• NURS 5461 Exam 09/11/2026
NURS 5461 / NURS5461 (Latest Update 2026 /
2027) Adult Gerontology 3 Management Across
the Continuum of Care | Questions & Answers |
Grade A | 100% Correct - UTA
An older resident is newly admitted to an assisted living community. Which actions should the registered nurse
(RN) implement to provide the resident ways to maintain safe medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness - Correct Answer :(A), (B), (D), (E)
Rationale: (A, B, D and E) are correct. For safe self-medication in an assisted living community, the resident
should be provided a locked storage box (A), create a medication administration record to monitor medication
P 1
, • NURS 5461 Exam 09/11/2026
(B), establish adequate medication supply (D) and a reference to evaluate the effectiveness of medications (E).
(C) is not the responsibility of the nurse.
An older male client is seeking counseling about his recent sexual issues with his partner. What issue should the
registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients - Correct Answer :(A) Certain medications may
impact sexual function
Rationale: Certain medications can have a direct influence on sexual function and should be discussed with older
clients (A). (B) does not have drastic effects for older male clients. Some men may experience a decline in
testosterone and sperm production, but sexual dysfunction is not a part of normal aging in the male client. The
incidence of STIs has increased and may be related to a lack of education for this age group about preventative
measures (C). Older clients continue to have interest in sex (D) as long as there is not a direct influence of
medication side effects that cause sexual dysfunction
An older male client with Parkinson's disease (PD) is discharged home with levodopa-carbidopa (Sinemet) and
instructions to his wife for his care. What statement best indicates to the registered nurse (RN) that the wife
understands her husband's needs?
A. "It is important to keep my husband in a chair or in bed as much as possible and prevent him from falling."
B. "I will notify the healthcare provider if my husband has increasing involuntary movements of his extremities."
C. "Since it is difficult for my husband to eat, we should stay in the house instead of going out to dine."
D. "I should expect that my husband will be incontinent of bowel and bladder as his disease advances." - Correct
Answer :(B) "I will notify the healthcare provider if my husband has increasing involuntary movements of his
extremities."
Rationale: Increasing involuntary movements (B) should be reported during the use of levodopa; it is an
indicator that the body is failing to readjust to the changes in the level of the intracerebral neurotransmitter
dopamine. The client should be encouraged to engage in exercise and regular daily activities (A). Socialization
and activities as tolerated help to prevent the client from becoming depressed, so (C) is not indicated. Clients
with PD usually are constipated due to muscle weakness, lack of exercise, and decreased fluid intake, but
incontinence should not be an expectation related to PD.
P 2
, • NURS 5461 Exam 09/11/2026
A frail elderly woman visits the healthcare provider because she has been getting out of breath easily when
walking long distances. Which pulmonary function change should the registered nurse (RN) expect to commonly
occur with aging?
A. Decreased residual volume
B. Mild respiratory acidosis
C. Reduced vital capacity
D. Increased alveoli function - Correct Answer :(C) Reduced vital capacity
Rationale: With aging, a frail elder is likely to have a reduced vital capacity (C) due to the loss of elasticity of the
lung tissue. With reduced elasticity, residual volume increases (A). Arterial pH should not change with normal
aging (B). A decrease, rather than an increase, in alveoli function (D) can occur due to a thinning of the alveolar
walls with age.
The registered nurse (RN) is assigned to the care of an older client with venous stasis ulcers. A primary goal in
the client's plan of care is to decrease swelling in the extremities. What action should the RN take to meet this
goal?
A. Elevate the legs on pillows
B. Decrease fluid intake
C. Decrease salt intake in diet
D. Increase protein intake in diet - Correct Answer :(A) Elevate the legs on pillows
Rationale: Venous insufficiency is causing intravenous fluids to move into the interstitial spaces, causing edema.
To promote gravity drainage, the extremities should be elevated (A). (B) may not decrease the edema, which is
due to the inability to mobilize stagnated venous blood. Dietary changes, such as (C and D) may be
recommended if prescribed dietary changes are in place, but the underlying etiology is venous insufficiency.
An older male client asks the registered nurse (RN) how he can reduce his incidents of hemorrhoidal flare ups.
What information should the RN offer the client about how to prevent rectal discomfort? (Select all that apply.)
