NURSl 5461/l NURS5461l Finall Examl –l
Adultl Gerontologyl Managementl Acrossl
thel Continuuml ofl Carel Review|l UTAl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Complicationsl duringl al seizurel canl include
Answer:
Burnsl andl bruises
Abrasionsl andl headl injuries
Tonguel bitesl andl brokenl bones
Q:l Whatl statementl isl accuratel aboutl thel frequencyl ofl seizuresl inl patientsl withl al
seizurel disorder?
Answer:
Thel probleml ofl seizurel onsetl variedl amongl patientsl butl wasl predictablel withinl al givenl
patient.
Q:l Focall seizuresl mayl progressl tol involvel thel entirel cerebrall tissue.l Thesel mayl bel
referredl tol as
Answer:
Seizuresl thatl evolvel bilaterally
Q:l Pregabalinl isl indicatedl forl whichl ofl thel followingl typesl ofl seizures?
,Answer:
Focal
Q:l Whichl ofl thel followingl statementsl aboutl surgicall techniquesl forl managementl ofl
epilepsyl isl mostl accurate?
Answer:
Thel reductionl inl seizuresl improvedl overl al 5-yrl periodl followingl deepl brainl stimulation
Q:l Thel riskl forl suddenl unexpectedl deathl inl epilepsyl (SUDEP)l isl highestl inl patientsl
withl whichl ofl thel followingl typel ofl seizures?
Answer:
Generalizedl tonic-clonicl seizures
Q:l Whatl isl thel reportedl prevalencel ofl painl atl thel endl ofl life?
Answer:
57l tol 65%
Q:l Whatl isl thel mostl reliablel indicatorl ofl pain?
Answer:
Patients'l selfl report
Q:l Researchl hasl shownl thatl painl is
Answer:
Underestimatedl byl healthcarel professionals
Q:l Generalizedl painl isl usuallyl indicativel of
,Answer:
Centrall nervousl systeml damage
Q:l Whatl isl anl objectivel ofl pharmacologicl managementl ofl pain?
Answer:
Maintainingl al consistentl dosel ofl thel drugl overl time
Q:l Accordingl tol thel Worldl Healthl Organizationl (WHO)l ladder,l painl shouldl bel
managed
Answer:
inl al mannerl accordingl tol thel intensityl ofl thel pain
Q:l Thel onsetl ofl actionl ofl fentanyll transdermall patchl is
Answer:
8-12l hours
Q:l Whatl isl thel mostl commonlyl usedl opioidl forl stepl 3?
Answer:
Morphine
Q:l Whatl medicationl isl indicatedl forl paroxysmall lancinatingl pain?
Answer:
Topiramate
Q:l Octreotidel isl indicatedl forl thel treatmentl of
, Answer:
viscerall pain
Q:l Al patientl whol livesl inl al nursingl homel isl evaluatedl becausel hisl familyl isl
concernedl thatl hel hasl inadequatelyl treatedl pain.l
Thel patientl hasl moderatel dementia.
Howl doesl painl assessmentl forl patientsl withl demential differl froml assessmentl forl
cognitivelyl intactl patients?
Answer:
Patientsl withl demential arel lessl likelyl tol reportl painl afterl activity
Q:l Al 72-year-oldl womanl comesl tol thel officel becausel forl thel pastl 6l monthsl shel hasl
hadl severel burningl painl inl herl feetl thatl isl worsel atl night.l Shel recentlyl triedl
gabapentinl butl discontinuedl itl becausel itl causedl gaitl disturbance.
Historyl includesl uncontrolledl DM,l chronicl constipation,l andl mildl cognitivel impairment.
Medicationsl includel insulinl glarginel 20l unitsl atl night,l lisinoprill 20l mg/day,l docusatel
sodiuml 100l mgl q12h,l metforminl 1,000l mgl q12h,l andl acetaminophenl 1,000l mgl q8h.
Herl fingerstickl glucosel levelsl havel beenl betweenl 180l andl 200l inl thel morningl andl inl
thel mid-200sl atl night.
Whatl isl thel mostl appropriatel nextl stepl forl improvingl painl control?
Answer:
Startl pregabalin
Q:l Al 71-year-oldl womanl comesl tol thel officel becausel shel hasl painl froml anl
osteoporoticl vertebrall fracture.l Shel isl nowl receivingl recommendedl therapyl forl
osteoporosis.l Thel painl froml thel fracturel preventsl herl froml gardening.l Conservativel
measures--suchl asl acetaminophen,l physicall therapy,l andl NSAIDs--havel notl providedl
adequatel relief.l Whatl dol youl recommendl forl herl pain?
Answer:
Oxycodonel 2.5mgl orallyl q6hl asl needed.
