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NCAA EXAM 3/ACTUAL QUESTIONS
AND ANSWERS 100% PASS
A nurse is assessing an older adult and a family caregiver. Which statement by a family
caregiver would lead the nurse to suspect elder abuse?
A."My mother says she wants me to do everything for her, but I think it's better if she keeps on
doing everything she's still capable of."
B."When my dad starts wandering around the house, I give him sleeping pills until he calms
down and falls asleep in his chair."
C."Mom can't handle her own money any more so I've had to take over her banking."
D."I get so frustrated because my father used to be so competent and now he can't even use a
toilet." - ANS B
A gerontological nurse is implementing a care model that addresses holism and healing. Which
assumption would the nurse most likely integrate into the model? Select all that apply.
A.The physical environment can be used as a therapeutic tool.
B.Physical, rather than psychological, social, and spiritual well-being is more important.
C.Clients receiving care require medical supervision and treatment as the primary component
of care.
D.Alternative and complementary therapies cannot effectively meet the needs resulting from
chronic conditions.
E.Caregivers' presence and interactions affect health, healing, and the quality of nursing facility
life. - ANS A, E
A gerontological nurse observes a staff nurse infantilizing an older adult client receiving
rehabilitative services. The gerontological nurse implements actions to correct the staff nurse's
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action based on the understanding that the staff nurse was violating which guideline for
rehabilitative nursing?
A.Recognizing and praising accomplishments
B.Preventing complications
C.Providing time and flexibility
D.Equating physical disability with mental disability - ANS D
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?
A.Anger
B.Bargaining
C.Acceptance
D.Denial - ANS D
A client is beginning to awaken after surgery and becomes extremely restless. Which agent
would the post-anesthesia care nurse most likely administer first?
A.Oxygen to correct hypoxia
B.A narcotic to ease the pain
C.Antibiotics to prevent an infection
D.Electrolytes to correct an imbalance - ANS A
The nursing staff of a palliative care unit are helping an unlicensed care provider, who has had
little prior exposure to death, adjust to the unique demands of working in such an environment.
Which action would be of benefit for the unlicensed care provider? Select all that apply.
A.The nurses teach the care provider how to be therapeutic while still maintaining an
emotionally detached relationship from clients and their families.
B.The nurses encourage stepping back from intense situations and examining whether strong
reactions are impacting the therapeutic relationship.
C.The nurses encourage the care provider to find a confidante outside to avoid showing
emotion openly while on duty.
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D.The nurses provide a location on the unit where all staff members can retreat during intense
encounters.
E.The nurses try to help the care provider verbalize emotions and reactions to death and dying.
- ANS B,D,E
Upon further questioning, an older adult client who expressed apprehension about upcoming
coronary artery bypass surgery admitted, "I had a had a friend who had coronary artery bypass
surgery a few years ago and had many complications after the surgery." Which response by the
nurse would be most appropriate?
A."This surgery is always successful at our hospital."
B."You will feel better immediately."
C."You can recover as easily as a young person can."
D."Bypass surgery has improved over the past 20 years." - ANS D
A nurse is assessing several families. Which family would the nurse most likely identify as
representing a skipped-generation household?
A.A client who raised her granddaughter until she left for college.
B.A client who raised her only sister's children after her sister's death.
C.A client who is cared for by her adult granddaughter.
D.A client who lives with her single parent daughter and her daughter's children. - ANS A
The family of a 90-year-old female hospitalized client is worried about the client's chances of
making a full recovery from this recent fall once the client returns home. When assessing this
client, which factor would the nurse most likely identify as positively contributing to the client's
post-discharge health outcomes? Select all that apply.
A.The presence or absence of other health problems.
B.Beginning the discharge planning at the time that client is being discharged.
C.The client's understanding of current health and prognosis.
D.The self-care habits that the client had prior to the fall.