A. Increase fiber and liquids in the diet to help prevent constipation and straining
B. Change exercise program to reflect less cardio-exercise and more weight training
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting
D. Take frequent warm sits baths and do not use abrasive paper that can traumatize tissues
P 3
, • NURS 5461 Exam 09/11/2026
E. Establish bowel habits by scheduling daily time to defecate when the client is not rushed - Correct Answer
:(A), (C), (D) and (E)
Rationale: (A, C, D and E) are correct. Fluids, comfort measures, and establishment of a regular bowel pattern
help reduce incidents of hemorrhoid inflammation. Weight training can aggravate hemorrhoids and is not
effective in reducing hemorrhoid irritation.
When assessing an older client, which age-related changes in the cardiovascular system should the registered
nurse (RN) document? (Select all that apply.)
A. Dyspnea
B. Chest pain
C. Cardiac murmurs
D. Widening pulse pressure
E. Irregular heart rate - Correct Answer :(C), (D)
Rationale: For older clients, the expected age-related changes in the cardiovascular system include murmurs (C)
and widening pulse pressure (D). (A, B and E) are not normal findings and require further evaluation.
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which observation
should the RN evaluate as a therapeutic response with the removal of the dry dressing?
A. Debridement and removal of slough and eschar
B. Drainage of purulent exudate from the wound
C. Moist skin edges around the wound field
D. Presence of capillary growth in the wound - Correct Answer :(A) Debridement and removal of slough and
eschar
Rationale: Wet to dry dressings begin with a wet packing inside of the wound, and then a dry gauze is used to
cover the wet packing to wick drainage and bacteria away from the wound to promote healing. Removal of
dried dressing provides debridement by removing exudate, sloughing tissue, and eschar (A). (B) is evidence of
an infection. (C) is indicative of continuous moisture that is causing the skin edges of the wound to be vulnerable
to further damage. (D) is manifested by a pink environment with serosanguineous fluid.
P 4
NURS 5461 / NURS5461 (Latest Update 2026 /
2027) Adult Gerontology 3 Management Across
the Continuum of Care | Questions & Answers |
Grade A | 100% Correct - UTA
An older resident is newly admitted to an assisted living community. Which actions should the registered nurse
(RN) implement to provide the resident ways to maintain safe medication administration? (Select all that apply.)
A. Locked medication storage in the client's room
B. Medication administration record (MAR)
C. Payment forms for prescribed medications
D. Delivery of adequate supply of medication
E. List of findings indicating medication effectiveness - Correct Answer :(A), (B), (D), (E)
Rationale: (A, B, D and E) are correct. For safe self-medication in an assisted living community, the resident
should be provided a locked storage box (A), create a medication administration record to monitor medication
P 1
, • NURS 5461 Exam 09/11/2026
(B), establish adequate medication supply (D) and a reference to evaluate the effectiveness of medications (E).
(C) is not the responsibility of the nurse.
An older male client is seeking counseling about his recent sexual issues with his partner. What issue should the
registered nurse (RN) explore in this discussion?
A. Certain mediations may impact sexual function
B. Normal aging affects sexual function in male clients
C. Safe sex is not necessary with older sexually active elders
D. Sexual interest usually declines with aging in male clients - Correct Answer :(A) Certain medications may
impact sexual function
Rationale: Certain medications can have a direct influence on sexual function and should be discussed with older
clients (A). (B) does not have drastic effects for older male clients. Some men may experience a decline in
testosterone and sperm production, but sexual dysfunction is not a part of normal aging in the male client. The
incidence of STIs has increased and may be related to a lack of education for this age group about preventative
measures (C). Older clients continue to have interest in sex (D) as long as there is not a direct influence of
medication side effects that cause sexual dysfunction
An older male client with Parkinson's disease (PD) is discharged home with levodopa-carbidopa (Sinemet) and
instructions to his wife for his care. What statement best indicates to the registered nurse (RN) that the wife
understands her husband's needs?
A. "It is important to keep my husband in a chair or in bed as much as possible and prevent him from falling."
B. "I will notify the healthcare provider if my husband has increasing involuntary movements of his extremities."
C. "Since it is difficult for my husband to eat, we should stay in the house instead of going out to dine."
D. "I should expect that my husband will be incontinent of bowel and bladder as his disease advances." - Correct
Answer :(B) "I will notify the healthcare provider if my husband has increasing involuntary movements of his
extremities."
