NURS 5461 Adult Gerontology Final Actual
Exam Test Bank Newest / NURS 5461 Adult
Gerontology Final Preparation /NURS 5461
Adult Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
Which guidelines would the nurse consider when planning care for a hospitalized older client with
Alzeimer disease?
A. Physical contact will increase dependency needs.
B. Routines provide stability for clients with neurocognitive disorders.
C. Regressive behavior should be interrupted immediately.
D. Procedures do not have to be explained to clients with neurocognitive disorders. - Correct Answer
:Answer: B. Routines provide stability for clients with neurocognitive disorders.
Rationale: Routines provide stability for clients with neurocognitive disorders. Rituals and routines in
activities of daily living provide a framework and structure for client with Alzheimer disease, adding to
their sense of safety and security.
An older client with Alzheimer type dementia, consistently sleeps in a semi-Fowler position in bed. Which
area of the client's body would the nurse consider a high risk for developing a pressure injury?
A. Sacrum
B. Scapulae
C. Ischial spine
D. Greater trochanter - Correct Answer :Answer: A. Sacrum
A+ TEST BANK 1
, NURS 5461 Adult Gerontology
Rationale: The sacrum is the center of the greatest body mass; an elevated torso exerts pressure toward
this area. Although the scapulae are at risk, they do not bear the greatest body weight as when the client
is in the semi-Fowler position. The ischial spine bears the greatest pressure when the client is in an
upright sitting position. Greater trochanter is at risk when the client is in a side-lying position.
Which intervention would the nurse include when developing a plan of care for an older client with
dementia?
A. Explain to the client the details of the regimen.
B. Demonstrate interest in the client's various likes and dislikes.
C. Be firm when dealing with the client's attitudes and behaviors.
D. Provide consistency in carrying out nursing activities for the client. - Correct Answer :Answer: D.
Provide consistency in carrying out nursing activities for the client.
Rationale: The nurse would include providing consistency in carrying out nursing activities for the client.
Familiarity with situations and continuity add to the client's sense of security and foster trust in the
relationship.
Which activity would the nurse ask an older adult client to do when testing short-term memory?
A. Subtract serial sevens from 100.
B. Copy one simple geometric figure.
C. State three random words mentioned earlier in the examination.
D. Name two common objects when the nurse points to them. - Correct Answer :Answer: C. State three
random words mentioned earlier in the examination.
Rationale: Stating three random words mentioned earlier in the examination is a test of the client's ability
to recall from short-term memory.
Which age-related effects on the immune system occur in the older client?
A+ TEST BANK 2
, NURS 5461 Adult Gerontology
A. Increased autoantibodies.
B. Increased expression of IL-2 receptors.
C. Increased delayed hypersensitivity reaction.
D. Increased primary and secondary antibody responses. - Correct Answer :Answer: A. Increased
autoantibodies
Rationale: The effects of aging on the immune system include increased autoantibodies. Expression of IL-
2 receptors, delayed hypersensitivity reaction, and primary and secondary antibody responses decrease
in older adults because of the effects of aging on the immune system.
Which skin damage is caused by chronic exposure to ultraviolet rays? Select all that apply. One, some, or
all responses may be correct.
A. Dryness
B. Photoaging
C. Vascular lesions
D. Wrinkling of skin
E. Benign neoplasm - Correct Answer :Answer: B, D. Photoaging and wrinkling of skin
Rationale: The skin damages that happen from chronic exposure to ultraviolet rays are photoaging and
skin wrinkling. Dryness, vascular lesions, and benign neoplasm are changes related to aging.
Which condition is due to decreased elasticity of the ocular lens?
A. Myopia
B. Hyperopia
C. Presbyopia
D. Astigmatism - Correct Answer :Answer: C. Presbyopia
A+ TEST BANK 3
, NURS 5461 Adult Gerontology
Rationale: Presbyopia is an age-related problem in which the lens loses its elasticity and is less able to
change its shape to focus the eye for close work. As a result, images fall behind the retina. Myopia, or
nearsightedness, is a condition in which the eye over-refracts the light and the bent images fall in front of,
not on, the retina. Hyperopia, also called hypermetropia or farsightedness, is a condition in which
refraction is too weak, causing images to be focused behind the retina. Astigmatism occurs when the
curve of the cornea is uneven. Because light rays are not refracted equally ion all directions, the image
does not focus on the retina.
Which action would the nurse take when caring for an older adult with a history of recent memory loss?
A. Instruct the client to move slowly when changing positions.
B. Remind the client to look where he or she places the feet while walking.
C. Adjust the daily schedule to accommodate sleep pattern.
D. Employ electronic devices that provide alerts. - Correct Answer :Answer: D. Employ electronic devices
that provide alerts.
Rationale: Providing electronic devices that give alerts can help an older who has developed recent
memory loss.
Which initial nursing intervention would the nurse take for an older adult delirium who begins acting out
while in the dayroom?
A. Instructing the client to be quiet
B. Allowing the client to act out until fatigue sets in
C. Guiding the client from the room by gently holding the client's arm
D. Giving the client one simple direction at a time in a firm, low-pitched voice - Correct Answer :Answer:
D. Giving the client one simple direction at a time in a firm, low-pitched voice
Rationale: Clients with delirium typically respond to simple directions stated one at a time in a firm, low-
pitched voice.
