NU300 Exam 2 Study Guide Questions
and Actual Answers 2025.
The nurse performs an initial health assessment of an older adult. Which assessment findings
indicate that the client may be at risk for falls? Select all that apply.
A. Has presbyopia
B. Has peripheral neuropathy
C. Uses a cane
D. Takes multiple medications
E. Has bilateral cataracts
F. Has thin papery skin - Answer A, B, C, D, E
A nurse conducts an assessment of an older adult's medications, including both prescription
and over-the-counter drugs. Which drug would the nurse identify as being potentially
inappropriate for older adults?
A. Vitamin D
B. Losartan
C. Nortriptyline
D. Hydrochlorothiazide (HCTZ) - Answer C
(C is a tricyclic antidepressant that has anticholinergic effects causing constipation, urinary
retention, and confusion. Visual disturbances and dry mouth are also common side effects.
Therefore, this drug in not appropriate for older adults. Choice A is a vitamin that can help
prevent bone loss; choices B and D are used to manage hypertension. Patients on losartan are
monitored for orthostatic hypotension and patients on the diuretic HCTZ are monitored for
sodium and potassium loss.)
An older adult's furosemide dosage was increased two days ago to 40 mg daily. This morning
the nurse observes that the client has become confused and very weak. What is the nurse's best
action?
A. Encourage fluid intake.
B. Withhold this morning's dose of furosemide.
C. Review the most recent serum electrolyte levels.
D. Place the patient on strict intake and output. - Answer B
(Furosemide can cause hyponatremia which causes weakness and acute confusion. Therefore,
, The nurse is conducting an assessment of an older adult living in the community. Which
assessment findings are considered usual physiologic changes of aging? Select all that apply.
A. Dementia
B. Relocation stress
C. Urinary incontinence
D. Presbyopia
E. Obesity - Answer D
(All of the other choices are common health problems that occur in the older adult population
but are not usual physiologic changes that older adults should expect as part of the aging
process.)
The nurse is caring for an older client who is experiencing acute confusion and agitation
following a fractured hip repair this morning. Which risk factors may be contributing to the
client's delirium? Select all that apply.
A. Anesthesia used during surgery
B. Surgical pain
C. Unfamiliar environment
D. Noisy hospital unit
E. Medications used to manage pain - Answer A, B, C, D, E
An older adult client admitted to a nursing home for rehabilitation asks the nurse if the client's
care will be covered by Medicare. What response by the nurse is correct?
A. "Medicare A should cover 100% of your rehabilitation skilled care for a limited period of
time."
B. "Medicare D should pay for the total costs of drugs you take while you are here."
C. "Medicare G should pay 80% of your lab and x-rays while you are here."
D. "Medicare B should pay 100% of your rehabilitation therapy sessions while you are here." -
Answer A.
An older adult client admitted to the hospital for heart failure has a history of a fractured hip
due to a previous fall. The client is taking hydrocodone-acetaminophen as needed for pain
secondary to an extensive dental procedure. Which risk factor puts this client at greatest risk for
a fall?
A. History of a fall
and Actual Answers 2025.
The nurse performs an initial health assessment of an older adult. Which assessment findings
indicate that the client may be at risk for falls? Select all that apply.
A. Has presbyopia
B. Has peripheral neuropathy
C. Uses a cane
D. Takes multiple medications
E. Has bilateral cataracts
F. Has thin papery skin - Answer A, B, C, D, E
A nurse conducts an assessment of an older adult's medications, including both prescription
and over-the-counter drugs. Which drug would the nurse identify as being potentially
inappropriate for older adults?
A. Vitamin D
B. Losartan
C. Nortriptyline
D. Hydrochlorothiazide (HCTZ) - Answer C
(C is a tricyclic antidepressant that has anticholinergic effects causing constipation, urinary
retention, and confusion. Visual disturbances and dry mouth are also common side effects.
Therefore, this drug in not appropriate for older adults. Choice A is a vitamin that can help
prevent bone loss; choices B and D are used to manage hypertension. Patients on losartan are
monitored for orthostatic hypotension and patients on the diuretic HCTZ are monitored for
sodium and potassium loss.)
An older adult's furosemide dosage was increased two days ago to 40 mg daily. This morning
the nurse observes that the client has become confused and very weak. What is the nurse's best
action?
A. Encourage fluid intake.
B. Withhold this morning's dose of furosemide.
C. Review the most recent serum electrolyte levels.
D. Place the patient on strict intake and output. - Answer B
(Furosemide can cause hyponatremia which causes weakness and acute confusion. Therefore,
, The nurse is conducting an assessment of an older adult living in the community. Which
assessment findings are considered usual physiologic changes of aging? Select all that apply.
A. Dementia
B. Relocation stress
C. Urinary incontinence
D. Presbyopia
E. Obesity - Answer D
(All of the other choices are common health problems that occur in the older adult population
but are not usual physiologic changes that older adults should expect as part of the aging
process.)
The nurse is caring for an older client who is experiencing acute confusion and agitation
following a fractured hip repair this morning. Which risk factors may be contributing to the
client's delirium? Select all that apply.
A. Anesthesia used during surgery
B. Surgical pain
C. Unfamiliar environment
D. Noisy hospital unit
E. Medications used to manage pain - Answer A, B, C, D, E
An older adult client admitted to a nursing home for rehabilitation asks the nurse if the client's
care will be covered by Medicare. What response by the nurse is correct?
A. "Medicare A should cover 100% of your rehabilitation skilled care for a limited period of
time."
B. "Medicare D should pay for the total costs of drugs you take while you are here."
C. "Medicare G should pay 80% of your lab and x-rays while you are here."
D. "Medicare B should pay 100% of your rehabilitation therapy sessions while you are here." -
Answer A.
An older adult client admitted to the hospital for heart failure has a history of a fractured hip
due to a previous fall. The client is taking hydrocodone-acetaminophen as needed for pain
secondary to an extensive dental procedure. Which risk factor puts this client at greatest risk for
a fall?
A. History of a fall
