, Chapter 1 Common Aging Changes
MULTIPLE CHOICE
1. The nurse keeps the environment warmer for older adultsibecause they are more sensitive to cold
because of the age-related changes in their:
a. metabolism rate.
b. subcutaneous tissue.
c. musculoskeletalsystem.
d. peripheral vascular system.
ANS: B
The reduction of subcutaneous tissue as an age-related change causes sensitivity to cold becauseiit is the main
insulatoriof the body.
Dif: Cognitiveilevel: Application Ref: 36 Obj: 1
Top: Sensitivityto Cold Key: Nursing Process Step: Implementation Msc: Nclex: Physiological Integrity:
Physiological Adaptation
,2. The Nurse Reassures The Distressed 75-Year-Old Male That The Wartlike Dark Macules With
Distinct Borders Are Not Melanomas, But The Skin Lesions Of:
a. Senile Lentigo.
b. cutaneous papillomas.
c. seborrheic keratoses.
d. xerosis.
ANS: C
Dark, slightlyraised macules are seborrheic keratoses, which may be mistaken for melanomas.DIF: Cognitive
Level: Comprehension REF: 33 OBJ: 1
TOP: Seborrheic Keratosis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological
Integrity: Physiological Adaptation
3. The nurse is accompanying a group ofolder adults on a Julyi4thiouting to monitor heat prostration.
Older adults are intolerant of heat becauseiofian age-related reduction of:
a. melanin.
b. perspiration.
c. Body Temperature.
d. Capillary Fragility.
, Ans: B
Reduction In Perspiration Related To Reduced Sweat Gland Function Results In Possible Heatintolerance From
An Inability To Coolithe Bodyby Evaporation.
DIF: CognitiveiLevel: Analysis REF: 34 OBJ: 2
TOP: Heat Intolerance KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity:
Physiological Adaptation
4. The nurse cautions the CNAs to use care when transferring or handling older adults because their
vascular fragility will cause:
a. altered blood pressure.
b. pressure ulcers.
c. pruritus.
d. senile purpura.
ANS: D
Increased Capillary Fragility Results In Subcutaneous Hemorrhage Or Senile Purpura From Incautious
Handling By Caregivers.
MULTIPLE CHOICE
1. The nurse keeps the environment warmer for older adultsibecause they are more sensitive to cold
because of the age-related changes in their:
a. metabolism rate.
b. subcutaneous tissue.
c. musculoskeletalsystem.
d. peripheral vascular system.
ANS: B
The reduction of subcutaneous tissue as an age-related change causes sensitivity to cold becauseiit is the main
insulatoriof the body.
Dif: Cognitiveilevel: Application Ref: 36 Obj: 1
Top: Sensitivityto Cold Key: Nursing Process Step: Implementation Msc: Nclex: Physiological Integrity:
Physiological Adaptation
,2. The Nurse Reassures The Distressed 75-Year-Old Male That The Wartlike Dark Macules With
Distinct Borders Are Not Melanomas, But The Skin Lesions Of:
a. Senile Lentigo.
b. cutaneous papillomas.
c. seborrheic keratoses.
d. xerosis.
ANS: C
Dark, slightlyraised macules are seborrheic keratoses, which may be mistaken for melanomas.DIF: Cognitive
Level: Comprehension REF: 33 OBJ: 1
TOP: Seborrheic Keratosis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological
Integrity: Physiological Adaptation
3. The nurse is accompanying a group ofolder adults on a Julyi4thiouting to monitor heat prostration.
Older adults are intolerant of heat becauseiofian age-related reduction of:
a. melanin.
b. perspiration.
c. Body Temperature.
d. Capillary Fragility.
, Ans: B
Reduction In Perspiration Related To Reduced Sweat Gland Function Results In Possible Heatintolerance From
An Inability To Coolithe Bodyby Evaporation.
DIF: CognitiveiLevel: Analysis REF: 34 OBJ: 2
TOP: Heat Intolerance KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity:
Physiological Adaptation
4. The nurse cautions the CNAs to use care when transferring or handling older adults because their
vascular fragility will cause:
a. altered blood pressure.
b. pressure ulcers.
c. pruritus.
d. senile purpura.
ANS: D
Increased Capillary Fragility Results In Subcutaneous Hemorrhage Or Senile Purpura From Incautious
Handling By Caregivers.
