Rasmussen University NUR 2214 Module 6 (pdf) | 2026/2027 | Older
Adult Q&A | Geriatric Nursing
**1. A client receiving chemotherapy asks the nurse why an antibiotic was
prescribed. Which tissue affected by chemotherapy should the nurse
consider when formulating a response?**
A) Bone marrow
B) Gastrointestinal lining
C) Hair follicles
D) Skin cells
Correct Answer: Bone marrow
Rationale: Chemotherapy commonly suppresses bone marrow function,
leading to neutropenia. This decrease in white blood cells increases the risk
of infection, which is why prophylactic antibiotics may be prescribed to
prevent or treat infections.
**2. The nurse educates a client on decreasing the risk of developing
antibiotic-resistant infections. Which statement made by the nurse will be
most significant?**
A) "Do not skip any dose of your antibiotics."
B) "Take antibiotics until you feel better."
C) "Save leftover antibiotics for future infections."
D) "Take antibiotics with grapefruit juice to enhance absorption."
Correct Answer: "Do not skip any dose of your antibiotics."
Rationale: Completing the full course of antibiotics as prescribed is crucial to
prevent the development of antibiotic-resistant bacteria. Skipping doses
allows bacteria to survive and adapt, increasing the risk of resistance.
,**3. A child is administered a RotaTeq vaccine. What adverse drug effect
should the nurse monitor for?**
A) Intussusception
B) Anaphylaxis
C) Seizures
D) Thrombocytopenia
Correct Answer: Intussusception
Rationale: RotaTeq is a rotavirus vaccine that has been associated with a
small increased risk of intussusception (a bowel obstruction) in infants,
particularly after the first dose. Nurses should monitor for signs such as
severe abdominal pain, vomiting, and bloody stools.
**4. A nurse is assessing clients who are to be given the smallpox
vaccination. Which client should the nurse remove from the immunization
line for medical counseling?**
A) A 45-year-old woman with breast cancer
B) A 25-year-old man with no chronic conditions
C) A 30-year-old woman who is 12 weeks pregnant
D) A 60-year-old man with well-controlled hypertension
Correct Answer: A 45-year-old woman with breast cancer
Rationale: The smallpox vaccine is contraindicated in individuals who are
immunocompromised, including those with active cancer or undergoing
chemotherapy. This client should be removed from the line for medical
counseling due to the risk of severe adverse reactions.
,**5. A registered nurse is teaching a student nurse regarding the
interventions for a client with human immunodeficiency virus (HIV) infection.
Which statement by the student nurse indicates the nurse needs to follow
up?**
A) "I will ask the client to avoid involvement in community activities."
B) "I will encourage the client to adhere to the antiretroviral regimen."
C) "I will teach the client about safe sex practices."
D) "I will monitor the client's CD4 count and viral load."
Correct Answer: "I will ask the client to avoid involvement in community
activities."
Rationale: Clients with HIV should not be isolated from community activities.
They can participate in normal activities as long as they practice standard
precautions. Encouraging isolation is stigmatizing and not supported by
evidence.
**6. Which medications act by binding with integrase enzyme and prevent
human immunodeficiency virus (HIV) from incorporating its genetic material
into the client's cell? Select all that apply.**
A) Raltegravir
B) Elvitegravir
C) Zidovudine
D) Efavirenz
Correct Answer: Raltegravir; Elvitegravir
Rationale: Raltegravir and Elvitegravir are integrase inhibitors that block the
HIV integrase enzyme, preventing the viral DNA from integrating into the
host cell's genome. Zidovudine is a nucleoside reverse transcriptase
inhibitor, and Efavirenz is a non-nucleoside reverse transcriptase inhibitor.
, **7. A client presents with a localized bacterial infection of mucous
membranes. Which organism is most likely responsible for this condition in
the client?**
A) Corynebacterium diphtheriae
B) Staphylococcus aureus
C) Streptococcus pyogenes
D) Pseudomonas aeruginosa
Correct Answer: Corynebacterium diphtheriae
Rationale: Corynebacterium diphtheriae is the bacterium responsible for
diphtheria, which causes a localized infection of the mucous membranes,
particularly in the respiratory tract, leading to the formation of a
pseudomembrane.
