NURS 5461 ADULT GERONTOLOGY ACTUAL FINAL EXAM 2 TEST BANK / NURS 5461 ADULT
GERONTOLOGY FINAL PREP /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM WITH
COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A
+
You're teaching Mitch, age 18, about his tinea pedis. You know he doesn't
understand your directions when he tells you which of the following?
A. "I should dry between my toes every day."
B. "I should wash my socks with bleach."
C. "I should use an antifungal powder twice a day."
D. "I should wear rubber shoes in the shower to prevent transmission to
others." –
Correct Answer :Answer: D
If a client has tinea pedis, tell the client to dry between the toes every day,
wash socks with bleach, and use an antifungal powder twice per day.
Rubber or plastic-soled shoes can harbor the fungus and
therefore should not be worn. The shower should be washed with bleach to
kill the fungi. Antifungal powder or sprays are preferred over creams, as
fungi thrive in warm, moist environments.
,Helen, age 39, comes to your clinic for generalized joint pain especially in the
knees and hands.
She tells you that the pain is
moderate, spreading, and symmetrical. She reports having had a sore throat and
low-grade fever for a few days and then developing a rash described as warm
erythema of the cheeks, which lasted about
4 days before disappearing. You ask her if the rash on the cheeks included the
nasolabial folds or circumoral skin, and she tells that the rash did not cover
these areas. Two days later, she developed
a nonspecific macular eruption that preceded the joint pain. Her rash faded
within 2 weeks, but she tells you that it comes and goes if she's bathed in hot
water or spends time in the sunlight.
Your
patient's symptoms are most consistent with a diagnosis of
A. rubella.
B. erythema infectiosum.
C. rheumatoid arthritis.
D. scarlet fever. –
Correct Answer :Answer: B
Erythema infectiosum (fifth disease) is distinguished by its erythematous,
warm rash, which gives the appearance of "slapped cheeks," and it does
not involve the nasolabial folds or the circumoral
region. Women are more likely to have joint pain as a symptom of
erythema infectiosum. While joint pain is a symptom of rheumatoid
,arthritis, the onset is not preceded by an erythematous rash of the cheeks.
Rubella presents with a diffuse maculopapular rash and fever. Although
the face appears flushed, the typical presentation of scarlet
fever includes a sandpaper-like rash with fine, pinhead size eruptions on an
erythematous base that is more generalized and not found on the face.
Marty, a 51-year-old banker, has a hordeolum in his right eye. You suspect that
the offending organism is
A. herpes simplex virus.
B. Staphylococcus.
C. Candida albicans.
D. Escherichia coli. –
Correct Answer :Answer: B
A hordeolum (stye) is an abscess that may occur on the external or internal
margin of the eyelid. It is typically caused by Staphylococcus bacteria.
The nurse practitioner is seeing Millie, a 47-year-old year old school teacher,
who comes to the office with complaints of right-side jaw pain, a clicking and
popping sound with movement of her jaw, otalgia, and odontalgia. She had
dental work done approximately 6 months ago and says the symptoms started
after her dental procedure. Your diagnosis is temporomandibular joint (TMJ)
dysfunction. All of the following are nonpharmacological
therapy except
, A. starting a liquid diet and continuing it for 6 months.
B. applying heat to the affected area for 15 to 20 minutes up to 6 times per
day.
C. eating a soft diet to rest the muscles of mastication.
D. massaging of the masseter and the temporalis muscles. –
Correct Answer :Answer: A
A liquid diet for 6 months would not provide sufficient nutritional value to
the patient and may lead to other complications. A soft diet to rest the
muscles of mastication, applying heat to the affected
areas for 15 to 20 minutes four to six times a day, and massaging the
masseter and temporalis muscles are all recommended nonpharmacological
therapy for TMJ.
