Final Exam V2: NUR163/ NUR 163 (Latest 2025/ 2026) Concepts of Practical Nursing in the Care of Elderly Patients| Complete Guide with Verified Answers| 100% Correct – Hondros

Final Exam V2: NUR163/ NUR 163 (Latest 2025/ 2026) Concepts of Practical Nursing in the Care of Elderly Patients| Complete Guide with Verified Answers| 100% Correct – Hondros • Question: What should a woman who already been through menopause report to their PCP Answer: Vaginal Bleeding Question: What is common for a women who has given multiple vaginal births to experience? Answer: Vaginal Prolapse Question: What should a patient do if they are experiencing urinary frequency, decreased urine flow and nocturia? Answer: Schedule a prostate examine for BPH Question: What happens with fragile capillaries? Answer: Senile Purpura Question: What can commonly cause erectile dysfunction? Answer: Diabetes Question: What is import we do as nurses for a residents' sexual wellbeing? Answer: Protect it Question: Due to a decreased immune response, who is at a higher risk for STI's? Answer: adults over 50 Question: What should be used for vaginal dryness? Answer: water based lubricant Question: Common reasons older adults refuse their annual physical exam? Answer: a) Cost b) Fear of what they may find c) feel they do not need d) lack of transportation Question: What you might find in a patient who is non adherent to medications? Answer: a) getting worse not better b) not progressing to wellness c) thinks medication is not working d) repeat complications Question: What kind of direct questions to use when you need to know something quickly? Answer: Closed questions Question: What medication would a male possibly have taken if experiencing chest pains? Answer: Viagra Question: How do you effective speak with older adults? Answer: Simple terminology and effective communication Question: How do one determine if patient is displaying a positive self-image? Answer: Well groomed, clothes nice and neat, hair intact Question: When older adults are seen a physical handicap and nonproductive they are experiencing what? Answer: Ageism Question: What is an example of ineffective coping strategy in a patient who is depressed? Answer: self-medicating with alcohol or drugs Question: What are some common skin changes in the older adult? Answer: a) skin more sensitive to UV or the sun b) decreased elasticity or skin turgor c) more fragile due to thinning epidermis d) women may have increased facial hair Question: What is recommended to keep calcium and phosphorous in the bones in patient with osteoporosis? Answer: Weight bearing exercises such as walking Question: Risk factors for osteoporosis: Answer: a) sedentary lifestyle b) smoking c) post menopause d) female Question: What is a normal finding during a respiratory assessment? Answer: nasal and mouth dryness due to decreased body fluids Question: What are some normal changes to GI during aging process? Answer: decreased gag reflex, peristalsis, decrease metabolism Question: What is subjective data? Answer: Spoken directly from patient Question: What is objective data? Answer: Things you observed and can be proven Question: During initial assessment you need to obtain a complete health history which includes: Answer: a) medications (herbal and OTC) b) DOB c) past medical history d) allergies e) religious preferences Question: What is the minicog used for? Answer: Cognition Function assessment Question: During the initial assessment of a patient with a primary language other than English, what should be done? Answer: Translator FIRST, family SECOND Question: All pulses can be palpated bilaterally except which? Answer: Carotid Question: Why would an older adult complain about always being cold? Answer: They have a decreased ability to regulate body temperature due to decreased metabolism Question: What are S/S of hyperthermia? Answer: a) decreased amount of sweat b) red skin c) confusion Question: What should you do if a patient with COPD is having dyspnea? Answer: Encourage them to conserve energy and pace activities Question: A patient who is soaking wet and has hyptothermia, what would you do first? Answer: Remove wet clothing Question: What group are medication studies done on typically? Answer: Younger healthy people Question: How do you verify identity before administering medications? Answer: Check wrist band Question: Why do you educate a patient on medication? Answer: So they know what it is for Question: What would avoid giving a patient with sleep apnea? Answer: Sedatives; question doctor if they are ordered Question: What is included in a mental status assessment? Answer: appearance, cognitive function, behavior Question: What is the difference between delirium and dementia? Answer: patients can recover from delirium, they can not from