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1. A nurse is teaching a group of older adults about expected age-related changes.
Which of the following statements by a group member indicates that the teaching
has been effective?
A. "I should expect my heart rate to take longer to return to normal after exercise
as I get older."
B. "Urinary incontinence is something I will have to live with as I grow older."
C. "I can expect to have less ear wax as I get older."
D. "My stomach will empty more quickly after meals as I grow older."
- Correct Answer: A. "I should expect my heart rate to take longer to return to
normal after exercise as I get older.
2. A nurse is assessing a client. Which of the following findings should the nurse
identify as an indication of protein-calorie malnourishment? (SATA)
A. Gingivitis
B. Dry, brittle hair
C. Edema
D. Spoon-shaped nails
E. Poor wound healing
- Correct Answer: B. Dry, brittle hair
C. Edema
E. Poor wound healing
, 3. A nurse is assessing a client's thyroid gland. Which of the following instructions
should the nurse give the client before inspecting and palpating this gland?
A. "Tilt your head slightly forward."
B. "Keep your head straight and look ahead of you."
C. "Tilt your head back and swallow."
D. "Turn your head to the side against my hand."
- Correct Answer: C. "Tilt your head back and swallow."
4. A nurse is providing discharge teaching for a client who has type 2 diabetes
mellitus and will be caring for herself at home. The client expresses concerns
about preparing an appropriate diet for her diabetes due to her cultural beliefs
and preferences. Which of the following responses should the nurse offer?
A. "The home health dietitian will visit and help you learn to cook all over again."
B. "The dietitian will give you a list of foods and dietary choices to keep your
diabetes under control."
C. "The dietitian will help you choose foods you are used to that also meet your
health needs."
D. "It may be difficult, but I know you can change your eating and cooking habits
with some help from the dietitian."
- Correct Answer: C. "The dietitian will help you choose foods you are used to
that also meet your health needs."
5. A nurse is caring for an older adult client who becomes agitated when the nurse
requests that the client's dentures be removed prior to surgery. Which of the
following responses should the nurse provide?
A. "It's for your safety. Dentures can slip and block your airway during surgery."
B. "You wouldn't want your teeth to be lost or broken during surgery, would you?"
C. "The anesthesiologist requires all clients to remove their dentures."
D. "What worries you about being without your teeth?"
- Correct Answer: D. "What worries you about being without your teeth?"
6. A nurse is planning to insert a nasogastric tube for client after explaining the
procedure. The client states, "You are not putting that hose down my throat."