OLDER ADULTS EXAM 2 QUESTIONS AND ANSWERS | OLDER
ADULTS EXAM 2 STUDY GUIDE & PRACTICE TEST 2026/2027
a - correct answer ✔✔the nurse wants to ensure that assigned patients are comfortable. what will the
nurse use as a measure of comfort?
a. a state of physical, emotional, and spiritual well being
b. an absence of reports, signs, or symptoms of physical pain
c. a transcendent emotional and spiritual state that exists regardless of the presence or absence of pain
d. a condition of maintaining a patient's self report of pain being below a self reported threshold of 1 out
of 10
e - correct answer ✔✔AC is an 82 year old caucasian married male with advanced dementia, FAST stage
6B prior to hospitalization for CV, with resultant flaccidity, now FAST 7e. when you see him, he presents
with a furrowed brow, grimace, and is moaning, moving his left hand across the tray table. you recognize
he is at risk for underrated pain due to:
a. the impact of aging on pain perception and tolerance
b. minimal prevalence of pain in older adults
c. the change in the patient's ability to communicate as a result of the stroke
d. the belief that pain is a normal part of being old
e. c and d
a - correct answer ✔✔which approach should the nurse use when considering pain management of an
older adult patient with an acute somatic or visceral pain?
a. try non-opioids and adjuvant drugs before providing opioid analgesia
b. implement opioids if complementary therapies have proven ineffective
c. begin with a moderate dose of opioid analgesia and taper down to the lowest effective dose
d. restrict analgesia options to NSAIDs and adjuvant medications due to the risk of unwanted effects
d - correct answer ✔✔an older patient with type 2 diabetes mellitus is complaining of burning feet. the
nurse determines that the patient is most likely experiencing which type of pain?
a. somatic
b. nociceptive
c. visceral
d. neuropathic
a - correct answer ✔✔an older patient with a diagnosis of osteoarthritis complains of stiffness in the
joints, tenderness, and pain. which type of pain is this patient most likely experiencing?
a. somatic
b. visceral
c. neuropathic
d. phantom
d - correct answer ✔✔insomnia can be defined by each of the following except:
a. difficulty falling asleep
, b. difficulty staying asleep
c. premature waking
d. use of sleep aids to initiate sleep
a - correct answer ✔✔true or false: quantity and quality of sleep can determine an older adult's health
and well-being.
a. true
b. false
b - correct answer ✔✔which of the following medications should be used cautiously as a sleep aid with
an older adult related to the high risk of anticholinergic side effects?
a. alprazolam (xanax)
b. diphenhydramine (benadryl)
c. furosemide (lasix)
d. gabapentin (neurontin)
b - correct answer ✔✔a nurse is providing care for an 81 year old Hispanic woman in the context of the
geriatric unit of a hospital. which of the following phenomena should the nurse anticipate?
a. the client's family is likely to advocate for her placement in a nursing home at an early stage
b. the client is likely to prioritize the role of spirituality in the healing process
c. she has maintained her health throughout her older years by seeking preventative services
d. the woman's family will most likely delegate responsibility for her care to the hospital care team
c - correct answer ✔✔Riverdale has a small budget for community health programs aimed specifically
towards its African American population. the nurse advocates free blood pressure screening in
supermarkets and shopping malls in this town because:
a. many causes of morbidity and mortality among black Americans cannot be effectively controlled
through lifestyle modifications
b. black Americans have a higher incidence of cancer and diabetes than white Americans
c. hypertension and heart disease occur at a higher rate in the black population than in the white
population
d. black people experience a heightened nocturnal response that lowers blood pressure to dangerous
lows during sleep
a - correct answer ✔✔true or false: there is a lower life expectancy of black Americans. however, once a
black individual reaches the 7th decade of life, survival begins to equal that of a similarly aged white
person.
a. true
b. false
c - correct answer ✔✔which of the following diseases most commonly causes erectile dysfunction in the
older adult population?
a. measles
b. acromegaly
c. diabetes
d. BPH
b - correct answer ✔✔what does FACT stand for?
