EXAMS 1-4
Geriatric Nursing
200 Actual Questions with Correct Answers
Galen College of Nursing
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This document contains a collection of 200
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Rationales.
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NU 176 - EXAMS 1-4 - Geriatric Nursing - 200 Actual Questions with Correct Ans
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,Table of Contents
NU 176 Exam 1 ...................................................................... 2
NU 176 Exam 2 .................................................................... 28
NU 176 Exam 3 .................................................................... 51
NU 176 Exam 4 .................................................................... 71
NU 176 Exam 1
1. The nurse is caring for an older adult client who refuses to take their
medication. A short time later, the nurse returns, offers the medication again and
the client takes the medication. Which of the following factors influencing
transitional outcomes applies to this client's situation?
A. Degree of choice
B. Degree of knowledge
C. Degree of perceived loss
D. Degree of social support
Correct Answer:
A. Degree of choice
Expert Rationale:
The degree of choice refers to the client's ability to make decisions about their own
care and environment. In this scenario, the client initially refused medication but later
accepted it when the nurse returned and offered it again. This demonstrates that the
client exercised autonomy and choice in the timing of taking their medication.
Respecting the older adult's right to make decisions about their care is a fundamental
principle of gerontological nursing and promotes positive transitional outcomes. The
nurse's willingness to return later and offer the medication again respects the client's
autonomy and supports their sense of control.
, Thenurse
2. The nurseisiscaring
caringfor
foranan older
older adult
adult client
client whowho is reporting
is reporting insomnia.
insomnia. Which
Which
following actions
of the following actionsshould
shouldthethenurse
nurse perform
perform first?
first?
A. Administer
A. Administer aaprescribed
prescribedsleepsleepmedication
medication
B. Educate
B. Educatethe
theclient
clientabout
aboutfoods
foodsand
andbeverages
beverages that
that can
can affect
affect sleep
sleep
C. Recommend
C. Recommendthe theclient
clienttake
takea a warm
warm bath
bath before
before bed
bed
D. Suggest
D. Suggestthe
theclient
clientread
reada abook
bookuntil
untilsleepy
sleepy
Correct Answer:
Correct Answer:
B. Educate
B. Educatethe
theclient
clientabout
aboutfoods
foods and
and beverages
beverages that
that cancan affect
affect sleep
sleep
Expert Rationale:
Expert Rationale:
When addressing
When addressinginsomnia
insomniaininolder
olderadults,
adults,the
thenurse
nurseshould
should first
first implement
implement non-
non-
pharmacological interventions.
pharmacological interventions.Education
Educationabout
aboutfoods
foodsand
andbeverages
beverages that
that affect
affect sleep
sleep
(such as
(such ascaffeine,
caffeine,alcohol,
alcohol,and
andheavy
heavy meals
meals close
close to bedtime)
to bedtime) is ais a foundational,
foundational, non-non-
invasive first
invasive first step.
step.Older
Olderadults
adultsareareparticularly
particularlysensitive
sensitive
toto medications
medications due
due to to altered
altered
pharmacokinetics (decreased
pharmacokinetics (decreasedliver
liverand
andkidney
kidney function),
function), soso non-pharmacological
non-pharmacological
approachesshould
approaches shouldalways
alwaysbe beattempted
attemptedbefore
beforemedication
medicationadministration.
administration.
Thenurse
3. The nurseisiscaring
caringfor
fora a client
client whowho works
works as as a nurse
a nurse on aon a medical-surgical
medical-surgical
The client
unit. The clienthad
hadspinal
spinalfusion
fusion surgery
surgery andand
hashas just
just learned
learned that
that performing
performing
cardiopulmonaryresuscitation
cardiopulmonary resuscitation(CPR)
(CPR) and
and walking
walking forfor
longlong periods
periods of time
of time will will
be be
contraindicated.Which
contraindicated. Whichofofthethefollowing
followingisis considered
considered thethe transitional
transitional moment
moment for for
client?
the client?
A. Learning
A. Learningabout
aboutthe
thesurgery
surgery
B. Limiting
B. Limiting postoperative
postoperativeactivities
activities
C. Returning
C. Returningtotowork
work
D. Discharge
D. Dischargefrom
fromthe
thehospital
hospital
Correct Answer:
Correct Answer:
B. Limiting
B. Limitingpostoperative
postoperativeactivities
activities
Expert Rationale:
Expert Rationale:
A transitional moment is is aa significant
significantevent
eventororrealization
realizationthat
thatcauses
causes a shift
a shift in in
a a
person's life
person's life trajectory
trajectory or
or self-concept.
self-concept.ForForthis
thisclient,
client, learning
learning that
that they
they can
can nono longer
longer
perform CPR
CPR or orwalk
walkfor
forlong
longperiods
periodsrepresents
representsa a fundamental
fundamental change
change in in their
their
professional identity
professional identity and
and daily
dailyfunctioning.
functioning.This
Thislimitation
limitationononpostoperative
postoperativeactivities
activities
constitutes thethe transitional
transitional moment
moment because
becauseititmarks
marksaapermanent
permanentchange
change inin the
the client's
client's
ability to perform their job as aa nurse.
nurse.