Module 1 Proctor U Exam Questions and Answers Already Passed Latest Update 2025-2026
While caring for an older adult male, the nurse observes that his skin is dry and wrinkled, his hair
is gray, and he needs glasses to read. Based on these observations, what would the nurse
conclude?
A) These are abnormal observations and must be reported
B)These are normal physiologic changes of aging
C)The observations are not typically found in older adults
D)Extra education will be necessary to prevent complications - AnswersB) Dry wrinkled skin,
gray hair, and needing glasses to read are all commonly occurring and normal physiologic
changes of aging. They are not abnormal and no additional education is necessary as the
changes observed do not lead to complications.
When the home care nurse visits a female client age 78 years who is recently widowed, the
nurse finds that the home is cluttered with trash. The client appears sad and disheveled. The
nurse should assess the client for symptoms of:
A) Drug overdoes
B) Presbyopia
C) Fatigue
D) Depression - AnswersD) Symptoms of depression include poor cognitive performance, sleep
problems, and lack of initiative.
A nurse is educating a group of middle adults about health promotion. What statement by one
of the participants indicates the need for additional education?
A) "I only have one glass of wine a day with dinner."
B) "I will beging a smoking cessation program this week."
C) "I should eat a diet high in fats but low in fiber."
D) "I will make exercise a part of my daily activities" - AnswersC) Health promotion activities for
the middle adult include a diet low in fat and cholesterol that includes fruits, vegetables, and
fiber; regular daily exercise; drinking alcohol in moderation; and no smoking. The client who
describes a diet high in fats needs additional instruction.
Which situation would lead the client's family to suspect onset of dementia?
A) The client has not attended church services in a month
,B) The client has experienced confusion with two new medications
C) The client has increasingly experienced disorientation to familiar surroundings
D) The client's air-conditioning is broken and he has not reported it - AnswersD) Dementia is a
progressive cognitive disorder in older adults, characterized by increased forgetfulness,
impaired judgment, progressive confusion, and disorientation. Other reasons may exist for the
client not reporting a broken air-conditioner (e.g., financial) or not attending church (e.g., time or
transportation). So these situations may not necessarily be related to dementia. Confusion, or
delirium, can be an adverse effect of medications. This condition is temporary and can be
resolved by stopping the use of the medication.
A nurse is performing a home assessment for a 90-year-old widower who lives in a third story
apartment. As the nurse considers his home environment, the nurse knows that the greatest
risk of injury-related death or disability for the client comes from:
A) dementia
B) myocardial infarction
C) falls
D) fire - AnswersC) As mobility impairment increases in persons over the age of 65, the risk of
falls increases. Hip fractures are a particular risk factor for disability and death.
An elderly patient has come in to the clinic for her yearly physical. The patient tells the nurse
that she is having difficulty with bowel movements. What intervention could the nurse suggest?
A) Adequate privacy
B) Increasing intake of water
C) Increasing caloric intake
D) Stress reduction - AnswersB) Age-related changes, as well as additional risk factors such as
disease and the effects of medications, can result in a negative impact on function.
Constipation is a common problem in aged people. The nurse should assess the patient for
frequent laxative and antacid use, which is associated with constipation. The patient should eat
high-fiber foods, drink eight to 10 glasses of water daily, and establish regular bowel habits.
Interventions the nurse would not suggest are stress reduction, eating more, or insuring
adequate privacy.
A middle adult client requests visits by the hospital chaplain and reads the Bible each day while
hospitalized for treatment of heart problems. What is the individual illustrating?
A) Trust in spiritual strength
, B) Support of the rights of others
C) Fear for the future
D) Midlife transition - AnswersA) The middle adult, according to Fowler's theory of spiritual
development, is less rigid in his or her beliefs and has increased faith in a supreme being, as
well as trust in spiritual strength. The client is not experiencing a fear of the future or supporting
the rights of others. The client is experiencing a midlife transition but it is focusing on spiritual
strength of Fowler's theory.
An occupational health nurse overhears an employee talking to his manager about a coworker
65 years of age. What would the nurse be concerned about when she hears the employee state
"he should retire and make way for some new blood"?
A) Intolerance
B) Nonspecific prejudice
C) Ageism
D) Dependence - AnswersC) Ageism refers to prejudice against the aged. Intolerance is implied
by the employee's statement, but the intolerance is aimed at the coworker's age, making this an
incorrect answer. The employee's statement does not raise concern about dependence. The
prejudice exhibited in the statement is very specific.
A nurse is making a home visit to an older adult with multiple chronic health problems. The
client is alert and oriented and his cognition is intact. While talking with the client, he reveals
that he thinks his son is stealing his social security checks to buy his beer and eat out all of the
time. The nurse interprets this statement as possibly suggesting which type of elder abuse?
A) Abandonment
B) Emotional
C) Exploitation
D) Physical - AnswersC) Exploitation involves illegally taking or misusing the funds, property, or
assets of a vulnerable older adult. Physical abuse involves the infliction of pain/injury on a
vulnerable older adult, the threat of inflicting such pain or injury, or depriving them of basic
needs. Emotional/psychological abuse involves verbal or nonverbal actions causing mental pain,
anguish, or distress on the older adult. Abandonment involves desertion of a vulnerable adult by
anyone who has assumed responsibility for his care.
