NURS 421 Final || QUESTIONS WITH 100% CORRECT
ANSWERS; SCORED A+
True or false
GI age related changes include increased motility, decreased blood flow, increased absorption
correct answers False, decreased motility
Identify the correct statement describing the abuse of elderly persons in the United States.
a. Elder abuse is the most often reported form of domestic violence
b. Statistically, neglect is the most common form of elder abuse
c. Most cases of elder abuse are reported to the proper authorities
d. Healthcare practitioners are only mandated to report verified, not suspected, cases of elder
abuse correct answers b. Statistically, neglect is the most common form of elder abuse
Which of the following cases seen by a nurse working in the ED identifies a situation that
suggests a case of elder mistreatment?
a. an 85 yr old male who has several areas of bruising on the back of the hands and is taking
Clopidogrel sisulfate(Plavix) and aspirin daily
b. an 86 yr old woman who has 3 dime sized burned areas on her upper inner thigh
c. a 77 yr old woman who fell at home after tripping over her dog and broke her arm about 30
minutes earlier
d. a 73 yr old male with a history of gastric ulcers who is found to be anemic after vomiting
blood 3 hours earlier correct answers b. an 86 yr old woman who has 3 dime sized burned
areas on her upper inner thigh
Which of the following are examples of appropriate communication techniques for dealing
effectively with persons with dementia?
a. Ask open ended questions so the person feels that he or she feels they can make choices
b. for people in the later stages of dementia, talk to them as you would a child
c. maintain good eye contact and a relaxed and smiling approach
d. when a person forgets something, remind them not forget it the next time correct answers
c. maintain good eye contact and a relaxed and smiling approach
Mr Reynolds experienced a transient ischemic attack (TIA) 3 weeks ago that had significant
effects on his motor and sensory function. Which of the following assessment findings should
signal to the nurse to the possibility that Mr Reynolds is experiencing dysphagia?
a. Mr. Reynolds complains of being excessively hungry in the mid afternoon and evening
b. When providing oral care, the nurse finds food pocketed in Mr Reynolds cheek
c. Mr Reynolds drinks large amounts of water, before, during and after meals
d. Mr Reynolds prefers to sit in a high fowlers position after meals correct answers b. When
providing oral care, the nurse finds food pocketed in Mr Reynolds cheek
Statistically, which of the following clients is at greatest risk for mistreatment in the domestic
setting?
,a. an active 70 yr old woman with well controlled diabetes who live alone
b. a healthy 75 yr old man who is a retied businessman and lives with his son
c. an 82 yr old woman with severe osteoarthritis and macular degeneration who lives with her
single daughter who has an adult son with cerebral palsy
d. a 77 yr old man who has a history of coronary bypass surgery and lives with his wife
correct answers c. an 82 yr old woman with severe osteoarthritis and macular degeneration
who lives with her single daughter who has an adult son with cerebral palsy
When a patient is admitted to a hospital, he or she is asked if an advance directive is available
in case terminal care is necessary. What does an advance directive do?
a. It gives the patient's family control over terminal care regardless of the patient's wishes
b. It gives the patient control over terminal care by appointing an decision maker in the event
they cannot make their own decisions
c. It gives the hospital control over terminal care
d. It gives the attending physician control over terminal care correct answers b. It gives the
patient control over terminal care by appointing an decision maker in the event they cannot
make their own decisions
A 78 yr old woman was diagnosed with colorectal cancer 18 mos ago and underwent
chemotherapy. a recent CT scan has shown has metastasized to her lungs and liver. The
woman states that she feels well and does not want to undergo any further debilitating
chemotherapy. The son and daughter are adamantly opposed to their mother's forgoing
treatment and have appealed to the nurse. what factor is the primary consideration in this
scenario?
a. the family's wishes
b. the woman's prognosis
c. the woman's autonomy
d. the woman's treatment options correct answers c. the woman's autonomy
Which of the following are social risk factors for impaired nutrition?
