Gerontology Presentation NCLEX Questions

A 56 year old woman is going through menopause and ask her nurse what are some alternatives besides medications that she can use? Which of the following would be good suggestions? (select all that apply) a.) Exercise b.) Meditation c.) Drinking a glass of wine every night d.) Yoga or T'ai chi e.) Acupuncture - answer-a.) Exercise b.) Meditation d.) Yoga or T'ai chi e.) Acupuncture A 65 year old woman complains to her doctor that her lady parts are itchy and burning and she has been having white foul smelling discharge. Which of the following should the doctor suspect? a.) Cervical cancer b.) Vaginitis c.) Breast Cancer d.) Dyspareunia - answer-b.) Vaginitis A 70 year-old female patient with osteoporosis asks the nurse which bones she might be at risk for fracturing. The nurse answers that the three most at-risk areas include the following: (select all that apply) a.) Phalanges b.) Hip c.) Radius at the wrist (Colles' fracture) d.) Tibia e.) Spine - answer-b.) Hip c.) Radius at the wrist (Colles' fracture) e.) Spine A client with meniere's disease is experiencing severe vertigo. Which instruction would the nurse give the client to assist in controlling the vertigo. a.) Increase fluid intake b.) Avoid sudden head movements c.) Lie still and watch the television d.) Increase sodium in the diet - answer-b.) Avoid sudden head movements A nurse is assessing a patient for manifestations of Parkinson's Disease/ Which should the nurse expect to find? (Select all the apply) a) Decreased vision b) Pill-rolling tremor of the fingers c) Shuffling gait d) Drooling e) Lack of facial expression - answer-b) Pill-rolling tremor of the fingers c) Shuffling gait d) Drooling e) Lack of facial expression A nurse is assessing a patient who has MS, which manifestation is she likely to notice? a.) Increased respirations b.) Restlessness c.) Difficulty speaking d.) Decreased heart rate - answer-c.) Difficulty speaking A nurse is assessing clients in an outpatient clinic. Which of her patients is more likely to develop MS? a.) 70 year old male from Canada b.) 50 year old female from Costa Rica c.) 30 year old female from the United States d.) An 18 year old male from Ireland - answer-c.) 30 year old female from the United States A nurse is caring for a client with a new diagnosis of Type 2 diabetes mellitus. The nurse is educating the client about diabetic retinopathy screening. Which statements made by the client are correct: (select all that apply) a.) "I don't have to be screened since I just got diagnosed." b.) "I should make an appointment for an eye exam before I leave today" c.) "I will need to have dilated eye exams every 5 years" d.) "Screening is only for patients who take insulin" e.) "I will need to have dilated eye exams annually" - answer-b.) "I should make an appointment for an eye exam before I leave today" e.) "I will need to have dilated eye exams annually" A nurse is caring for a patient who is starting to display bradykinesia. What action is appropriate for the nurse to take? a) Teach the patient to walk more quickly when ambulating b) Place patient on a low-protein, low-calorie diet c) Give the patient extra time to perform activities d) Complete passive range-of-motion exercises daily - answer-c) Give the patient extra time to perform activities A nurse is educating a patient diagnosed with MS on what things trigger exacerbations. What does she include in this teaching? (select all that apply) a.) Infection b.) Acidic foods c.) Immunizations d.) Stress - answer-a.) Infection c.) Immunizations d.) Stress A nurse is educating a patient with rheumatoid arthritis about management of the disease, what should the nurse include in the teaching? a) "Stay on a low-purine diet and lower your consumption of red meats and shellfish." b) "To avoid sensitivity, avoid applying cold or heat to your joints." c) "Weight has no effect on this disease, so there is no need to change your diet or exercise." d) "Call your doctor if you experience chest pain that gets worse when lying down." - answer-d) "Call your doctor if you experience chest pain that gets worse when lying down." A nurse is examining a patient and expects they have Parkinson's disease. How would the nurse go about screening this patient? (Select all that apply) a) MRI b) Physical and neurologic assessment c) Medical history d) Blood tests e) Prescribed medication prior to appointment - answer-b) Physical and neurologic assessment c) Medical history e) Prescribed medication prior to appointment A nurse is explaining to a patient with PD and the patient's family the kind of nutritional habits that would be beneficial for the patient. What are some things the nurse should mention? (Select all that apply) a) Eat 6 small, frequent meals instead of 3 large meals per day b) Avoid vitamin B6 and B6 containing foods c) Constipation is a normal complication with PD and does not need to be addressed d) Serve food a cooler temperature than usual e) Choose mealtimes that best suit the patient's preferences of when to eat - answer-a) Eat 6 small, frequent meals instead of 3 large meals per day b) Avoid vitamin B6 and B6 containing foods e) Choose mealtimes that best suit the patient's preferences of when to eat A nurse is giving teaching to a 65 year-old female patient who has osteoporosis and is going home from the hospital after a Colles' fracture. What items should be included in the teaching? (select all that apply) a.) Remove throw rugs to prevent more falls. b.) Eat foods such as chicken, pork, or lamb, because they are high in calcium. c.) Eat foods such as white or red beans and green leafy vegetables because they are high in calcium. d.) If the nail beds on your affected hand are blue, don't worry. That's normal when you have a cast on. e.) If the skin under the cast becomes itchy or uncomfortable, you can put a small piece of cotton gauze underneath the cast. - answer-a.) Remove throw rugs to prevent more falls. c.) Eat foods such as white or red beans and green leafy vegetables because they are high in calcium. A nurse is helping a client who reports reduced muscle mass, reduced energy, reduced strength and