NUR 257/Chronic E1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
What is an IADL? - CORRECT ANSWER - -instrumental activity of daily living
(anything you use an instrument for)
-shopping, preparing meals, doing house work, taking meds, feeding self (bc fork)
What is an ADL? - CORRECT ANSWER - -activities of daily living (no instrument(
-eating, dressing, bathing, toileting
If a patient has chronic venous status ulcers what is something we must educate them to not do? -
CORRECT ANSWER - Refrain from crossing your legs/ankles
HIV - CORRECT ANSWER - -anyone can have HIV
-enc. safe sex as they can still get HIV
-a patient getting multiple yeast infections a year is a possible sign of HIV
-the patients CD4 level should be normal educate the patient it Is normal bc the medication is
working and they need to continue taking meds
-HIV is a standard precaution (wear gloved)
PT bill of rights in long term facilities - CORRECT ANSWER - -pt has the right to have
visitors as any time. if they are requesting to see someone we will help contact them to get them
in
who do patients and staff contact to report something in the pt bill of rights at the long term
facility? - CORRECT ANSWER - the ombudsmen (contact information should be
displayed and given)
what and how do we treat Xerostomia? - CORRECT ANSWER - -Xerostomia: dry
mouth/mouth sores
, -educate pt to drink fluids
if an elderly pt comes in with a sore and the family says its due to them not moving the elderly pt
bc it causes them too much pain what do we do? - CORRECT ANSWER - we must report
the family even though they did not mean harm
when a pt discharges/is transported what does the RN do? - CORRECT ANSWER - we
are responsible for safe transition of care and we need to educate the pt on dc instructions and
plan and encourage them to keep an updated med rec on them
memorabilia (items that bring memories to the pt in the pts room)
What do we do if the UAP keeps moving the pts memorable items off the bed side table? -
CORRECT ANSWER - remind the UAP that it is the clients home and to not move it as it
is not causing any harm
a Chinese pt refuses to stay in bed despite having a low BP reading. What should the nurse do to
promote and maintain the health of the Chinese pt? - CORRECT ANSWER - Ask them
about their health presumption and ideas
which pt population is a priority pt in the elderly population? - CORRECT ANSWER - A
pt with diarrhea as the elderlies hydration starts is priority
Elderly pts WBC when they are sick are usually?? - CORRECT ANSWER - WBC are not
as activated in the elderly and even if the elderly pt has an infection they may not have a high
WBC count just a normal WBC count.
How is the GI in the older adult? - CORRECT ANSWER - The GI system is slowed down
- they will have a decrease in blood flow and a decreased in fat absorption. (educate the RN if
they think the pt will have an increase in blood flow and an nacres in fat absorption as they are
wrong)
Trajectory model - CORRECT ANSWER - -Trajectory: onset signs and symptoms are
present, includes diagnostic period
Exam Questions and CORRECT Answers
What is an IADL? - CORRECT ANSWER - -instrumental activity of daily living
(anything you use an instrument for)
-shopping, preparing meals, doing house work, taking meds, feeding self (bc fork)
What is an ADL? - CORRECT ANSWER - -activities of daily living (no instrument(
-eating, dressing, bathing, toileting
If a patient has chronic venous status ulcers what is something we must educate them to not do? -
CORRECT ANSWER - Refrain from crossing your legs/ankles
HIV - CORRECT ANSWER - -anyone can have HIV
-enc. safe sex as they can still get HIV
-a patient getting multiple yeast infections a year is a possible sign of HIV
-the patients CD4 level should be normal educate the patient it Is normal bc the medication is
working and they need to continue taking meds
-HIV is a standard precaution (wear gloved)
PT bill of rights in long term facilities - CORRECT ANSWER - -pt has the right to have
visitors as any time. if they are requesting to see someone we will help contact them to get them
in
who do patients and staff contact to report something in the pt bill of rights at the long term
facility? - CORRECT ANSWER - the ombudsmen (contact information should be
displayed and given)
what and how do we treat Xerostomia? - CORRECT ANSWER - -Xerostomia: dry
mouth/mouth sores
, -educate pt to drink fluids
if an elderly pt comes in with a sore and the family says its due to them not moving the elderly pt
bc it causes them too much pain what do we do? - CORRECT ANSWER - we must report
the family even though they did not mean harm
when a pt discharges/is transported what does the RN do? - CORRECT ANSWER - we
are responsible for safe transition of care and we need to educate the pt on dc instructions and
plan and encourage them to keep an updated med rec on them
memorabilia (items that bring memories to the pt in the pts room)
What do we do if the UAP keeps moving the pts memorable items off the bed side table? -
CORRECT ANSWER - remind the UAP that it is the clients home and to not move it as it
is not causing any harm
a Chinese pt refuses to stay in bed despite having a low BP reading. What should the nurse do to
promote and maintain the health of the Chinese pt? - CORRECT ANSWER - Ask them
about their health presumption and ideas
which pt population is a priority pt in the elderly population? - CORRECT ANSWER - A
pt with diarrhea as the elderlies hydration starts is priority
Elderly pts WBC when they are sick are usually?? - CORRECT ANSWER - WBC are not
as activated in the elderly and even if the elderly pt has an infection they may not have a high
WBC count just a normal WBC count.
How is the GI in the older adult? - CORRECT ANSWER - The GI system is slowed down
- they will have a decrease in blood flow and a decreased in fat absorption. (educate the RN if
they think the pt will have an increase in blood flow and an nacres in fat absorption as they are
wrong)
Trajectory model - CORRECT ANSWER - -Trajectory: onset signs and symptoms are
present, includes diagnostic period
