NURS 221 Final Exam Questions with Correct Answers Verified by Experts| Latest Update
you are assessing a 78 year old pt for COPD exacerbation. while auscultating breath sounds you
recognize inspiratory wheezes in all fields, and an increased work in breathing. her oxygen is
94% room air, and reports mild SOB. what med would you expect to improve her respiratory
status?
a. Ativan 0.5 mg PO
b. albuterol nebulizer 2.5 mg/5 mL
c. lasix 20 mg PO
d. Advair 50/250 mcg 1 puff b. albuterol nebulizer 2.5 mg/5 mL
regarding post-stroke care, what interventions would the nurse utilize to mitigate post-stroke
complications?
select all that apply:
a. arrange for appropriate therapies directed by OT and PT
b. ensure all PO meds are given with head of bed elevated
c. ensure that barriers, such as aphasia, are addressed w/ the appropriate tools that aim to
promote effective communication
d. reassure the resident that if they follow the plan of care they will return to their pre-stroke
functional status a. arrange for appropriate therapies directed by OT and PT
b. ensure all PO meds are given with head of bed elevated
c. ensure that barriers, such as aphasia, are addressed w/ the appropriate tools that aim to
promote effective communication
Eddie 79 year old community-dwelling with moderate dementia, and in the past 6 months has
wandered away from home twice. Both times he was brought home by the police. His primary
caregiver is his wife. She works part time to supplement their retirement savings so she can pay
for minimal in-home care for Eddie. She spends majority of the rest of her days caring for Eddie
and no longer attends social functions and their only child lives 3 hours away. You have been
asked to assess the Jackson's needs and resources.
,you have concerns for both Eddie and his wife. Why?
a. you know that Lucille is going to develop dementia as a result of the increased stress
associated with Eddie's care
b. you know Lucille is going to be investigated by adult protective services for elder abuse
c. you know that Eddie's safety and Lucille's health are both in jeopardy
d. you know that you are going to have to change Eddie's surrogate health c. you know that
Eddie's safety and Lucille's health are both in jeopardy
which of the following nursing actions aim to prevent delirium in the acutely ill older adult?
select all the apply:
a. the continued use of sedatives at bedtime to promote sleep
b. the use of non pharmacological interventions to promote sleep
c. requesting that family bring in the older adult's hearing aids and glasses while they are in the
hospital
d. encouraging the older adult to stay in bed at all times in order to minimize the risk of falls
b. the use of non pharmacological interventions to promote sleep
c. requesting that family bring in the older adult's hearing aids and glasses while they are in the
hospital
a needs-based approach (e.g. those who need more get more) to the distribution of healthcare
and social services represents what?
a. sustainability
b. equality
c. equity
d. accountability c. equity
,when the nurse assesses the systemic issues in healthcare and seeks to find deficiencies that
contribute to a variety of health disparities that impact marginalized population, they are...
select all that apply:
a. utilizing systems-thinking
b. planning the next actions to take to address the systemic issues
c. considering social determinants of health
d. assessing the inequitable access to care a. utilizing systems-thinking
c. considering social determinants of health
d. assessing the inequitable access to care
You are assessing an older adult with dementia in the ambulatory clinic. His husband, who is his
caregiver, is with you in the exam room. Which assessment findings would indicate that this
couple needs additional resources to maintain both independence and healthy aging
select all that apply:
a. the caregiver expresses concerns about social isolation but states, "I suppose that's just part
of the disease I guess I will have to live with it".
b. the couple has a significant support system and adequate knowledge regarding disease
processes and their needs
c. the caregiver is working three part-time jobs, and none of which provide health insurance
d. the patient has multiple co-morbid disease processes that require extensive care
management. a. the caregiver expresses concerns about social isolation but states "I
suppose that's just part of the disease I guess I will have to live with it"
c. the caregiver is working three part-time jobs, and none of which provide health insurance
d. the patient has multiple co-morbid disease processes that require extensive care
management.
African American women are 60% more likely to have hypertension than their non-Hispanic
white counterparts. This is an example of what?
, a. health disparity
b. healthcare resource inequity
c. culturally-congruent healthcare
d. equitable healthcare a. health disparity
when assessing the older adult's neurological health which finding requires an in-depth
neurological exam?
a. reports of feeling depressed after the passing of a close friend
b. mild memory impairment
c. decreased sensation in the periphery
d. unexplained confusion d. unexplained confusion
you are interpreting the results of a routine arterial blood gas of an older adult. with advanced
COPD, what would you expect?
select all that apply:
a. pH: 7.0
b. decreased PaCO2
c. increased PaCO2
d. decreased PaO2 c. increased PaCO2
d. decreased PaO2
Which healthcare profession was the first to develop standards of gerontological care and the
first to provide a certification mechanism to ensure specific professional expertise through
credentialing?
