NURSE 311 AE_1_Comprehensive Test Bank Graded
A100%correct and verified questions and answers(
assuredly A+ SCORE)
Table of Contents
Week 1 Care of Older Adults: Culture, Spirituality, Communication,
Sexuality, Infection Control
Chronic Illness and Older Adults 3
Cultural Awareness 10
Older Adult 18
Communication 28
Patient Education 39
Infection Prevention and Control 51
Sexuality 69
Spiritual Health 78
Week 2 Critical Thinking, The Nursing Process, Loss, Death, and Grief
Critical Thinking in Nursing Practice 86
Nursing Assessment 94
Nursing Diagnosis 102
Planning Nursing Care 110
Implementing Nursing Care 119
NURSE 311 AE_1_Comprehensive Test Bank Graded A 1
,Evaluation 128
The Experience of Loss, Death and Grief 136
Week 3 Safety and Fall Prevention among Older Adults, Preventing
Complications of Immobility
Patient Safety and Quality 146
Immobility 163
Activity and Exercise 181
Week 4 Skin and Wound Care Hygiene, Introduction to Pharmacology and
Medication Administration
Medication Administration 194
Hygiene 212
Skin Integrity and Wound Care 231
Week 5 Fluid & Electrolytes, Dehydration
Fluid, Electrolyte and Acid-Base Balance 251
Week 6 Pain and Sleep
Pain Management 268
Sleep 280
Week 7 Concepts related to Oxygenation, Circulation, and Tissue Perfusion,
Chronic Obstructive Pulmonary Disease
Oxygenation 295
Obstructive Pulmonary Diseases 314
Week 8 Diabetes Mellitus
Diabetes Mellitus 331
Week 9 Hypertension, Stroke
Hypertension 341
Stroke 356
Week 10 Documentation and Informatics
Documentation and Informatics 368
Week 11 Nutrition, Dysphagia 382
Week 12 Care of the Surgical Patient 398
Week 1
NURSE 311 AE_1_Comprehensive Test Bank Graded A 2
, Care of Older Adults: Culture, Spirituality, Communication,
Sexuality, Infection Control
Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing,
10th Edition
MULTIPLE CHOICE
1. When caring for an older patient with hypertension who has been hospitalized after a transient
ischemic (TIA), which topic is the most important for the nurse to include in the discharge
teaching?
a) Effect of atherosclerosis on blood vessels
b) Mechanism of action of anticoagulant drug therapy
c) Symptoms indicating that the patient should contact the health care provider
d) Impact of the patient’s family history on likelihood of developing a serious stroke
ANS: C
One of the tasks for patients with chronic illnesses is to prevent and manage a crisis. The patient
needs instruction on recognition of symptoms of hypertension and TIA and appropriate actions to
take if these symptoms occur. The other information may also be included in patient teaching but
is not as essential in the patient’s self-management of the illness.
2. The nurse performs a comprehensive assessment of an older patient who is considering
admission to an assisted living facility. Which question is the most important for the nurse to
ask?
a) “Have you had any recent infections?”
b) “How frequently do you see a doctor?”
c) “Do you have a history of heart disease?”
d) “Are you able to prepare your own meals?”
ANS: D
The patient’s functional abilities, rather than the presence of an acute or chronic illness, are more
useful in determining how well the patient might adapt to an assisted living situation. The other
questions will also provide helpful information but are not as useful in providing a basis for
determining patient needs or for developing interventions for the older patient.
3. An alert older patient who takes multiple medications for chronic cardiac and pulmonary
diseases lives with a daughter who works during the day. During a clinic visit, the patient
verbalizes to the nurse that she has a strained relationship with her daughter and does not enjoy
being alone all day. Which nursing diagnosis should the nurse assign as the priority for this
patient?
a) Social isolation related to fatigue
NURSE 311 AE_1_Comprehensive Test Bank Graded A 3
, b) Risk afor ainjury arelated ato adrug ainteractions
c) Caregiver arole astrain arelated ato afamily aemployment aschedule
d) Compromised afamily acoping arelated ato athe apatient’s acare aneeds
ANS: aB
The apatient’s aage aand amultiple amedications aindicate aa arisk afor ainjury acaused aby
ainteractions abetween athe amultiple adrugs abeing ataken aand aa adecreased adrug ametabolism
arate. aProblems awith asocial aisolation, acaregiver arole astrain, aor acompromised afamily acoping
aare anot aphysiologic apriorities. aDrug–drug ainteractions acould acause athe amost aharm ato athe
apatient aand aare atherefore atheapriority.