The home health nurse is making an initial home visit to a male widow age 76 years. During the
assessment the nurse finds that the client is taking multiple medications. The client states that
he has also been taking some herbal remedies. What should the nurse be sure to include in the
While caring for an older adult male, the nurse observes that his skin is dry and wrinkled, his hair
is gray, and he needs glasses to read. Based on these observations, what would the nurse
conclude?
A) These are abnormal observations and must be reported
B)These are normal physiologic changes of aging
C)The observations are not typically found in older adults
D)Extra education will be necessary to prevent complications - AnswersB) Dry wrinkled skin,
gray hair, and needing glasses to read are all commonly occurring and normal physiologic
changes of aging. They are not abnormal and no additional education is necessary as the
changes observed do not lead to complications.
When the home care nurse visits a female client age 78 years who is recently widowed, the
nurse finds that the home is cluttered with trash. The client appears sad and disheveled. The
nurse should assess the client for symptoms of:
A) Drug overdoes
B) Presbyopia
C) Fatigue
D) Depression - AnswersD) Symptoms of depression include poor cognitive performance, sleep
problems, and lack of initiative.
A nurse is educating a group of middle adults about health promotion. What statement by one
of the participants indicates the need for additional education?
A) "I only have one glass of wine a day with dinner."
B) "I will beging a smoking cessation program this week."
C) "I should eat a diet high in fats but low in fiber."
D) "I will make exercise a part of my daily activities" - AnswersC) Health promotion activities for
the middle adult include a diet low in fat and cholesterol that includes fruits, vegetables, and
fiber; regular daily exercise; drinking alcohol in moderation; and no smoking. The client who
describes a diet high in fats needs additional instruction.
Which situation would lead the client's family to suspect onset of dementia?
A) The client has not attended church services in a month
,B) The client has experienced confusion with two new medications
C) The client has increasingly experienced disorientation to familiar surroundings
D) The client's air-conditioning is broken and he has not reported it - AnswersD) Dementia is a
progressive cognitive disorder in older adults, characterized by increased forgetfulness,
impaired judgment, progressive confusion, and disorientation. Other reasons may exist for the
client not reporting a broken air-conditioner (e.g., financial) or not attending church (e.g., time or
transportation). So these situations may not necessarily be related to dementia. Confusion, or
delirium, can be an adverse effect of medications. This condition is temporary and can be
resolved by stopping the use of the medication.
A nurse is performing a home assessment for a 90-year-old widower who lives in a third story
apartment. As the nurse considers his home environment, the nurse knows that the greatest
risk of injury-related death or disability for the client comes from:
A) dementia
B) myocardial infarction
C) falls
D) fire - AnswersC) As mobility impairment increases in persons over the age of 65, the risk of
falls increases. Hip fractures are a particular risk factor for disability and death.
An elderly patient has come in to the clinic for her yearly physical. The patient tells the nurse
that she is having difficulty with bowel movements. What intervention could the nurse suggest?
A) Adequate privacy
B) Increasing intake of water
C) Increasing caloric intake
D) Stress reduction - AnswersB) Age-related changes, as well as additional risk factors such as
disease and the effects of medications, can result in a negative impact on function.
Constipation is a common problem in aged people. The nurse should assess the patient for
frequent laxative and antacid use, which is associated with constipation. The patient should eat
high-fiber foods, drink eight to 10 glasses of water daily, and establish regular bowel habits.
Interventions the nurse would not suggest are stress reduction, eating more, or insuring
adequate privacy.
A middle adult client requests visits by the hospital chaplain and reads the Bible each day while
hospitalized for treatment of heart problems. What is the individual illustrating?
A) Trust in spiritual strength
, B) Support of the rights of others
C) Fear for the future
D) Midlife transition - AnswersA) The middle adult, according to Fowler's theory of spiritual
development, is less rigid in his or her beliefs and has increased faith in a supreme being, as
well as trust in spiritual strength. The client is not experiencing a fear of the future or supporting
the rights of others. The client is experiencing a midlife transition but it is focusing on spiritual
strength of Fowler's theory.
An occupational health nurse overhears an employee talking to his manager about a coworker
65 years of age. What would the nurse be concerned about when she hears the employee state
"he should retire and make way for some new blood"?
A) Intolerance
B) Nonspecific prejudice
C) Ageism
D) Dependence - AnswersC) Ageism refers to prejudice against the aged. Intolerance is implied
by the employee's statement, but the intolerance is aimed at the coworker's age, making this an
incorrect answer. The employee's statement does not raise concern about dependence. The
prejudice exhibited in the statement is very specific.
A nurse is making a home visit to an older adult with multiple chronic health problems. The
client is alert and oriented and his cognition is intact. While talking with the client, he reveals
that he thinks his son is stealing his social security checks to buy his beer and eat out all of the
time. The nurse interprets this statement as possibly suggesting which type of elder abuse?
A) Abandonment
B) Emotional
C) Exploitation
D) Physical - AnswersC) Exploitation involves illegally taking or misusing the funds, property, or
assets of a vulnerable older adult. Physical abuse involves the infliction of pain/injury on a
vulnerable older adult, the threat of inflicting such pain or injury, or depriving them of basic
needs. Emotional/psychological abuse involves verbal or nonverbal actions causing mental pain,
anguish, or distress on the older adult. Abandonment involves desertion of a vulnerable adult by
anyone who has assumed responsibility for his care.
The home health nurse is making an initial home visit to a male widow age 76 years. During the
assessment the nurse finds that the client is taking multiple medications. The client states that
he has also been taking some herbal remedies. What should the nurse be sure to include in the
