Older Adult Exam 1 Practice Questions with verified
c c c c c c c
solution
c c
1.The cnurse cis csetting cup can ceducation csession cwith can c85-year-old
cpatient cwho cwill cbe cgoing chome con canticoagulant ctherapy. cWhich cstrategy
cwould creflect cconsideration cof caging cchanges cthat cmay cexist cwith cthis
cpatient?
A. Show ca ccolorful cvideo cabout canticoagulation ctherapy.
B. Present call cthe cinformation cin cone csession cjust cbefore cdischarge.
C. Give cthe cpatient cpamphlets cabout cthe cmedications cto cread cat chome.
D. Develop clarge-print chandouts cthat creflect cthe cverbal cinformation
cpresented.-
: cD. cDevelop clarge-print chandouts cthat creflect cthe cverbal cinformation
cpresented.
Rationale: cOption cD caddresses caltered cperception cin ctwo cways. cFirst, cby
cusing cvisual caids cto creinforce cverbal cinstructions, cone caddresses cthe
cpossibility cof cdecreased cability cto chear chigh-frequency csounds. cBy
cdeveloping cthe chandouts cin clarge cprint, cone caddresses cthe cpossibility
cof cdecreased cvisual cacuity. cOption cA cdoes cnot callow cdiscussion cof cthe
cinformation; cfurthermore, cthe ctext cand cprint cmay cbe csmall cand cdifficul
cto cread cand cunderstand.
2.When cdeveloping cthe cplan cof ccare cfor can colder cadult cwho cis chospitalized
cfor can cacute cillness, cthe cnurse cshould
A. use ca cstandardized cgeriatric cnursing ccare cplan.
B. plan cfor clikely clong-term-care ctransfer cto callow cadditional ctime cfor
crecovery.
C. consider cthe cpreadmission cfunctional cabilities cwhen csetting cpatient cgoal
D. minimize cactivity clevel cduring chospitalization.: cC. cconsider cthe
1 c/
c50
,c preadmission cfunctional cabilities cwhen csetting cpatient cgoals.
Rationale: cThe cplan cof ccare cfor colder cadults cshould cbe cindividualized
cand cbased con cthe cpatients ccurrent cfunctional cabilities. cA cstandardized
cgeriatric cnursing ccare cplan cis cunlikely cto caddress cindividual cpatient
cneeds cand cstrengths. cA cpatients cneed cfor cdischarge cto ca clong-term-
care cfacility cis cvariable. cActivity clevel cshould cbe cdesigned cto callow cthe
cpatient cto cretain cfunctional cabilities cwhile chospitalized cand calso cto
callow cany cadditional crest cneeded cfor crecovery cfrom cthe cacute
cprocess.
3.Which cinformation cobtained cby cthe chome chealth cnurse cwhen cmaking ca
cvisit cto can c88-year-old cwith cmild cforgetfulness cis cof cthe cmost cconcern?
A. The cpatient's cson cuses ca cmarked cpillbox cto cset cup cthe cpatient's
cmedications cweekly.
B. The cpatient chas clost c10 cpounds c(4.5 ckg) cduring cthe clast cmonth.
C. The cpatient cis ccared cfor cby ca cdaughter cduring cthe cday cand cstays cwith ca
cson cat cnight.
2 c/
c50
,D.The cpatient ctells cthe cnurse cthat ca cclose cfriend crecently cdied.: cB. cThe
cpatient chas clost c10 cpounds c(4.5 ckg) cduring cthe clast cmonth.
Rationale: cA c10-pound cweight closs cmay cbe can cindication cof celder cneglec
cor cdepres- csion cand crequires cfurther cassessment cby cthe cnurse.
4.A c70-year-old cclient casks cthe cnurse cto cexplain cto cher cabout
chypertension. cAn cappropriate cresponse cby cthe cnurse cas cto cwhy colder
cclients coften chave chypertension cis cdue cto:
A. Myocardial cmuscle cdamage
B. Reduction cin cphysical cactivity
C. Ingestion cof cfoods chigh cin csodium
D. Accumulation cof cplaque con carterial cwalls: cD. cAccumulation cof cplaque con
carterial cwalls
5.In creviewing cchanges cin cthe colder cadult, cthe cnurse crecognizes cthat
cwhich cof cthe cfollowing cstatements crelated cto ccognitive cfunctioning cin cthe
colder cclient cis ctrue?
A. Delirium cis cusually ceasily cdistinguished cfrom cirreversible cdementia.
B. Therapeutic cdrug cintoxication cis ca ccommon ccause cof csenile cdementia.
C. Reversible csystemic cdisorders care coften cimplicated cas ca ccause cof
cdelirium.
D. Cognitive cdeterioration cis can cinevitable coutcome cof cthe chuman
caging cprocess.: cC. cReversible csystemic cdisorders care coften
cimplicated cas ca ccause cof cdelirium.
Rationale: cDelirium cis ca cpotentially creversible ccognitive cimpairment
cthat cis coften cdue cto ca cphysiological ccause csuch cas can celectrolyte
cimbalance, ccerebral canoxia, chypoglycemia, cmedications, ctumors,
ccerebrovascular cinfection, cor chemorrhage.
6.Which cof cthe cfollowing cinterventions cshould cbe ctaken cto chelp can colder
cclient cto cprevent costeoporosis?
A. Decrease cdietary ccalcium cintake.
B. Increase csedentary clifestyles
C. Increase cdietary cprotein cintake.
D. Encourage cregular cexercise.: cD. cEncourage cregular cexercise.
Rationale: cKey cword cin cquestion cis cprevent
3 c/
c50
, Weight-bearing cexercises chelps cto cfight coff cdegeneration cof cbone cin
costeoporosis
4 c/
c50
c c c c c c c
solution
c c
1.The cnurse cis csetting cup can ceducation csession cwith can c85-year-old
cpatient cwho cwill cbe cgoing chome con canticoagulant ctherapy. cWhich cstrategy
cwould creflect cconsideration cof caging cchanges cthat cmay cexist cwith cthis
cpatient?