The trachea deviates toward the unaffected side in all of the following
conditions except
A. aortic aneurysm.
B. unilateral thyroid lobe enlargement.
C. large atelectasis.
D. pneumothorax –
GERONTOLOGY FINAL PREP /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM WITH
COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A
+
You're teaching Mitch, age 18, about his tinea pedis. You know he doesn't
understand your directions when he tells you which of the following?
A. "I should dry between my toes every day."
B. "I should wash my socks with bleach."
C. "I should use an antifungal powder twice a day."
D. "I should wear rubber shoes in the shower to prevent transmission to
others." –
Correct Answer :Answer: D
If a client has tinea pedis, tell the client to dry between the toes every day,
wash socks with bleach, and use an antifungal powder twice per day.
Rubber or plastic-soled shoes can harbor the fungus and
therefore should not be worn. The shower should be washed with bleach to
kill the fungi. Antifungal powder or sprays are preferred over creams, as
fungi thrive in warm, moist environments.
,Helen, age 39, comes to your clinic for generalized joint pain especially in the
knees and hands.
She tells you that the pain is
moderate, spreading, and symmetrical. She reports having had a sore throat and
low-grade fever for a few days and then developing a rash described as warm
erythema of the cheeks, which lasted about
4 days before disappearing. You ask her if the rash on the cheeks included the
nasolabial folds or circumoral skin, and she tells that the rash did not cover
these areas. Two days later, she developed
a nonspecific macular eruption that preceded the joint pain. Her rash faded
within 2 weeks, but she tells you that it comes and goes if she's bathed in hot
water or spends time in the sunlight.
Your
patient's symptoms are most consistent with a diagnosis of
A. rubella.
B. erythema infectiosum.
C. rheumatoid arthritis.
D. scarlet fever. –
Correct Answer :Answer: B
Erythema infectiosum (fifth disease) is distinguished by its erythematous,
warm rash, which gives the appearance of "slapped cheeks," and it does
not involve the nasolabial folds or the circumoral
region. Women are more likely to have joint pain as a symptom of
erythema infectiosum. While joint pain is a symptom of rheumatoid
,arthritis, the onset is not preceded by an erythematous rash of the cheeks.
Rubella presents with a diffuse maculopapular rash and fever. Although
the face appears flushed, the typical presentation of scarlet
fever includes a sandpaper-like rash with fine, pinhead size eruptions on an
erythematous base that is more generalized and not found on the face.
Marty, a 51-year-old banker, has a hordeolum in his right eye. You suspect that
the offending organism is
A. herpes simplex virus.
B. Staphylococcus.
C. Candida albicans.
D. Escherichia coli. –
Correct Answer :Answer: B
A hordeolum (stye) is an abscess that may occur on the external or internal
margin of the eyelid. It is typically caused by Staphylococcus bacteria.
The nurse practitioner is seeing Millie, a 47-year-old year old school teacher,
who comes to the office with complaints of right-side jaw pain, a clicking and
popping sound with movement of her jaw, otalgia, and odontalgia. She had
dental work done approximately 6 months ago and says the symptoms started
after her dental procedure. Your diagnosis is temporomandibular joint (TMJ)
dysfunction. All of the following are nonpharmacological
therapy except
, A. starting a liquid diet and continuing it for 6 months.
B. applying heat to the affected area for 15 to 20 minutes up to 6 times per
day.
C. eating a soft diet to rest the muscles of mastication.
D. massaging of the masseter and the temporalis muscles. –
Correct Answer :Answer: A
A liquid diet for 6 months would not provide sufficient nutritional value to
the patient and may lead to other complications. A soft diet to rest the
muscles of mastication, applying heat to the affected
areas for 15 to 20 minutes four to six times a day, and massaging the
masseter and temporalis muscles are all recommended nonpharmacological
therapy for TMJ.
The trachea deviates toward the unaffected side in all of the following
conditions except
A. aortic aneurysm.
B. unilateral thyroid lobe enlargement.
C. large atelectasis.
D. pneumothorax –
