GERI FINAL EXAM Questions with Correct
Answers
A 90 year old is admitted with a stage III pressure ulcer. The nurse plans to resolve the issue.
Order the steps for this encounter:
A. Re-dress wound as ordered
B. Administer 10 mg of Morphine IM
C. Assess wound and surrounding tissue
D. Obtain a wound culture Correct Ans-B. Administer 10 mg of Morphine IM
C. Assess wound and surrounding tissue
D. Obtain a wound culture
A. Re-dress wound as ordered
Prioritizing care should center on recognizing that a stage III is painful and premedication should
be done at the beginning, assessment is key to examining the extent of the wound before
applying a dressing and documenting.
A nurse is feeding a newly admitted patient for the first time. He is a 84 year old with a past
medical history of CVA with no residual effects. The breakfast tray has arrived. Order the steps
for this encounter:
,A. Monitor for signs and symptoms of dysphagia
B. Sit patient up in a high fowler's position
C. Begin the feeding
D. Document Correct Ans-B. Sit patient up in a high fowler's position
C. Begin the feeding
A. Monitor for signs and symptoms of dysphagia
D. Document
Prioritizing care should center on recognizing that older adults may have difficulties with
nutritional intake, it is important to be mindful of preventive strategies should aspiration occur,
recognize the signs and symptoms of dysphagia and to document findings for other members of
the health care team.
How can the nurse facilitate communication with an older adult? Select all that apply:
A. Assess for hearing deficit at the beginning of the interaction
B. Speak more loudly than normal, and at a slightly higher pitch.
C. Pay special attention to cues from body language
D. Speak slowly, allowing time for the patient to word his answer. Correct Ans-A. Assess for
hearing deficit at the beginning of the interaction
, C. Pay special attention to cues from body language
D. Speak slowly, allowing time for the patient to word his answer.
Older adults are likely to have hearing loss, so it is useful to assess for hearing deficit. Older
adults often have presbycusis, difficulty hearing high pitches. May need more time to process
and respond and may hold back information, so it is important to look for body language.
After swallowing, a 73-year-old patient is coughing and has a wet voice. What changes of aging
could be contributing to this abnormality?
A. Decreased response to hypercapnia
B. Decreased number of functional alveoli
C. Increased calcification of costal cartilage
D. Decreased respiratory defense mechanisms Correct Ans-D. Decreased respiratory defense
mechanisms
Cilia and coughing are the bodies defense mechanisms against foreign bodies entering the
respiratory system. Both of which are decreased in older age, putting them at higher risk for
aspiration.
Which is NOT a common change in the respiratory system in older adults?
Answers
A 90 year old is admitted with a stage III pressure ulcer. The nurse plans to resolve the issue.
Order the steps for this encounter:
A. Re-dress wound as ordered
B. Administer 10 mg of Morphine IM
C. Assess wound and surrounding tissue
D. Obtain a wound culture Correct Ans-B. Administer 10 mg of Morphine IM
C. Assess wound and surrounding tissue
D. Obtain a wound culture
A. Re-dress wound as ordered
Prioritizing care should center on recognizing that a stage III is painful and premedication should
be done at the beginning, assessment is key to examining the extent of the wound before
applying a dressing and documenting.
A nurse is feeding a newly admitted patient for the first time. He is a 84 year old with a past
medical history of CVA with no residual effects. The breakfast tray has arrived. Order the steps
for this encounter:
,A. Monitor for signs and symptoms of dysphagia
B. Sit patient up in a high fowler's position
C. Begin the feeding
D. Document Correct Ans-B. Sit patient up in a high fowler's position
C. Begin the feeding
A. Monitor for signs and symptoms of dysphagia
D. Document
Prioritizing care should center on recognizing that older adults may have difficulties with
nutritional intake, it is important to be mindful of preventive strategies should aspiration occur,
recognize the signs and symptoms of dysphagia and to document findings for other members of
the health care team.
How can the nurse facilitate communication with an older adult? Select all that apply:
A. Assess for hearing deficit at the beginning of the interaction
B. Speak more loudly than normal, and at a slightly higher pitch.
C. Pay special attention to cues from body language
D. Speak slowly, allowing time for the patient to word his answer. Correct Ans-A. Assess for
hearing deficit at the beginning of the interaction
, C. Pay special attention to cues from body language
D. Speak slowly, allowing time for the patient to word his answer.
Older adults are likely to have hearing loss, so it is useful to assess for hearing deficit. Older
adults often have presbycusis, difficulty hearing high pitches. May need more time to process
and respond and may hold back information, so it is important to look for body language.
After swallowing, a 73-year-old patient is coughing and has a wet voice. What changes of aging
could be contributing to this abnormality?
A. Decreased response to hypercapnia
B. Decreased number of functional alveoli
C. Increased calcification of costal cartilage
D. Decreased respiratory defense mechanisms Correct Ans-D. Decreased respiratory defense
mechanisms
Cilia and coughing are the bodies defense mechanisms against foreign bodies entering the
respiratory system. Both of which are decreased in older age, putting them at higher risk for
aspiration.
Which is NOT a common change in the respiratory system in older adults?
