NUR 2214 / NUR2214 Module 5 Quiz – Nursing Care of the Older Adult (Latest 2026/2027 Update) | Rasmussen University | Verified Questions & Answers | 100% Correct Solutions | Grade A

NUR 2214 / NUR2214 Module 5 Quiz – Nursing Care of the Older Adult (Latest 2026/2027 Update) | Rasmussen University | Verified Questions & Answers | 100% Correct Solutions | Grade A Q: Which drugs can cause adverse effects in the older adult client in the acute care setting regarding safety? Answer Antibiotics. Q: The nurse understands that he or she should implement which action first for an older adult with complaints of a rapid heart rate? Answer Assess the pulse rate. Q: When completing a health history on an older adult client, the nurse's best action is to ________________. Answer maintain the client's privacy. Q: Which of the following actions by the nurse demonstrates an understanding of building rapport with the client during a health assessment? Answer It is important to plan enough time for the interview. Q: Which of the following statements accurately reflects the nurse's understanding about the function of gathering subjective and objective data? Answer Used to formulate nursing diagnoses and to plan client care. Q: Which of the following statements best describes the nurse's understanding of best approaches to older adult health interview? Answer Explain the purpose of the interview so that the individual will know what to expect. Q: The nurse is assessing an older adult client who has impaired mobility. Which strategy would the nurse use to best help the client? Answer Modify the environment to reduce risks. Q: True or False: Information that can be gathered using senses of vision, hearing, touch, and smell is subjective data. Answer False. Q: Which statement best reflects the purpose of a nurse health assessment? Answer Health assessments assist the nurse in identifying an unmet need in the older adult client. Q: True or False: Only one communication technique should be used to ensure that the patient accurately understands the information providing during client teaching. Answer False. Q: A client with erythematous papules in the interdigital spaces reports severe itching at night. Which insect is responsible for this condition? Answer Sarcoptes scabiei Q: What is the function of the dermis? Answer Provides cells for wound healing Q: For which illness should airborne precautions be implemented? Answer Chickenpox Q: A male client has discharge from the penis. Gonorrhea is suspected. To obtain a specimen for a culture, what should the nurse do? Answer Swab the drainage directly from the urethra to obtain a specimen. Q: Which bacterial skin infections are caused by group A β-hemolytic streptococci? Select all that apply. Answer impetigo erysipelas Q: A client who is scheduled for a surgical resection of the colon and creation of a colostomy for a bowel malignancy asks why preoperative antibiotics have been prescribed. The nurse explains that the primary purpose is to do what? Answer Decrease bacteria in the intestines Q: A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor site on the scalp. Which complication should the nurse monitor this newborn for? Answer infection Q: A nurse is caring for a 13-year-old child who has an external fixation device on the leg. What is the nurse's priority goal when providing pin care? Answer Preventing infection Q: Which sexually transmitted disease is caused by a virus? Answer genital warts Q: A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention? Answer Preventing exposure of the child to infection Q: A client who sustained a burn injury involving 36% of the body surface area is receiving hydrotherapy. Which is the best nursing intervention when providing wound care? Answer Use a consistent approach to care and encourage participation. Q: Which skin infection is caused by bacteria? Answer Folliculitis Q: What are the symptoms of tuberculosis? Select all that apply. Answer fatigue nausea low-grade fever Q: The clinic nurse is planning care for a client found to have chlamydia. Which treatment should the nurse plan to implement? Answer Administration of 1 g of azithromycin orally in a single dose Q: A nurse is reviewing the laboratory reports of four clients. Which client's laboratory report indicates acquired immunodeficiency syndrome (AIDS)? Answer client 3 - less than 200 A client comes to the clinic because of signs and symptoms of a respiratory infection. The client says to the nurse, "How can I prevent my roommate from getting my cold?" What is the nurse's best response? Answer "Cover your cough with your forearm." Which laboratory test will be elevated in a client with inflammatory arthritis? Answer Erythrocyte sedimentation rate (ESR) Which conditions result in humoral immunity? Select all that apply. Answer Atopic diseases Bacterial infection Anaphylactic shock A nurse is caring for a client with scabies. Which information about scabies should the nurse consider when planning care for this client? Answer highly contagious A client is concerned about contracting malaria while visiting relatives in