Adultl Gerontologyl Managementl Acrossl
thel Continuuml ofl Carel Review|l UTAl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Complicationsl duringl al seizurel canl include
Answer:
Burnsl andl bruises
Abrasionsl andl headl injuries
Tonguel bitesl andl brokenl bones
Q:l Whatl statementl isl accuratel aboutl thel frequencyl ofl seizuresl inl patientsl withl al
seizurel disorder?
Answer:
Thel probleml ofl seizurel onsetl variedl amongl patientsl butl wasl predictablel withinl al givenl
patient.
Q:l Focall seizuresl mayl progressl tol involvel thel entirel cerebrall tissue.l Thesel mayl bel
referredl tol as
Answer:
Seizuresl thatl evolvel bilaterally
Q:l Pregabalinl isl indicatedl forl whichl ofl thel followingl typesl ofl seizures?
,Answer:
Focal
Q:l Whichl ofl thel followingl statementsl aboutl surgicall techniquesl forl managementl ofl
epilepsyl isl mostl accurate?
Answer:
Thel reductionl inl seizuresl improvedl overl al 5-yrl periodl followingl deepl brainl stimulation
Q:l Thel riskl forl suddenl unexpectedl deathl inl epilepsyl (SUDEP)l isl highestl inl patientsl
withl whichl ofl thel followingl typel ofl seizures?
Answer:
Generalizedl tonic-clonicl seizures
Q:l Whatl isl thel reportedl prevalencel ofl painl atl thel endl ofl life?
Answer:
57l tol 65%
Q:l Whatl isl thel mostl reliablel indicatorl ofl pain?
Answer:
Patients'l selfl report
Q:l Researchl hasl shownl thatl painl is
Answer:
Underestimatedl byl healthcarel professionals
Q:l Generalizedl painl isl usuallyl indicativel of
,Answer:
Centrall nervousl systeml damage
Q:l Whatl isl anl objectivel ofl pharmacologicl managementl ofl pain?
Answer:
Maintainingl al consistentl dosel ofl thel drugl overl time
Q:l Accordingl tol thel Worldl Healthl Organizationl (WHO)l ladder,l painl shouldl bel
managed
Answer:
inl al mannerl accordingl tol thel intensityl ofl thel pain
Q:l Thel onsetl ofl actionl ofl fentanyll transdermall patchl is
Answer:
8-12l hours
Q:l Whatl isl thel mostl commonlyl usedl opioidl forl stepl 3?
Answer:
Morphine
Q:l Whatl medicationl isl indicatedl forl paroxysmall lancinatingl pain?
Answer:
Topiramate
Q:l Octreotidel isl indicatedl forl thel treatmentl of
, Answer:
viscerall pain
Q:l Al patientl whol livesl inl al nursingl homel isl evaluatedl becausel hisl familyl isl
concernedl thatl hel hasl inadequatelyl treatedl pain.l
Thel patientl hasl moderatel dementia.
Howl doesl painl assessmentl forl patientsl withl demential differl froml assessmentl forl
cognitivelyl intactl patients?
Answer:
Patientsl withl demential arel lessl likelyl tol reportl painl afterl activity
Q:l Al 72-year-oldl womanl comesl tol thel officel becausel forl thel pastl 6l monthsl shel hasl
hadl severel burningl painl inl herl feetl thatl isl worsel atl night.l Shel recentlyl triedl
gabapentinl butl discontinuedl itl becausel itl causedl gaitl disturbance.
Historyl includesl uncontrolledl DM,l chronicl constipation,l andl mildl cognitivel impairment.
Medicationsl includel insulinl glarginel 20l unitsl atl night,l lisinoprill 20l mg/day,l docusatel
sodiuml 100l mgl q12h,l metforminl 1,000l mgl q12h,l andl acetaminophenl 1,000l mgl q8h.
Herl fingerstickl glucosel levelsl havel beenl betweenl 180l andl 200l inl thel morningl andl inl
thel mid-200sl atl night.
Whatl isl thel mostl appropriatel nextl stepl forl improvingl painl control?
Answer:
Startl pregabalin
Q:l Al 71-year-oldl womanl comesl tol thel officel becausel shel hasl painl froml anl
osteoporoticl vertebrall fracture.l Shel isl nowl receivingl recommendedl therapyl forl
osteoporosis.l Thel painl froml thel fracturel preventsl herl froml gardening.l Conservativel
measures--suchl asl acetaminophen,l physicall therapy,l andl NSAIDs--havel notl providedl
adequatel relief.l Whatl dol youl recommendl forl herl pain?
Answer:
Oxycodonel 2.5mgl orallyl q6hl asl needed.
