The home health nurse is discussing health insurance options with a patient who now quali-
fies for Medicare. The patient suffers from multiple sclerosis and requires frequent hospitali-
zations, doctor visits, and physical and occupational therapy. However, the patient chooses
to use herbal and folk remedies rather than prescription medications. The nurse should rec-
ommend which Medicare plan(s) to this patient - ANSWER Part A,B,C
The patient with Medicare part B coverage must undergo physical, speech and occupational
therapy that will cost $14,750. How much will the patient's out-of-pocket costs be for this
treatment? - ANSWER $2950 (20%)
The nurse in the long term care facility knows the residents for whom she cares must be able
to coordinate which systems in order to safely participate in physical activity? - ANSWER
-Neurologic
-Respiratory
-Cardiovascular
-Musculoskeletal
The nurse knows which patients are at an increased risk for erectile dysfunction? - AN-
SWER -54-year-old man with diabetes
-48-year-old man with depression
-62 year old with uncontrolled hypertension
The wife of a patient who recently suffered a cerebrovascular accident expresses concern to
the nurse regarding her husband's ability to have sexual intercourse following the stroke.
What is the best response by the nurse - ANSWER Although you and your husband may
need to use special positioning and equipment, you should be able to continue having an in-
timate relationship.
1
,The patient is undergoing menopausal hormone replacement therapy for relief of menopau-
sal symptoms. The nurse knows it s vital to educate the patient to undergo which tests each
year? - ANSWER -pap smear
-mammogram
The nurse caring for older adults knows thinning of capillary walls is a common age-related
change and anticipates this change to manifest in which manner? - ANSWER bruising
The nurse is contributing to the admission assessment of a bedbound patient with dark skin.
The nurse knows which is the best way to assess for pressure injuries in this patient? - AN-
SWER using a halogen light
The nurse is contributing to the admission assessment of an individual who recently arrived
at the long term care facility. Which observation indicates the presence of scabies? - AN-
SWER Fine, wavy lines along the skin and complaints of itching
The nurse knows preserving skin integrity is vital for preventing which potentially life-threat-
ening complication? - ANSWER Infection
The nurse is contributing to the admission assessment of an older adult patient. Which scale
would be most appropriate for assessing this patient's risk for skin breakdown? - AN-
SWER Braden
The aging patient in the clinic reports that, over a period of two weeks, he lost his hair.
Which term should the nurse use to chart this information? - ANSWER Alopecia
The nurse is assessing an older adult male patient and notes the patient lacks hair on the
lower legs and feet. What should the nurse do first? - ANSWER Palpate for pedal pulses
2
,The nurse knows which characteristics increase a patient's risk for developing a pressure in-
jury? - ANSWER -cognitive impairment
-obesity
The nurse in the long term care facility knows patients with which disorders require regular
appointments with a foot care specialist? - ANSWER -Peripheral arterial insufficiency
-Peripheral vascular disease
-diabetes
The nurse is reviewing the admission assessment of an older adult prior to beginning the
shift. Which assessment data would alert the nurse to altered peripheral circulation? - AN-
SWER -1+ pulses bilaterally
-Thin, sparse hair on lower legs
-Peripheral edema score of 3
The patient presents to the clinic experiencing joint stiffness, swelling, and pain. The nurse
knows which age-related change leads to the development of arthritis? - ANSWER -Loss
of cartilage
The nurse knows the age-related decrease in which ability results in the patient's increased
risk for falling? - ANSWER Agility
The older adult patient with osteoarthritis and limited mobility reports to the nurse that she
would like to begin an exercise program but is unsure of how to do so safely. The nurse
should recommend a referral to which professional? - ANSWER PT
The patient tells the nurse she is concerned about osteoporosis. Which type of exercise
should the nurse recommend? - ANSWER weight bearing
3
, The nurse is providing education to a female patient on the prevention of osteoporosis. The
patient would exhibit an understanding of the education by stating she will use which exer-
cise equipment at the gym? - ANSWER Treadmill
The nurse knows which condition decreases a patient's activity tolerance due to decreased
distribution of oxygen to body tissue? - ANSWER Pneumonia
The patient reports intense cramping in his calf muscles while walking that improves when
he sits down. The nurse suspects which condition? - ANSWER Intermittent claudication
The nurse is caring for a patient with cardiac problems who is to begin an exercise regimen.
The nurse knows to instruct the patient to breathe through the mouth to prevent which
complication? - ANSWER Valsalva maneuver
The nurse has been instructed to facilitate the patient performing isotonic exercises while
immobile. The nurse knows these include which exercises? - ANSWER -Using the over-
head trapeze to lift the body off the mattress.
-Alternately press toes on each foot against the footboard.
-Pressing hands against the mattress.