stamina, and reduced libido. The client is a 65 year old male so the nurse suspects the client may be experiencing: a.) Testicular tumors b.) Benign Prostatic Hyperplasia c.) Andropause d.) Menopause - answer-c.) Andropause A nurse is providing care to a patient with Parkinson's Disease and is getting ready to administer medication. What medication is most widely used for Parkinson's? a) Amantadine b) Anticholinergics c) Levodopa d) Flintstones multivitamin gummies - answer-c) Levodopa A nurse is teaching a a class about management and treatment of diabetic retinopathy. All of the following statements are correct EXCEPT: a.) Laser photocoagulation is used to destroy leaking blood vessels b.) Medications called vascular endothelial growth factor inhibitors (anti-VEGF) are injected intravitreally c.) Proper control of diabetes mellitus is critical d.) Treatments are aimed at restoring lost vision - answer-d.) Treatments are aimed at restoring lost vision A nurse is teaching a patient about the risk factors of cataracts. Which is not a risk factor for cataracts? a.) Increasing age b.) Exposure to large amounts of UVB rays c.) Diabetes d.) Race - answer-d.) Race A nurse is teaching a patient who has just had cataract surgery about tasks he is allowed to do as well as the tasks he should avoid. Which of the teachings is correct? a.) "You can continue smoking 3 days after surgery." b.) "Do not bend at the waist to pick up objects." c.) "Walking, climbing stairs and light household chores are not allowed." d.) "You can rub your eyes as much as you want after surgery." - answer-b.) "Do not bend at the waist to pick up objects." A patient goes to the doctor and reports that her vision has become distorted and her night vision has decreased. Which test would be used to screen the patient for cataracts? a.) Color Vision Test b.) Babinski Test c.) Visual Acuity Test d.) Refraction Test - answer-c.) Visual Acuity Test All of the following are true regarding normal age related changes in sexuality EXCEPT: a.) Older women may experience dyspareunia (painful intercourse) b.) Older men are slower to erect, mount, and ejaculate c.) There is a decrease in sexual responsiveness d.) Fewer older adults will acquire AIDS/HIV - answer-d.) Fewer older adults will acquire AIDS/HIV During a home health visit you are helping a patient with gout identify foods in their pantry they should avoid eating. Select all the foods below the patient should avoid: a.) Sardines b.) Whole wheat bread c.) Steak d.) Crackers e.) Craft beer f.) Bananas - answer-a.) Sardines c.) Steak e.) Craft beer If an older patient is taking aspirin as a blood thinner, what would you warn them about that could occur with their ears? a.) Inflammation b.) Build up of wax c.) Bleeding in the ears d.) Tinnitus - answer-d.) Tinnitus Myasthenic crisis is an acute exacerbation of muscle weakness triggered by: (select all that apply) a.) infection b.) weather changes c.) emotional distress d.) inadequate drugs e.) Secondhand smoke - answer-a.) infection c.) emotional distress d.) inadequate drugs Nurses can play a significant role in preventing HIV/AIDS in the older population by (Select all that apply): a.) Understanding that HIV/AIDS only impact younger generations b.) Recognizing that the older population accounts for 20% of the public's HIV infections c.) Reinforcing safe sex practices in older persons d.) Educating and counseling about sexuality in late life - answer-b.) Recognizing that the older population accounts for 20% of the public's HIV infections c.) Reinforcing safe sex practices in older persons d.) Educating and counseling about sexuality in late life Risk factors for cancer of the endometrium include (select all that apply): a.) Late onset of menstrual periods b.) Being infertile c.) Being a male over age 60 d.) Use of estrogen without progesterone e.) Obesity - answer-a.) Late onset of menstrual periods b.) Being infertile d.) Use of estrogen without progesterone e.) Obesity Sexuality in the older population is: a.) Present up to age 65 years old b.) An integral part of life that never ends c.) Only refers to physical touch that is not intercourse d.) Is absent due to a lack of desire - answer-b.) An integral part of life that never ends The following are risk factors for developing osteomyelitis (select all that apply) a.) Immunocompromised b.) Placement of prosthetic devices c.) Limited physical activity d.) Vascular insufficiencies - answer-a.) Immunocompromised b.) Placement of prosthetic devices d.) Vascular insufficiencies The nurse is providing education to a patient, who was recently diagnosed with rheumatoid arthritis, about physical exercise. Which statement made by the patient is correct? a.) "It is best I try to incorporate a moderate level of high impact exercises weekly into my routine, such as running and aerobics." b.) "I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a weekly regime of range of motion exercises along with walking and riding a stationary bike." c.) "It is important I perform range of motion exercises during joint flare-ups and incorporate low-impact exercises into my daily routine." d.) "Physical exercise should be limited to only range of motion exercises to prevent further joint damage." - answer-b.) "I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a weekly regime of range of motion exercises along with walking and riding a stationary bike." The nurse working on a diabetic medical floor is teaching an orienting nurse about the difference between nonproliferative and proliferative diabetic retinopathy. Which statement made by the orienting nurse is correct. a.) Proliferative DR can lead to retinal detachment and blindness b.) Neovascularization occurs in nonproliferative DR c.) Proliferative DR is characterized by retinal edema and hard exudates d.) Nonproliferative DR is rare, but severe leading to blindness in 50% of patient if left untreated - answer-a.) Proliferative DR can lead to retinal detachment and blindness True of False: Macular Degeneration is an age-related disease that is painful. - answer-False True or False: Increasing sodium intake improves Meniere's Disease - answer-False True or