Southeast Asia. What should the nurse teach the client to avoid to prevent malaria? Answer mosquito bites A nurse instructs a client with viral hepatitis about the type of diet that should be ingested. Which lunch selected by the client indicates understanding about dietary principles associated with this diagnosis? Answer Salad, sliced chicken sandwich, gelatin dessert A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the primary healthcare provider? Answer Obtain a urine specimen for culture and sensitivity. A nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). What precautions should the nurse take when caring for this client? Use standard precautions. A client being treated for influenza A (H1N1) is scheduled for a computed tomography (CT) scan. To ensure client and visitor safety during transport, the nurse should take which precaution? Place a surgical mask on the client. The laboratory report of a client reveals the presence of 350 cells/mm 3 (350 cells/uL) of CD4+ T-cell count. According to the Centers for Disease Control and Prevention (CDC), which stage of human immunodeficiency virus (HIV) disease is present in the client? stage 2 A nurse finds the following (see image) upon assessment of a client. Which organism is responsible for the condition that is illustrated in the image? Treponema pallidum Which medication class helps to prevent human immunodeficiency virus (HIV) incorporating its genetic material into the client's cell? Integrase inhibitors Which area in a client is most commonly affected by the skin condition given in the image? buttocks A client is diagnosed with herpes genitalis. What should the nurse do to prevent cross contamination? Wear a gown and gloves when giving direct care. What does the nurse observe in the image? acne vulgaris A client has been prescribed tacrolimus for immunosuppressant therapy. Which drug safety alert should the nurse mention? Do not consume grapefruit or grapefruit juice. A client's chest tube has accidentally dislodged. What is the nursing action of highest priority? Apply a petroleum gauze dressing over the site. A nurse is assessing a client and finds the following (see image). Which abnormal finding can be identified from the given figure? Hordeolum A nurse is giving discharge instructions to a new mother. What is the most important instruction to address the prevention of postpartum infection? "Wash your hands before and after changing your sanitary napkins." A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent urinary tract infections. What instructions should the nurse give to the client? Increase the intake of fluids. A female client is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection in the future?" Which is the most practical response the nurse can give to someone who plans to be sexually active? "Insist that your partner use a condom." What recommendations will the nurse make for a patient and his or her family about the prevention of pneumonia? Select all that apply. Avoid indoor pollutants. Eat a healthy, balanced diet. Avoid crowded areas during flu season and holidays. An older patient has a persistent cough with hemoptysis and has a known exposure to tuberculosis. A tuberculin skin test reveals a reaction of 5 mm. The nurse documents that this test result indicates which condition? Human immunodeficiency disease Which pathological findings associated with pneumonia result in an increased respiratory rate and dyspnea? Select all that apply. pain anxiety stimulation of J receptors Which assessment findings does the nurse anticipate for the patient suspected of having pneumonia? Select all that apply. myalgia dyspnea hemoptysis What consideration is important for the nurse to remember when managing the care of a patient with hospital-acquired pneumonia? Monitor for early signs of sepsis. The radiology report of a patient who has had a chest x-ray shows consolidation in a segment of the patient's left lung. This is typical of which type of pneumonia? lobar A patient who has begun standard multidrug treatment for tuberculosis (TB) reports orange tinged sputum and urine. The nurse tells the patient that this symptom represents which response to the treatment regimen? Normal drug side effects of rifampin A patient with suspected initial infection of tuberculosis (TB) is admitted to the respiratory intensive care unit (ICU). The nurse caring for the patient reviews the patient's recent chest x-ray. Where on the patient's chest x-ray will the nurse most likely find evidence of the patient's infection? Select all that apply. left lower lobe right lower lobe right middle lobe Which upper respiratory infection is often triggered by a hypersensitivity reaction to airborne allergens? Rhinitis The nurse is counseling a patient whose parent has just been diagnosed with tuberculosis (TB). The patient tells the nurse that the parent was exposed several years ago, but developed symptoms only recently. What does the nurse tell this patient about the risk of contracting the disease? "People are infectious to others only when symptoms are present." Which statement is true about