4. Which amethod ashould athe anurse ause ato agather athe amost acomplete aassessment aof
aan aolderapatient?
a) Review athe apatient’s ahealth arecord afor aprevious aassessments.
b) Use aa ageriatric aassessment ainstrument ato aevaluate athe apatient.
c) Ask athe apatient ato awrite adown amedical aproblems aand amedications.
d) Interview aboth athe apatient aand athe aprimary acaregiver afor athe apatient.
ANS: aB
The amost acomplete ainformation aabout athe apatient awill abe aobtained athrough athe ause aof aan
aassessment ainstrument aspecific ato athe ageriatric apopulation, awhich aincludes ainformation
aabout abothamedical adiagnoses aand atreatments aand aabout afunctional ahealth apatterns aand
aabilities. aA areview aof athe amedical arecord, ainterviews awith athe apatient aand acaregiver, aand
awritten ainformation aby athe apatient aare aall aincluded ain aa acomprehensive ageriatric
aassessment.
5. Which aintervention ashould athe anurse aimplement ato aprovide aoptimal acare afor aan aolder
apatientawho ais ahospitalized awith apneumonia?
a) Plan afor atransfer ato aa along-term acare afacility.
b) Minimize aactivity alevel aduring ahospitalization.
c) Consider athe apreadmission afunctional aabilities.
d) Use aan aapproved astandardized ageriatric anursing acare aplan.
ANS: aC
The aplan aof acare afor aolder aadults ashould abe aindividualized aand abased aon athe apatient’s
acurrent afunctional aabilities. aA astandardized ageriatric anursing acare aplan awill anot aaddress
aindividual apatientaneeds aand astrengths. aA apatient’s aneed afor adischarge ato aa along-term acare
afacility ais avariable.
Activity alevel ashould abe adesigned ato aallow athe apatient ato aretain afunctional aabilities awhile
ahospitalized aand aalso ato aallow aany aadditional arest aneeded afor arecovery afrom athe aacute
aprocess.
6. The anurse acares afor aan aolder aadult apatient awho alives ain aa arural aarea. aWhich
aintervention ashouldathe anurse aplan ato aimplement ato ameet athis apatient’s aneeds?
NURSE 311 AE_1_Comprehensive Test Bank Graded A 4
A100%correct and verified questions and answers(
assuredly A+ SCORE)
Table of Contents
Week 1 Care of Older Adults: Culture, Spirituality, Communication,
Sexuality, Infection Control
Chronic Illness and Older Adults 3
Cultural Awareness 10
Older Adult 18
Communication 28
Patient Education 39
Infection Prevention and Control 51
Sexuality 69
Spiritual Health 78
Week 2 Critical Thinking, The Nursing Process, Loss, Death, and Grief
Critical Thinking in Nursing Practice 86
Nursing Assessment 94
Nursing Diagnosis 102
Planning Nursing Care 110
Implementing Nursing Care 119
NURSE 311 AE_1_Comprehensive Test Bank Graded A 1
,Evaluation 128
The Experience of Loss, Death and Grief 136
Week 3 Safety and Fall Prevention among Older Adults, Preventing
Complications of Immobility
Patient Safety and Quality 146
Immobility 163
Activity and Exercise 181
Week 4 Skin and Wound Care Hygiene, Introduction to Pharmacology and
Medication Administration
Medication Administration 194
Hygiene 212
Skin Integrity and Wound Care 231
Week 5 Fluid & Electrolytes, Dehydration
Fluid, Electrolyte and Acid-Base Balance 251
Week 6 Pain and Sleep
Pain Management 268
Sleep 280
Week 7 Concepts related to Oxygenation, Circulation, and Tissue Perfusion,
Chronic Obstructive Pulmonary Disease
Oxygenation 295
Obstructive Pulmonary Diseases 314
Week 8 Diabetes Mellitus
Diabetes Mellitus 331
Week 9 Hypertension, Stroke
Hypertension 341
Stroke 356
Week 10 Documentation and Informatics
Documentation and Informatics 368
Week 11 Nutrition, Dysphagia 382
Week 12 Care of the Surgical Patient 398
Week 1
NURSE 311 AE_1_Comprehensive Test Bank Graded A 2
, Care of Older Adults: Culture, Spirituality, Communication,
Sexuality, Infection Control
Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing,
10th Edition
MULTIPLE CHOICE
1. When caring for an older patient with hypertension who has been hospitalized after a transient
ischemic (TIA), which topic is the most important for the nurse to include in the discharge
teaching?
a) Effect of atherosclerosis on blood vessels
b) Mechanism of action of anticoagulant drug therapy
c) Symptoms indicating that the patient should contact the health care provider
d) Impact of the patient’s family history on likelihood of developing a serious stroke
ANS: C
One of the tasks for patients with chronic illnesses is to prevent and manage a crisis. The patient
needs instruction on recognition of symptoms of hypertension and TIA and appropriate actions to
take if these symptoms occur. The other information may also be included in patient teaching but
is not as essential in the patient’s self-management of the illness.
