NURS 5461 Adult Gerontology
NURS 5461 Adult Gerontology Final Actual
Exam Test Bank / NURS 5461 Adult
Gerontology Final Prep /NURS 5461 Adult
Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
The GNP knows that the following are all possible causes of false dementia except:
A) depression
B) nutritional deficits
C) failing eyesght
D) metabolic disorders –
Correct Answer :C
Correct answer:failing eysight
Approximately 20% of those diagnosed with dementia actually have pseudodementia, which is
reversible. The possible causes of false dementia include: drug side effects, depression,
nutritional deficits, metabolic disorders, hypothyroidism, anemia or hypoglycemia. Failing
eyesight is not likely to be one of the causes.
Which of the following is the recommended daily dose of naproxen sodium for older adults?
A) 220 mg.
A+ TEST BANK 1
, NURS 5461 Adult Gerontology
B) 440 mg.
C) 600 mg.
D) 4 g. –
Correct Answer :B
Correct Answer 440 mg Naproxen sodium may pose less cardiovascular risk and thus may be a
good choice for older adults. The maximum daily dosage for older adults is 440 mg, given in 2
doses of 220 mg each.
You determine your patient is suffering from polyphagia. She asks what that means. What do you
tell her?
A) Excessive sweating.
B) Excessive thirst.
C) Excessive uncontrolled eating.
D) Excretion of excessive urine. –
Correct Answer :C
Correct answer: Excessive uncontrolled eating An important part of being a GNP is not just
assessing, diagnosing, and treating patients. GNPs must be knowledgeable of medical
terminology and be eloquent in defining said terminology for patients.
Your 75-year-old male patient presents with a lump on his breast. How would you proceed with
this?
A) Tell him that since he is male there is no risk of cancer.
A+ TEST BANK 2
, NURS 5461 Adult Gerontology
B) Evaluate the lump and proceed with a mammogram and ultrasound.
C) Tell him that this is common in men his age and that he should not worry that it is cancer.
D) Palpate the lump and do an ultrasound. –
Correct Answer :B
Correct answer:Evaluate the lump and proceed with a mammogram and ultrasound.
Males can develop breast cancer so the lump should be treated in the same way as with a
female. He should have a mammogram and an ultrasound to evaluate the lump.
You prescribe a medication for your elderly patient and note it should be taken t.i.d. What does
this mean?
A) Three times a day.
B) As directed.
C) In each eye.
D) Taken by mouth. –
Correct Answer :A
Correct Answer:
Three times a day.
O.U. - In each eye; p.o. - Taken by mouth; t.i.d. - Three times a day; ut dict. - As directed
When listening to your 71-year-old patient's heart murmur, you note that it is quiet but as soon
as you place the stethoscope, you can hear it. How do you grade the murmur?
A+ TEST BANK 3
, NURS 5461 Adult Gerontology
A) III/VI.
B) IV/VI.
C) I/VI.
D) II/VI. –
Correct Answer :D
Correct answer: II/VI Grading heart murmurs follows this system: I/VI: Heart murmur makes faint
sound and may not be heard when patient changes position. II/VI: Heart murmur is quiet but can
be heard as soon as the stethoscope is placed on the chest. III/VI: Heart murmur is moderately
loud. IV/VI: Heart murmur is loud and accompanied by a palpable thrill. V/VI: Heart murmur is
very loud and can be heard with the stethoscope partially off the chest. VI/VI: Heart murmur is
very loud and can be heard with the stethoscope completely off the patient's chest.
A patient who otherwise eats independently but requires help cutting meat or buttering bread
would receive which of the following scores on the Barthel Index?