ADULTS EXAM 2 STUDY GUIDE & PRACTICE TEST 2026/2027
a - correct answer ✔✔the nurse wants to ensure that assigned patients are comfortable. what will the
nurse use as a measure of comfort?
a. a state of physical, emotional, and spiritual well being
b. an absence of reports, signs, or symptoms of physical pain
c. a transcendent emotional and spiritual state that exists regardless of the presence or absence of pain
d. a condition of maintaining a patient's self report of pain being below a self reported threshold of 1 out
of 10
e - correct answer ✔✔AC is an 82 year old caucasian married male with advanced dementia, FAST stage
6B prior to hospitalization for CV, with resultant flaccidity, now FAST 7e. when you see him, he presents
with a furrowed brow, grimace, and is moaning, moving his left hand across the tray table. you recognize
he is at risk for underrated pain due to:
a. the impact of aging on pain perception and tolerance
b. minimal prevalence of pain in older adults
c. the change in the patient's ability to communicate as a result of the stroke
d. the belief that pain is a normal part of being old
e. c and d
a - correct answer ✔✔which approach should the nurse use when considering pain management of an
older adult patient with an acute somatic or visceral pain?
a. try non-opioids and adjuvant drugs before providing opioid analgesia
b. implement opioids if complementary therapies have proven ineffective
c. begin with a moderate dose of opioid analgesia and taper down to the lowest effective dose
d. restrict analgesia options to NSAIDs and adjuvant medications due to the risk of unwanted effects
d - correct answer ✔✔an older patient with type 2 diabetes mellitus is complaining of burning feet. the
nurse determines that the patient is most likely experiencing which type of pain?
a. somatic
b. nociceptive
c. visceral
d. neuropathic
a - correct answer ✔✔an older patient with a diagnosis of osteoarthritis complains of stiffness in the
joints, tenderness, and pain. which type of pain is this patient most likely experiencing?
a. somatic
b. visceral
c. neuropathic
d. phantom
d - correct answer ✔✔insomnia can be defined by each of the following except:
a. difficulty falling asleep
, b. difficulty staying asleep
c. premature waking
d. use of sleep aids to initiate sleep
a - correct answer ✔✔true or false: quantity and quality of sleep can determine an older adult's health
and well-being.
a. true
b. false
b - correct answer ✔✔which of the following medications should be used cautiously as a sleep aid with
an older adult related to the high risk of anticholinergic side effects?
a. alprazolam (xanax)
b. diphenhydramine (benadryl)
c. furosemide (lasix)
d. gabapentin (neurontin)
b - correct answer ✔✔a nurse is providing care for an 81 year old Hispanic woman in the context of the
geriatric unit of a hospital. which of the following phenomena should the nurse anticipate?
a. the client's family is likely to advocate for her placement in a nursing home at an early stage
b. the client is likely to prioritize the role of spirituality in the healing process
c. she has maintained her health throughout her older years by seeking preventative services
d. the woman's family will most likely delegate responsibility for her care to the hospital care team
c - correct answer ✔✔Riverdale has a small budget for community health programs aimed specifically
towards its African American population. the nurse advocates free blood pressure screening in
supermarkets and shopping malls in this town because:
a. many causes of morbidity and mortality among black Americans cannot be effectively controlled
through lifestyle modifications
b. black Americans have a higher incidence of cancer and diabetes than white Americans
c. hypertension and heart disease occur at a higher rate in the black population than in the white
population
d. black people experience a heightened nocturnal response that lowers blood pressure to dangerous
lows during sleep
a - correct answer ✔✔true or false: there is a lower life expectancy of black Americans. however, once a
black individual reaches the 7th decade of life, survival begins to equal that of a similarly aged white
person.
a. true
b. false
c - correct answer ✔✔which of the following diseases most commonly causes erectile dysfunction in the
older adult population?
a. measles
b. acromegaly
c. diabetes
d. BPH
b - correct answer ✔✔what does FACT stand for?