-Pressing feet against the footboard to lift the buttocks
The patient complains to the nurse, "I go to sleep early to make sure I get enough sleep, but
no matter how long I sleep, I still don't feel rested like I did when I was younger." The nurse
bases the response on which age-related change? - ANSWER Stages 3 and 4 take up less
of the sleep cycle
The nurse who cares for predominantly older individuals frequently hears the patients re-
port they get tired earlier in the evening and wake earlier in the morning than they used to
when they were younger. The nurse knows this is caused by which phenomenon? - AN-
SWER Phase advance
4
fies for Medicare. The patient suffers from multiple sclerosis and requires frequent hospitali-
zations, doctor visits, and physical and occupational therapy. However, the patient chooses
to use herbal and folk remedies rather than prescription medications. The nurse should rec-
ommend which Medicare plan(s) to this patient - ANSWER Part A,B,C
The patient with Medicare part B coverage must undergo physical, speech and occupational
therapy that will cost $14,750. How much will the patient's out-of-pocket costs be for this
treatment? - ANSWER $2950 (20%)
The nurse in the long term care facility knows the residents for whom she cares must be able
to coordinate which systems in order to safely participate in physical activity? - ANSWER
-Neurologic
-Respiratory
-Cardiovascular
-Musculoskeletal
The nurse knows which patients are at an increased risk for erectile dysfunction? - AN-
SWER -54-year-old man with diabetes
-48-year-old man with depression
-62 year old with uncontrolled hypertension
The wife of a patient who recently suffered a cerebrovascular accident expresses concern to
the nurse regarding her husband's ability to have sexual intercourse following the stroke.
What is the best response by the nurse - ANSWER Although you and your husband may
need to use special positioning and equipment, you should be able to continue having an in-
timate relationship.
1
,The patient is undergoing menopausal hormone replacement therapy for relief of menopau-
sal symptoms. The nurse knows it s vital to educate the patient to undergo which tests each
year? - ANSWER -pap smear
-mammogram
The nurse caring for older adults knows thinning of capillary walls is a common age-related
change and anticipates this change to manifest in which manner? - ANSWER bruising
The nurse is contributing to the admission assessment of a bedbound patient with dark skin.
The nurse knows which is the best way to assess for pressure injuries in this patient? - AN-
SWER using a halogen light
The nurse is contributing to the admission assessment of an individual who recently arrived
at the long term care facility. Which observation indicates the presence of scabies? - AN-
SWER Fine, wavy lines along the skin and complaints of itching
The nurse knows preserving skin integrity is vital for preventing which potentially life-threat-
ening complication? - ANSWER Infection
The nurse is contributing to the admission assessment of an older adult patient. Which scale
would be most appropriate for assessing this patient's risk for skin breakdown? - AN-
SWER Braden
The aging patient in the clinic reports that, over a period of two weeks, he lost his hair.
Which term should the nurse use to chart this information? - ANSWER Alopecia
The nurse is assessing an older adult male patient and notes the patient lacks hair on the
lower legs and feet. What should the nurse do first? - ANSWER Palpate for pedal pulses
2
,The nurse knows which characteristics increase a patient's risk for developing a pressure in-
jury? - ANSWER -cognitive impairment
-obesity
The nurse in the long term care facility knows patients with which disorders require regular
appointments with a foot care specialist? - ANSWER -Peripheral arterial insufficiency
-Peripheral vascular disease
-diabetes
The nurse is reviewing the admission assessment of an older adult prior to beginning the
shift. Which assessment data would alert the nurse to altered peripheral circulation? - AN-
SWER -1+ pulses bilaterally
-Thin, sparse hair on lower legs
-Peripheral edema score of 3
The patient presents to the clinic experiencing joint stiffness, swelling, and pain. The nurse
knows which age-related change leads to the development of arthritis? - ANSWER -Loss
of cartilage
The nurse knows the age-related decrease in which ability results in the patient's increased
risk for falling? - ANSWER Agility
The older adult patient with osteoarthritis and limited mobility reports to the nurse that she
would like to begin an exercise program but is unsure of how to do so safely. The nurse
should recommend a referral to which professional? - ANSWER PT
The patient tells the nurse she is concerned about osteoporosis. Which type of exercise
should the nurse recommend? - ANSWER weight bearing
3
, The nurse is providing education to a female patient on the prevention of osteoporosis. The
patient would exhibit an understanding of the education by stating she will use which exer-
cise equipment at the gym? - ANSWER Treadmill
The nurse knows which condition decreases a patient's activity tolerance due to decreased
distribution of oxygen to body tissue? - ANSWER Pneumonia
The patient reports intense cramping in his calf muscles while walking that improves when
he sits down. The nurse suspects which condition? - ANSWER Intermittent claudication
The nurse is caring for a patient with cardiac problems who is to begin an exercise regimen.
The nurse knows to instruct the patient to breathe through the mouth to prevent which
complication? - ANSWER Valsalva maneuver
The nurse has been instructed to facilitate the patient performing isotonic exercises while
immobile. The nurse knows these include which exercises? - ANSWER -Using the over-
head trapeze to lift the body off the mattress.
-Alternately press toes on each foot against the footboard.
-Pressing hands against the mattress.
-Pressing feet against the footboard to lift the buttocks
The patient complains to the nurse, "I go to sleep early to make sure I get enough sleep, but
no matter how long I sleep, I still don't feel rested like I did when I was younger." The nurse
bases the response on which age-related change? - ANSWER Stages 3 and 4 take up less
of the sleep cycle
The nurse who cares for predominantly older individuals frequently hears the patients re-
port they get tired earlier in the evening and wake earlier in the morning than they used to
when they were younger. The nurse knows this is caused by which phenomenon? - AN-
SWER Phase advance
4
