3271 Nursing Care of Adults &
Older Adults I
Final Exam Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Question:
An 82-year-old male with a history of congestive heart failure, chronic
kidney disease, and diabetes presents with shortness of breath and
confusion. Which initial assessment parameter is most critical to guide
the nurse in determining the urgency of his acute decompensation?
- A. Temperature
- B. Oxygen saturation
- C. Blood glucose
- D. Weight changes
Correct ANS:
B. Oxygen saturation
Rationale:
In acutely ill older adults, hypoxemia is an immediate threat that may
indicate respiratory failure or cardiac decompensation. Reliable
measurement of oxygen saturation guides urgent interventions and helps
prioritize further assessment.
---
2. Fill-in-the-Blank
Question:
In managing complex patients with both acute and chronic conditions,
the systematic approach of the __________ is essential for ensuring
individualized, patient-centered care.
Correct ANS:
nursing process
Rationale:
The nursing process—assessment, diagnosis, planning, implementation,
2
, and evaluation—provides a structured framework to manage complex
clinical situations, ensuring that care meets both immediate and long-
term patient needs.
---
3. True/False
Question:
True or False: Older adults may present with atypical symptoms (such as
confusion or falls) in response to acute illnesses, which necessitates a
high index of suspicion for serious underlying pathology.
Correct ANS:
True
Rationale:
Due to altered physiologic reserves and multiple comorbidities, older
adults often exhibit atypical clinical presentations. Recognizing these
subtler signs is essential for prompt diagnosis and intervention.
---
4. Multiple Response
Question:
When evaluating an acutely ill adult with chronic health alterations,
which of the following factors should be included in your comprehensive
assessment? (Select all that apply)
- A. Vital signs and hemodynamic stability
- B. Mental status and cognitive function
- C. Nutritional status and weight history
- D. Cultural and psychosocial background
- E. Individual patient’s astrological sign
Correct ANSs:
A, B, C, D
3
Older Adults I
Final Exam Review
(Questions & Solutions)
2025
1
, 1. Multiple Choice
Question:
An 82-year-old male with a history of congestive heart failure, chronic
kidney disease, and diabetes presents with shortness of breath and
confusion. Which initial assessment parameter is most critical to guide
the nurse in determining the urgency of his acute decompensation?
- A. Temperature
- B. Oxygen saturation
- C. Blood glucose
- D. Weight changes
Correct ANS:
B. Oxygen saturation
Rationale:
In acutely ill older adults, hypoxemia is an immediate threat that may
indicate respiratory failure or cardiac decompensation. Reliable
measurement of oxygen saturation guides urgent interventions and helps
prioritize further assessment.
---
2. Fill-in-the-Blank
Question:
In managing complex patients with both acute and chronic conditions,
the systematic approach of the __________ is essential for ensuring
individualized, patient-centered care.
Correct ANS:
nursing process
Rationale:
The nursing process—assessment, diagnosis, planning, implementation,
2
, and evaluation—provides a structured framework to manage complex
clinical situations, ensuring that care meets both immediate and long-
term patient needs.
---
3. True/False
Question:
True or False: Older adults may present with atypical symptoms (such as
confusion or falls) in response to acute illnesses, which necessitates a
high index of suspicion for serious underlying pathology.
Correct ANS:
True
Rationale:
Due to altered physiologic reserves and multiple comorbidities, older
adults often exhibit atypical clinical presentations. Recognizing these
subtler signs is essential for prompt diagnosis and intervention.
---
4. Multiple Response
Question:
When evaluating an acutely ill adult with chronic health alterations,
which of the following factors should be included in your comprehensive
assessment? (Select all that apply)
- A. Vital signs and hemodynamic stability
- B. Mental status and cognitive function
- C. Nutritional status and weight history
- D. Cultural and psychosocial background
- E. Individual patient’s astrological sign
Correct ANSs:
A, B, C, D
3
