Geri Nclex: FINAL Questions and
Answers 100% Correct
Which finding during a home health visit would prompt the nurse to provide a client with home
safety instructions? Select all that apply. One, some, or all responses may be correct.
1 Area rugs on the floor
2 Clogged, dirty fireplace
3. Multiple electrical cords
4 Multiple prescribed medications
5 Wheeled walker with uneven leg - ANSWER - All are correct
The registered nurse (RN) is giving home care instructions to a client who was treated for
injuries due to a fall. Which statement made by the client indicates a need for additional
instruction?
1 "I should walk on soft scatter rugs at home."
2 "I should drink 3000 mL of water every day."
3 "I should eat fruits and vegetables six times a day."
4 "I should exercise the joints above and below the cast daily." - ANSWER - "I should walk on
soft scatter rugs at home."
The nurse is performing a musculoskeletal assessment on an 81-yr-old patient whose mobility
has been progressively declining. How should the nurse safely assess range of motion (ROM)
in the affected leg?
Observe the patient's unassisted ROM in the affected leg.
Perform passive ROM, asking the patient to report any pain.
Ask the patient to lift progressive weights with the affected leg.
Move both the patient's legs from a supine position to full flexion. - ANSWER - Observe the
patient's unassisted ROM in the affected leg.
,Observing the patient's active ROM is more accurate and safer than lifting weights. Passive
ROM should be performed with extreme caution; it may cause harm when performed on older
patients.
Which statement is true regarding falls in the elderly?
A. Most falls occur in the garage.
B. Hip fractures resulting from falls are a leading cause of placement in long-term care facilities.
C. Fall risk decreases with addition of medications.
D. Sedatives reduce the risk of falls. - ANSWER - B. Hip fractures resulting from falls are a
leading cause of placement in long-term care facilities.
What is the best resource (of those listed below) for identifying information regarding an older
adult's current functional ability?
A. Psychological tests and related exams
B. Diagnostic x-rays and lab tests
C. Family members who visit occasionally and call weekly
D. Neighbor who visits daily and helps the person to the store weekly. - ANSWER - D. Neighbor
who visits daily and helps the person to the store weekly.
The leading cause of injury and preventable source of mortality and morbidity in older adults is:
1. presbycusis.
2. car accidents.
3. pneumonia.
4. falls. - ANSWER - 4. Falls
The nurse includes interventions to improve impaired physical activity in the plan of care for the
older resident. Which of the following interventions should the nurse include? (Select all that
apply.)
,A) Develop an exercise program that promotes maximum heart rate.
B) Encourage family to assist in efforts to increase the patient's mobility.
C) Include passive range of motion (PROM) in plan.
D) Promote a nutritional intake of calcium and protein.
E) Provide diversional activities based on the patient's interests and level of function. -
ANSWER - B D E
The nursing assessment of an 80-year-old patient who demonstrates some confusion but no
anxiety reveals that the patient is a fall risk because she continues to get out of bed without help
despite frequent reminders. The initial nursing intervention to prevent falls for this patient is to:
A. Place a bed alarm device on the bed.
B. Place the patient in a belt restraint.
C. Provide one-on-one observation of the patient.
D. Apply wrist restraints. - ANSWER - ANS: A Place a bed alarm device on the bed.
A couple who is caring for their aging parents are concerned about factors that put them at risk
for falls. Which factors are most likely to contribute to an increase in falls in the elderly? (Select
all that apply.)
A. Inadequate lighting
B. Throw rugs
C. Multiple medications
D. Doorway thresholds
E. Cords covered by carpets
F. Staircases with handrails - ANSWER - ANS: A, B, C, D, E
The family of a patient who is confused and ambulatory insists that all four side rails be up when
the patient is alone. What is the best action to take in this situation? (Select all that apply.)
A. Contact the nursing supervisor.
, B. Restrict the family's visiting privileges.
C. Ask the family to stay with the patient if possible.
D. Inform the family of the risks associated with side-rail use.
E. Thank the family for being conscientious and put the four rails up.
F. Discuss alternatives that are appropriate for this patient with the family. - ANSWER - ANS: C,
D, F
A patient on prolonged bed rest is at an increased risk to develop this common complication of
immobility if preventive measures are not taken:
A. Myoclonus
B. Pathological fractures
C. Pressure ulcers
D. Pruritus - ANSWER - ANS: C
Immobility is a major risk factor for pressure ulcers. Any break in the integrity of the skin is
difficult to heal. Preventing a pressure ulcer is much less expensive than treating one; therefore
preventive nursing interventions are imperative.
Which of the following are physiological outcomes of immobility?
A. Increased metabolism
B. Reduced cardiac workload
C. Decreased lung expansion
D. Decreased oxygen demand - ANSWER - ANS: C
Physiologic outcomes of immobility include decreased metabolism, increased cardiac workload,
decreased lung expansion, and increased oxygen demand.