A. Physical therapy
you are assessing a 78 year old pt for COPD exacerbation. while auscultating breath sounds you
recognize inspiratory wheezes in all fields, and an increased work in breathing. her oxygen is
94% room air, and reports mild SOB. what med would you expect to improve her respiratory
status?
a. Ativan 0.5 mg PO
b. albuterol nebulizer 2.5 mg/5 mL
c. lasix 20 mg PO
d. Advair 50/250 mcg 1 puff b. albuterol nebulizer 2.5 mg/5 mL
regarding post-stroke care, what interventions would the nurse utilize to mitigate post-stroke
complications?
select all that apply:
a. arrange for appropriate therapies directed by OT and PT
b. ensure all PO meds are given with head of bed elevated
c. ensure that barriers, such as aphasia, are addressed w/ the appropriate tools that aim to
promote effective communication
d. reassure the resident that if they follow the plan of care they will return to their pre-stroke
functional status a. arrange for appropriate therapies directed by OT and PT
b. ensure all PO meds are given with head of bed elevated
c. ensure that barriers, such as aphasia, are addressed w/ the appropriate tools that aim to
promote effective communication
Eddie 79 year old community-dwelling with moderate dementia, and in the past 6 months has
wandered away from home twice. Both times he was brought home by the police. His primary
caregiver is his wife. She works part time to supplement their retirement savings so she can pay
for minimal in-home care for Eddie. She spends majority of the rest of her days caring for Eddie
and no longer attends social functions and their only child lives 3 hours away. You have been
asked to assess the Jackson's needs and resources.
,you have concerns for both Eddie and his wife. Why?
a. you know that Lucille is going to develop dementia as a result of the increased stress
associated with Eddie's care
b. you know Lucille is going to be investigated by adult protective services for elder abuse
c. you know that Eddie's safety and Lucille's health are both in jeopardy
d. you know that you are going to have to change Eddie's surrogate health c. you know that
Eddie's safety and Lucille's health are both in jeopardy
which of the following nursing actions aim to prevent delirium in the acutely ill older adult?
select all the apply:
a. the continued use of sedatives at bedtime to promote sleep
b. the use of non pharmacological interventions to promote sleep
c. requesting that family bring in the older adult's hearing aids and glasses while they are in the
hospital
d. encouraging the older adult to stay in bed at all times in order to minimize the risk of falls
b. the use of non pharmacological interventions to promote sleep
c. requesting that family bring in the older adult's hearing aids and glasses while they are in the
hospital
a needs-based approach (e.g. those who need more get more) to the distribution of healthcare
and social services represents what?
a. sustainability
b. equality
c. equity
d. accountability c. equity
,when the nurse assesses the systemic issues in healthcare and seeks to find deficiencies that
contribute to a variety of health disparities that impact marginalized population, they are...
select all that apply:
a. utilizing systems-thinking
b. planning the next actions to take to address the systemic issues
c. considering social determinants of health
d. assessing the inequitable access to care a. utilizing systems-thinking
c. considering social determinants of health
d. assessing the inequitable access to care
You are assessing an older adult with dementia in the ambulatory clinic. His husband, who is his
caregiver, is with you in the exam room. Which assessment findings would indicate that this
couple needs additional resources to maintain both independence and healthy aging
select all that apply:
a. the caregiver expresses concerns about social isolation but states, "I suppose that's just part
of the disease I guess I will have to live with it".
b. the couple has a significant support system and adequate knowledge regarding disease
processes and their needs
c. the caregiver is working three part-time jobs, and none of which provide health insurance
d. the patient has multiple co-morbid disease processes that require extensive care
management. a. the caregiver expresses concerns about social isolation but states "I
suppose that's just part of the disease I guess I will have to live with it"
c. the caregiver is working three part-time jobs, and none of which provide health insurance
d. the patient has multiple co-morbid disease processes that require extensive care
management.
African American women are 60% more likely to have hypertension than their non-Hispanic
white counterparts. This is an example of what?
, a. health disparity
b. healthcare resource inequity
c. culturally-congruent healthcare
d. equitable healthcare a. health disparity
when assessing the older adult's neurological health which finding requires an in-depth
neurological exam?
a. reports of feeling depressed after the passing of a close friend
b. mild memory impairment
c. decreased sensation in the periphery
d. unexplained confusion d. unexplained confusion
you are interpreting the results of a routine arterial blood gas of an older adult. with advanced
COPD, what would you expect?
select all that apply:
a. pH: 7.0
b. decreased PaCO2
c. increased PaCO2
d. decreased PaO2 c. increased PaCO2
d. decreased PaO2
Which healthcare profession was the first to develop standards of gerontological care and the
first to provide a certification mechanism to ensure specific professional expertise through
credentialing?
A. Physical therapy
