• NURS 5461 Exam 09/13/2026
NURS 5461 Quiz UPDATED ACTUAL Exam 2
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse assesses an older adult's overall respiratory function. Which of the following interview questions
would be most appropriate?
A) "Would you be interested in finding out more about environmental smoke?"
B) "Did either of your parents experience lung diseases?"
C)"Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?"
D) "What do you do to actively maintain your respiratory health?" - Correct Answer :Ans: C
P 1
, • NURS 5461 Exam 09/13/2026
The effects of air pollution are cumulative over many years. Thus, there is an increased impact on older adults
over their lifetimes. Hazards in the workplace were unregulated before 1970. Therefore, there are older adults
who have experienced cumulative and long-term effects from toxic substances
2. A 65-year-old client with a long-standing history of chronic obstructive pulmonary disease (COPD) was placed
recently on Coumadin after experiencing atrial fibrillation. Upon discharge from the hospital, which of the
following statements by the client indicates a need for further teaching?
A) "I will continue to use smokeless tobacco since it's a lot better than smoking."
B)"I will avoid using over-the-counter antihistamines since they can dry my mucosal secretions."
C)"I will watch my intake of dark green leafy vegetables since they may impact the effects of Coumadin."
D)"I will not take any herbal preparations without my health care provider's knowledge." - Correct Answer :Ans:
A
Smokeless tobacco is associated with mouth cancer, gingivitis, and tooth loss and may be carcinogenic to the
pancreas. The other noted actions are appropriate to the maintenance of health.
3. A 70-year-old client smoked for 30 years and has a history of COPD. The spouse assists with cooking, cleaning,
and transportation. The spouse has become ill, and they now receive assistance from a home health nurse.
Which of the following interventions should be the priority?
A) Assisting the clients to perform instrumental activities of daily living (IADLs)
B) Determining a plan for providing meals
C) Setting up medications for the clients
D) Smoking cessation plan - Correct Answer :Ans: B
P 2
, • NURS 5461 Exam 09/13/2026
The nurse's role is not to perform the IADLs, but to plan for the IADLs including meals, cleaning, and
transportation. There is no indication that the clients need their medications set up, smoking cession is
important, but basic needs come first
4. A nurse completes assessment of an older adult. Which of the following physical assessment findings is within
normal limits?
A) Kyphosis and increased anteroposterior diameter of the chest
B) Increased intensity of lung sounds
C) Decreased resonance on percussion
D) Decreased adventitious sounds in lower lungs - Correct Answer :Ans: A
Minor differences in assessment findings for healthy older adults include shortened thorax, chest wall stiffness,
increased anteroposterior diameter of the chest, and forward-leaning posture because of kyphosis
5. A nurse plans interventions in a skilled nursing facility to prevent lower respiratory infections. Which of the
following nursing interventions should be included in the plan? (Select all that apply.)
A) Encourage annual pneumonia vaccinations.
B) Encourage annual influenza vaccinations.
C) Encourage annual chest radiographs to detect tuberculosis.
D) Encourage influenza vaccinations every 5 years.
E) Encourage hand hygiene for residents and staff. - Correct Answer :Ans: B, E
P 3
, • NURS 5461 Exam 09/13/2026
Influenza vaccinations should be given yearly to older adults. The Centers for Disease Control and Prevention
(CDC) recommends a one-time booster dose of the pneumonia vaccination for all people 65 years of age or
older if they received an initial pneumonia vaccination 5 or more years earlier or were younger than 65 years of
age when they first received the pneumonia vaccine. Chest radiographs will not prevent lower respiratory
infections. Hand hygiene is essential in prevention of infections
6. A nurse in a long-term care facility is aware of the effects of age-related changes to the respiratory system.
Which of the following functional consequences most likely results from age-related changes?
A) Snoring and mouth breathing
B) A persistent, dry cough
C) Increased sensitivity to environmental allergens
D) Hemoptysis on exertion - Correct Answer :Ans: A
Snoring and mouth breathing often become more prevalent with age. Hemoptysis and a persistent cough are
considered pathologic at any age, and allergies do not typically worsen with age.
7. A nurse admits an 81-year-old man to the hospital with aspiration pneumonia. Which of the following risk
factors should the nurse predict that the client has in his history?
A) Cigarette smoking
B) Lung cancer
C) Dysphagia
D) Sleep apnea - Correct Answer :Ans: C
Dysphagia creates a serious risk for aspiration pneumonia. Smoking, cancer, and sleep apnea do not have a
direct correlation with aspiration pneumonia
8. A 78-year-old client has been brought to the emergency department from home with a sudden change in
mental status accompanied by significant weakness. For which condition should the health care providers
assess?
