NUR163/ NUR 163 Exam 2 (Latest 2025/ 2026 Update) Concepts of Practical Nursing in Care of Elderly Patients| Questions and Answers| 100% Correct | Verified Solutions | GRADED A - Hondros

NUR163/ NUR 163 Exam 2 (Latest 2025/ 2026 Update) Concepts of Practical Nursing in Care of Elderly Patients| Questions and Answers| 100% Correct | Verified Solutions | GRADED A - Hondros Question: The nurse is caring for four patents today. Which finding should the nurse immediately report to the RN? Answer: - Patient with positive Chvostek's signs Question: Which patient finding should cause the nurse to encourage oral (PO) fluid intake? - Answer: Diarrhea Question: The home health nurse is visiting a patient and notices the unpaid caregiver is having caregiver strain. The nurse knows, when communicating with the patient unpaid caregiver praise is the best way to improve caregiver strain. Which of the following would be the best response to the caregiver? Answer: I've noticed all your time and effort with the patient. You are very important to the healthcare team" Question: Which patient will the nurse determine to have potential for hypernatremia? Answer: The patient who consumes excessive amount of table salt Question: The LPN is preparing to discuss a plan of care with a 72-year-old patient who is hard of hearing. When communicating with the patient. What is the best approach? Answer: Speak in a low pitch tone and face level with the patient Question: patient arrives in the emergency department (ED) and is diagnosed with hyperkalemia. The nurse will monitor the patient for which possible consequence of hyperkalemia. Answer: Cardiac arrhythmias Question: Which of the following patients would least likely experience a fluid and electrolyte imbalance? Answer: A 23-year-old with an upper extremity bone fracture Question: The older adult is waiting for test results from their doctor develops nausea and excessive gas. Which is the probable cause of these symptoms? Answer: Slowing of peristalsis Question: Which nursing intervention would not be appropriate for a patient with fluid volume excess? Answer: Increase in sodium intake Question: The nurse is obtaining a health history from a new resident at the assisted living facility. The nurse knows it is important to ask which question regarding fluids and electrolytes? Answer: What medications, including dietary supplements, do you take?" Question: Which is true of an older adult who used coping skills effectively during his younger years? Answer: They will continue to use similar coping behaviors throughout Question: The LPN is providing teaching on the use of complimentary and alternative therapies. Which statement by the geriatric patient shows an understanding of the teaching? Answer: - I am looking forward to starting the medication classes, and all the benefits it can have on my health Question: Which of the following is associated with an age-related complication, and could contribute to the geriatric patient's pain? Answer: Bone demineralization and contractures Question: The patient is having a cardiac catherization in the morning. Which of the following is in response to stress? Answer: Decreased production of digestive enzymes Question: Which comment about stress is true? Answer: Interventions that reduce stress are beneficial Question: The nurse is evaluating the patient's use of a cane for left- sided weakness. The nurse should intervene if the patient is observed performing which action? Answer: Moving the cane when the right leg is moved Question: Which strategy would be effective in reducing an elderly patient's stress? Answer: Focusing on the emotions of the patient Question: The nurse is caring for a patient recently transferred to a long-term care facility from the community hospital. The patient refuses to eat, leave the room, or take prescribed medication. Which action will the nurse take? Answer: Provide continuity of care by having the same nurse assigned to the patient as much as possible Question: The nurse is making a home visit to a patient diagnosed with hypertension. The patient's spouse died 3 months ago. Which behavior by the patient suggests ineffective coping? Answer: Neglecting personal grooming Question: The nurse is doing an assessment on a newly admitted elderly patient. The patient states, "I don't have the funds to pay for this hospital, and I need to leave." The nurse understands the elderly patient is having trouble coping with this new situation. Which should be the best response by the nurse? Answer: will notify Social Services and they can help you with getting assistance" Question: The LPN recognizes there are two steps to an older adult's ability to assess a stressor. The older adult must be able to evaluate the potential for harm (primary appraisal) and decide how to overcome the stressor secondary appraisal.) this requires which skill? Answer: Cognitive skills Question: An elderly patient states, "I have been using spiritual counseling in one way or another to cope with stress since I was in college." The LPN knows that coping mechanisms correlate with which of the following statement? Answer: Are adapted throughout our life; we identify a coping mechanism and adjust it as we age and grow to meet each new demands. Question: The LPN knows in problem- focused coping and elderly patient faced with a stressful event, is most likely to do which of the following? Answer: Seek as much information about the situation they can Question: The LPN knows in emotion- focused coping, when faced with a stressful event, an elderly patient may do which of the following? Answer: Attempt to control their emotional response Question: Which of these is a key factor for poor coping in older adult patients? Answer: Limited cognitive functioning Question: The LPN knows that not all coping behaviors are healthy, some are maladaptive. Which of the following coping behaviors are considered maladaptive? SELECT ALL THAT APPLY Answer: - Alcohol use - Excessive eating - Denial Question: The LPN knows when an elderly patient experiences chronic stress, there may be a response in the cardiovascular system. Which one of the following represents the best response to chronic stress related to the cardiovascular system? Answer: Increased heart rate and blood pressure