NUR 257 Midterm Prep - Questions With Solutions
You have been providing care for an 82-year-old man whose signs and
symptoms of Parkinson disease have become more severe over the past
several months. The man tells you that he can no longer do as many things
for himself as he used to be able to do. What factor should you recognize as
impacting your patient's life most significantly?
a. neurologic deficits
b. loss of independence
c. age-related changes
d. tremors and decreased mobility Correct Ans - b, loss of
independence
An occupational health nurse overhears an employee talking to his
manager about a 65-year-old coworker. What phenomenon would the
nurse identify when hearing the employee state, 'he should just retire and
make way for some new blood'?
a. intolerance
b. ageism
c. dependence
d. nonspecific prejudice Correct Ans - b, ageism
you are the nurse caring for an 85-yar-old patient who has been
hospitalized for a fractured radius. The patient's daughter has
accompanied the patient to the hospital and asks you what her father can
do for his very dry skin, which has become susceptible to cracking and
shearing. What would be your best response?
a. 'he should likely take showers rather than baths, if possible'
b. 'make sure that he applies sunscreen each morning'
c. 'dry skin is an age-related change that is largely inevitable'
d. 'try to help your father increase his intake of dairy products' Correct
Ans - a, 'he should likely take showers rather than baths, if possible'
an elderly patient has come in to the clinic for her twice-yearly physical.
The patient tells the nurse that she is generally enjoying good health, but
that she has been having occasional episodes of constipation over the past
6 months. What intervention should the nurse first suggest?
a. reduce the amount of stress she currently experiences
b. increase carbohydrate intake and reduce protein intake
, c. take herbal laxatives, such as senna, each night at bedtime
d. increase daily intake of water Correct Ans - d, increase daily
intake of water
a nurse is caring for an 86-year-old female who has become increasingly
frail and unsteady on her feet. During the assessment, the patient indicates
that she has fallen three times in the month, though she has not suffered an
injury. The nurse should take action in the knowledge that this patient is at
a high risk for what health problem?
a. a hip fracture
b. a femoral fracture
c. pelvic dysplasia
d. tearing of a meniscus or bursa Correct Ans - a, a hip fracture
a nurse will conduct an influenza vaccination campaign at an extended care
facility. The nurse will be administering IM doses of the vaccine. Of what
age-related change should the nurse be aware when planning the
appropriate administration of this drug?
a. an older patient has less subcutaneous tissue and less muscle mass than
a younger patient.
b. an older patient has more subcutaneous tissue and less durable skin
than a younger patient.
c. an older patient has more superficial and tortuous nerve distribution
than a younger patient.
d. an older patient has a higher risk of bleeding after an IM injection than a
younger patient. Correct Ans - a, an older patient has less
subcutaneous tissue and less muscle mass than a younger patient
an elderly patient, while being seen in an urgent care facility for a possible
respiratory infection, asks the nurse if Medicare is going to cover the cost
of the visit. What information can the nurse give the patient to help allay
her concerns?
a. medicare has a copayment for many of the services it covers. This
requires the patient to pay a part of the bill.
b. medicare pays for 100% of the cost for acute-care services, so the cost of
the visit will be covered.
c. medicare will only pay the cost for acute-care services if the patient has a
very low income.
You have been providing care for an 82-year-old man whose signs and
symptoms of Parkinson disease have become more severe over the past
several months. The man tells you that he can no longer do as many things
for himself as he used to be able to do. What factor should you recognize as
impacting your patient's life most significantly?
a. neurologic deficits
b. loss of independence
c. age-related changes
d. tremors and decreased mobility Correct Ans - b, loss of
independence
An occupational health nurse overhears an employee talking to his
manager about a 65-year-old coworker. What phenomenon would the
nurse identify when hearing the employee state, 'he should just retire and
make way for some new blood'?
a. intolerance
b. ageism
c. dependence
d. nonspecific prejudice Correct Ans - b, ageism
you are the nurse caring for an 85-yar-old patient who has been
hospitalized for a fractured radius. The patient's daughter has
accompanied the patient to the hospital and asks you what her father can
do for his very dry skin, which has become susceptible to cracking and
shearing. What would be your best response?
a. 'he should likely take showers rather than baths, if possible'
b. 'make sure that he applies sunscreen each morning'
c. 'dry skin is an age-related change that is largely inevitable'
d. 'try to help your father increase his intake of dairy products' Correct
Ans - a, 'he should likely take showers rather than baths, if possible'
an elderly patient has come in to the clinic for her twice-yearly physical.
The patient tells the nurse that she is generally enjoying good health, but
that she has been having occasional episodes of constipation over the past
6 months. What intervention should the nurse first suggest?
a. reduce the amount of stress she currently experiences
b. increase carbohydrate intake and reduce protein intake
, c. take herbal laxatives, such as senna, each night at bedtime
d. increase daily intake of water Correct Ans - d, increase daily
intake of water
a nurse is caring for an 86-year-old female who has become increasingly
frail and unsteady on her feet. During the assessment, the patient indicates
that she has fallen three times in the month, though she has not suffered an
injury. The nurse should take action in the knowledge that this patient is at
a high risk for what health problem?
a. a hip fracture
b. a femoral fracture
c. pelvic dysplasia
d. tearing of a meniscus or bursa Correct Ans - a, a hip fracture
a nurse will conduct an influenza vaccination campaign at an extended care
facility. The nurse will be administering IM doses of the vaccine. Of what
age-related change should the nurse be aware when planning the
appropriate administration of this drug?
a. an older patient has less subcutaneous tissue and less muscle mass than
a younger patient.
b. an older patient has more subcutaneous tissue and less durable skin
than a younger patient.
c. an older patient has more superficial and tortuous nerve distribution
than a younger patient.
d. an older patient has a higher risk of bleeding after an IM injection than a
younger patient. Correct Ans - a, an older patient has less
subcutaneous tissue and less muscle mass than a younger patient
an elderly patient, while being seen in an urgent care facility for a possible
respiratory infection, asks the nurse if Medicare is going to cover the cost
of the visit. What information can the nurse give the patient to help allay
her concerns?
a. medicare has a copayment for many of the services it covers. This
requires the patient to pay a part of the bill.
b. medicare pays for 100% of the cost for acute-care services, so the cost of
the visit will be covered.
c. medicare will only pay the cost for acute-care services if the patient has a
very low income.
