Gero Exam 2
An older woman has severe osteoporosis in the long bones, impaired mobility, and
chronic pain. Which acute illness or condition is this woman most likely to experience as
a result of osteoporosis?
A. Peripheral neuropathy
B. Depression
C. Intertrochanteric fracture
D. Opioid analgesic addiction - CORRECT ANSWER-B
Over 50% of the population, aged 65 years and older, suffers from which one of the
following chronic health conditions?
A. Hypertension
B. Renal failure
C. Multiple sclerosis
D. Cancer - CORRECT ANSWER-A
Which of the following statements is true about diabetes mellitus?
A. Type 2 diabetes is the result of the failure of the pancreas to produce insulin.
B. Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dl.
C. Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes.
D. The incidence of diabetes mellitus does not increase with age. - CORRECT
ANSWER-B
Which laboratory results are goals for reducing a person's risk for diabetes and heart
disease?
A. Triglycerides over 150 mg/dl
B. Cholesterol 250 mg/dl
C. High-density lipoprotein (HDL) over 40 mg/d
D. Fasting blood glucose under 150 mg/dl - CORRECT ANSWER-D
An older man comes to a primary care setting, and his reason for seeking health care is
to get a prescription for sildenafil (Viagra). Which of the following laboratory reports can
help explain why this individual needs sildenafil?
A. Serum potassium 4.5 mEq/L
B. Prothrombin time 13 seconds
C. Alanine transferase (ALT) 50 units/L
D. Glycosylated hemoglobin (Hgb A1c) over 8% - CORRECT ANSWER-D
The nurse admits an older man who had abdominal surgery. Admission vital signs are
heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per
minute; blood pressure (BP), 136/84 mm Hg. He is receiving intravenous (IV) fluids but
has not requested pain medication since surgery. Seven hours later, his vital signs are
, P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain.
Which intervention should the nurse implement?
A. Administer an opioid medication by IV route.
B. Check the surgical dressing for bleeding.
C. Report the vital signs to the health care provider.
D. Ask about discomfort at the surgical site or any other location. - CORRECT
ANSWER-D
The health care provider has not ordered the use of a restraint for an alert patient at
high risk for falling. The nurse should implement which side rail use?
A. Two full-length rails
B. One ½-length rail
C. No side rails
D. Four ½-length rails - CORRECT ANSWER-B
Which one of the following is a true statement about mobility and safety for older adults?
A. Use of restraints on older patients helps prevent injuries from falls.
B. Falls that do not cause physical injury are not significant.
C. The get-up-and-go test provides a measure of a patient's energy and initiative.
D. Lowering the bed and fluorescent tapes are interventions to increase safety. -
CORRECT ANSWER-D
The overall temperature in your unit is 62° F during the evening shift. In documenting
this concern to the administration, which factor is the most important for the health and
well-being of older adults?
A. It is not fair for older adults to have to deal with an uncomfortable environment.
B. Some of the residents are wearing blankets around their shoulders to keep warm.
C. An ambient temperature of 62° F is unsuitable for older people because they have
impaired thermoregulation.
D. It feels much warmer in the administration wing than out in the patient care areas. -
CORRECT ANSWER-C
Which of the following describes the nurse's role for an older patient with a chronic
illness?
A. Implement an individualized therapeutic regimen that brings about a cure.
B. Provide caring to help the patient live at the optimal level of health and wellness.
C. Suggest that the patient accept eventual death to reduce the burdens on the patient's
family.
D. Encourage the patient to minimize the use of services to control costs. - CORRECT
ANSWER-B
An older woman had hip replacement surgery 1 day ago, and the nurse thinks that the
woman also has dementia. Which patient assessment does the nurse use to determine
whether this woman is experiencing pain?
An older woman has severe osteoporosis in the long bones, impaired mobility, and
chronic pain. Which acute illness or condition is this woman most likely to experience as
a result of osteoporosis?
A. Peripheral neuropathy
B. Depression
C. Intertrochanteric fracture
D. Opioid analgesic addiction - CORRECT ANSWER-B
Over 50% of the population, aged 65 years and older, suffers from which one of the
following chronic health conditions?
A. Hypertension
B. Renal failure
C. Multiple sclerosis
D. Cancer - CORRECT ANSWER-A
Which of the following statements is true about diabetes mellitus?
A. Type 2 diabetes is the result of the failure of the pancreas to produce insulin.
B. Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dl.
C. Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes.
D. The incidence of diabetes mellitus does not increase with age. - CORRECT
ANSWER-B
Which laboratory results are goals for reducing a person's risk for diabetes and heart
disease?
A. Triglycerides over 150 mg/dl
B. Cholesterol 250 mg/dl
C. High-density lipoprotein (HDL) over 40 mg/d
D. Fasting blood glucose under 150 mg/dl - CORRECT ANSWER-D
An older man comes to a primary care setting, and his reason for seeking health care is
to get a prescription for sildenafil (Viagra). Which of the following laboratory reports can
help explain why this individual needs sildenafil?
A. Serum potassium 4.5 mEq/L
B. Prothrombin time 13 seconds
C. Alanine transferase (ALT) 50 units/L
D. Glycosylated hemoglobin (Hgb A1c) over 8% - CORRECT ANSWER-D
The nurse admits an older man who had abdominal surgery. Admission vital signs are
heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per
minute; blood pressure (BP), 136/84 mm Hg. He is receiving intravenous (IV) fluids but
has not requested pain medication since surgery. Seven hours later, his vital signs are
, P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain.
Which intervention should the nurse implement?
A. Administer an opioid medication by IV route.
B. Check the surgical dressing for bleeding.
C. Report the vital signs to the health care provider.
D. Ask about discomfort at the surgical site or any other location. - CORRECT
ANSWER-D
The health care provider has not ordered the use of a restraint for an alert patient at
high risk for falling. The nurse should implement which side rail use?
A. Two full-length rails
B. One ½-length rail
C. No side rails
D. Four ½-length rails - CORRECT ANSWER-B
Which one of the following is a true statement about mobility and safety for older adults?
A. Use of restraints on older patients helps prevent injuries from falls.
B. Falls that do not cause physical injury are not significant.
C. The get-up-and-go test provides a measure of a patient's energy and initiative.
D. Lowering the bed and fluorescent tapes are interventions to increase safety. -
CORRECT ANSWER-D
The overall temperature in your unit is 62° F during the evening shift. In documenting
this concern to the administration, which factor is the most important for the health and
well-being of older adults?
A. It is not fair for older adults to have to deal with an uncomfortable environment.
B. Some of the residents are wearing blankets around their shoulders to keep warm.
C. An ambient temperature of 62° F is unsuitable for older people because they have
impaired thermoregulation.
D. It feels much warmer in the administration wing than out in the patient care areas. -
CORRECT ANSWER-C
Which of the following describes the nurse's role for an older patient with a chronic
illness?
A. Implement an individualized therapeutic regimen that brings about a cure.
B. Provide caring to help the patient live at the optimal level of health and wellness.
C. Suggest that the patient accept eventual death to reduce the burdens on the patient's
family.
D. Encourage the patient to minimize the use of services to control costs. - CORRECT
ANSWER-B
An older woman had hip replacement surgery 1 day ago, and the nurse thinks that the
woman also has dementia. Which patient assessment does the nurse use to determine
whether this woman is experiencing pain?
