1. Patient with stage 4 heart failure, what symptom will you see?
a. Chronic shortness of breath
2. Patient with CAD (coronary artery disease) that is worsening, what symptoms would you
expect to see?
a. Excessive fatigue, unusual defecation patterns, dizziness
3. You are caring for a client diagnosed with asthma who is not responding to medication.
The client is concerned and asks the nurse “What’s wrong with me, why am I not getting
better?” What is the nurse’s best response?
a. There are many triggers for asthma that can make treatment difficult
4. You are caring for an older client diagnosed with pneumonia. They want to know how
this happened if they never had respiratory problems in the past. What response by the
nurse is appropriate?
a. Untreated dental caries or periodontal disease can make it easier for you to
develop pneumonia as a secondary infection.
5. You are providing education for an older adult who has hypertension. What statement
should the nurse include in the teaching?
a. You need to find a way to reduce stress and treat any underlying depression
Low sodium diet, exercise
6. You are caring for an older client. You are aware that the signs and symptoms of heart
failure in the older adult are:
a. Dyspnea and fatigue with exertion
7. Older adult client with COPD, tachycardic dysrhythmia and is being admitted for
nebulizer treatments and IV steroids and antibiotics. Which nursing diagnosis is the
priority for this client?
a. Impaired gas exchange as evidenced by…
8. An older adult with Heart Failure asks the nurse if they should get a pneumonia shot.
What is the best response by the nurse?
a. Yes, because with HF, you are at greater risk for complications
9. You are providing an in-service regarding age-related changes in the respiratory system
that puts older adults at risk for pneumonia. You should include which of the following in
this education?
a. Pulse rate over 125
, 10. Nurse attends a conference on heart disease. In preparing an in-service training, you
include that the pathophysiology of the myocardial infarction is?
a. Ischemia that completely blocks the delivery of oxygen to the heart muscle
11. You work in the ED. An older client is admitted with respiratory symptoms. Which
symptoms require you to intervene immediately?
a. Confusion
12. Nurse is assessing an older client and notes the BP reading is 150/88. The client reports
no other symptoms or medical history of illness. Which of the following instructions
should the nurse provide to the client?
a. You need to contact your PCP for further evaluation and treatment
13. The nurse is caring for a frail older client who has COPD. which of the following
instructions should the nurse include in the education?
a. Avoid indoor and outdoor pollutants.
14. Nurse is caring for an older client who has a pulmonary infection. What action should the
nurse take first?
a. Assess the client’s LOC
15. You are assessing a client who has pneumonia and notes decreased lung sounds on the
left side and decreased lung expansion. What is the best action by the nurse?
a. Check the O2 sat and notify the healthcare provider
16. You are teaching a 75 y/o client who has diabetes about nutrition therapy when taking
antidiabetic drugs. Which of the following of the client’s statements indicates a need for
additional teaching?
a. I should stick to the food allowed in my diet except for special occasions.
17. You are caring for an older client who has type 2 diabetes and a capillary blood glucose
level of 44. Which of the following is the nurse’s priority?
a. Give him 4 ounces of orange juice right away.
18. You are caring for a client who has diabetes and asks the nurse why it is necessary to
maintain blood glucose levels no lower than 60. Which of the following is the best
response by the nurse?
a. Your brain cannot store glucose and therefore, it requires a constant supply.
Hypoglycemic shock
19. You are providing care for an older client suspected of having type 2 diabetes. The
nurse is aware that which of the following is often the cause of delayed diagnosis in the
older adult population?
a. There are usually few, if any, symptoms until severe organ damage has been
done
a. Chronic shortness of breath
2. Patient with CAD (coronary artery disease) that is worsening, what symptoms would you
expect to see?
a. Excessive fatigue, unusual defecation patterns, dizziness
3. You are caring for a client diagnosed with asthma who is not responding to medication.
The client is concerned and asks the nurse “What’s wrong with me, why am I not getting
better?” What is the nurse’s best response?
a. There are many triggers for asthma that can make treatment difficult
4. You are caring for an older client diagnosed with pneumonia. They want to know how
this happened if they never had respiratory problems in the past. What response by the
nurse is appropriate?
a. Untreated dental caries or periodontal disease can make it easier for you to
develop pneumonia as a secondary infection.
5. You are providing education for an older adult who has hypertension. What statement
should the nurse include in the teaching?
a. You need to find a way to reduce stress and treat any underlying depression
Low sodium diet, exercise
6. You are caring for an older client. You are aware that the signs and symptoms of heart
failure in the older adult are:
a. Dyspnea and fatigue with exertion
7. Older adult client with COPD, tachycardic dysrhythmia and is being admitted for
nebulizer treatments and IV steroids and antibiotics. Which nursing diagnosis is the
priority for this client?
a. Impaired gas exchange as evidenced by…
8. An older adult with Heart Failure asks the nurse if they should get a pneumonia shot.
What is the best response by the nurse?
a. Yes, because with HF, you are at greater risk for complications
9. You are providing an in-service regarding age-related changes in the respiratory system
that puts older adults at risk for pneumonia. You should include which of the following in
this education?
a. Pulse rate over 125
, 10. Nurse attends a conference on heart disease. In preparing an in-service training, you
include that the pathophysiology of the myocardial infarction is?
a. Ischemia that completely blocks the delivery of oxygen to the heart muscle
11. You work in the ED. An older client is admitted with respiratory symptoms. Which
symptoms require you to intervene immediately?
a. Confusion
12. Nurse is assessing an older client and notes the BP reading is 150/88. The client reports
no other symptoms or medical history of illness. Which of the following instructions
should the nurse provide to the client?
a. You need to contact your PCP for further evaluation and treatment
13. The nurse is caring for a frail older client who has COPD. which of the following
instructions should the nurse include in the education?
a. Avoid indoor and outdoor pollutants.
14. Nurse is caring for an older client who has a pulmonary infection. What action should the
nurse take first?
a. Assess the client’s LOC
15. You are assessing a client who has pneumonia and notes decreased lung sounds on the
left side and decreased lung expansion. What is the best action by the nurse?
a. Check the O2 sat and notify the healthcare provider
16. You are teaching a 75 y/o client who has diabetes about nutrition therapy when taking
antidiabetic drugs. Which of the following of the client’s statements indicates a need for
additional teaching?
a. I should stick to the food allowed in my diet except for special occasions.
17. You are caring for an older client who has type 2 diabetes and a capillary blood glucose
level of 44. Which of the following is the nurse’s priority?
a. Give him 4 ounces of orange juice right away.
18. You are caring for a client who has diabetes and asks the nurse why it is necessary to
maintain blood glucose levels no lower than 60. Which of the following is the best
response by the nurse?
a. Your brain cannot store glucose and therefore, it requires a constant supply.
Hypoglycemic shock
19. You are providing care for an older client suspected of having type 2 diabetes. The
nurse is aware that which of the following is often the cause of delayed diagnosis in the
older adult population?
a. There are usually few, if any, symptoms until severe organ damage has been
done