Select all that apply.
a. isolation
b. loneliness
c. depression
d. poverty correct answers a, b, and d
a mini nutritional score between 8 and 11 indicates dehydration. true or false correct answers
False
Lab values associate with poor nutrition include... Select all that apply.
a. serum albumin
b. increased magnesium
c. serum prealbumin
d. cholesterol correct answers a, c, and d
What contributes to neuron death & may progress to Alzheimers? correct answers B-amyloid
, What should you do before treating a patient with delirium? correct answers Identify the
underlying cause
TRUE OR FALSE: During hospice care one physician must determine the patient has 6
months to live correct answers FALSE; two physicians
Hospice care is not appropriate in which of these circumstances?
a. The patient decides to forego curative treatment.
b. The patient's prognosis is 3 to 6 months.
c. The patient is undergoing experimental chemotherapy.
d. The patient is receiving palliative chemotherapy. correct answers c. The patient is
undergoing experimental chemotherapy.
Rationale: Hospice care is not appropriate for patients undergoing active curative therapy. All
other statements are correct regarding hospice care.
Mrs. Jones is receiving hospice care in the nursing home. During the assessment, the nurse
observes the patient is unconscious and has wet, noisy respirations and cool, mottled
extremities. The nurse understands which of the following actions are indicated? (Select all
that apply.)
A. Notifying the patient's family
B. Requesting an order for an anticholinergic medication
C. Notifying the patient's provider
D. Performing a sternal rub to assess the patient's response
E. Performing a full systems assessment correct answers A, B, and C
Rationale: Unconsciousness is not unexpected inthe patient in hospice care. Performing a
painful assessment strategy would be inappropriate and performing a full system assessment
would be unnecessary as death is expected. We would wantto notify the family and provider
of this change and an order for an anticholinergic medication is appropri- ate to help reduce
noisy respirations by drying up secretions.
Mr. Smith's wife is in the terminal stage of chronic obstructive pulmonary disease (COPD).
He is very anxious that his wife be comfortable during her last hours. The nurse finds him
tearful in the hall outside the room. Which communication should the nurse use first?
A. "My aunt had COPD, and she died on a ventilator. Count your blessings that your wife is
not on a machine."
B. "I can see you're upset, Mr. Smith. Would you like to talk about it?"
C. "Is your family here?"
D. "Do you think your wife would like a visit from pastoral care?" correct answers B. "I can
see you're upset, Mr. Smith. Would you like to talk about it?"
Rationale: As a nurse, we would not want to make light of a family member's anxiety.
Initiating a conver- sation with Mr. Smith might relieve some of his anxi- eties. We can then
refer to other support services as necessary.
ANSWERS; SCORED A+
True or false
GI age related changes include increased motility, decreased blood flow, increased absorption
correct answers False, decreased motility
Identify the correct statement describing the abuse of elderly persons in the United States.
a. Elder abuse is the most often reported form of domestic violence
b. Statistically, neglect is the most common form of elder abuse
c. Most cases of elder abuse are reported to the proper authorities
d. Healthcare practitioners are only mandated to report verified, not suspected, cases of elder
abuse correct answers b. Statistically, neglect is the most common form of elder abuse
Which of the following cases seen by a nurse working in the ED identifies a situation that
suggests a case of elder mistreatment?
a. an 85 yr old male who has several areas of bruising on the back of the hands and is taking
Clopidogrel sisulfate(Plavix) and aspirin daily
b. an 86 yr old woman who has 3 dime sized burned areas on her upper inner thigh
c. a 77 yr old woman who fell at home after tripping over her dog and broke her arm about 30
minutes earlier
d. a 73 yr old male with a history of gastric ulcers who is found to be anemic after vomiting
blood 3 hours earlier correct answers b. an 86 yr old woman who has 3 dime sized burned
areas on her upper inner thigh
Which of the following are examples of appropriate communication techniques for dealing
effectively with persons with dementia?
a. Ask open ended questions so the person feels that he or she feels they can make choices
b. for people in the later stages of dementia, talk to them as you would a child
c. maintain good eye contact and a relaxed and smiling approach
d. when a person forgets something, remind them not forget it the next time correct answers
c. maintain good eye contact and a relaxed and smiling approach
Mr Reynolds experienced a transient ischemic attack (TIA) 3 weeks ago that had significant
effects on his motor and sensory function. Which of the following assessment findings should
signal to the nurse to the possibility that Mr Reynolds is experiencing dysphagia?
a. Mr. Reynolds complains of being excessively hungry in the mid afternoon and evening
b. When providing oral care, the nurse finds food pocketed in Mr Reynolds cheek
c. Mr Reynolds drinks large amounts of water, before, during and after meals
d. Mr Reynolds prefers to sit in a high fowlers position after meals correct answers b. When
providing oral care, the nurse finds food pocketed in Mr Reynolds cheek
Statistically, which of the following clients is at greatest risk for mistreatment in the domestic
setting?
