NURS 231-NURSING OF THE OLDER ADULT
EXAM QUESTIONS AND CORRECT ANSWERS
GRADED A+ 2025
An older man who is admitted to the hospital for surgery has a history of
medication therapy for hypertension. Which intervention does the nurse implement
when the client reports that, "I've fallen twice in 5 weeks"?
a. Blood pressure monitoring every 2 hours
b. Orthostatic blood pressures
c. Serum creatinine levels
d. Blood levels of prescribed antihypertensive medications
B
As the nurse plans to instruct a chronically ill older adult about the changes needed
to maintain his health, what statement is most appropriate to consider in
establishing goals for behavior change?
a. Management of the client's chronic disease rests on the client and caregiver;
goals should be set in collaboration.
b. The client will be able to make needed changes in his life if the nurse provides
accurate written instructions.
c. Psychological functioning is usually impaired only to a small extent in a client
with chronic illness.
d. The client's values, culture, and beliefs have little to do with the types of
changes he will be able to make.
,A
After first managing the pain being experienced by the client with gout, the
treatment focuses on:
a. Strengthening the affected joints through a controlled exercise plan
b. Minimizing joint disfigurement by using therapeutic splinting
c. Preventing systemic involvement by altering the client's diet
d. Managing chronic pain by taking regular doses of salicylates
C
When assessing both African-American and Hispanic males for genitourinary
dysfunction, the nurse asks:
a. Do the males in your family have a history of benign prostatic hypertrophy
(BPH)?
b. Do you experience burning or other pain when you urinate?
c. Is your urine ever bloody?
d. Have you ever been diagnosed with a sexually transmitted disease (STD)?
A
The greatest risk for injury for a client with progressed Parkinson's disease is:
a. Falls
b. Suicide
c. Bleeding ulcers
d. Respiratory arrest
,A
The primary risk for injury experienced by a client diagnosed with asthma is:
a. musculoskeletal degenerative disorders
b. development of cardiac complications
c. infections of the lower respiratory tract
d. development of pernicious anemia
C
The nurse is caring for a client with a newly diagnosed chronic illness. In
answering the client's questions, the nurse most accurately responds when basing
the response on the fact that:
a. the most prevalent form of disease in older adults at this time is acute illness.
b. although chronic illness lasts a long time, the condition primarily affects the
client.
c. chronic illness is lifelong, and coping can be influenced by perceived
uncertainty.
d. the client's acquisition of knowledge of the disease will guarantee successful
coping.
C
, A 77-year-old patient had an acute myocardial infarction and subsequently
coronary artery bypass graft (CABG) surgery. The multi-disciplinary team
recommends that the patient attend a cardiac rehabilitation program. The client
tells the nurse, "I don't see why I can't go home. I will go to my gym every day. I
don't see what the difference is between that and the rehab." The nurse's response
is based on the knowledge that:
a. cardiac rehabilitation programs typically begin with light activity and progress in
intensity with the supervision of a nurse or physical therapist.
b. cardiac rehabilitation programs are only useful for individuals who are typically
sedentary and would not exercise otherwise.
c. cardiac rehabilitation programs are only offered in long-term care settings.
d. cardiac rehabilitation programs are more effective in men than in women.
A
A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test
will best evaluate the management plan prescribed for this client?
a. A yearly funduscopic examination by an ophthalmologist
b. Regular foot examinations by a podiatrist
c. Quarterly hemoglobin A1C
d. Biannual cholesterol testing
C
An older adult reports being dizzy when getting up too quickly from a sitting
position. Which intervention will be appropriate in monitor the client's blood
pressure.
a. Positioning the client in a supine position for the assessment
EXAM QUESTIONS AND CORRECT ANSWERS
GRADED A+ 2025
An older man who is admitted to the hospital for surgery has a history of
medication therapy for hypertension. Which intervention does the nurse implement
when the client reports that, "I've fallen twice in 5 weeks"?
a. Blood pressure monitoring every 2 hours
b. Orthostatic blood pressures
c. Serum creatinine levels
d. Blood levels of prescribed antihypertensive medications
B
As the nurse plans to instruct a chronically ill older adult about the changes needed
to maintain his health, what statement is most appropriate to consider in
establishing goals for behavior change?
a. Management of the client's chronic disease rests on the client and caregiver;
goals should be set in collaboration.
b. The client will be able to make needed changes in his life if the nurse provides
accurate written instructions.
c. Psychological functioning is usually impaired only to a small extent in a client
with chronic illness.
d. The client's values, culture, and beliefs have little to do with the types of
changes he will be able to make.
,A
After first managing the pain being experienced by the client with gout, the
treatment focuses on:
a. Strengthening the affected joints through a controlled exercise plan
b. Minimizing joint disfigurement by using therapeutic splinting
c. Preventing systemic involvement by altering the client's diet
d. Managing chronic pain by taking regular doses of salicylates
C
When assessing both African-American and Hispanic males for genitourinary
dysfunction, the nurse asks:
a. Do the males in your family have a history of benign prostatic hypertrophy
(BPH)?
b. Do you experience burning or other pain when you urinate?
c. Is your urine ever bloody?
d. Have you ever been diagnosed with a sexually transmitted disease (STD)?
A
The greatest risk for injury for a client with progressed Parkinson's disease is:
a. Falls
b. Suicide
c. Bleeding ulcers
d. Respiratory arrest
,A
The primary risk for injury experienced by a client diagnosed with asthma is:
a. musculoskeletal degenerative disorders
b. development of cardiac complications
c. infections of the lower respiratory tract
d. development of pernicious anemia
C
The nurse is caring for a client with a newly diagnosed chronic illness. In
answering the client's questions, the nurse most accurately responds when basing
the response on the fact that:
a. the most prevalent form of disease in older adults at this time is acute illness.
b. although chronic illness lasts a long time, the condition primarily affects the
client.
c. chronic illness is lifelong, and coping can be influenced by perceived
uncertainty.
d. the client's acquisition of knowledge of the disease will guarantee successful
coping.
C
, A 77-year-old patient had an acute myocardial infarction and subsequently
coronary artery bypass graft (CABG) surgery. The multi-disciplinary team
recommends that the patient attend a cardiac rehabilitation program. The client
tells the nurse, "I don't see why I can't go home. I will go to my gym every day. I
don't see what the difference is between that and the rehab." The nurse's response
is based on the knowledge that:
a. cardiac rehabilitation programs typically begin with light activity and progress in
intensity with the supervision of a nurse or physical therapist.
b. cardiac rehabilitation programs are only useful for individuals who are typically
sedentary and would not exercise otherwise.
c. cardiac rehabilitation programs are only offered in long-term care settings.
d. cardiac rehabilitation programs are more effective in men than in women.
A
A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test
will best evaluate the management plan prescribed for this client?
a. A yearly funduscopic examination by an ophthalmologist
b. Regular foot examinations by a podiatrist
c. Quarterly hemoglobin A1C
d. Biannual cholesterol testing
C
An older adult reports being dizzy when getting up too quickly from a sitting
position. Which intervention will be appropriate in monitor the client's blood
pressure.
a. Positioning the client in a supine position for the assessment
