ELIOPOULOS GERONTOLOGICAL
NURSING EXAMS SET BUNDLED
QUESTIONS AND CORRECT ANSWERS
SUCCESS PACKAGE
●● An 80 yo patient is demonstrating confusion, dry skin, increased
body temp, weakness, dry brown tongue, concentrated urine. What
health problems do the patient's symptoms most likely indicate?
Answer: Dehydration
●● Origin: Chapter 34- Living in Harmony With Chronic Conditions, 1
Chapter: 34
Client Needs: A1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 457, Chronic Conditions and Older Adults
1. A nurse is well aware of the high incidence and prevalence of chronic
conditions among older adults. The nurse would recognize which of the
following phenomena as currently contributing to this high rate of
incidence? (Select all that apply.)
Answer: A) Longevity is increasing.
,B) Many previously fatal diseases are now treatable.
C) Increasing numbers of older adults can afford medical care.
D) Older adults have increased expectations for treatment.
E) New chronic conditions are being identified by medical researchers.
Ans: A, B
Feedback:
The combination of increased lifespan with the availability of treatment
options for previously fatal conditions has contributed to the increased
incidence of chronic conditions in the elderly. Answers C, D, and E are
not noted to contribute to the phenomenon.
●● abdominal pain
Answer: three pathways- pain impulses
visceral pain pathways
somatic (parietal pathways)
referral pathways
consider where pain is really coming from
●● The nurse is preparing to feed an older client suffering from
dysphagia. Which nursing measures are important to implement while
feeding this client? (Select all that apply.)
,a) Thicken liquids for easier swallowing.
b) Tilt client's head to the side and place food on tongue.
c) Elevate the head of bed 30 degrees.
d) Check for residual food in the mouth.
e) Talk to the client while eating to promote socialization.
Answer: a) Thicken liquids for easier swallowing.
b) Tilt client's head to the side and place food on tongue.
d) Check for residual food in the mouth.
Some general measures prove useful when feeding clients with
dysphagia: sit upright (not just 30 degrees); allow sufficient time for
eating; ensure there is no residual food in the mouth before offering
more; discourage the client from talking when eating; thickened liquids
may be beneficial; and tilting the head and placing food on a particular
part of the tongue may be recommended.
●● A medical nurse is aware that older adults tend to have a significantly
decreased rate of hepatic blood flow compared with younger adults.
What effect is this likely to have on pharmacokinetics and
pharmacodynamics in an older adult?
Answer: Drug clearance is likely to be slower.
●● Patients with GERD need to sit up for at least __ to prevent reflux
Answer: 1 hour
, ●● Origin: Chapter 34- Living in Harmony With Chronic Conditions, 2
Chapter: 34
Client Needs: A1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 457, Box 34-1
2. A nurse planning a health workshop for senior citizens wants to
provide discussion topics that will interest everyone. In a typical group
of seniors, which disorder will afflict the greatest number?
Answer: A) Hypertension
B) Hearing impairment
C) Heart condition
D) Arthritis
Ans: D
Feedback:
All these disorders are common in elderly people, but arthritis will
afflict almost half of them. More than one-third will have hypertension,
nearly one-third will have a hearing impairment, and more than one-
fourth will have a heart condition. These are the "top four" conditions a
nurse in this situation would want to present to the group.
NURSING EXAMS SET BUNDLED
QUESTIONS AND CORRECT ANSWERS
SUCCESS PACKAGE
●● An 80 yo patient is demonstrating confusion, dry skin, increased
body temp, weakness, dry brown tongue, concentrated urine. What
health problems do the patient's symptoms most likely indicate?
Answer: Dehydration
●● Origin: Chapter 34- Living in Harmony With Chronic Conditions, 1
Chapter: 34
Client Needs: A1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 457, Chronic Conditions and Older Adults
1. A nurse is well aware of the high incidence and prevalence of chronic
conditions among older adults. The nurse would recognize which of the
following phenomena as currently contributing to this high rate of
incidence? (Select all that apply.)
Answer: A) Longevity is increasing.
,B) Many previously fatal diseases are now treatable.
C) Increasing numbers of older adults can afford medical care.
D) Older adults have increased expectations for treatment.
E) New chronic conditions are being identified by medical researchers.
Ans: A, B
Feedback:
The combination of increased lifespan with the availability of treatment
options for previously fatal conditions has contributed to the increased
incidence of chronic conditions in the elderly. Answers C, D, and E are
not noted to contribute to the phenomenon.
●● abdominal pain
Answer: three pathways- pain impulses
visceral pain pathways
somatic (parietal pathways)
referral pathways
consider where pain is really coming from
●● The nurse is preparing to feed an older client suffering from
dysphagia. Which nursing measures are important to implement while
feeding this client? (Select all that apply.)
,a) Thicken liquids for easier swallowing.
b) Tilt client's head to the side and place food on tongue.
c) Elevate the head of bed 30 degrees.
d) Check for residual food in the mouth.
e) Talk to the client while eating to promote socialization.
Answer: a) Thicken liquids for easier swallowing.
b) Tilt client's head to the side and place food on tongue.
d) Check for residual food in the mouth.
Some general measures prove useful when feeding clients with
dysphagia: sit upright (not just 30 degrees); allow sufficient time for
eating; ensure there is no residual food in the mouth before offering
more; discourage the client from talking when eating; thickened liquids
may be beneficial; and tilting the head and placing food on a particular
part of the tongue may be recommended.
●● A medical nurse is aware that older adults tend to have a significantly
decreased rate of hepatic blood flow compared with younger adults.
What effect is this likely to have on pharmacokinetics and
pharmacodynamics in an older adult?
Answer: Drug clearance is likely to be slower.
●● Patients with GERD need to sit up for at least __ to prevent reflux
Answer: 1 hour
, ●● Origin: Chapter 34- Living in Harmony With Chronic Conditions, 2
Chapter: 34
Client Needs: A1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 457, Box 34-1
2. A nurse planning a health workshop for senior citizens wants to
provide discussion topics that will interest everyone. In a typical group
of seniors, which disorder will afflict the greatest number?
Answer: A) Hypertension
B) Hearing impairment
C) Heart condition
D) Arthritis
Ans: D
Feedback:
All these disorders are common in elderly people, but arthritis will
afflict almost half of them. More than one-third will have hypertension,
nearly one-third will have a hearing impairment, and more than one-
fourth will have a heart condition. These are the "top four" conditions a
nurse in this situation would want to present to the group.
