BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
1. Which neurotransmitter is implicated in depression?
Acetylcholine
Epinephrine
Atropine
Serotonin:
Serotonin
2. Older adults, who are more subject to falls, may fracture one or
more ribs and be more susceptible to which condition after a rib
fracture?
Pneumonia
Asthma
attacks
Confusion
Bronchospasm: Pneumonia
3. During a home visit, the nurse notes that an older adult's health
status
has not improved with prescribed medications. Which statement
indicates to the nurse that the client may not be adhering to the
prescribed medication regimen?
"I put my morning medications next to my bed to take first thing
in the morning."
"My neighbor brought me a pill box with compartments to
, BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
organize my medications."
"That one little white pill that I take in the morning makes me
feel sleepy all day."
"My pharmacy delivers, and I can pay the bill once a month when
my check arrives.": "That one little white pill that I take in the morning makes me feel sleepy all
day."
4. The client asks the nurse why she seems to have bone changes
since she has gotten older. What is the best response by the nurse?
"Bone changes from aging result from a loss of
magnesium." "Bone changes from aging result from most
medication therapies." "Bone changes from aging result
from a loss of calcium."
, BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
"Bone changes from aging result from a loss of vitamin absorption.":
"Bone changes from aging result from a loss of calcium."
5. The nurse identifies which of the following as an age-related
change in the respiratory system?
Increased residual lung
volume Increased vital
capacity Increased diffusion
capacity
Increased cough efficiency: Increased residual lung volume
6. A client with Alzheimer disease becomes agitated while the
nurse is attempt-ing to take vital signs. What action by the nurse is
most appropriate?
Place the client in a secluded room until calm.
Document the inability to assess vital signs due to client's
agitation. Continue taking the vital signs.
Distract the client with a familiar object or music.: Distract the client with a
familiar object or music.
7. The nurse is working in a long-term care facility. When assessing
her pa-tients, what body system dysfunction should the nurse look
for as the leading cause of morbidity and mortality in the older
adult population?
Cardiovascular
Gastrointestinal
, BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
Respiratory
Genitourinary:
Cardiovascular
8. The family of an older adult seeks medical attention for the client
because of an increase in inappropriate responses and avoidance
of social interactions. On which body area will the nurse focus when
assessing the client?
Genitourinary system
Hearing
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
1. Which neurotransmitter is implicated in depression?
Acetylcholine
Epinephrine
Atropine
Serotonin:
Serotonin
2. Older adults, who are more subject to falls, may fracture one or
more ribs and be more susceptible to which condition after a rib
fracture?
Pneumonia
Asthma
attacks
Confusion
Bronchospasm: Pneumonia
3. During a home visit, the nurse notes that an older adult's health
status
has not improved with prescribed medications. Which statement
indicates to the nurse that the client may not be adhering to the
prescribed medication regimen?
"I put my morning medications next to my bed to take first thing
in the morning."
"My neighbor brought me a pill box with compartments to
, BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
organize my medications."
"That one little white pill that I take in the morning makes me
feel sleepy all day."
"My pharmacy delivers, and I can pay the bill once a month when
my check arrives.": "That one little white pill that I take in the morning makes me feel sleepy all
day."
4. The client asks the nurse why she seems to have bone changes
since she has gotten older. What is the best response by the nurse?
"Bone changes from aging result from a loss of
magnesium." "Bone changes from aging result from most
medication therapies." "Bone changes from aging result
from a loss of calcium."
, BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
"Bone changes from aging result from a loss of vitamin absorption.":
"Bone changes from aging result from a loss of calcium."
5. The nurse identifies which of the following as an age-related
change in the respiratory system?
Increased residual lung
volume Increased vital
capacity Increased diffusion
capacity
Increased cough efficiency: Increased residual lung volume
6. A client with Alzheimer disease becomes agitated while the
nurse is attempt-ing to take vital signs. What action by the nurse is
most appropriate?
Place the client in a secluded room until calm.
Document the inability to assess vital signs due to client's
agitation. Continue taking the vital signs.
Distract the client with a familiar object or music.: Distract the client with a
familiar object or music.
7. The nurse is working in a long-term care facility. When assessing
her pa-tients, what body system dysfunction should the nurse look
for as the leading cause of morbidity and mortality in the older
adult population?
Cardiovascular
Gastrointestinal
, BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING QUESTIONS AND VERIFIED
ANSWERS
Respiratory
Genitourinary:
Cardiovascular
8. The family of an older adult seeks medical attention for the client
because of an increase in inappropriate responses and avoidance
of social interactions. On which body area will the nurse focus when
assessing the client?
Genitourinary system
Hearing