A+ TEST BANK 4
Exam Test Bank Newest / NURS 5461 Adult
Gerontology Final Preparation /NURS 5461
Adult Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
Which guidelines would the nurse consider when planning care for a hospitalized older client with
Alzeimer disease?
A. Physical contact will increase dependency needs.
B. Routines provide stability for clients with neurocognitive disorders.
C. Regressive behavior should be interrupted immediately.
D. Procedures do not have to be explained to clients with neurocognitive disorders. - Correct Answer
:Answer: B. Routines provide stability for clients with neurocognitive disorders.
Rationale: Routines provide stability for clients with neurocognitive disorders. Rituals and routines in
activities of daily living provide a framework and structure for client with Alzheimer disease, adding to
their sense of safety and security.
An older client with Alzheimer type dementia, consistently sleeps in a semi-Fowler position in bed. Which
area of the client's body would the nurse consider a high risk for developing a pressure injury?
A. Sacrum
B. Scapulae
C. Ischial spine
D. Greater trochanter - Correct Answer :Answer: A. Sacrum
A+ TEST BANK 1
, NURS 5461 Adult Gerontology
Rationale: The sacrum is the center of the greatest body mass; an elevated torso exerts pressure toward
this area. Although the scapulae are at risk, they do not bear the greatest body weight as when the client
is in the semi-Fowler position. The ischial spine bears the greatest pressure when the client is in an
upright sitting position. Greater trochanter is at risk when the client is in a side-lying position.
Which intervention would the nurse include when developing a plan of care for an older client with
dementia?
A. Explain to the client the details of the regimen.
B. Demonstrate interest in the client's various likes and dislikes.
C. Be firm when dealing with the client's attitudes and behaviors.
D. Provide consistency in carrying out nursing activities for the client. - Correct Answer :Answer: D.
Provide consistency in carrying out nursing activities for the client.
Rationale: The nurse would include providing consistency in carrying out nursing activities for the client.
Familiarity with situations and continuity add to the client's sense of security and foster trust in the
relationship.
Which activity would the nurse ask an older adult client to do when testing short-term memory?
A. Subtract serial sevens from 100.
B. Copy one simple geometric figure.
C. State three random words mentioned earlier in the examination.
D. Name two common objects when the nurse points to them. - Correct Answer :Answer: C. State three
random words mentioned earlier in the examination.
Rationale: Stating three random words mentioned earlier in the examination is a test of the client's ability
to recall from short-term memory.
Which age-related effects on the immune system occur in the older client?
A+ TEST BANK 2
, NURS 5461 Adult Gerontology
A. Increased autoantibodies.
B. Increased expression of IL-2 receptors.
C. Increased delayed hypersensitivity reaction.
D. Increased primary and secondary antibody responses. - Correct Answer :Answer: A. Increased
autoantibodies
Rationale: The effects of aging on the immune system include increased autoantibodies. Expression of IL-
2 receptors, delayed hypersensitivity reaction, and primary and secondary antibody responses decrease
in older adults because of the effects of aging on the immune system.
Which skin damage is caused by chronic exposure to ultraviolet rays? Select all that apply. One, some, or
all responses may be correct.
A. Dryness
B. Photoaging
C. Vascular lesions
D. Wrinkling of skin
E. Benign neoplasm - Correct Answer :Answer: B, D. Photoaging and wrinkling of skin
Rationale: The skin damages that happen from chronic exposure to ultraviolet rays are photoaging and
skin wrinkling. Dryness, vascular lesions, and benign neoplasm are changes related to aging.
Which condition is due to decreased elasticity of the ocular lens?
A. Myopia
B. Hyperopia
C. Presbyopia
D. Astigmatism - Correct Answer :Answer: C. Presbyopia
A+ TEST BANK 3
, NURS 5461 Adult Gerontology
Rationale: Presbyopia is an age-related problem in which the lens loses its elasticity and is less able to
change its shape to focus the eye for close work. As a result, images fall behind the retina. Myopia, or
nearsightedness, is a condition in which the eye over-refracts the light and the bent images fall in front of,
not on, the retina. Hyperopia, also called hypermetropia or farsightedness, is a condition in which
refraction is too weak, causing images to be focused behind the retina. Astigmatism occurs when the
curve of the cornea is uneven. Because light rays are not refracted equally ion all directions, the image
does not focus on the retina.
Which action would the nurse take when caring for an older adult with a history of recent memory loss?
A. Instruct the client to move slowly when changing positions.
B. Remind the client to look where he or she places the feet while walking.
C. Adjust the daily schedule to accommodate sleep pattern.
D. Employ electronic devices that provide alerts. - Correct Answer :Answer: D. Employ electronic devices
that provide alerts.
Rationale: Providing electronic devices that give alerts can help an older who has developed recent
memory loss.
Which initial nursing intervention would the nurse take for an older adult delirium who begins acting out
while in the dayroom?
A. Instructing the client to be quiet
B. Allowing the client to act out until fatigue sets in
C. Guiding the client from the room by gently holding the client's arm
D. Giving the client one simple direction at a time in a firm, low-pitched voice - Correct Answer :Answer:
D. Giving the client one simple direction at a time in a firm, low-pitched voice
Rationale: Clients with delirium typically respond to simple directions stated one at a time in a firm, low-
pitched voice.
A+ TEST BANK 4