Question: The LPN knows primary prevention in stress management includes which of the following? Answer: Activities to promote health and well-being Question: The LPN assessing a group of elderly patients at a community center chose the best complementary and alternative therapies to manage stress. The LPN knows which of the following are complimentary therapies? SELECT ALL THAT APPLY Answer: Aroma therapy - Guided imagery - Massage therapy - Acupuncture Question: The LPN knows stress causes the release of the stress hormone cortisol in the body. Cortisol is known as the stress hormone. Long-term exposure to cortisol can have which effect on the body? Answer: Immunosuppression Question: The LPN should do which of the following interventions to decrease the risk of ulcers for a patient on bedrest? SELECT ALL THAT APPLY Answer: Place an air mattress on the bed - Remove wrinkles from cloths and sheets - Apply moisture barrier to the sacral area - Monitor nutritional intake Question: patient has been hospitalized after an automobile accident. The patient is complaining of leg pain on assessment in the emergency room (ER). The LPN is aware the assessment includes which of the following objective interventions? SELECT ALL THAT APPLY Answer: Check for deep vein thrombosis (DVT) - Evaluate for pallor - Ask the patient to raise their extremity for range of motion (ROM) - Assess for erythema (redness) and edema Question: The LPN is conducting a head-to-toe assessment on the patient prior to sending them to physical therapy. The patient reports a pain level of 1/10. The LPN knows which of the following nursing intervention would be appropriate prior to the patient attending physical therapy? Answer: - Document the assessment findings - Give the patient the prescribed as needed (PRN) painmedication - Provide a nursing report the physical therapy department Question: A prideful independent older adult patient is recovering from a stroke with left-sided weakness and now uses a cane. The patient explains to the LPN they are having psychological effects of decreased mobility such as boredom, helplessness, and depression. The LPN notices the patient walking without their cane. Which of the following would be a priority for the LPN? Answer: Give the patient their cane and remind them they should use the cane for safety reasons Question: The nurse is caring for an elderly patient who has been in the hospital for 3 days. After visiting the ER the patient was admitted to the ICU for 2 days, then to step-down unit for 1 day. Today has expressed feelings of powerlessness, helplessness, and loneliness. The nurse suspects that the patient may be experiencing what common occurrence? Answer: Disruptive Living Situation Question: When reviewing the diet of a patient who has a Vitamin D deficiency the LPN knows efficient absorption of calcium requires Vitamin D. The LPN knows which of the following is the best source of Vitamin D? Answer: Taking a walk on a sunny day Question: . The LPN knows the following pharmacological agents are used to treat mobility problems? Answer: Anti-inflammatory agents - Bisphosphate - Analgesic - Muscle relaxers Question: The LPN knows the following is the most common condition affecting mobility? Answer: Low back pain Question: The LPN ask the nursing student, "what are some causes of immobility?" The LPN knows the nursing student understand cases of impaired mobility when the nursing student lists the following causes of immobility? Answer: Impaired cranial regulation - Impaired perfusion - Acid-base balance Question: Which statement about stress is true? Answer: Stress occurs if the threat is change is positive or negative Question: Symptoms of bone density changes, falls, altered sleep patterns, unsteadiness, hypertension, and stomach complaints should lead the health care team to consider which problem? Answer: Alcohol abuse Question: Older adults may use other items such as alcohol, tobacco, prescription, illicit street drug to cope with situational issues. Which of the following are indicative of this coping mechanism? Answer: Self - medicating Question: patient actively attempting to increase their support system after the loss of a spouse is demonstrating which type of coping strategy? Answer: Problem- focused coping strategy Question: Which goal would not be appropriate initial goal for a patient experiencing disruptive living situation Answer: Independence in taking medication Question: Which statement about depression in the older adult is true? Answer: Depression is a whole-body syndrome that causes physiological, emotional changes in the older adult, and cognitive Question: Which statement is false about an older adult coping with stress? Answer: Older adults have experienced stress throughout their lifetime and so their bodies are conditioned to handle stress in older age Question: LPN is caring for an older adult patient who has osteoarthritis. What assessment data related to altered mobility should the nurse report Answer: Patient pain level - The patient uses a walker to go to the bathroom - The patient requires help for the unlicensed assistive personnel (UAP) to transfer to their chair - The patient can ambulate to the bathroom without assistance - The patient has edema in his knees Question: The LPN is caring for a patient who refuses to use their new walker. Which response by the nurse is most appropriate Answer: Verify the patient knows how to use the walker Question: The nurse is educating a new LPN about interventions for a patient with emphysema. Which statement by the new nurse indicate understanding? SELECT ALL THAT APPLY Answer: - "I will assess the patient's pulse and respirations before activity, during and after" - "I should monitor the patient's arterial blood gases (ABGs)" - "I should administer the patient's albuterol as directed" - "I should promote the patient to stand or sit upright as much as possible Question: The nurse is caring for an older patient who ha been on bed rest for three days following a knee replacement surgery. Which assessment finding(s) should be promptly reported to the provider? Answer: Pain in calf muscles of the lower leg - Dyspnea - Adventitious breath sounds Question: The new graduate nurse knows that older adults with poor coping skills