,a. an active 70 yr old woman with well controlled diabetes who live alone
b. a healthy 75 yr old man who is a retied businessman and lives with his son
c. an 82 yr old woman with severe osteoarthritis and macular degeneration who lives with her
single daughter who has an adult son with cerebral palsy
d. a 77 yr old man who has a history of coronary bypass surgery and lives with his wife
correct answers c. an 82 yr old woman with severe osteoarthritis and macular degeneration
who lives with her single daughter who has an adult son with cerebral palsy
When a patient is admitted to a hospital, he or she is asked if an advance directive is available
in case terminal care is necessary. What does an advance directive do?
a. It gives the patient's family control over terminal care regardless of the patient's wishes
b. It gives the patient control over terminal care by appointing an decision maker in the event
they cannot make their own decisions
c. It gives the hospital control over terminal care
d. It gives the attending physician control over terminal care correct answers b. It gives the
patient control over terminal care by appointing an decision maker in the event they cannot
make their own decisions
A 78 yr old woman was diagnosed with colorectal cancer 18 mos ago and underwent
chemotherapy. a recent CT scan has shown has metastasized to her lungs and liver. The
woman states that she feels well and does not want to undergo any further debilitating
chemotherapy. The son and daughter are adamantly opposed to their mother's forgoing
treatment and have appealed to the nurse. what factor is the primary consideration in this
scenario?
a. the family's wishes
b. the woman's prognosis
c. the woman's autonomy
d. the woman's treatment options correct answers c. the woman's autonomy
Which of the following are social risk factors for impaired nutrition?
Select all that apply.
a. isolation
b. loneliness
c. depression
d. poverty correct answers a, b, and d
a mini nutritional score between 8 and 11 indicates dehydration. true or false correct answers
False
Lab values associate with poor nutrition include... Select all that apply.
a. serum albumin
b. increased magnesium
c. serum prealbumin
d. cholesterol correct answers a, c, and d
What contributes to neuron death & may progress to Alzheimers? correct answers B-amyloid
, What should you do before treating a patient with delirium? correct answers Identify the
underlying cause
TRUE OR FALSE: During hospice care one physician must determine the patient has 6
months to live correct answers FALSE; two physicians
Hospice care is not appropriate in which of these circumstances?
a. The patient decides to forego curative treatment.
b. The patient's prognosis is 3 to 6 months.
c. The patient is undergoing experimental chemotherapy.
d. The patient is receiving palliative chemotherapy. correct answers c. The patient is
undergoing experimental chemotherapy.
Rationale: Hospice care is not appropriate for patients undergoing active curative therapy. All
other statements are correct regarding hospice care.
Mrs. Jones is receiving hospice care in the nursing home. During the assessment, the nurse
observes the patient is unconscious and has wet, noisy respirations and cool, mottled
extremities. The nurse understands which of the following actions are indicated? (Select all
that apply.)
A. Notifying the patient's family
B. Requesting an order for an anticholinergic medication
C. Notifying the patient's provider
D. Performing a sternal rub to assess the patient's response
E. Performing a full systems assessment correct answers A, B, and C
Rationale: Unconsciousness is not unexpected inthe patient in hospice care. Performing a
painful assessment strategy would be inappropriate and performing a full system assessment
would be unnecessary as death is expected. We would wantto notify the family and provider
of this change and an order for an anticholinergic medication is appropri- ate to help reduce
noisy respirations by drying up secretions.
Mr. Smith's wife is in the terminal stage of chronic obstructive pulmonary disease (COPD).
He is very anxious that his wife be comfortable during her last hours. The nurse finds him
tearful in the hall outside the room. Which communication should the nurse use first?
A. "My aunt had COPD, and she died on a ventilator. Count your blessings that your wife is
not on a machine."
B. "I can see you're upset, Mr. Smith. Would you like to talk about it?"
C. "Is your family here?"
D. "Do you think your wife would like a visit from pastoral care?" correct answers B. "I can
see you're upset, Mr. Smith. Would you like to talk about it?"
Rationale: As a nurse, we would not want to make light of a family member's anxiety.
Initiating a conver- sation with Mr. Smith might relieve some of his anxi- eties. We can then
refer to other support services as necessary.
