NURSING CARE OF OLDER ADULTS
CHAPTER 15: EXAM QUESTIONS WITH
COMPLETE ANSWERS
The nurse is monitoring a patients skin status. What should the nurse recognize as the
first sign of prolonged pressure on the skin
A. Coolness
B. Cyanosis
C. Paleness
D. Redness - Answer-Redness
The nurse has been providing interventions to address an older patients nutritional
status. Which observation should the nurse use to determine if nursing care has been
effective?
A. Appetite
B. Skin Turgor
C. Body Weight
D. Urine output - Answer-Body weight
The nurse is concerned about medication safety for a patient with confusion. Which
action should the nurse recommend be included in the patients plan of care to address
this issue?
A. Instruct the patient to take all of the medications together
B. Have the patient set up medications for an entire week
C. Have a family member set up and administer the medications
D. Have the patient turn medication bottles upside dow after taking medication -
Answer-Have a family member set up and administer the medications
The nurse is caring for a patient with Alzheimers disease. Which environment should
the nurse provide to decrease the patients symptoms?
A. A variety of sensory experiences
B. An environment that varies weekly
C. A physically challenging environment
D. A familiar, non-stimulating environment - Answer-A familiar, non-stimulating
environmnet
The nurse is collecting data for an older patient. Which characteristic should the nurse
identify in a patient with an age-related loss of water in the vertebral discs?
A. Spinal flexion
B. Decreased height
C. Increased spinal flexibility
D. Protruding bony prominences - Answer-Decreased height
, The nurse has reinforced teaching about age-related mouth changes. Which client
statement indicates a correct understanding of the cause of tooth loss in an older adult?
A. Jawbone loss
B. Receding gums
C. Poor dental care
D. The aging process - Answer-Poor dental care
The nurse is making recommendations to an older patients plan of care for safety
measures. Which musculoskeletal change should the nurse consider as contributing to
a reduction in the older adults ability to contributing to a reduction in the older adults
ability to safely perform routine tasks?
A. Increased reflexes
B. Increased joint flexibility
C. Rapid nerve transmissions
D. Slower muscle response time - Answer-Slower muscle response time
The nurse is reinforcing teaching provided to an older patient on how to safely rise from
a seated to a standing position. Which age-related change does the nurse use to
emphasize the need to change positions gradually for safety?
A. Joint stiffness
B. Leg muscle weakness
C. Decreased circulatory efficiency
D. Decreased neurological reflex times - Answer-Decreased circulatory efficiency
The nurse is providing care to a person who has difficulty hearing high-pitched tones.
Which action should the nurse take when caring for this patient?
A. Speak loudly from across the room
B. Speak softly, using a near-whisper tone
C. Speak slowly, emphasizing lip movements
D. Speak rapidly, using multiple hand gestures - Answer-Speak softly, using a near-
whisper tone
A 70-year-old patient asks what can be done to protect his hearing. What should the
nurse recommend to the patient?
A. Clean the ears of ear wax every day
B. Cover the ears if loud noises are expected
C. Have a hearing test performed twice a year
D. Raise the volume on televisions and radios in the home - Answer-Cover the ears if
loud noises are expected
The nurse is making a home health visit to a frail but basically health 86-year-old
patient. The nurse assess a heart rate of 104 beats/minute. What action should the
nurse take?
A. Inform the physician of heart rate immediately
B. Teach the patient deep breathing exercises to reduce heart rate
C. Ask about liquids the patient is drinking and urination frequency
CHAPTER 15: EXAM QUESTIONS WITH
COMPLETE ANSWERS
The nurse is monitoring a patients skin status. What should the nurse recognize as the
first sign of prolonged pressure on the skin
A. Coolness
B. Cyanosis
C. Paleness
D. Redness - Answer-Redness
The nurse has been providing interventions to address an older patients nutritional
status. Which observation should the nurse use to determine if nursing care has been
effective?
A. Appetite
B. Skin Turgor
C. Body Weight
D. Urine output - Answer-Body weight
The nurse is concerned about medication safety for a patient with confusion. Which
action should the nurse recommend be included in the patients plan of care to address
this issue?
A. Instruct the patient to take all of the medications together
B. Have the patient set up medications for an entire week
C. Have a family member set up and administer the medications
D. Have the patient turn medication bottles upside dow after taking medication -
Answer-Have a family member set up and administer the medications
The nurse is caring for a patient with Alzheimers disease. Which environment should
the nurse provide to decrease the patients symptoms?
A. A variety of sensory experiences
B. An environment that varies weekly
C. A physically challenging environment
D. A familiar, non-stimulating environment - Answer-A familiar, non-stimulating
environmnet
The nurse is collecting data for an older patient. Which characteristic should the nurse
identify in a patient with an age-related loss of water in the vertebral discs?
A. Spinal flexion
B. Decreased height
C. Increased spinal flexibility
D. Protruding bony prominences - Answer-Decreased height
, The nurse has reinforced teaching about age-related mouth changes. Which client
statement indicates a correct understanding of the cause of tooth loss in an older adult?
A. Jawbone loss
B. Receding gums
C. Poor dental care
D. The aging process - Answer-Poor dental care
The nurse is making recommendations to an older patients plan of care for safety
measures. Which musculoskeletal change should the nurse consider as contributing to
a reduction in the older adults ability to contributing to a reduction in the older adults
ability to safely perform routine tasks?
A. Increased reflexes
B. Increased joint flexibility
C. Rapid nerve transmissions
D. Slower muscle response time - Answer-Slower muscle response time
The nurse is reinforcing teaching provided to an older patient on how to safely rise from
a seated to a standing position. Which age-related change does the nurse use to
emphasize the need to change positions gradually for safety?
A. Joint stiffness
B. Leg muscle weakness
C. Decreased circulatory efficiency
D. Decreased neurological reflex times - Answer-Decreased circulatory efficiency
The nurse is providing care to a person who has difficulty hearing high-pitched tones.
Which action should the nurse take when caring for this patient?
A. Speak loudly from across the room
B. Speak softly, using a near-whisper tone
C. Speak slowly, emphasizing lip movements
D. Speak rapidly, using multiple hand gestures - Answer-Speak softly, using a near-
whisper tone
A 70-year-old patient asks what can be done to protect his hearing. What should the
nurse recommend to the patient?
A. Clean the ears of ear wax every day
B. Cover the ears if loud noises are expected
C. Have a hearing test performed twice a year
D. Raise the volume on televisions and radios in the home - Answer-Cover the ears if
loud noises are expected
The nurse is making a home health visit to a frail but basically health 86-year-old
patient. The nurse assess a heart rate of 104 beats/minute. What action should the
nurse take?
A. Inform the physician of heart rate immediately
B. Teach the patient deep breathing exercises to reduce heart rate
C. Ask about liquids the patient is drinking and urination frequency