community-acquired pneumonia (CAP) as compared to health care-associated pneumonia (HAP)? HAPs are more likely to be resistant to some antibiotics. What education will be provided for the family of a patient being treated for tuberculosis convalescing at home? Everyone must undergo tuberculosis testing. A patient is about to begin drug therapy for the treatment of tuberculosis (TB). What information is most important for the nurse to give to this patient prior to the start of therapy? "Do not drink alcohol." What could be the possible diagnosis for a patient who presents with pain in the throat, difficulty swallowing, swelling in the throat, and difficulty in opening the mouth? Peritonsillar abscess A family member of a patient who has been diagnosed with severe acute respiratory syndrome (SARS) asks the nurse why the patient is not receiving an antibiotic. How does the nurse respond to this family member? "Antibiotics are not effective because SARS is caused by a virus." Incentive spirometry for the treatment of pneumonia has which outcome objective? Increased inspiratory muscle action and decreased atelectasis When widely distributed during a pandemic flu, which drugs reduce the severity of infection and mortality rate? Select all that apply. zanamivir oseltamivir Which nursing interventions are focused on preventing the spread of severe acute respiratory syndrome (SARS) caused by coronaviruses? Select all that apply. Using strict airborne isolation techniques Handwashing before and after all patient care Disinfecting contaminated surfaces and equipment Using Contact Precautions with people suspected to have SARS Which actions known as the "ventilator bundle" have been shown to reduce the incidence of ventilator-associated pneumonia (VAP)? Select all that apply. oral care hand hygiene head-of-bed elevation A nurse is providing discharge instructions for a patient with active tuberculosis (TB) who has been prescribed isoniazid. What information about medication administration does the nurse include when providing discharge instructions? "Take the drug on an empty stomach." The nurse is caring for a patient who was admitted with pneumonia. Which position assumed by the patient leads the nurse to suspect that the patient is developing hypoxia? Sitting in tripod position A patient with pneumonia has difficulty clearing secretions in his airway, which are quite thick. Which nursing intervention does the nurse include in this patient's plan of care? Encourage an intake of 2 liters of fluid per day. The nurse performs follow-up care for a group of patients who have previously had tuberculosis. Which patients are most at risk for developing secondary tuberculosis (TB)? Select all that apply. A 34-year-old with HIV infection A 75-year-old who is recovering from a hip replacement A 7-year-old who is undergoing chemotherapy for leukemia Which groups are at greatest risk for drug-resistant Streptococcus pneumoniae? Select all that apply. Individuals older than age 65 years Older adults exposed to children from a daycare environment Which factors are pathophysiologic bases for the clinical manifestations of pneumonia? Select all that apply. Fluid accumulation in the receptors of the individual's respiratory system triggers the coughing mechanism. Stimulation of chemoreceptors and decreased lung compliance lead to an increased respiratory rate and dyspnea. A nurse is caring for a patient with coccidioidomycosis who has recently migrated from Mexico. When planning care for this patient, what manifestation noted on assessment does the nurse recognize as a sign of more severe coccidioidomycosis infection? joint pain The nurse is instructing a patient with tuberculosis about combination drug therapy. What are common instructions that the patient should follow for all the anti-tubercular drugs? Select all that apply. "Refrain from drinking alcoholic beverages." "Report yellowing of the skin and any darkened urine immediately." Which nursing interventions are critical in caring for individuals with influenza? Select all that apply. Encouraging the patient to rest and increase fluid intake Supporting the patient and preventing the spread of the disease Monitoring pulse rate and quality and urine output during rehydration in a patient with diarrhea The nurse is caring for a patient who received bacille Calmette-Guérin (BCG) vaccine 2 years ago while living in another country. This patient is exhibiting signs and symptoms of tuberculosis. What methods does the nurse expect to be used to effectively evaluate this patient? Select all that apply. Chest x-ray QuantiFERON-TB Gold test A patient returns to the clinic to have the tuberculosis (TB) Mantoux test analyzed by the nurse, which was administered 2 days ago. The patient's left forearm shows a red raised area, which measures 10 mm in diameter. How does the nurse document this finding? Positive reaction that indicates exposure to and the possible presence of TB infection In a patient with pneumonia, what is the most important nursing intervention? Managing hypoxemia What information is important to share with a patient