When a fall results in injury and hospitalization, a cycle of disuse may occur over time. When
establishing a care plan for the patient and family to prevent this, it is important to remember
disuse is most likely a result of:
Answers 100% Correct
Which finding during a home health visit would prompt the nurse to provide a client with home
safety instructions? Select all that apply. One, some, or all responses may be correct.
1 Area rugs on the floor
2 Clogged, dirty fireplace
3. Multiple electrical cords
4 Multiple prescribed medications
5 Wheeled walker with uneven leg - ANSWER - All are correct
The registered nurse (RN) is giving home care instructions to a client who was treated for
injuries due to a fall. Which statement made by the client indicates a need for additional
instruction?
1 "I should walk on soft scatter rugs at home."
2 "I should drink 3000 mL of water every day."
3 "I should eat fruits and vegetables six times a day."
4 "I should exercise the joints above and below the cast daily." - ANSWER - "I should walk on
soft scatter rugs at home."
The nurse is performing a musculoskeletal assessment on an 81-yr-old patient whose mobility
has been progressively declining. How should the nurse safely assess range of motion (ROM)
in the affected leg?
Observe the patient's unassisted ROM in the affected leg.
Perform passive ROM, asking the patient to report any pain.
Ask the patient to lift progressive weights with the affected leg.
Move both the patient's legs from a supine position to full flexion. - ANSWER - Observe the
patient's unassisted ROM in the affected leg.
,Observing the patient's active ROM is more accurate and safer than lifting weights. Passive
ROM should be performed with extreme caution; it may cause harm when performed on older
patients.
Which statement is true regarding falls in the elderly?
A. Most falls occur in the garage.
B. Hip fractures resulting from falls are a leading cause of placement in long-term care facilities.
C. Fall risk decreases with addition of medications.
D. Sedatives reduce the risk of falls. - ANSWER - B. Hip fractures resulting from falls are a
leading cause of placement in long-term care facilities.
What is the best resource (of those listed below) for identifying information regarding an older
adult's current functional ability?
A. Psychological tests and related exams
B. Diagnostic x-rays and lab tests
C. Family members who visit occasionally and call weekly
D. Neighbor who visits daily and helps the person to the store weekly. - ANSWER - D. Neighbor
who visits daily and helps the person to the store weekly.
The leading cause of injury and preventable source of mortality and morbidity in older adults is:
1. presbycusis.
2. car accidents.
3. pneumonia.
4. falls. - ANSWER - 4. Falls
The nurse includes interventions to improve impaired physical activity in the plan of care for the
older resident. Which of the following interventions should the nurse include? (Select all that
apply.)
,A) Develop an exercise program that promotes maximum heart rate.
B) Encourage family to assist in efforts to increase the patient's mobility.
C) Include passive range of motion (PROM) in plan.
D) Promote a nutritional intake of calcium and protein.
E) Provide diversional activities based on the patient's interests and level of function. -
ANSWER - B D E
The nursing assessment of an 80-year-old patient who demonstrates some confusion but no
anxiety reveals that the patient is a fall risk because she continues to get out of bed without help
despite frequent reminders. The initial nursing intervention to prevent falls for this patient is to:
A. Place a bed alarm device on the bed.
B. Place the patient in a belt restraint.
C. Provide one-on-one observation of the patient.
D. Apply wrist restraints. - ANSWER - ANS: A Place a bed alarm device on the bed.
A couple who is caring for their aging parents are concerned about factors that put them at risk
for falls. Which factors are most likely to contribute to an increase in falls in the elderly? (Select
all that apply.)
A. Inadequate lighting
B. Throw rugs
C. Multiple medications
D. Doorway thresholds
E. Cords covered by carpets
F. Staircases with handrails - ANSWER - ANS: A, B, C, D, E
The family of a patient who is confused and ambulatory insists that all four side rails be up when
the patient is alone. What is the best action to take in this situation? (Select all that apply.)
A. Contact the nursing supervisor.
, B. Restrict the family's visiting privileges.
C. Ask the family to stay with the patient if possible.
D. Inform the family of the risks associated with side-rail use.
E. Thank the family for being conscientious and put the four rails up.
F. Discuss alternatives that are appropriate for this patient with the family. - ANSWER - ANS: C,
D, F
A patient on prolonged bed rest is at an increased risk to develop this common complication of
immobility if preventive measures are not taken:
A. Myoclonus
B. Pathological fractures
C. Pressure ulcers
D. Pruritus - ANSWER - ANS: C
Immobility is a major risk factor for pressure ulcers. Any break in the integrity of the skin is
difficult to heal. Preventing a pressure ulcer is much less expensive than treating one; therefore
preventive nursing interventions are imperative.
Which of the following are physiological outcomes of immobility?
A. Increased metabolism
B. Reduced cardiac workload
C. Decreased lung expansion
D. Decreased oxygen demand - ANSWER - ANS: C
Physiologic outcomes of immobility include decreased metabolism, increased cardiac workload,
decreased lung expansion, and increased oxygen demand.
When a fall results in injury and hospitalization, a cycle of disuse may occur over time. When
establishing a care plan for the patient and family to prevent this, it is important to remember
disuse is most likely a result of:
