NUR 345 Exam 2 Review Questions
and Actual Answers 2025-2026 Edition.
What are concerns about older adults? - Answer • polyp Pharm - multiple meds, interactions.
--> need to know all meds they are on
• Dec GI motility, dec kidney fx, slow excretion of meds
• thorough dc teaching
An older adult patient has been in the hospital for 7 days with pneumonia. How long will it take
for them to get back to their baseline activity and function before their illness? - Answer
approx. 3 weeks
- 3 days recovery for every day in bed
What is a concern for an older adult patient who lives in a rural area? - Answer •
transportation to and from appointments
• transportation to get meds
What should be encouraged for an older adult patient who lives alone and takes multiple meds?
- Answer pill organizer
Are you concerned about a patient who lost 10 lbs in 1 month? If so why? - Answer Yes
• nutrition deficit
• forget to eat
• no transportation to get groceries
What patient is most likely to need long term care?
a. 60 yr old morbidly obese pt who cannot move on their own
b. 70 yr old pt who recently had hip surgery from a fall
c. 80 yr old pt who has fully recovered from a stroke - Answer a. 60 yr old morbidly obese pt
who cannot move on their own
• age not always main reason for LT care
• pt cannot move --> need multiple people
, What should you do if you suspect elder abuse? - Answer • get patient alone/away from
person suspected of abusing elder
• ask pt directly if they are being abused
What is neuropathic pain? - Answer nerve pain
• burning, shooting, numbing, nerve damage
What is breakthrough pain? - Answer chronic pain with acute exacerbations
What long acting meds are used to treat breakthrough pain? - Answer fentanyl patch or
morphine ER
A patient is experiencing breakthrough pain for the first time. What med should the nurse
expect to give? - Answer • Dilaudid - 8-10x stronger than morphine
• Fentanyl - half life of approx. 10 mins; needs mult dose
• Demerol - lots of drug interactions/rxn, question when given to older adults
--> cause metabolites in older adults
A patient has chronic pain and is going to a pain clinic. What do you want to know when you see
them? - Answer • is their pain controlled
• did they run out of meds
• does pain keep them from everyday fx
--> want them to return to normal fx
A terminally ill and actively dying patient in hospice has a respiratory rate of 9 breaths per min
and is asking for pain meds. Do you give or hold the meds? - Answer Give
• pt in hospice --> make them comfortable
A patient reports pain 8/10. What kind of med do you expect to give and how? - Answer IV
morphine or dilaudid
-efx w/in minutes or immediately
What is a PCA pump? - Answer patient control pain meds
and Actual Answers 2025-2026 Edition.
What are concerns about older adults? - Answer • polyp Pharm - multiple meds, interactions.
--> need to know all meds they are on
• Dec GI motility, dec kidney fx, slow excretion of meds
• thorough dc teaching
An older adult patient has been in the hospital for 7 days with pneumonia. How long will it take
for them to get back to their baseline activity and function before their illness? - Answer
approx. 3 weeks
- 3 days recovery for every day in bed
What is a concern for an older adult patient who lives in a rural area? - Answer •
transportation to and from appointments
• transportation to get meds
What should be encouraged for an older adult patient who lives alone and takes multiple meds?
- Answer pill organizer
Are you concerned about a patient who lost 10 lbs in 1 month? If so why? - Answer Yes
• nutrition deficit
• forget to eat
• no transportation to get groceries
What patient is most likely to need long term care?
a. 60 yr old morbidly obese pt who cannot move on their own
b. 70 yr old pt who recently had hip surgery from a fall
c. 80 yr old pt who has fully recovered from a stroke - Answer a. 60 yr old morbidly obese pt
who cannot move on their own
• age not always main reason for LT care
• pt cannot move --> need multiple people
, What should you do if you suspect elder abuse? - Answer • get patient alone/away from
person suspected of abusing elder
• ask pt directly if they are being abused
What is neuropathic pain? - Answer nerve pain
• burning, shooting, numbing, nerve damage
What is breakthrough pain? - Answer chronic pain with acute exacerbations
What long acting meds are used to treat breakthrough pain? - Answer fentanyl patch or
morphine ER
A patient is experiencing breakthrough pain for the first time. What med should the nurse
expect to give? - Answer • Dilaudid - 8-10x stronger than morphine
• Fentanyl - half life of approx. 10 mins; needs mult dose
• Demerol - lots of drug interactions/rxn, question when given to older adults
--> cause metabolites in older adults
A patient has chronic pain and is going to a pain clinic. What do you want to know when you see
them? - Answer • is their pain controlled
• did they run out of meds
• does pain keep them from everyday fx
--> want them to return to normal fx
A terminally ill and actively dying patient in hospice has a respiratory rate of 9 breaths per min
and is asking for pain meds. Do you give or hold the meds? - Answer Give
• pt in hospice --> make them comfortable
A patient reports pain 8/10. What kind of med do you expect to give and how? - Answer IV
morphine or dilaudid
-efx w/in minutes or immediately
What is a PCA pump? - Answer patient control pain meds
