GERI TEST 2 CHPT. 5-9 NCLEX
QUESTIONS WITH CORRECT
ANSWERS
The nurse is caring for an older adult patient who averts her eyes when the nurse
speaks to her. How should the nurse interpret this nonverbal language? - Correct
Answers -The patient's culture may have specific rules for maintaining eye contact.
The new nurse would like to determine when it is appropriate to use caring touch. When
is the best occasion for the nurse to use caring touch? - Correct Answers -After consent
has been obtained from the patient
The nurse is caring for a patient who recently underwent surgery for the removal of the
distal colon and creation of a colostomy. During the morning assessment, the patient
becomes tearful while answering the nurse's questions. What is the best response on
the part of the nurse? - Correct Answers -Say nothing and allow the patient to collect
her thoughts
The nurse overhears an unlicensed assistive personnel say to an older adult patient,
"Alright, honey, are we ready to get out of bed now?" How should the nurse handle this
situation? - Correct Answers -Discuss with the UAP in private how to properly address
older adult patients
A patient who only speaks Spanish is admitted to the hospital through the emergency
department. Her daughter, who speaks both English and Spanish, is present and
serving as a translator. The patient must undergo a series of non-emergent, invasive
tests for which informed consent is necessary. How should the nurse proceed? -
Correct Answers -Place a hold on the tests until a hospital interpreter can be involved in
the informed consent process
The patient presents to the emergency department and is diagnosed with heatstroke.
The nurse knows this diagnosis is made because of which imbalance? - Correct
Answers -Low sodium levels
, The home health nurse knows patients with which disorder are at an increased risk for
heat stroke due to the medications that are often prescribed as treatment? - Correct
Answers -Parkinson's disease
The nurse in the long term care facility knows patients with which disorders are at an
increased risk for falls? - Correct Answers -Diabetes, Parkinson's disease,
Cerebrovascular accident
The nurse is attempting to obtain social information from a patient newly admitted to the
long term care facility. Which type of questioning is most helpful to obtain this
information? - Correct Answers -Open-ended
The nurse must provide education to an older patient who will begin insulin injection
therapy. How should the nurse adapt this education to an older adult? - Correct
Answers -Provide ample time for the patient to demonstrate this skill while being
supervised
The nurse knows which factors are vital in order to communicate effectively with his co-
workers and patients? - Correct Answers -A need to share information, An
understanding of existing barriers to communication, The belief that each individual has
something of worth to say
The nurse is caring for a patient who has developed hypotension, tachycardia,
diaphoresis, and restlessness over the past 4 hours. The nurse calls the primary care
provider and states, "This is Sally, the nurse caring for Mr. Smith in room 502. Over the
last four hours, his heart rate has jumped from 82 to 124 beats per minute, his blood
pressure has dropped from 134/92 to 98/66, and he is diaphoretic and seems restless.
I'm concerned about this change in his condition and feel he needs to be examined by
you." Which elements of ISBAR-R communication are missing from this phone call? -
Correct Answers -Situation, Readback, Background
The nurse is preparing an ISBAR-R communication in order to call the provider of a
patient who recently experienced a change in patient status. Which information should
the nurse include in the introduction? - Correct Answers -Nurse's name, Patient's name
The nurse is caring for an obese older adult who wishes to lose weight to improve her
overall health and well-being. The nurse knows that, in order for the patient's nutritional
needs to be met, the patient's daily caloric intake should not be less than which amount
of calories? - Correct Answers -1200
The nurse is providing education to a patient with diabetes mellitus on appropriate diet
choices to help control blood sugar and asks the patient to select a food that is a source
of complex carbohydrates. The patient demonstrates an understanding of complex
carbohydrates by selecting which food choices? - Correct Answers -Whole grain pasta
QUESTIONS WITH CORRECT
ANSWERS
The nurse is caring for an older adult patient who averts her eyes when the nurse
speaks to her. How should the nurse interpret this nonverbal language? - Correct
Answers -The patient's culture may have specific rules for maintaining eye contact.
The new nurse would like to determine when it is appropriate to use caring touch. When
is the best occasion for the nurse to use caring touch? - Correct Answers -After consent
has been obtained from the patient
The nurse is caring for a patient who recently underwent surgery for the removal of the
distal colon and creation of a colostomy. During the morning assessment, the patient
becomes tearful while answering the nurse's questions. What is the best response on
the part of the nurse? - Correct Answers -Say nothing and allow the patient to collect
her thoughts
The nurse overhears an unlicensed assistive personnel say to an older adult patient,
"Alright, honey, are we ready to get out of bed now?" How should the nurse handle this
situation? - Correct Answers -Discuss with the UAP in private how to properly address
older adult patients
A patient who only speaks Spanish is admitted to the hospital through the emergency
department. Her daughter, who speaks both English and Spanish, is present and
serving as a translator. The patient must undergo a series of non-emergent, invasive
tests for which informed consent is necessary. How should the nurse proceed? -
Correct Answers -Place a hold on the tests until a hospital interpreter can be involved in
the informed consent process
The patient presents to the emergency department and is diagnosed with heatstroke.
The nurse knows this diagnosis is made because of which imbalance? - Correct
Answers -Low sodium levels
, The home health nurse knows patients with which disorder are at an increased risk for
heat stroke due to the medications that are often prescribed as treatment? - Correct
Answers -Parkinson's disease
The nurse in the long term care facility knows patients with which disorders are at an
increased risk for falls? - Correct Answers -Diabetes, Parkinson's disease,
Cerebrovascular accident
The nurse is attempting to obtain social information from a patient newly admitted to the
long term care facility. Which type of questioning is most helpful to obtain this
information? - Correct Answers -Open-ended
The nurse must provide education to an older patient who will begin insulin injection
therapy. How should the nurse adapt this education to an older adult? - Correct
Answers -Provide ample time for the patient to demonstrate this skill while being
supervised
The nurse knows which factors are vital in order to communicate effectively with his co-
workers and patients? - Correct Answers -A need to share information, An
understanding of existing barriers to communication, The belief that each individual has
something of worth to say
The nurse is caring for a patient who has developed hypotension, tachycardia,
diaphoresis, and restlessness over the past 4 hours. The nurse calls the primary care
provider and states, "This is Sally, the nurse caring for Mr. Smith in room 502. Over the
last four hours, his heart rate has jumped from 82 to 124 beats per minute, his blood
pressure has dropped from 134/92 to 98/66, and he is diaphoretic and seems restless.
I'm concerned about this change in his condition and feel he needs to be examined by
you." Which elements of ISBAR-R communication are missing from this phone call? -
Correct Answers -Situation, Readback, Background
The nurse is preparing an ISBAR-R communication in order to call the provider of a
patient who recently experienced a change in patient status. Which information should
the nurse include in the introduction? - Correct Answers -Nurse's name, Patient's name
The nurse is caring for an obese older adult who wishes to lose weight to improve her
overall health and well-being. The nurse knows that, in order for the patient's nutritional
needs to be met, the patient's daily caloric intake should not be less than which amount
of calories? - Correct Answers -1200
The nurse is providing education to a patient with diabetes mellitus on appropriate diet
choices to help control blood sugar and asks the patient to select a food that is a source
of complex carbohydrates. The patient demonstrates an understanding of complex
carbohydrates by selecting which food choices? - Correct Answers -Whole grain pasta
