The nurse is caring for an older adult who is at high risk for skin breakdown. Which is
the best method for the nurse to determine if the plan of care for this client is
effective?
a. Reviewing the documentation of the client's turn schedule
b. Turning the client at least every 2 hours around the clock
c. Assessing the client's skin for pressure ulcers every shift
d. Completing a nutritional assessment to determine protein needs
Give this one a try later!
c. Assessing the client's skin for pressure ulcers every shift
The best way to determine if the plan of care to prevent skin breakdown is
effective is to actually assess the client's skin. Reviewing documentation
and completing a nutritional assessment will not likely give a complete
picture. Turning the client every 2 hours is an intervention, not a method of
evaluating the effectiveness of care.
,An older client who resides in a long-term care facility is hearing-impaired. How
should the practical nurse (PN) modify interventions for this client?
a. Turn off the client's television and speak very loudly.
b. Communicate in writing whenever it is possible.
c. Speak very slowly while exaggerating each word.
d. Face the client and speak in a normal tone of voice.
Give this one a try later!
d. Face the client and speak in a normal tone of voice.
A hearing-impaired client frequently relies on lip reading and body
language to determine what is being said, so face the client and speak in a
normal tone of voice.
The practical nurse (PN) assesses the older adult client's skin for signs of breakdown
and observes that the skin is intact. What interventions by the PN will help maintain
healthy skin integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the skin.
c. Avoid creams or lotions to ensure that the skin stays dry.
d. Scrub the perineum with a wet cloth after a bowel movement.
Give this one a try later!
a. Keep the client well hydrated.
Keeping the client well hydrated helps prevent skin cracking and infection.
,The practical nurse (PN) facilitates an exercise program for older adult clients with
type 2 diabetes. Which are the most beneficial outcomes that the clients may
experience as a result of participating in the program?
Select all that apply.)
a. Improved circulation
b. Decreased total cholesterol
c. Reduced cardiovascular risks
d. Eliminated need for a diabetic diet
e. Increased insulin resistance and glucose tolerance
Give this one a try later!
a. Improved circulation
b. Decreased total cholesterol
c. Reduced cardiovascular risks
Benefits of exercise for the diabetic client include improved circulation,
decreased total cholesterol, and reduced cardiovascular risks.
The nurse is meeting with a group of older adults to encourage the adults to
incorporate exercise into their healthy lifestyle. Which type of exercise should the
nurse encourage this group to undertake?
a. Walking on a daily basis
b. Jogging, but only weekly
c. Sprinting, but only on weekends
d. Exercise is rarely recommended for older adults
Give this one a try later!
a. Walking on a daily basis
Exercise for older adults should be regular and low impact. Daily walking
, fits this criterion. Weekly or weekend only exercise is not frequent enough.
Most health older adults can perform some type of increased activity.
The practical nurse (PN) is caring for an older client diagnosed with Alzheimer
dementia. Which behavior by the client should the PN be the most concerned about?
a. Climbing out of bed
b. Refusing to change clothes
c. Wandering into other clients' rooms
d. Eating food off of other clients' trays
Give this one a try later!
a. Climbing out of bed
The client who is confused is at high risk for falling; thus, climbing out of
bed increases the risk of injury from a fall.
An older client at a long-term care facility is to be monitored for early signs of
pneumonia. The practical nurse's (PN) observation of the client will most likely show
which early sign(s)/symptom(s)? (Select all that apply.)
a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea
Give this one a try later!
c. Tachycardia
d. Confusion
e. Tachypnea
The onset of pneumonia in the older adult may be signaled by general
the best method for the nurse to determine if the plan of care for this client is
effective?
a. Reviewing the documentation of the client's turn schedule
b. Turning the client at least every 2 hours around the clock
c. Assessing the client's skin for pressure ulcers every shift
d. Completing a nutritional assessment to determine protein needs
Give this one a try later!
c. Assessing the client's skin for pressure ulcers every shift
The best way to determine if the plan of care to prevent skin breakdown is
effective is to actually assess the client's skin. Reviewing documentation
and completing a nutritional assessment will not likely give a complete
picture. Turning the client every 2 hours is an intervention, not a method of
evaluating the effectiveness of care.
,An older client who resides in a long-term care facility is hearing-impaired. How
should the practical nurse (PN) modify interventions for this client?
a. Turn off the client's television and speak very loudly.
b. Communicate in writing whenever it is possible.
c. Speak very slowly while exaggerating each word.
d. Face the client and speak in a normal tone of voice.
Give this one a try later!
d. Face the client and speak in a normal tone of voice.
A hearing-impaired client frequently relies on lip reading and body
language to determine what is being said, so face the client and speak in a
normal tone of voice.
The practical nurse (PN) assesses the older adult client's skin for signs of breakdown
and observes that the skin is intact. What interventions by the PN will help maintain
healthy skin integrity?
a. Keep the client well hydrated.
b. Remove adhesive tape quickly from the skin.
c. Avoid creams or lotions to ensure that the skin stays dry.
d. Scrub the perineum with a wet cloth after a bowel movement.
Give this one a try later!
a. Keep the client well hydrated.
Keeping the client well hydrated helps prevent skin cracking and infection.
,The practical nurse (PN) facilitates an exercise program for older adult clients with
type 2 diabetes. Which are the most beneficial outcomes that the clients may
experience as a result of participating in the program?
Select all that apply.)
a. Improved circulation
b. Decreased total cholesterol
c. Reduced cardiovascular risks
d. Eliminated need for a diabetic diet
e. Increased insulin resistance and glucose tolerance
Give this one a try later!
a. Improved circulation
b. Decreased total cholesterol
c. Reduced cardiovascular risks
Benefits of exercise for the diabetic client include improved circulation,
decreased total cholesterol, and reduced cardiovascular risks.
The nurse is meeting with a group of older adults to encourage the adults to
incorporate exercise into their healthy lifestyle. Which type of exercise should the
nurse encourage this group to undertake?
a. Walking on a daily basis
b. Jogging, but only weekly
c. Sprinting, but only on weekends
d. Exercise is rarely recommended for older adults
Give this one a try later!
a. Walking on a daily basis
Exercise for older adults should be regular and low impact. Daily walking
, fits this criterion. Weekly or weekend only exercise is not frequent enough.
Most health older adults can perform some type of increased activity.
The practical nurse (PN) is caring for an older client diagnosed with Alzheimer
dementia. Which behavior by the client should the PN be the most concerned about?
a. Climbing out of bed
b. Refusing to change clothes
c. Wandering into other clients' rooms
d. Eating food off of other clients' trays
Give this one a try later!
a. Climbing out of bed
The client who is confused is at high risk for falling; thus, climbing out of
bed increases the risk of injury from a fall.
An older client at a long-term care facility is to be monitored for early signs of
pneumonia. The practical nurse's (PN) observation of the client will most likely show
which early sign(s)/symptom(s)? (Select all that apply.)
a. Fever
b. Abnormal breath sounds
c. Tachycardia
d. Confusion
e. Tachypnea
Give this one a try later!
c. Tachycardia
d. Confusion
e. Tachypnea
The onset of pneumonia in the older adult may be signaled by general