E.The presence of a reliable and an adequate social support network. - ANS A,C,D,E
NCAA EXAM 3/ACTUAL QUESTIONS
AND ANSWERS 100% PASS
A nurse is assessing an older adult and a family caregiver. Which statement by a family
caregiver would lead the nurse to suspect elder abuse?
A."My mother says she wants me to do everything for her, but I think it's better if she keeps on
doing everything she's still capable of."
B."When my dad starts wandering around the house, I give him sleeping pills until he calms
down and falls asleep in his chair."
C."Mom can't handle her own money any more so I've had to take over her banking."
D."I get so frustrated because my father used to be so competent and now he can't even use a
toilet." - ANS B
A gerontological nurse is implementing a care model that addresses holism and healing. Which
assumption would the nurse most likely integrate into the model? Select all that apply.
A.The physical environment can be used as a therapeutic tool.
B.Physical, rather than psychological, social, and spiritual well-being is more important.
C.Clients receiving care require medical supervision and treatment as the primary component
of care.
D.Alternative and complementary therapies cannot effectively meet the needs resulting from
chronic conditions.
E.Caregivers' presence and interactions affect health, healing, and the quality of nursing facility
life. - ANS A, E
A gerontological nurse observes a staff nurse infantilizing an older adult client receiving
rehabilitative services. The gerontological nurse implements actions to correct the staff nurse's
, ©THESTAR 2025 ALL RIGHTS RESERVED
action based on the understanding that the staff nurse was violating which guideline for
rehabilitative nursing?
A.Recognizing and praising accomplishments
B.Preventing complications
C.Providing time and flexibility
D.Equating physical disability with mental disability - ANS D
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?
A.Anger
B.Bargaining
C.Acceptance
D.Denial - ANS D
A client is beginning to awaken after surgery and becomes extremely restless. Which agent
would the post-anesthesia care nurse most likely administer first?
A.Oxygen to correct hypoxia
B.A narcotic to ease the pain
C.Antibiotics to prevent an infection
D.Electrolytes to correct an imbalance - ANS A
The nursing staff of a palliative care unit are helping an unlicensed care provider, who has had
little prior exposure to death, adjust to the unique demands of working in such an environment.
Which action would be of benefit for the unlicensed care provider? Select all that apply.
A.The nurses teach the care provider how to be therapeutic while still maintaining an
emotionally detached relationship from clients and their families.
B.The nurses encourage stepping back from intense situations and examining whether strong
reactions are impacting the therapeutic relationship.
C.The nurses encourage the care provider to find a confidante outside to avoid showing
emotion openly while on duty.
, ©THESTAR 2025 ALL RIGHTS RESERVED
D.The nurses provide a location on the unit where all staff members can retreat during intense
encounters.
E.The nurses try to help the care provider verbalize emotions and reactions to death and dying.
- ANS B,D,E
Upon further questioning, an older adult client who expressed apprehension about upcoming
coronary artery bypass surgery admitted, "I had a had a friend who had coronary artery bypass
surgery a few years ago and had many complications after the surgery." Which response by the
nurse would be most appropriate?
A."This surgery is always successful at our hospital."
B."You will feel better immediately."
C."You can recover as easily as a young person can."
D."Bypass surgery has improved over the past 20 years." - ANS D
A nurse is assessing several families. Which family would the nurse most likely identify as
representing a skipped-generation household?
A.A client who raised her granddaughter until she left for college.
B.A client who raised her only sister's children after her sister's death.
C.A client who is cared for by her adult granddaughter.
D.A client who lives with her single parent daughter and her daughter's children. - ANS A
The family of a 90-year-old female hospitalized client is worried about the client's chances of
making a full recovery from this recent fall once the client returns home. When assessing this
client, which factor would the nurse most likely identify as positively contributing to the client's
post-discharge health outcomes? Select all that apply.
A.The presence or absence of other health problems.
B.Beginning the discharge planning at the time that client is being discharged.
C.The client's understanding of current health and prognosis.
D.The self-care habits that the client had prior to the fall.
E.The presence of a reliable and an adequate social support network. - ANS A,C,D,E