P 4
NURS 5461 Quiz UPDATED ACTUAL Exam 2
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse assesses an older adult's overall respiratory function. Which of the following interview questions
would be most appropriate?
A) "Would you be interested in finding out more about environmental smoke?"
B) "Did either of your parents experience lung diseases?"
C)"Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?"
D) "What do you do to actively maintain your respiratory health?" - Correct Answer :Ans: C
P 1
, • NURS 5461 Exam 09/13/2026
The effects of air pollution are cumulative over many years. Thus, there is an increased impact on older adults
over their lifetimes. Hazards in the workplace were unregulated before 1970. Therefore, there are older adults
who have experienced cumulative and long-term effects from toxic substances
2. A 65-year-old client with a long-standing history of chronic obstructive pulmonary disease (COPD) was placed
recently on Coumadin after experiencing atrial fibrillation. Upon discharge from the hospital, which of the
following statements by the client indicates a need for further teaching?
A) "I will continue to use smokeless tobacco since it's a lot better than smoking."
B)"I will avoid using over-the-counter antihistamines since they can dry my mucosal secretions."
C)"I will watch my intake of dark green leafy vegetables since they may impact the effects of Coumadin."
D)"I will not take any herbal preparations without my health care provider's knowledge." - Correct Answer :Ans:
A
Smokeless tobacco is associated with mouth cancer, gingivitis, and tooth loss and may be carcinogenic to the
pancreas. The other noted actions are appropriate to the maintenance of health.
3. A 70-year-old client smoked for 30 years and has a history of COPD. The spouse assists with cooking, cleaning,
and transportation. The spouse has become ill, and they now receive assistance from a home health nurse.
Which of the following interventions should be the priority?
A) Assisting the clients to perform instrumental activities of daily living (IADLs)
B) Determining a plan for providing meals
C) Setting up medications for the clients
D) Smoking cessation plan - Correct Answer :Ans: B
P 2
, • NURS 5461 Exam 09/13/2026
The nurse's role is not to perform the IADLs, but to plan for the IADLs including meals, cleaning, and
transportation. There is no indication that the clients need their medications set up, smoking cession is
important, but basic needs come first
4. A nurse completes assessment of an older adult. Which of the following physical assessment findings is within
normal limits?
A) Kyphosis and increased anteroposterior diameter of the chest
B) Increased intensity of lung sounds
C) Decreased resonance on percussion
D) Decreased adventitious sounds in lower lungs - Correct Answer :Ans: A
Minor differences in assessment findings for healthy older adults include shortened thorax, chest wall stiffness,
increased anteroposterior diameter of the chest, and forward-leaning posture because of kyphosis
5. A nurse plans interventions in a skilled nursing facility to prevent lower respiratory infections. Which of the
following nursing interventions should be included in the plan? (Select all that apply.)
A) Encourage annual pneumonia vaccinations.
B) Encourage annual influenza vaccinations.
C) Encourage annual chest radiographs to detect tuberculosis.
D) Encourage influenza vaccinations every 5 years.
E) Encourage hand hygiene for residents and staff. - Correct Answer :Ans: B, E
P 3
, • NURS 5461 Exam 09/13/2026
Influenza vaccinations should be given yearly to older adults. The Centers for Disease Control and Prevention
(CDC) recommends a one-time booster dose of the pneumonia vaccination for all people 65 years of age or
older if they received an initial pneumonia vaccination 5 or more years earlier or were younger than 65 years of
age when they first received the pneumonia vaccine. Chest radiographs will not prevent lower respiratory
infections. Hand hygiene is essential in prevention of infections
6. A nurse in a long-term care facility is aware of the effects of age-related changes to the respiratory system.
Which of the following functional consequences most likely results from age-related changes?
A) Snoring and mouth breathing
B) A persistent, dry cough
C) Increased sensitivity to environmental allergens
D) Hemoptysis on exertion - Correct Answer :Ans: A
Snoring and mouth breathing often become more prevalent with age. Hemoptysis and a persistent cough are
considered pathologic at any age, and allergies do not typically worsen with age.
7. A nurse admits an 81-year-old man to the hospital with aspiration pneumonia. Which of the following risk
factors should the nurse predict that the client has in his history?
A) Cigarette smoking
B) Lung cancer
C) Dysphagia
D) Sleep apnea - Correct Answer :Ans: C
Dysphagia creates a serious risk for aspiration pneumonia. Smoking, cancer, and sleep apnea do not have a
direct correlation with aspiration pneumonia
8. A 78-year-old client has been brought to the emergency department from home with a sudden change in
mental status accompanied by significant weakness. For which condition should the health care providers
assess?
P 4