dementia Question: What is an educate you would give a patient about vitamins? Answer: Over consumption of fat soluble can be dangerous because they are stored in the liver Question: What would a patient with osteoporosis be ordered? Answer: Vitamin D to help absorb the calcium Question: What are some causes of hypokalemia? Answer: a) decrease intake of potassium b) prolonged diarrhea c) diabetic ketoacidosis Question: What would a patient complain of if they have hypervolemia? Answer: Shortness of breath Question: Who is at a higher risk of falls? Answer: Older adults Question: What puts older adults at higher risk for safety problems? Answer: Vision deficit Question: What are some risk factors for an older adult with altered nutrition? Answer: a) lives alone b) immobility c) decreased taste perception d) lack of transportation Question: What should an older adult not to while trying to increase nutrition intake? Answer: Drink a full glass of water Question: what side should a patient who suffered a stroke and has left side weakness be approached on? Answer: nonaffected side Question: How would you approach a person who is hearing impaired? Answer: a) stay at eye level b) slow, low tone c) short and simple sentences d) verify hearing aide is working Question: what are some S/S of delirium due to hypoxia? Answer: a) dysrhyhmias b) disoriented or hallucinating c) insomnia or disturbed sleep patterns d) change in level of conciousness Question: How would you communicate with a patient with expressive aphagia? Answer: keep message simple and allow them time to speak Question: How would you keep things familiar to a patient with dementia? Answer: Encourage family to bring pictures Question: What is the priority goal for a patient with dementia? Answer: Free from falls Question: A patient with COPD has pH 7.29, pCO2 61 and HCO3 26 are in what? Answer: respiratory acidosis Question: Patient wiht pH 7.51, pCO2 38, and HCO3 32 is in what? Answer: metabolic alkalosis Question: When would you hold a patients Lasix and notify doctor? Answer: when potassium is less than 3.5 Question: Patient has a BP of 89/52 and a HR of 130 would fluid volume deficit or overload be suspected? Answer: Fluid Volume Deficit Question: What is an intervention to promote sleep to a patient? Answer: discourage long naps during the day Question: What are some educational points to give a patient on the concept of comfort? Answer: Emotional needs has to be met, psychological needs have to be met, giving and receiving respect Question: Priority measure to take with caring for a patient with nocturia? Answer: Keeping the pathway to the bathroom clear Question: Who would be at an increased risk for injury? Answer: Patients suffering from sleep disorders or daytime sleepiness Question: Therapeutic approaches for a patient with chronic pain, fatigue, fibromyalgia, and sleep disorders? Answer: Pharmacological and non-pharmacological are both good approaches Question: What could cause behavioral changes in older adults? Answer: a) medication reaction b) stroke c) nutritional deficiency Question: What can cause sleep disorders in older adults? Answer: Corticoid Steroids Question: how much exercise is recommended for the older adult? Answer: 30 minutes per day Question: What are some benefits to exercise in older adults? Answer: a) maintains bone density b) help prevent or reduce depression c) helps with independence d) regulation of blood sugar Question: What is a major risk factor for activity intolerance in older adults? Answer: Cognitive impairment Question: What would you asses in an older adult that is starting a new exercise program? Answer: a) motivation b) peripheral pulses c) muscle weakness d) respiratory status e) oxygenation staturation Question: Why do diuretics alter sleep patterns? Answer: They cause frequent urination Question: Which body system if primary defense against infection? Answer: Integumentary Question: Infection can occur due to: Answer: a) pathogen b) entry c) reservoir d) mode of transmission Question: What patient would be most at risk for developing infection? Answer: Cancer patient receiving chemotherapy Question: What are some signs and symptoms of severe stress? Answer: a) anxiety b) hyperventilation c) tachycardia d) muscle tension e) decreased urine production but increased frequency Question: What are some factors that can increase risk of stress? Answer: a) chronic illness b) recent loss of spouse c) abrupt move d) changes in income e) spouse diagnosed with terminal illness Question: What is a common side effect of viagra? Answer: hypotension Question: What would you need to monitor for in an older adult taking sleeping pills? Answer: a) orthostatic hypotension b) dizziness Question: What is the communication tool for healthcare providers? Answer: SBAR