are at an increased risk for stress. Which factors are related to problems with coping or stress intolerance in older adults Answer: Recent social loss - Physical illness - Major life changes Question: The new graduate nurse has received report on a group of older patients and identifies which patient(s) are at risk for fluid balance deficit? Answer: A patient who is 70 years old - A patient with altered cognition - A patient who has been walking outside on a warm day Question: student nurse and LPN are reviewing the concept of impaired mobility. Which statement(s) by the student nurse indicates a need for further teaching? Answer: A patient with a leg amputation doesn't have any mobility needs." - "Patients who are on bedrest should only be turned when they request it." - "Patients with leg contractures have full range of motion." Question: The nurse is working with a group of elderly patients in a skilled nursing facility. Which patient assessment findings are indicative of increased stress? Answer: Agitation - Increased urinary frequency Question: Patients who experience decreased mobility often experience which emotions? Answer: Helplessness - Frustration and anger - Anxiety - Decreased self-worth Question: An elderly patient who weighs 265 pounds is concerned about being at risk for heart disease. Which primary health promotion activities will help alleviate stress Answer: Attending a class at the local YMCA entitled "Eating well...Your heart will Thank you!" - Identify physical activities that will help in bringing a feeling of "Wellness" - Learning relaxation techniques Question: patient present to the Emergency Department (ED) with elevated temperature of 104 degrees. Throbbing headache, rapid heartbeat, and behavioral changes. The nurse suspect which of the following diagnosis? Answer: Heatstroke Question: 65-year-old patient presents in the Emergency room (ER) with complaints of dizziness, nausea, and increased urinary retention that started in the first hour. The patient's vital signs are 158/82, 92, 22, and 98.5. Which should be the most appropriate action by the nurse? Answer: Ask the patient. "Are you experiencing any stressors in your life?" Question: An older patient has recently moved to a long-term care facility after the death of their spouse. After hearing the patient make comments such as "I am so tired" and "What's the point" The nurse is concerned the patient is suffering from which of the following? Answer: Depression Question: patient in a long-term care facility verbalizes fears about attending the facilities upcoming 50-year celebration. The patient explains they are easily startled by loud noises, and the event is not extremely important to them. Which would be the best response by the nurse? Answer: If the event is not important to you and cause you fear, how do you feel about avoiding the event? Question: The LPN is educating an older adult patient about the benefits of regular exercise. Which patient statement indicates they understand the benefits of exercising? Answer: should complete 30 minutes of moderate exercise each day" Question: An older adult patient who has rheumatoid arthritis wants recommendations on how to get daily exercise. Which response by the nurse would be the most appropriate? Answer: You should try swimming. It eases movement" Question: new patient informs the nurse that walking has become more difficult. The nurse should collaborate with which team member? Answer: Physical therapy Question: he LPN is caring for a patient who had a stroke (cerebrovascular accident) and has generalized weakness. Which care plan would be most beneficial for this patient? Answer: Active range of motion (AROM) three times a day Question: The LPN is educating a patient with congestive heart failure about method that can be used to conserve energy. Which statement by the patient indicates a need for further education? Answer: "I should take a rest break only after I complete my morning care Question: The LPN is teaching a patient about risk factors related to altered activity tolerance. Which statements by the patient indicate risk factors? Answer: watch documentaries on television most of the day" - "My wife died six month ago and I have been feeling down " - "I have been eating less food over the last six months Question: . A patient is refusing their scheduled physical therapy. Which nursing action would be the most appropriate? Answer: Access patient for pain Question: The nurse is caring for an older patient who has intermittent diarrhea, dry mouth, and low urine output. The nurse would expect which assessment finding? Answer: Fluid volume deficit Question: The nurse is providing stress education to a group od elderly patients. Which assessment finding may indicate that a patient is experiencing moderate to severe stress? Answer: Anxiety - Feelings of vulnerability - Exhaustion Question: The unlicensed assistive personal (UAP) is caring for an elderly diabetic patient who is at risk for skin breakdown. Which education reminders would the nurse give the UAP who is preparing to give the patient a bed bath Answer: Avoid using hot water - If repositioning uses a draw sheet to lift the patient up in bed - Dry the skin thoroughly - Allow the patient to assist as much as possible Question: When using the nursing process for potential for injury. What patient assessment questions would the nurse ask? Answer: What type of footwear do you usually wear?" - "Do you use any assistive devices - "What medication do you take? " - "Have you fallen before?" Question: The nurse knows the risk factors for problem related to coping or stress on an older adult. Nursing goals for older adults with limited coping ability would include which of the following? Answer: Communicate feelings of stress - Identify personal strengths and effective methods of coping - Participate in decision making Question: An elderly adult tells the nurse, the family visit was very stressful. Which would be the nurse's best action? Answer: - Help the patient develop strategies for dealing with their concerns Question: Which are some barriers preventing elderly patients from meeting nutritional requirements Answer: Cost of food - Transportation to/from store - Lack of motivation - Inability to read nutritional labels