NUR 521 Exam 4 Blueprint Practice
Questions and Answers | 2026
Updated | 100% Correct | Already
Graded A+ | With Complete Solution
1. If an older adult exhibits withdrawal and refusal of care after a major life
change, what would be the most appropriate initial nursing intervention?
Immediately involve family members to discuss care options.
Engage the patient in conversation to understand their feelings
and concerns.
Administer medication to manage irritability.
Encourage the patient to participate in group activities.
2. If an older adult patient has a history of hypertension and smoking, what
preventive measures should be prioritized to reduce their stroke risk?
Ignoring the patient's smoking history.
Increasing physical activity only.
Implementing lifestyle changes and medication adherence.
Focusing solely on dietary changes.
3. In a scenario where a patient is experiencing severe pain from a terminal
illness, what would be the primary focus of the nursing intervention?
Focusing on rehabilitation
, Administering curative treatments
Encouraging aggressive therapy options
Providing symptom management and comfort
4. If a nursing student is preparing a health promotion plan for older adults,
which cancers should they prioritize in their educational materials?
Prostate, breast, lung, and colorectal cancers
, Thyroid and kidney cancers
Skin and liver cancers
Brain and testicular cancers
5. What is the primary goal of palliative care?
Aggressive treatment of symptoms
Rehabilitation and recovery
Cure of the underlying disease
Symptom management, comfort, and quality of life
6. What are two specific risks associated with sexuality in older adults?
Social isolation and loneliness.
Cognitive decline and memory loss.
Sexually transmitted infections and sexual dysfunction.
Depression and anxiety.
7. A nurse is discussing potential barriers to effective communication with a
newly licensed nurse. Which of the following barriers should the nurse
include?
Use of medical terminology when speaking to a client
Noise from nearby monitoring equipment
Adequate lighting in a client's room
Cultural differences between a client and nurse
Nurse facing the client when speaking
A client who has dementia with memory loss
, 8. Describe how the integumentary system contributes to overall health and
infection prevention.
The integumentary system is responsible for nutrient absorption.
The integumentary system acts as a barrier to pathogens and
helps prevent infections.
The integumentary system regulates blood pressure and heart rate.
The integumentary system produces antibodies to fight infections.
9. If an older adult experiences a decline in mobility, what potential
consequences might arise regarding their quality of life?
Greater independence and increased physical activity.
Improved social interactions and enhanced emotional health.
Increased dependence on caregivers and reduced safety in their
environment.
No significant changes in their quality of life.
10. Describe how the timing of diuretic administration can influence a patient's
sleep quality.
Diuretics improve sleep quality by reducing fluid retention.
Taking diuretics later in the day can lead to increased nighttime
urination, disrupting sleep.
Diuretics have no effect on sleep quality regardless of when they
are taken.
Taking diuretics in the morning enhances sleep by preventing
daytime fatigue.
11. Discuss how mobility influences the daily activities of older adults.
Mobility influences the ability of older adults to perform daily
activities, maintain independence, and ensure safety.
Questions and Answers | 2026
Updated | 100% Correct | Already
Graded A+ | With Complete Solution
1. If an older adult exhibits withdrawal and refusal of care after a major life
change, what would be the most appropriate initial nursing intervention?
Immediately involve family members to discuss care options.
Engage the patient in conversation to understand their feelings
and concerns.
Administer medication to manage irritability.
Encourage the patient to participate in group activities.
2. If an older adult patient has a history of hypertension and smoking, what
preventive measures should be prioritized to reduce their stroke risk?
Ignoring the patient's smoking history.
Increasing physical activity only.
Implementing lifestyle changes and medication adherence.
Focusing solely on dietary changes.
3. In a scenario where a patient is experiencing severe pain from a terminal
illness, what would be the primary focus of the nursing intervention?
Focusing on rehabilitation
, Administering curative treatments
Encouraging aggressive therapy options
Providing symptom management and comfort
4. If a nursing student is preparing a health promotion plan for older adults,
which cancers should they prioritize in their educational materials?
Prostate, breast, lung, and colorectal cancers
, Thyroid and kidney cancers
Skin and liver cancers
Brain and testicular cancers
5. What is the primary goal of palliative care?
Aggressive treatment of symptoms
Rehabilitation and recovery
Cure of the underlying disease
Symptom management, comfort, and quality of life
6. What are two specific risks associated with sexuality in older adults?
Social isolation and loneliness.
Cognitive decline and memory loss.
Sexually transmitted infections and sexual dysfunction.
Depression and anxiety.
7. A nurse is discussing potential barriers to effective communication with a
newly licensed nurse. Which of the following barriers should the nurse
include?
Use of medical terminology when speaking to a client
Noise from nearby monitoring equipment
Adequate lighting in a client's room
Cultural differences between a client and nurse
Nurse facing the client when speaking
A client who has dementia with memory loss
, 8. Describe how the integumentary system contributes to overall health and
infection prevention.
The integumentary system is responsible for nutrient absorption.
The integumentary system acts as a barrier to pathogens and
helps prevent infections.
The integumentary system regulates blood pressure and heart rate.
The integumentary system produces antibodies to fight infections.
9. If an older adult experiences a decline in mobility, what potential
consequences might arise regarding their quality of life?
Greater independence and increased physical activity.
Improved social interactions and enhanced emotional health.
Increased dependence on caregivers and reduced safety in their
environment.
No significant changes in their quality of life.
10. Describe how the timing of diuretic administration can influence a patient's
sleep quality.
Diuretics improve sleep quality by reducing fluid retention.
Taking diuretics later in the day can lead to increased nighttime
urination, disrupting sleep.
Diuretics have no effect on sleep quality regardless of when they
are taken.
Taking diuretics in the morning enhances sleep by preventing
daytime fatigue.
11. Discuss how mobility influences the daily activities of older adults.
Mobility influences the ability of older adults to perform daily
activities, maintain independence, and ensure safety.