A. Show ca ccolorful cvideo cabout canticoagulation ctherapy.
B. Present call cthe cinformation cin cone csession cjust cbefore cdischarge.
C. Give cthe cpatient cpamphlets cabout cthe cmedications cto cread cat chome.
D. Develop clarge-print chandouts cthat creflect cthe cverbal cinformation
cpresented.-
: cD. cDevelop clarge-print chandouts cthat creflect cthe cverbal cinformation
cpresented.
Rationale: cOption cD caddresses caltered cperception cin ctwo cways. cFirst, cby
cusing cvisual caids cto creinforce cverbal cinstructions, cone caddresses cthe
cpossibility cof cdecreased cability cto chear chigh-frequency csounds. cBy
cdeveloping cthe chandouts cin clarge cprint, cone caddresses cthe cpossibility
cof cdecreased cvisual cacuity. cOption cA cdoes cnot callow cdiscussion cof cthe
cinformation; cfurthermore, cthe ctext cand cprint cmay cbe csmall cand cdifficul
cto cread cand cunderstand.
2.When cdeveloping cthe cplan cof ccare cfor can colder cadult cwho cis chospitalized
cfor can cacute cillness, cthe cnurse cshould
A. use ca cstandardized cgeriatric cnursing ccare cplan.
B. plan cfor clikely clong-term-care ctransfer cto callow cadditional ctime cfor
crecovery.
C. consider cthe cpreadmission cfunctional cabilities cwhen csetting cpatient cgoal
D. minimize cactivity clevel cduring chospitalization.: cC. cconsider cthe
1 c/
c50
,c preadmission cfunctional cabilities cwhen csetting cpatient cgoals.
Rationale: cThe cplan cof ccare cfor colder cadults cshould cbe cindividualized
cand cbased con cthe cpatients ccurrent cfunctional cabilities. cA cstandardized
cgeriatric cnursing ccare cplan cis cunlikely cto caddress cindividual cpatient
cneeds cand cstrengths. cA cpatients cneed cfor cdischarge cto ca clong-term-
care cfacility cis cvariable. cActivity clevel cshould cbe cdesigned cto callow cthe
cpatient cto cretain cfunctional cabilities cwhile chospitalized cand calso cto
callow cany cadditional crest cneeded cfor crecovery cfrom cthe cacute
cprocess.
3.Which cinformation cobtained cby cthe chome chealth cnurse cwhen cmaking ca
cvisit cto can c88-year-old cwith cmild cforgetfulness cis cof cthe cmost cconcern?
A. The cpatient's cson cuses ca cmarked cpillbox cto cset cup cthe cpatient's
cmedications cweekly.
B. The cpatient chas clost c10 cpounds c(4.5 ckg) cduring cthe clast cmonth.
C. The cpatient cis ccared cfor cby ca cdaughter cduring cthe cday cand cstays cwith ca
cson cat cnight.
2 c/
c50
,D.The cpatient ctells cthe cnurse cthat ca cclose cfriend crecently cdied.: cB. cThe
cpatient chas clost c10 cpounds c(4.5 ckg) cduring cthe clast cmonth.
Rationale: cA c10-pound cweight closs cmay cbe can cindication cof celder cneglec
cor cdepres- csion cand crequires cfurther cassessment cby cthe cnurse.
4.A c70-year-old cclient casks cthe cnurse cto cexplain cto cher cabout
chypertension. cAn cappropriate cresponse cby cthe cnurse cas cto cwhy colder
cclients coften chave chypertension cis cdue cto:
A. Myocardial cmuscle cdamage
B. Reduction cin cphysical cactivity
C. Ingestion cof cfoods chigh cin csodium
D. Accumulation cof cplaque con carterial cwalls: cD. cAccumulation cof cplaque con
carterial cwalls
5.In creviewing cchanges cin cthe colder cadult, cthe cnurse crecognizes cthat
cwhich cof cthe cfollowing cstatements crelated cto ccognitive cfunctioning cin cthe
colder cclient cis ctrue?
A. Delirium cis cusually ceasily cdistinguished cfrom cirreversible cdementia.
B. Therapeutic cdrug cintoxication cis ca ccommon ccause cof csenile cdementia.
C. Reversible csystemic cdisorders care coften cimplicated cas ca ccause cof
cdelirium.
D. Cognitive cdeterioration cis can cinevitable coutcome cof cthe chuman
caging cprocess.: cC. cReversible csystemic cdisorders care coften
cimplicated cas ca ccause cof cdelirium.
Rationale: cDelirium cis ca cpotentially creversible ccognitive cimpairment
cthat cis coften cdue cto ca cphysiological ccause csuch cas can celectrolyte
cimbalance, ccerebral canoxia, chypoglycemia, cmedications, ctumors,
ccerebrovascular cinfection, cor chemorrhage.
6.Which cof cthe cfollowing cinterventions cshould cbe ctaken cto chelp can colder
cclient cto cprevent costeoporosis?
A. Decrease cdietary ccalcium cintake.
B. Increase csedentary clifestyles
C. Increase cdietary cprotein cintake.
D. Encourage cregular cexercise.: cD. cEncourage cregular cexercise.
Rationale: cKey cword cin cquestion cis cprevent
3 c/
c50
, Weight-bearing cexercises chelps cto cfight coff cdegeneration cof cbone cin
costeoporosis
4 c/
c50
