NUR 257
EXAM 2
Tested Questions with Rationales
Concepts of Aging and Chronic Illness
Galen College of Nursing
This Document Description:
This document contains a collection of 50
tested and verified questions with accurate
answers from EXAM 2 of NUR 257 at the Galen
College of Nursing. It covers core topics assessed
in the course and reflects the actual exam format
and question style. Ideal for exam preparation and concept
reinforcement.
, 1. You're teaching a patient about antipsychotic neuroleptics. What
should you include in the teaching?
A. “This medication will not affect your heart or blood vessels.”
B. “You are more susceptible to heart problems and stroke while taking
this medication, so you must follow up regularly with your provider.”
C. “Once you feel better you can stop taking the medication without
telling your provider.”
D. “If you feel dizzy, just lie down; there is no need to report this to your
provider.”
Answer: B. You are more susceptible to heart problems and stroke while
taking this medication, so you must follow up regularly with your provider.
Expert Rationale:
Older adults taking antipsychotic neuroleptics have increased risk for
cardiovascular events and stroke. Teaching must emphasize these risks and
the importance of ongoing monitoring and follow-up. Options that minimize
risk or encourage abrupt discontinuation are unsafe and inconsistent with
safe geriatric pharmacology.
2. You're teaching an older adult client about a new medication. Which of
the following nursing actions enhances the client's ability to learn
most?
A. Provide a detailed, technical explanation using medical terminology.
B. Speak quickly so you can cover as much information as possible in
one session.
C. Keep the information simple, focused on key points, and relevant to
the client’s situation; avoid medical jargon.
D. Provide written information only and ask the client to read it at home.
Answer: C. Keep the information simple, focused on key points, and relevant
to the client’s situation; avoid medical jargon.
, Expert Rationale:
Older adults often have sensory changes and may process information more
slowly. Using simple language, limiting content, and focusing on what is
meaningful supports comprehension and retention. This aligns with best
practices in geriatric teaching–learning principles.
3. You're evaluating the active involvement of a client who's having
difficulty keeping medications organized. The client demonstrates a
correct understanding of active involvement if the client:
A. Asks the nurse to fill the medication organizer every week.
B. Asks a family member to manage all medications without
explanation.
C. Explains to you the purpose of each medication as the pill is placed
into the medication organizer.
D. States, “I don’t need to know what these pills are as long as I take
them every day.”
Answer: C. Explains to you the purpose of each medication as the pill is
placed into the medication organizer.
Expert Rationale:
Active involvement means the older adult participates in and understands
their medication regimen. Explaining each medication’s purpose while
organizing it shows engagement, understanding, and supports adherence and
safety.
4. The home health nurse arrives at the home of a client and finds the
inside temperature 82°F, the windows and doors closed, and the client
covered with a heavy winter blanket. The nurse initially recognizes that
this behavior may be related to:
A. The onset of an acute infection causing chills.
B. Normal age-related changes that impair the client's ability to
EXAM 2
Tested Questions with Rationales
Concepts of Aging and Chronic Illness
Galen College of Nursing
This Document Description:
This document contains a collection of 50
tested and verified questions with accurate
answers from EXAM 2 of NUR 257 at the Galen
College of Nursing. It covers core topics assessed
in the course and reflects the actual exam format
and question style. Ideal for exam preparation and concept
reinforcement.
, 1. You're teaching a patient about antipsychotic neuroleptics. What
should you include in the teaching?
A. “This medication will not affect your heart or blood vessels.”
B. “You are more susceptible to heart problems and stroke while taking
this medication, so you must follow up regularly with your provider.”
C. “Once you feel better you can stop taking the medication without
telling your provider.”
D. “If you feel dizzy, just lie down; there is no need to report this to your
provider.”
Answer: B. You are more susceptible to heart problems and stroke while
taking this medication, so you must follow up regularly with your provider.
Expert Rationale:
Older adults taking antipsychotic neuroleptics have increased risk for
cardiovascular events and stroke. Teaching must emphasize these risks and
the importance of ongoing monitoring and follow-up. Options that minimize
risk or encourage abrupt discontinuation are unsafe and inconsistent with
safe geriatric pharmacology.
2. You're teaching an older adult client about a new medication. Which of
the following nursing actions enhances the client's ability to learn
most?
A. Provide a detailed, technical explanation using medical terminology.
B. Speak quickly so you can cover as much information as possible in
one session.
C. Keep the information simple, focused on key points, and relevant to
the client’s situation; avoid medical jargon.
D. Provide written information only and ask the client to read it at home.
Answer: C. Keep the information simple, focused on key points, and relevant
to the client’s situation; avoid medical jargon.
, Expert Rationale:
Older adults often have sensory changes and may process information more
slowly. Using simple language, limiting content, and focusing on what is
meaningful supports comprehension and retention. This aligns with best
practices in geriatric teaching–learning principles.
3. You're evaluating the active involvement of a client who's having
difficulty keeping medications organized. The client demonstrates a
correct understanding of active involvement if the client:
A. Asks the nurse to fill the medication organizer every week.
B. Asks a family member to manage all medications without
explanation.
C. Explains to you the purpose of each medication as the pill is placed
into the medication organizer.
D. States, “I don’t need to know what these pills are as long as I take
them every day.”
Answer: C. Explains to you the purpose of each medication as the pill is
placed into the medication organizer.
Expert Rationale:
Active involvement means the older adult participates in and understands
their medication regimen. Explaining each medication’s purpose while
organizing it shows engagement, understanding, and supports adherence and
safety.
4. The home health nurse arrives at the home of a client and finds the
inside temperature 82°F, the windows and doors closed, and the client
covered with a heavy winter blanket. The nurse initially recognizes that
this behavior may be related to:
A. The onset of an acute infection causing chills.
B. Normal age-related changes that impair the client's ability to