who is being discharged after treatment for pneumonia? Select all that apply. Get an annual influenza immunization Avoid contact with all persons with colds or influenza Stop or reduce any intake of tobacco and tobacco products A patient presents with severe throat pain and edema. There is difficulty swallowing as well as difficulty opening the mouth. Place the steps for managing this patient in the correct order. Percutaneous needle aspiration and drainage of the abscess antibiotic therapy Intravenous (IV) opioids and IV steroids to control pain and edema Hospitalization, if the patient is showing slow response to the drugs Incision and drainage to control infection Additional antibiotic therapy if the patient is showing slow response to initial treatment A patient with recurrent tonsillitis is admitted to the hospital with a peritonsillar abscess. The patient asks the nurse if surgery will be necessary. How does the nurse respond? "Antibiotics are usually an effective treatment for this disease." The occupational nurse is discussing a recent influenza outbreak with employees. Which medications are given to prevent influenza in individuals if they are exposed to someone with influenza? Select all that apply. Amantadine Rimantadine A community health nurse is preparing a community education class on bioterrorism and the use of inhalation anthrax. When preparing to discuss the manifestations of the fulminant stage of the infection, what manifestation does the nurse include in the teaching? Hypotension The nurse in the long-term care facility is concerned about the health status of an 80-year-old resident. What early symptom would alert the nurse that this patient is developing pneumonia? Recent onset of confusion A patient is being admitted for pneumonia. The sputum culture is positive for streptococcus, and the patient asks about the length of the treatment. What is the best answer the nurse can give? "You will be treated for 5 to 7 days." A patient with asthma reports diarrhea and vomiting. Which drug should be used with caution? Zanamivir A 65-year-old patient with chronic obstructive pulmonary disease (COPD) asks the nurse about the best way to prevent pneumonia. What is the nurse's best response? "You should get the pneumococcal polysaccharide vaccine." An adult has been diagnosed as having pulmonary tuberculosis. What direction should the nurse provide before the patient is started on isoniazid (INH) therapy? Select all that apply. "Take a daily multivitamin." "Avoid alcoholic beverages." Following a bioterrorism attack with anthrax, the emergency department nurse checks the medication room for ample supply of which medications? Select all that apply. Rifampin Amoxicillin Vancomycin Doxycycline Ciprofloxacin A female patient presents to the ambulatory clinic with complaints of a cough. Which other signs or symptoms, if present, would cause the nurse to begin wearing an N-95 mask and place the patient in an isolated environment? Select all that apply. anorexia blood-streaked sputum menstrual irregularities The nurse is caring for a patient who comes to the clinic because of a cough. What symptom of the cough will lead the nurse to believe that the health care practitioner will order testing for pertussis? The patient reports that the cough has lasted more than 3 weeks. The nurse suspects that a patient is in the prodromal stage of inhalation anthrax. Which assessment findings support the nurse's suspicion? Select all that apply. fever fatigue mild chest pain A patient reports experiencing chest pain, headache, and cough with sputum production, fever, and dyspnea. What does the nurse anticipate upon assessment? Select all that apply. Tachycardia Crackles upon auscultation Diminished chest expansion The nurse is preparing a patient for discharge who has been treated for the prodromal stage of inhalation anthrax. What information is most important for the nurse to communicate to this patient? Seek medical attention immediately if you begin to feel breathless. A patient who has been homeless and has spent the past 6 months living in shelters has been diagnosed with confirmed tuberculosis (TB). Which medications does the nurse expect to be ordered for the patient? Isoniazid, rifampin, pyrazinamide (PZA), ethambutol Which cancers may most often increase the risk for impaired immunity and blood-producing functions of the body? Select all that apply. leukemia lymphoma myeloma What disorder is the cancer patient receiving chemotherapy at risk for? decreased platelets Which hormone secretion releases calcium from the bones in cancer? parathyroid hormone Which treatment is recommended for a patient with severe cancer-induced hypercalcemia? dialysis Which statement made by a patient allows the nurse to recognize whether the patient receiving brachytherapy for ovarian cancer understands the treatment plan? "I will have a radioactive device in my body for a short time." Which therapy given to a patient with cancer may alter taste and cause fatigue? Radiation therapy A patient with a transhumeral prosthesis is diagnosed with cancer. What risk does the nurse