Advanced Practice Nursing in the Care of Older Adults 2024/25 edition
ACE your exam
You are 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
patients life most significantly?
A) Neurologic deficits
B) Loss of independence
C) Age-related changes
D) Tremors and decreased mobility - correct answer B)Loss of independence
A gerontologic nurse practitioner provides primary care for a large number of older adults who are living
with various forms of cardiovascular disease. This nurse is well aware that heart disease is the leading
cause of death in the aged. What is an age-related physiological change that contributes to this trend?
A) Heart muscle and arteries lose their elasticity.
B) Systolic blood pressure decreases.
C) Resting heart rate decreases with age.
D) Atrial-septal defects develop with age. - correct answer A)
Heart muscle and arteries lose their elasticity.
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 answer B)
Ageism
The nurse is caring for a 65-year-old patient who has previously been diagnosed with hypertension.
Which of the following blood pressure readings represents the threshold between high-normal blood
pressure and hypertension?
A)
140/90 mm Hg
B)
145/95 mm Hg
C)
150/100 mm Hg
D)
160/100 mm Hg - correct answer A)
140/90 mm Hg
You are the nurse caring for an 85-year-old patient who has been hospitalized for a fractured radius. The
patients 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 answer 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 answer D)
Increase daily intake of water.
An 84-year-old patient has returned from the post-anesthetic care unit (PACU) following hip arthroplasty.
The patient is oriented to name only. The patients family is very upset because, before having surgery,
the patient had no cognitive deficits. The patient is subsequently diagnosed with postoperative delirium.
What should the nurse explain to the patients family?
A)
This problem is self-limiting and there is nothing to worry about.
B)
Delirium involves a progressive decline in memory loss and overall cognitive function.
C)
Delirium of this type is treatable and her cognition will return to previous levels.
D)
This problem can be resolved by administering antidotes to the anesthetic that was used in surgery. -
correct answer C)
Delirium of this type is treatable and her cognition will return to previous levels.
ACE your exam
You are 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
patients life most significantly?
A) Neurologic deficits
B) Loss of independence
C) Age-related changes
D) Tremors and decreased mobility - correct answer B)Loss of independence
A gerontologic nurse practitioner provides primary care for a large number of older adults who are living
with various forms of cardiovascular disease. This nurse is well aware that heart disease is the leading
cause of death in the aged. What is an age-related physiological change that contributes to this trend?
A) Heart muscle and arteries lose their elasticity.
B) Systolic blood pressure decreases.
C) Resting heart rate decreases with age.
D) Atrial-septal defects develop with age. - correct answer A)
Heart muscle and arteries lose their elasticity.
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 answer B)
Ageism
The nurse is caring for a 65-year-old patient who has previously been diagnosed with hypertension.
Which of the following blood pressure readings represents the threshold between high-normal blood
pressure and hypertension?
A)
140/90 mm Hg
B)
145/95 mm Hg
C)
150/100 mm Hg
D)
160/100 mm Hg - correct answer A)
140/90 mm Hg
You are the nurse caring for an 85-year-old patient who has been hospitalized for a fractured radius. The
patients 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 answer 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 answer D)
Increase daily intake of water.
An 84-year-old patient has returned from the post-anesthetic care unit (PACU) following hip arthroplasty.
The patient is oriented to name only. The patients family is very upset because, before having surgery,
the patient had no cognitive deficits. The patient is subsequently diagnosed with postoperative delirium.
What should the nurse explain to the patients family?
A)
This problem is self-limiting and there is nothing to worry about.
B)
Delirium involves a progressive decline in memory loss and overall cognitive function.
C)
Delirium of this type is treatable and her cognition will return to previous levels.
D)
This problem can be resolved by administering antidotes to the anesthetic that was used in surgery. -
correct answer C)
Delirium of this type is treatable and her cognition will return to previous levels.
