GERO FINAL EXAM QUESTIONS
AND ANSWERS
A client has been prescribed warfarin. Which client statement shows an understanding
of the interaction between the medication and dietary needs?
"I have switched to low-fat and fat-free dairy products."
"I have cut back on coffee; just 2 small cups a day."
"I need to have sufficient protein in my diet."
"I love kale but I know I cannot eat it often." - Answer-"I love kale but I know I cannot eat
it often."
Vitamin K decreases the effectiveness of warfarin. Green leafy vegetables, such as
kale, spinach, turnip greens, collards, Swiss chard, mustard greens, parsley, romaine,
and green leaf lettuce are high in vitamin K.
Which statement made by an older adult client indicates to the nurse that the client is no
longer experiencing a anticholinergic adverse affect to the antacids being taken
regularly?
"Spicy food does not cause me heartburn anymore."
"My bowel movements are much more regular now."
"I am so pleased that I have not had a headache in several months."
"My skin rash has been gone for several weeks." - Answer-"My bowel movements are
much more regular now."
An older adult is brought to the emergency department experiencing confusion. After
ensuring the client's safety, which action should the emergency department staff take
next?
Administer a stimulant
Review the client's current medication regimen
Check serum electrolyte levels
Prescribe an electrocardiogram - Answer-Review the client's current medication
regimen
The healthcare provider has prescribed an antacid for an older adult client. What
teaching should the nurse provide about taking this medication?
Avoid taking other medications within two hours.
Check an apical pulse before taking this medication.
Limit fluid intake before and after administration
, Take this medication on a full stomach. - Answer-Avoid taking other medications within
two hours.
The nurse is performing a home visit to an older adult, who has a history of obesity and
poorly controlled hypertension. Which assessment finding would alert the nurse of a
potential adverse reaction?
The client has started taking St. John's wort to increase stamina and concentration.
The client has begun taking low-dose aspirin for the prevention of cardiac disease.
The client takes insulin injections three times daily for the treatment of type 1 diabetes.
The client has increased the intake of green tea to obtain more antioxidants. - Answer-
The client has started taking St. John's wort to increase stamina and concentration.
An older adult client is prescribed thioridazine. What should the nurse add to this client's
plan of care?
fall prevention strategies
actions to reduce diarrhea
vital signs assessment every 2 hours
limited oral fluid intake - Answer-fall prevention strategies
An older adult client with osteoarthritis takes 2 tablets of 650-mg acetaminophen 3 times
per day. What should the nurse respond to this client?
"If you have more pain, another dose can be taken."
"This is the maximum amount you can take each day."
"Increase the frequency to 2 tablets every 4 hours."
"Change the number of tablets to 1 for each dose." - Answer-"This is the maximum
amount you can take each day."
Which client has the highest risk for developing medication toxicity?
The 90-year-old client diagnosed with terminal cancer
The 80-year-old client experiencing a cardiac dysrhythmia
The 61-year-old client receiving intravenous antibiotics
The 56-year-old client diagnosed with glomerular nephritis - Answer-The 56-year-old
client diagnosed with glomerular nephritis
The nurse provides education for a client with renal disease regarding the effects of
medication therapy. Which statement made by the client demonstrates the teaching was
effective?
"I limit the acetaminophen I take in 24 hours for my arthritis."
"I have cut back on my daily intake of caffeine."
"My liver disease means I need higher doses of prescribed medications."
"I need more warfarin daily than I did before my liver problems occurred." - Answer-"I
limit the acetaminophen I take in 24 hours for my arthritis."
AND ANSWERS
A client has been prescribed warfarin. Which client statement shows an understanding
of the interaction between the medication and dietary needs?
"I have switched to low-fat and fat-free dairy products."
"I have cut back on coffee; just 2 small cups a day."
"I need to have sufficient protein in my diet."
"I love kale but I know I cannot eat it often." - Answer-"I love kale but I know I cannot eat
it often."
Vitamin K decreases the effectiveness of warfarin. Green leafy vegetables, such as
kale, spinach, turnip greens, collards, Swiss chard, mustard greens, parsley, romaine,
and green leaf lettuce are high in vitamin K.
Which statement made by an older adult client indicates to the nurse that the client is no
longer experiencing a anticholinergic adverse affect to the antacids being taken
regularly?
"Spicy food does not cause me heartburn anymore."
"My bowel movements are much more regular now."
"I am so pleased that I have not had a headache in several months."
"My skin rash has been gone for several weeks." - Answer-"My bowel movements are
much more regular now."
An older adult is brought to the emergency department experiencing confusion. After
ensuring the client's safety, which action should the emergency department staff take
next?
Administer a stimulant
Review the client's current medication regimen
Check serum electrolyte levels
Prescribe an electrocardiogram - Answer-Review the client's current medication
regimen
The healthcare provider has prescribed an antacid for an older adult client. What
teaching should the nurse provide about taking this medication?
Avoid taking other medications within two hours.
Check an apical pulse before taking this medication.
Limit fluid intake before and after administration
, Take this medication on a full stomach. - Answer-Avoid taking other medications within
two hours.
The nurse is performing a home visit to an older adult, who has a history of obesity and
poorly controlled hypertension. Which assessment finding would alert the nurse of a
potential adverse reaction?
The client has started taking St. John's wort to increase stamina and concentration.
The client has begun taking low-dose aspirin for the prevention of cardiac disease.
The client takes insulin injections three times daily for the treatment of type 1 diabetes.
The client has increased the intake of green tea to obtain more antioxidants. - Answer-
The client has started taking St. John's wort to increase stamina and concentration.
An older adult client is prescribed thioridazine. What should the nurse add to this client's
plan of care?
fall prevention strategies
actions to reduce diarrhea
vital signs assessment every 2 hours
limited oral fluid intake - Answer-fall prevention strategies
An older adult client with osteoarthritis takes 2 tablets of 650-mg acetaminophen 3 times
per day. What should the nurse respond to this client?
"If you have more pain, another dose can be taken."
"This is the maximum amount you can take each day."
"Increase the frequency to 2 tablets every 4 hours."
"Change the number of tablets to 1 for each dose." - Answer-"This is the maximum
amount you can take each day."
Which client has the highest risk for developing medication toxicity?
The 90-year-old client diagnosed with terminal cancer
The 80-year-old client experiencing a cardiac dysrhythmia
The 61-year-old client receiving intravenous antibiotics
The 56-year-old client diagnosed with glomerular nephritis - Answer-The 56-year-old
client diagnosed with glomerular nephritis
The nurse provides education for a client with renal disease regarding the effects of
medication therapy. Which statement made by the client demonstrates the teaching was
effective?
"I limit the acetaminophen I take in 24 hours for my arthritis."
"I have cut back on my daily intake of caffeine."
"My liver disease means I need higher doses of prescribed medications."
"I need more warfarin daily than I did before my liver problems occurred." - Answer-"I
limit the acetaminophen I take in 24 hours for my arthritis."
