning of the vertebral discs
C. Many older adults develop osteoporosis
D. Most older adults have some degree of kyphosis - ANSWER
Thinning of the vertebral discs
2. Which of the following is true concerning blood pressure in older adults?
A. Both systolic and diastolic pressures are decreased
B. Diastolic pressure increases, while systolic pressure remains the same
C. Blood pressure readings become variable and unstable
D. There is a widening pulse pressure - ANSWER There is a widening
pulse pressure
3. Which of the following would be a normal finding?
A. Acrochordons (skin tags) on her eyelids and neck
B. Edema in her lower limbs
C. Decreased hair on her upper lip and chin
D. Thicker skin on the dorsa of her hands and forearms - ANSWER
Acrochordons (skin tags) on her eyelids and neck
4. Nurse examines a grey-white arc around the cornea. What would the
practical nurse say about this finding?
, A. "You have the beginnings of cataracts and should an eye surgeon."
B. "Theses are a normal finding in your age group and will not affect
vision"
C. "This is caused by thickening of your cornea and is probably causing
some blurring of your vision"
D. "This discolouration in your eyes is called xanthelasma and is caused
by high levels of cholesterol" - ANSWER "Theses are a normal
finding in your age group and will not affect vision"
5. Mrs. Sloane is to receive olive oil in both ears at night for cerumen
impaction. What intervention should the practical nurse perform?
A. Application of a small cotton ball at the meatus after instillation of
the ear drops
B. Removal of coarse ear hairs
C. Referral to an ENT physician
D. Evacuation of the cerumen using a cotton-tipped swab - ANSWER
Application of a small cotton ball at the meatus after instillation of
the ear drops
6. Which of the following results would be of most concern to the nurse?
A. Mrs. Sloane is not sure which day of the week it is today
B. Mrs. Sloane's Mini-Mental State Examination has declined from 27
last year to 25 today
C. Mrs. Sloane states that she often misplaces her hearing aids
D. Mrs. Sloane believes she presently lives in her former home, which
she left 2 years ago - ANSWER Mrs. Sloane believes she presently
lives in her former home, which she left 2 years ago
7. How should the nurse approach health assessments and teaching with
adolescents?
, A. Involve the parents, as they will be able to reinforce health teaching
with their teenagers
B. Maintain a professional and strict attitude, as adolescents will
respond positively to authority
C. Provide factual information about how students can manage specific
problems they identify
D. Provide information related to future health problems, such as risk
for heart disease and osteoporosis - ANSWER Provide factual
information about how students can manage specific problems they
identify
8. A thin 16 year old girl is worried that she has not yet begun to menstruate.
What question might the nurse ask?
A. "Tell me your alcohol intake"
B. "Have any women in your family had ovarian cancer?"
C. "What kinds and amounts of food do you eat?"
D. "How much sleep do you get each night?" - ANSWER "What
kinds and amounts of food do you eat?"
9. How would the nurse assess whether Genevieve has scoliosis?
A. Have her bend at the waist to inspect for asymmetry of the scapulae
B. Ask her to stand sideways to him so he may measure any degree of
kyphosis
C. Tell Genevieve to rotate sideways and observe for uneven should
height
D. Observe Genevieve from the back as she climbs a flight of stairs -
ANSWER Have her bend at the waist to inspect for asymmetry of
the scapulae
, 10.Sheldon, age 16, was chosen to play for the school football team. What
safety-related assessment question is important for the nurse to ask
Sheldon?
A. "Do your parents come watch you play?"
B. "Are you able to manage attending your games and completing your
school work?"
C. "Are you planning to play professional football one day?"
D. "Do you use special protective equipment?" - ANSWER "Do you
use special protective equipment?"
Some teachers wonder if Warren, age 18, is abusing street drugs or has a
mental health disorder (schizophrenia)
11.What might the nurse say to Warren to best determine his thought
processes and perceptions?
A. "What are your grades like in school?"
B. "How do you feel today?"
C. "I am going to ask you to remember four words, and in a few
minutes, I will ask you to recall them."
D. "Do other people talk about you?" - ANSWER "Do other people
talk about you?"
12.What is the most common skin problem in adolescence?
A. Contact dermatitis
B. Acne
C. Eczema
D. Rosacea - ANSWER Acne
13.What manifestation would indicate an abnormal finding during a health
assessment?