A) 5
B) 2
C) 0
D) 1 –
Correct Answer :D
Correct Answer:
1
The feeding domains on the Barthel Index is worth up to 2 points. A patient who can feed
him/herself but who requires assistance cutting food or buttering bread would receive a score of
1. Patients who require a modified diet in order to feed independently also are scored a 1.
A+ TEST BANK 4
NURS 5461 Adult Gerontology Final Actual
Exam Test Bank / NURS 5461 Adult
Gerontology Final Prep /NURS 5461 Adult
Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
The GNP knows that the following are all possible causes of false dementia except:
A) depression
B) nutritional deficits
C) failing eyesght
D) metabolic disorders –
Correct Answer :C
Correct answer:failing eysight
Approximately 20% of those diagnosed with dementia actually have pseudodementia, which is
reversible. The possible causes of false dementia include: drug side effects, depression,
nutritional deficits, metabolic disorders, hypothyroidism, anemia or hypoglycemia. Failing
eyesight is not likely to be one of the causes.
Which of the following is the recommended daily dose of naproxen sodium for older adults?
A) 220 mg.
A+ TEST BANK 1
, NURS 5461 Adult Gerontology
B) 440 mg.
C) 600 mg.
D) 4 g. –
Correct Answer :B
Correct Answer 440 mg Naproxen sodium may pose less cardiovascular risk and thus may be a
good choice for older adults. The maximum daily dosage for older adults is 440 mg, given in 2
doses of 220 mg each.
You determine your patient is suffering from polyphagia. She asks what that means. What do you
tell her?
A) Excessive sweating.
B) Excessive thirst.
C) Excessive uncontrolled eating.
D) Excretion of excessive urine. –
Correct Answer :C
Correct answer: Excessive uncontrolled eating An important part of being a GNP is not just
assessing, diagnosing, and treating patients. GNPs must be knowledgeable of medical
terminology and be eloquent in defining said terminology for patients.
Your 75-year-old male patient presents with a lump on his breast. How would you proceed with
this?
A) Tell him that since he is male there is no risk of cancer.
A+ TEST BANK 2
, NURS 5461 Adult Gerontology
B) Evaluate the lump and proceed with a mammogram and ultrasound.
C) Tell him that this is common in men his age and that he should not worry that it is cancer.
D) Palpate the lump and do an ultrasound. –
Correct Answer :B
Correct answer:Evaluate the lump and proceed with a mammogram and ultrasound.
Males can develop breast cancer so the lump should be treated in the same way as with a
female. He should have a mammogram and an ultrasound to evaluate the lump.
You prescribe a medication for your elderly patient and note it should be taken t.i.d. What does
this mean?
A) Three times a day.
B) As directed.
C) In each eye.
D) Taken by mouth. –
Correct Answer :A
Correct Answer:
Three times a day.
O.U. - In each eye; p.o. - Taken by mouth; t.i.d. - Three times a day; ut dict. - As directed
When listening to your 71-year-old patient's heart murmur, you note that it is quiet but as soon
as you place the stethoscope, you can hear it. How do you grade the murmur?
A+ TEST BANK 3
, NURS 5461 Adult Gerontology
A) III/VI.
B) IV/VI.
C) I/VI.
D) II/VI. –
Correct Answer :D
Correct answer: II/VI Grading heart murmurs follows this system: I/VI: Heart murmur makes faint
sound and may not be heard when patient changes position. II/VI: Heart murmur is quiet but can
be heard as soon as the stethoscope is placed on the chest. III/VI: Heart murmur is moderately
loud. IV/VI: Heart murmur is loud and accompanied by a palpable thrill. V/VI: Heart murmur is
very loud and can be heard with the stethoscope partially off the chest. VI/VI: Heart murmur is
very loud and can be heard with the stethoscope completely off the patient's chest.
A patient who otherwise eats independently but requires help cutting meat or buttering bread
would receive which of the following scores on the Barthel Index?
A) 5
B) 2
C) 0
D) 1 –
Correct Answer :D
Correct Answer:
1
The feeding domains on the Barthel Index is worth up to 2 points. A patient who can feed
him/herself but who requires assistance cutting food or buttering bread would receive a score of
1. Patients who require a modified diet in order to feed independently also are scored a 1.
A+ TEST BANK 4