Rationale: Increasing involuntary movements (B) should be reported during the use of levodopa; it is an
indicator that the body is failing to readjust to the changes in the level of the intracerebral neurotransmitter
dopamine. The client should be encouraged to engage in exercise and regular daily activities (A). Socialization
and activities as tolerated help to prevent the client from becoming depressed, so (C) is not indicated. Clients
with PD usually are constipated due to muscle weakness, lack of exercise, and decreased fluid intake, but
incontinence should not be an expectation related to PD.
P 2
, • NURS 5461 Exam 09/11/2026
A frail elderly woman visits the healthcare provider because she has been getting out of breath easily when
walking long distances. Which pulmonary function change should the registered nurse (RN) expect to commonly
occur with aging?
A. Decreased residual volume
B. Mild respiratory acidosis
C. Reduced vital capacity
D. Increased alveoli function - Correct Answer :(C) Reduced vital capacity
Rationale: With aging, a frail elder is likely to have a reduced vital capacity (C) due to the loss of elasticity of the
lung tissue. With reduced elasticity, residual volume increases (A). Arterial pH should not change with normal
aging (B). A decrease, rather than an increase, in alveoli function (D) can occur due to a thinning of the alveolar
walls with age.
The registered nurse (RN) is assigned to the care of an older client with venous stasis ulcers. A primary goal in
the client's plan of care is to decrease swelling in the extremities. What action should the RN take to meet this
goal?
A. Elevate the legs on pillows
B. Decrease fluid intake
C. Decrease salt intake in diet
D. Increase protein intake in diet - Correct Answer :(A) Elevate the legs on pillows
Rationale: Venous insufficiency is causing intravenous fluids to move into the interstitial spaces, causing edema.
To promote gravity drainage, the extremities should be elevated (A). (B) may not decrease the edema, which is
due to the inability to mobilize stagnated venous blood. Dietary changes, such as (C and D) may be
recommended if prescribed dietary changes are in place, but the underlying etiology is venous insufficiency.
An older male client asks the registered nurse (RN) how he can reduce his incidents of hemorrhoidal flare ups.
What information should the RN offer the client about how to prevent rectal discomfort? (Select all that apply.)
A. Increase fiber and liquids in the diet to help prevent constipation and straining
B. Change exercise program to reflect less cardio-exercise and more weight training
C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting
D. Take frequent warm sits baths and do not use abrasive paper that can traumatize tissues
P 3
, • NURS 5461 Exam 09/11/2026
E. Establish bowel habits by scheduling daily time to defecate when the client is not rushed - Correct Answer
:(A), (C), (D) and (E)
Rationale: (A, C, D and E) are correct. Fluids, comfort measures, and establishment of a regular bowel pattern
help reduce incidents of hemorrhoid inflammation. Weight training can aggravate hemorrhoids and is not
effective in reducing hemorrhoid irritation.
When assessing an older client, which age-related changes in the cardiovascular system should the registered
nurse (RN) document? (Select all that apply.)
A. Dyspnea
B. Chest pain
C. Cardiac murmurs
D. Widening pulse pressure
E. Irregular heart rate - Correct Answer :(C), (D)
Rationale: For older clients, the expected age-related changes in the cardiovascular system include murmurs (C)
and widening pulse pressure (D). (A, B and E) are not normal findings and require further evaluation.
The home health registered nurse (RN) is changing an older client's wet to dry dressing. Which observation
should the RN evaluate as a therapeutic response with the removal of the dry dressing?
A. Debridement and removal of slough and eschar
B. Drainage of purulent exudate from the wound
C. Moist skin edges around the wound field
D. Presence of capillary growth in the wound - Correct Answer :(A) Debridement and removal of slough and
eschar
Rationale: Wet to dry dressings begin with a wet packing inside of the wound, and then a dry gauze is used to
cover the wet packing to wick drainage and bacteria away from the wound to promote healing. Removal of
dried dressing provides debridement by removing exudate, sloughing tissue, and eschar (A). (B) is evidence of
an infection. (C) is indicative of continuous moisture that is causing the skin edges of the wound to be vulnerable
to further damage. (D) is manifested by a pink environment with serosanguineous fluid.
P 4
