ANCC GERONTOLOGY SAMPLE QUESTIONS AND ANSWERS

ANCC GERONTOLOGY SAMPLE QUESTIONS AND ANSWERS Which ethical principle underlies nursing actions respecting each patient's values and beliefs? A) Autonomy. B) Beneficence. C) Justice. D) Responsibility. A The most common symptoms of benign prostatic hypertrophy are: A) chills, fever, and nausea. B) dysuria, abdominal pain, and urinary retention. C) intermittency, hesitancy, and dribbling. D) nocturia, bladder spasms, and hematuria. C The gerontological nurse is monitoring signs of suspected abuse in an 89-year-old patient who was admitted from home. When planning for the patient's discharge, the nurse's first action is to: A) delay discharge by informing the provider of the suspected abuse. B) enlist the help of family members with transitioning the patient home. C) notify Adult Protective Services of the patient's discharge. D) restrict the family members' access to the patient prior to discharge. C A resident in a nursing home requests a new room because he or she does not like the view from the current room. While the resident is away from the home on a provider visit, the staff moves the resident's belongings to another room with a better view. The resident and the resident's family later file a formal complaint regarding the move. Which statement gives the best justification for the resident's complaint? A) The change was made without a provider's order. B) The resident was not included in the decision making. C) The resident's belongings were moved without his or her assistance. D) The resident's family was not included in the decision making. B A recently admitted nursing home resident and the resident's family only speak Spanish. One evening during a visit, the resident and the family begin to wail and sob loudly. The gerontological nurse is unable to determine what is wrong. The nurse's most appropriate action is to: A) ask the supervisor to get an interpreter. B) attempt to make the resident and the family comfortable. C) contact the provider for orders. D) find an escort to take the resident and the family to the chapel for privacy. A The gerontological nurse manager involves the nursing staff in the utilization of trend data and analysis for quality improvement by: A) encouraging staff to volunteer for The Joint Commission's onsite surveys. B) highlighting the quality improvement work of experts in the specialty area. C) informing how data and outcomes are directly related to the staff's daily work. D) using scatter diagrams to identify the root cause of unresolved concerns C An effective way to adequately provide nourishment to a patient with moderate dementia is: A) allowing the patient to choose foods from a varied menu. B) hand feeding the patient's favorite foods. C) routinely reminding the patient about the need for adequate nutrition. D) serving soup in a mug, and offering finger foods. D An 82-year-old patient has a painful, vesicular rash that burns over the left abdomen. The patient indicates that he or she has tried multiple creams that have not helped. Which question does the gerontological nurse first ask? A) "Did you have the pain before the rash appeared?" B) "Do you have any food or drug allergies?" C) "Have you been around anyone with a rash?" D) "Have your grandchildren visited recently?" A Which question does the gerontological nurse prioritize for an 86-year-old patient with abdominal pain, muscle weakness, and leg cramps? A) "Do you eat a lot of meat?" B) "Do you have heart problems?" C) "Do you take a diuretic?" D) "Do you walk every day?" C When teaching an independent older adult patient how to self-administer insulin, the most productive approach is to: A) facilitate involvement in a small group where the skill is being taught. B) gather information about the patient's family health history. C) provide frequent, competitive skills testing to enhance learning. D) use repeated return demonstrations to promote the patient's retention of the involved tasks. D Signs and symptoms of age-related macular degeneration include: A) decreases in depth perception. B) deficits in peripheral vision. C) distortion of lines and print. D) reports of flashes of light. C A frail 80-year-old patient, who cares for a spouse at home without assistance, requires minor surgery. Lacking any family members residing in the area, the patient expresses concern about the spouse's care while the patient is recovering. The gerontological nurse's recommendation is: A) arranging inpatient respite care for the spouse. B) having the patient remain in the hospital during the post operative period. C) hiring around-the-clock help for two weeks. D) hospitalizing the spouse. A An older adult patient currently takes phenytoin (Dilantin) and tolterodine (Detrol). The gerontological nurse reinforces the need for routine dental visits because these two medications decrease: A) calcium levels in the blood. B) innervations of the trigeminal nerve. C) the muscle strength of the tongue. D) the production of saliva. D A 90-year-old patient comes to the clinic with a family member. During the health history, the patient is unable to respond to questions in a logical manner. The gerontological nurse's action is to: A) ask the family member to answer the questions. B) ask the same questions in a louder and lower voice. C) determine if the patient knows the name of the current president. D) rephrase the questions slightly, and slowly repeat them in a lower voice. D The American Nurses Association's Gerontological Nursing: Scope and Standards of Practice emphasizes: A) that abnormal responses to the aging process determine the appropriate nursing diagnoses. B) that the health status data of older adult patients be documented in a retrievable form. C) the role of the older adult patient as the sole decision maker in planning his or her care. D) the unchanging nature of the goals and plans of care for older adult patients. B