100% Correct
An elderly adult fell at home and fractured a hip, which requires surgical repair. After admittance
to the emergency department, the client was given sedation for pain before a surgical permit
was signed. What is the best action necessary to obtain consent?
1. The physician should have the clients wife sign the consent form.
2. The physician should wait until the effects of the medication wear off and have the client sign.
3. Since the client has been medicated, the nurse should thoroughly explain the consent form to
the client.
4. This would be considered an emergency situation and consent would be implied. - ANSWER
- Correct Answer: 1
A nurse is caring for a client in the emergency department who was brought in by her adult child
for vague, flu-like symptoms. While helping the client to change into a gown, the nurse notices
numerous bruises on the clients back and arms. When questioned, the client is distracted and
ambiguous with her answers. The nurse should:
1. Report the situation to law enforcement.
2. Report the situation to social services.
3. Question the adult child who brought the client to the ED.
4. File a written report in the clients chart. - ANSWER - Correct Answer: 2
In the review of an elderly clients chart, the nurse reads that the client has sarcopenia. What will
the nurse expect to find the client reporting?
,1. Weight loss and nausea
2. Hair loss and thin skin
3. Bleeding and bruising tendencies
4. Lack of strength and tiring easily - ANSWER - Correct Answer: 4
An elderly client comes to the clinic for follow-up after a long hospitalization. When the client
asks about increasing strength and endurance, the nurse should respond with which of the
following?
1. Your muscles can be strengthened which might help you function better.
2. It wont matter if you exercise. At your age, theres little room for improvement.
3. Once muscle mass is decreased, theres nothing that can be done for strength improvement.
4. Maybe you should think about going to a nursing home. At least the people there will be able
to help with your needs. - ANSWER - Correct Answer: 1
A client woke in the middle of the night, confused and unaware of the surroundings. Although
the call light was within reach, the client got out of bed unassisted, tripped on the bedside chair,
and fell. Which of the following elements of malpractice is missing in this case?
1. Foreseeability
2. Damages
3. Injury
4. Duty - ANSWER - Correct Answer: 1
, A nurse is working with a group of clients in a community center, all over the age of 85. This
group is referred to as which of the following?
1. Young-old
2. Middle-old
3. Old-old
4. Elite-old - ANSWER - Correct Answer: 3
When working with the older adult age group, the nurse realizes that physiological and
psychosocial changes will be evident. Those in this age group who will have at least one chronic
disease condition will constitute what portion of the group?
1. 50% of the group
2. 80% of the group
3. 100% of the group
4. 90% of the group - ANSWER - Correct Answer: 2
A nurse is presenting a health education program to a group of older adults at a senior citizens
center. Considering the physiological changes of this age group, how should the temperature of
the room be set?
1. It should be set at a temperature that is comfortable for the nurse.
2. It should be set cooler than what is comfortable for the nurse.