expect in the patient? Sepsis Which component is released into the bloodstream after the destruction of tumor cells? Potassium What does the phrase chemo brain refer to? Reduction in cognitive function related to chemotherapy Which medication does the nurse anticipate will be effective for a patient with post chemotherapy fatigue? darbepoetin alfa Which condition in a patient with cancer facilitates the entry of its own normal flora through a site of skin breakdown to cause severe infection? neutropenia How is cancer-related cachexia defined? Extreme body wasting and malnutrition Which treatment should be provided to a patient with spinal cord compression to rearrange the bony tissue? surgery The nurse is caring for a patient with end-stage ovarian cancer who needs clarification on the purpose of palliative surgery. Which outcome should the nurse teach the patient regarding the goal of palliative surgery? Relief of symptoms or improved quality of life A patient with metastatic breast cancer experiences severe nausea and vomiting after chemotherapy and is unable to eat. What is the nurse's most appropriate action? Administer antiemetic medications as prescribed. The patient reports a metallic taste to the nurse. What disease-related consequence is the patient likely experiencing? Select all that apply. food aversions reduced appetite A patient with an abdominal tumor is given nutritional support. What finding is most likely to indicate improvement in the patient's condition? Increase in body weight What manifestations may indicate spinal cord compression (SCC) in a patient with cancer? Select all that apply. back pain muscle weakness sensation of heaviness in arms and legs Which method of radiation treatment delivery uses radioactive isotopes either in solid form or within body fluids? Brachytherapy Which treatment strategy increases the risk of developing tumor lysis syndrome? Chemotherapy A patient with terminal cancer asks about the potential for chronic pain. Which response by the nurse is most accurate? "Pain can be a major problem for those with terminal cancer." A patient with a lung tumor is suspected of having thickening in the alveolar membrane and damaged pulmonary vessels. Which condition is most likely to develop in the patient? hypoxia Which class of medications treats chemotherapy-induced nausea and vomiting? serotonin antagonist Which potential side effects does the nurse include in the teaching plan for a patient undergoing radiation therapy for laryngeal cancer? Select all that apply. fatigue change in taste changes in skin of the neck difficulty swallowing Which type of surgery is performed to remove tissues that are at risk of becoming cancerous? Prophylactic What is a possible reason for cachexia in a cancer patient? Decreased food intake and increased catabolism What can be the consequences if superior vena cava syndrome is left untreated? Select all that apply. engorgred blood vessels erythema of the upper body edema in the arms and hands reast reconstruction after a mastectomy is an example of which surgery type? reconstructive Which medication is used to treat hypercalcemia temporarily in a patient who has cancer? Bisphosphonate Which is an early manifestation of super vena cava syndrome in a patient with cancer? facial edema The nurse is caring for a patient with cancer who developed an infection in the bloodstream. Which term does the nurse expect to see documented in the health record to describe this condition? sepsis What risk is associated with a low leukocyte count following chemotherapy? infection For individuals with cancer who are undergoing chemotherapy, bone marrow suppression places these individuals at risk for life-threatening infections. What is the most common cause of these infections? Overgrowth of the patient's own normal flora A patient has an obstructive airway tumor. The family asks the nurse to explain the patient's condition. What information should the nurse provide to the family to prepare them for the patient's imminent death? "The tumor is closing off the airway and causing poor gas exchange." What are the common side effects of chemotherapy on the bone marrow? Select all that apply. anemia neutropenia thrombocytopenia Which chemotherapy drug is an alkylating agent? Altretamine Which are potential problems for patients who are receiving hormonal therapy for cancer? Select all that apply. Liver dysfunction Thromboembolism acne The nurse monitors fluid overload in a patient with a cancer-associated syndrome of inappropriate antidiuretic hormone. What risk does the nurse prevent in the patient through this intervention? heart failure The nurse is caring for several patients with cancer. Which conditions does the nurse monitor for due to their status as oncological emergencies? Select all that apply. sepsis DIC SIADH Which action by a patient with thrombocytopenia would require the nurse to intervene? The patient blows his nose forcefully. The nurse is teaching a diet plan to a cancer patient suffering from malnutrition. Which statements should the nurse include in the teaching? Select all that apply.