GERONTOLOGICAL NURSING FINAL
EXAM 2025
A 70-year-old client has just been diagnosed with Parkinson's disease. The nurse is
working with the client and family, teaching them about communicating with the
client. Which information would the nurse incorporate into the discussion?
- answers-The disease progresses slowly with therapy helping to minimize
disability.
A 72-year-old client just recently diagnosed with cancer comes to the clinic for an
evaluation. During the visit, the client asks the nurse, "I know that there are
different things that can be done to treat cancer, but I'm wondering if my age might
affect what can be done?" Which information would the nurse most likely integrate
into the response to the client?
- answers-Reduced dosages of chemotherapeutic agents will be necessary due to
age-related changes in kidney function.
A 75-year-old adult is a new attendee at strength training class. Which schedule
would be most appropriate for this client to engage in?
- answers-Twelve repetitions with low-weight free weights at least twice weekly.
A 76-year-old client has been prescribed a selective serotonin reuptake inhibitor
(SSRI) for the treatment of depression. Which assessment would the nurse most
likely identify as the priority during the initial days of the client's drug therapy?
- answers-Monitoring for changes in the client's nutritional status
A 78-year-old client has been diagnosed by his geriatrician as being in the third
stage of Alzheimer's disease. Which findings would support this assessment?
- answers-The client's wife and children have recently noticed a change in memory
and judgment with the client getting easily flustered in social situations.
, A 78-year-old resident with a diagnosis of melanoma is experiencing anxiety
related to the appearance of the large and highly visible lesion on the right cheek.
Which intervention would be most appropriate for the nurse to implement to help
decrease the resident's anxiety?
- answers-Resolve to interact with and touch the resident no differently than other
residents.
A 79-year-old client with a long-standing diagnosis of chronic leukemia
experienced a blast crisis 1 week ago and died overnight. The nurse is providing
comfort to the client's family. The nurse would expect the client's family to
experience which stage first?
- answers-Denial
A 79-year-old female client, admitted for hip replacement surgery, said that she
had insomnia the night before. The client received a dose of a prescribed
benzodiazepine. Shortly thereafter, the client began displaying signs of delirium
that have persisted until the morning change of shift. Which instruction would the
night nurse give to the nurse coming on shift?
- answers-"Try to keep her level of stimulation as low as you can when you are
working with her."
A 79-year-old male client has a number of health problems, including Parkinson's
disease. When assessing this client, which finding would the nurse most likely
attribute to the client's diagnosis of Parkinson's disease?
- answers-- Emotional instability
- Blank facial expression
- Slow movement with poor balance
- Walking with a shuffling gait
A 92-year-old client in a medical unit has become acutely confused. The
development is of great concern to the care team since the client has no history of
cognitive deficits. Which action would be the priority?
- answers-Obtain blood samples.
EXAM 2025
A 70-year-old client has just been diagnosed with Parkinson's disease. The nurse is
working with the client and family, teaching them about communicating with the
client. Which information would the nurse incorporate into the discussion?
- answers-The disease progresses slowly with therapy helping to minimize
disability.
A 72-year-old client just recently diagnosed with cancer comes to the clinic for an
evaluation. During the visit, the client asks the nurse, "I know that there are
different things that can be done to treat cancer, but I'm wondering if my age might
affect what can be done?" Which information would the nurse most likely integrate
into the response to the client?
- answers-Reduced dosages of chemotherapeutic agents will be necessary due to
age-related changes in kidney function.
A 75-year-old adult is a new attendee at strength training class. Which schedule
would be most appropriate for this client to engage in?
- answers-Twelve repetitions with low-weight free weights at least twice weekly.
A 76-year-old client has been prescribed a selective serotonin reuptake inhibitor
(SSRI) for the treatment of depression. Which assessment would the nurse most
likely identify as the priority during the initial days of the client's drug therapy?
- answers-Monitoring for changes in the client's nutritional status
A 78-year-old client has been diagnosed by his geriatrician as being in the third
stage of Alzheimer's disease. Which findings would support this assessment?
- answers-The client's wife and children have recently noticed a change in memory
and judgment with the client getting easily flustered in social situations.
, A 78-year-old resident with a diagnosis of melanoma is experiencing anxiety
related to the appearance of the large and highly visible lesion on the right cheek.
Which intervention would be most appropriate for the nurse to implement to help
decrease the resident's anxiety?
- answers-Resolve to interact with and touch the resident no differently than other
residents.
A 79-year-old client with a long-standing diagnosis of chronic leukemia
experienced a blast crisis 1 week ago and died overnight. The nurse is providing
comfort to the client's family. The nurse would expect the client's family to
experience which stage first?
- answers-Denial
A 79-year-old female client, admitted for hip replacement surgery, said that she
had insomnia the night before. The client received a dose of a prescribed
benzodiazepine. Shortly thereafter, the client began displaying signs of delirium
that have persisted until the morning change of shift. Which instruction would the
night nurse give to the nurse coming on shift?
- answers-"Try to keep her level of stimulation as low as you can when you are
working with her."
A 79-year-old male client has a number of health problems, including Parkinson's
disease. When assessing this client, which finding would the nurse most likely
attribute to the client's diagnosis of Parkinson's disease?
- answers-- Emotional instability
- Blank facial expression
- Slow movement with poor balance
- Walking with a shuffling gait
A 92-year-old client in a medical unit has become acutely confused. The
development is of great concern to the care team since the client has no history of
cognitive deficits. Which action would be the priority?
- answers-Obtain blood samples.
