Error- Free Answers 2024/25
A nurse is assessing a client whose family is concerned that the client has developed dementia. Which of
the following findings should the nurse identify as a manifestation of dementia?
- Rapid-onset memory loss
- Hyperglycemia
- Hypervigilance
- Difficulty problem solving - Correct Answer Difficulty problem solving.
Difficulty with problem-solving is an expected manifestation of dementia. Dementia is non-reversible,
but the nurse can help the family develop strategies to manage the client's condition.
A charge nurse is discussing sensory processing disorder (SPD) with a newly licensed nurse. Which of the
following statements should the charge nurse make?
- "SPD occurs when a client's brain is unable to process rapidly occurring multiple stimuli."
- "SPD causes clients to be overly sensitive to stimuli, such as the feel of fabric on their skin."
- "A client is diagnosed with SPD if they experience significant decrease in stimuli."
- "A client who has SPD has a deficit in the function of one or more of their five senses." - Correct Answer
"SPD causes clients to be overly sensitive to stimuli, such as the feel of fabric on their skin."
SPD is a sensory disorder in which a client experiences a hypersensitive response to normal stimuli, such
as the sound of a television, or the feel of fabric on their skin.
A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse use to
enhance communication with the client? SATA
- Provide the client with large print materials.
- Ensure the client wears their hearing aids.
- Use a sign language interpreter.
- Communicate using paper and pen.
- Face the client when speaking. - Correct Answer - Ensure the client wears their hearing aids.
, - Use a sign language interpreter.
- Communicate using paper and pen.
- Face the client when speaking.
A nurse is teaching a group of older adult clients about the sensory system. The nurse should include
that the aging process is most likely to cause which of the following changes?
- Decreased sense of touch
- Hearing loss
- Impaired ability to smell
- Reduced taste - Correct Answer Hearing loss
Hearing and vision are the two most commonly affected senses with aging.
A nurse is caring for a client who states, "My doctor said I should have and EMG (electromyograph).
What is that?" Which fo the following responses should the nurse make?
- "It is a test that determines if there is a loss of the ability to smell."
- "It is a test that measures the response of the eardrum to various sounds."
- "It is a test that determines if there is nerve damage affecting a muscle."
- "It is a test that is performed to diagnose damage to the retina of the eye." - Correct Answer "It is a
test that determines if there is nerve damage affecting a muscle."
An EMG, or electromyography, is performed to determine if there is damage to the nerves leading to the
muscles. During an EMG, very small needles are inserted into a muscle. The needles are attached by a
wire to an EMG machine that records the electrical activity in the muscle. Damage to a nerve will alter
this electrical activity.
A nurse is reviewing the medical history of a client who has conductive hearing loss. The nurse should
identify which of the following factors as a potential cause of conductive hearing loss? SATA
- Trauma to the outer ear
- Damage to inner ear structures
- Inflammation