**8. A client presents to the emergency department with shortness of breath,
bloody sputum, weight gain, generalized edema, and a blood pressure of
150/110. The nurse reviews the client's laboratory results and determines
that the client has impaired renal function. Which diagnosis will the nurse
most likely observe written in the client's electronic medical record?**
A) Goodpasture syndrome
B) Glomerulonephritis
C) Nephrotic syndrome
D) Pyelonephritis
Correct Answer: Goodpasture syndrome
Rationale: Goodpasture syndrome is a rare autoimmune disorder
characterized by the presence of antibodies that attack the basement
Adult Q&A | Geriatric Nursing
**1. A client receiving chemotherapy asks the nurse why an antibiotic was
prescribed. Which tissue affected by chemotherapy should the nurse
consider when formulating a response?**
A) Bone marrow
B) Gastrointestinal lining
C) Hair follicles
D) Skin cells
Correct Answer: Bone marrow
Rationale: Chemotherapy commonly suppresses bone marrow function,
leading to neutropenia. This decrease in white blood cells increases the risk
of infection, which is why prophylactic antibiotics may be prescribed to
prevent or treat infections.
**2. The nurse educates a client on decreasing the risk of developing
antibiotic-resistant infections. Which statement made by the nurse will be
most significant?**
A) "Do not skip any dose of your antibiotics."
B) "Take antibiotics until you feel better."
C) "Save leftover antibiotics for future infections."
D) "Take antibiotics with grapefruit juice to enhance absorption."
Correct Answer: "Do not skip any dose of your antibiotics."
Rationale: Completing the full course of antibiotics as prescribed is crucial to
prevent the development of antibiotic-resistant bacteria. Skipping doses
allows bacteria to survive and adapt, increasing the risk of resistance.
,**3. A child is administered a RotaTeq vaccine. What adverse drug effect
should the nurse monitor for?**
A) Intussusception
B) Anaphylaxis
C) Seizures
D) Thrombocytopenia
Correct Answer: Intussusception
Rationale: RotaTeq is a rotavirus vaccine that has been associated with a
small increased risk of intussusception (a bowel obstruction) in infants,
particularly after the first dose. Nurses should monitor for signs such as
severe abdominal pain, vomiting, and bloody stools.
**4. A nurse is assessing clients who are to be given the smallpox
vaccination. Which client should the nurse remove from the immunization
line for medical counseling?**
A) A 45-year-old woman with breast cancer
B) A 25-year-old man with no chronic conditions
C) A 30-year-old woman who is 12 weeks pregnant
D) A 60-year-old man with well-controlled hypertension
Correct Answer: A 45-year-old woman with breast cancer
Rationale: The smallpox vaccine is contraindicated in individuals who are
immunocompromised, including those with active cancer or undergoing
chemotherapy. This client should be removed from the line for medical
counseling due to the risk of severe adverse reactions.
,**5. A registered nurse is teaching a student nurse regarding the
interventions for a client with human immunodeficiency virus (HIV) infection.
Which statement by the student nurse indicates the nurse needs to follow
up?**
A) "I will ask the client to avoid involvement in community activities."
B) "I will encourage the client to adhere to the antiretroviral regimen."
C) "I will teach the client about safe sex practices."
D) "I will monitor the client's CD4 count and viral load."
Correct Answer: "I will ask the client to avoid involvement in community
activities."
Rationale: Clients with HIV should not be isolated from community activities.
They can participate in normal activities as long as they practice standard
precautions. Encouraging isolation is stigmatizing and not supported by
evidence.
**6. Which medications act by binding with integrase enzyme and prevent
human immunodeficiency virus (HIV) from incorporating its genetic material
into the client's cell? Select all that apply.**
A) Raltegravir
B) Elvitegravir
C) Zidovudine
D) Efavirenz
Correct Answer: Raltegravir; Elvitegravir
Rationale: Raltegravir and Elvitegravir are integrase inhibitors that block the
HIV integrase enzyme, preventing the viral DNA from integrating into the
host cell's genome. Zidovudine is a nucleoside reverse transcriptase
inhibitor, and Efavirenz is a non-nucleoside reverse transcriptase inhibitor.
, **7. A client presents with a localized bacterial infection of mucous
membranes. Which organism is most likely responsible for this condition in
the client?**
A) Corynebacterium diphtheriae
B) Staphylococcus aureus
C) Streptococcus pyogenes
D) Pseudomonas aeruginosa
Correct Answer: Corynebacterium diphtheriae
Rationale: Corynebacterium diphtheriae is the bacterium responsible for
diphtheria, which causes a localized infection of the mucous membranes,
particularly in the respiratory tract, leading to the formation of a
pseudomembrane.
**8. A client presents to the emergency department with shortness of breath,
bloody sputum, weight gain, generalized edema, and a blood pressure of
150/110. The nurse reviews the client's laboratory results and determines
that the client has impaired renal function. Which diagnosis will the nurse
most likely observe written in the client's electronic medical record?**
A) Goodpasture syndrome
B) Glomerulonephritis
C) Nephrotic syndrome
D) Pyelonephritis
Correct Answer: Goodpasture syndrome
Rationale: Goodpasture syndrome is a rare autoimmune disorder
characterized by the presence of antibodies that attack the basement