2. The nurse performs a comprehensive assessment of an older patient who is considering
admission to an assisted living facility. Which question is the most important for the nurse to
ask?
a) “Have you had any recent infections?”
b) “How frequently do you see a doctor?”
c) “Do you have a history of heart disease?”
d) “Are you able to prepare your own meals?”
ANS: D
The patient’s functional abilities, rather than the presence of an acute or chronic illness, are more
useful in determining how well the patient might adapt to an assisted living situation. The other
questions will also provide helpful information but are not as useful in providing a basis for
determining patient needs or for developing interventions for the older patient.
3. An alert older patient who takes multiple medications for chronic cardiac and pulmonary
diseases lives with a daughter who works during the day. During a clinic visit, the patient
verbalizes to the nurse that she has a strained relationship with her daughter and does not enjoy
being alone all day. Which nursing diagnosis should the nurse assign as the priority for this
patient?
a) Social isolation related to fatigue
NURSE 311 AE_1_Comprehensive Test Bank Graded A 3
, b) Risk afor ainjury arelated ato adrug ainteractions
c) Caregiver arole astrain arelated ato afamily aemployment aschedule
d) Compromised afamily acoping arelated ato athe apatient’s acare aneeds
ANS: aB
The apatient’s aage aand amultiple amedications aindicate aa arisk afor ainjury acaused aby
ainteractions abetween athe amultiple adrugs abeing ataken aand aa adecreased adrug ametabolism
arate. aProblems awith asocial aisolation, acaregiver arole astrain, aor acompromised afamily acoping
aare anot aphysiologic apriorities. aDrug–drug ainteractions acould acause athe amost aharm ato athe
apatient aand aare atherefore atheapriority.
4. Which amethod ashould athe anurse ause ato agather athe amost acomplete aassessment aof
aan aolderapatient?
a) Review athe apatient’s ahealth arecord afor aprevious aassessments.
b) Use aa ageriatric aassessment ainstrument ato aevaluate athe apatient.
c) Ask athe apatient ato awrite adown amedical aproblems aand amedications.
d) Interview aboth athe apatient aand athe aprimary acaregiver afor athe apatient.
ANS: aB
The amost acomplete ainformation aabout athe apatient awill abe aobtained athrough athe ause aof aan
aassessment ainstrument aspecific ato athe ageriatric apopulation, awhich aincludes ainformation
aabout abothamedical adiagnoses aand atreatments aand aabout afunctional ahealth apatterns aand
aabilities. aA areview aof athe amedical arecord, ainterviews awith athe apatient aand acaregiver, aand
awritten ainformation aby athe apatient aare aall aincluded ain aa acomprehensive ageriatric
aassessment.
5. Which aintervention ashould athe anurse aimplement ato aprovide aoptimal acare afor aan aolder
apatientawho ais ahospitalized awith apneumonia?
a) Plan afor atransfer ato aa along-term acare afacility.
b) Minimize aactivity alevel aduring ahospitalization.
c) Consider athe apreadmission afunctional aabilities.
d) Use aan aapproved astandardized ageriatric anursing acare aplan.
ANS: aC
The aplan aof acare afor aolder aadults ashould abe aindividualized aand abased aon athe apatient’s
acurrent afunctional aabilities. aA astandardized ageriatric anursing acare aplan awill anot aaddress
aindividual apatientaneeds aand astrengths. aA apatient’s aneed afor adischarge ato aa along-term acare
afacility ais avariable.
Activity alevel ashould abe adesigned ato aallow athe apatient ato aretain afunctional aabilities awhile
ahospitalized aand aalso ato aallow aany aadditional arest aneeded afor arecovery afrom athe aacute
aprocess.
6. The anurse acares afor aan aolder aadult apatient awho alives ain aa arural aarea. aWhich
aintervention ashouldathe anurse aplan ato aimplement ato ameet athis apatient’s aneeds?
NURSE 311 AE_1_Comprehensive Test Bank Graded A 4
