NUR 2214 Week 6 Quiz V3 | NUR 2214
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 6
Quiz) | Rasmussen University
1. An older adult client reports difficulty reading small print and mentions that they have to
hold books at arm’s length. Which condition should the nurse suspect?
A. Presbyopia
B. Glaucoma
C. Cataracts
D. Macular degeneration
Answer: A
Rationale: Presbyopia is the normal age-related loss of the eye’s ability to focus on close
objects due to decreased elasticity of the lens. It typically becomes noticeable in the mid-
40s and continues to progress until age 65. The nurse should explain that this is a common
condition often managed with reading glasses or bifocals.
2. The nurse is assessing an older adult client’s hearing. The client mentions difficulty hearing
high-pitched sounds and struggles to understand conversation in noisy environments. The
nurse identifies this as:
A. Otosclerosis
,B. Presbycusis
C. Tinnitus
D. Meniere’s disease
Answer: B
Rationale: Presbycusis is the most common type of Sensorineural Hearing Loss caused by
the natural aging of the auditory system. It primarily affects the ability to hear high-
frequency sounds and distinguish speech in the presence of background noise. Nurses
should recommend a formal audiology evaluation for patients presenting with these
symptoms.
3. When caring for an older adult with sensory deprivation, which intervention should the
nurse prioritize to maintain safety?
A. Keeping the room dark to prevent overstimulation
B. Encouraging the client to stay in bed most of the day
C. Restricting visitors to one person at a time
D. Ensuring the environment is well-lit and free of clutter
Answer: D
Rationale: Older adults with sensory deficits are at an increased risk for falls and accidents
due to a decreased ability to perceive environmental hazards. Ensuring adequate lighting
, and a clear pathway helps compensate for visual and tactile losses. This proactive
environmental management is a core nursing responsibility in geriatric safety protocols.
4. A client is diagnosed with open-angle glaucoma. The nurse should explain that this
condition is characterized by:
A. Clouding of the lens
B. Increased intraocular pressure and gradual loss of peripheral vision
C. Loss of central vision
D. Separation of the retina from the underlying epithelium
Answer: B
Rationale: Open-angle glaucoma involves a slow increase in intraocular pressure which
damages the optic nerve over time. This typically results in a gradual loss of peripheral
vision, often referred to as tunnel vision, while central vision remains intact initially.
Regular screening is essential because the condition is often asymptomatic in its early
stages.
5. Which assessment finding is most characteristic of age-related macular degeneration
(AMD)?
A. Blurred distance vision
B. Halos around lights
C. Loss of central vision
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 6
Quiz) | Rasmussen University
1. An older adult client reports difficulty reading small print and mentions that they have to
hold books at arm’s length. Which condition should the nurse suspect?
A. Presbyopia
B. Glaucoma
C. Cataracts
D. Macular degeneration
Answer: A
Rationale: Presbyopia is the normal age-related loss of the eye’s ability to focus on close
objects due to decreased elasticity of the lens. It typically becomes noticeable in the mid-
40s and continues to progress until age 65. The nurse should explain that this is a common
condition often managed with reading glasses or bifocals.
2. The nurse is assessing an older adult client’s hearing. The client mentions difficulty hearing
high-pitched sounds and struggles to understand conversation in noisy environments. The
nurse identifies this as:
A. Otosclerosis
,B. Presbycusis
C. Tinnitus
D. Meniere’s disease
Answer: B
Rationale: Presbycusis is the most common type of Sensorineural Hearing Loss caused by
the natural aging of the auditory system. It primarily affects the ability to hear high-
frequency sounds and distinguish speech in the presence of background noise. Nurses
should recommend a formal audiology evaluation for patients presenting with these
symptoms.
3. When caring for an older adult with sensory deprivation, which intervention should the
nurse prioritize to maintain safety?
A. Keeping the room dark to prevent overstimulation
B. Encouraging the client to stay in bed most of the day
C. Restricting visitors to one person at a time
D. Ensuring the environment is well-lit and free of clutter
Answer: D
Rationale: Older adults with sensory deficits are at an increased risk for falls and accidents
due to a decreased ability to perceive environmental hazards. Ensuring adequate lighting
, and a clear pathway helps compensate for visual and tactile losses. This proactive
environmental management is a core nursing responsibility in geriatric safety protocols.
4. A client is diagnosed with open-angle glaucoma. The nurse should explain that this
condition is characterized by:
A. Clouding of the lens
B. Increased intraocular pressure and gradual loss of peripheral vision
C. Loss of central vision
D. Separation of the retina from the underlying epithelium
Answer: B
Rationale: Open-angle glaucoma involves a slow increase in intraocular pressure which
damages the optic nerve over time. This typically results in a gradual loss of peripheral
vision, often referred to as tunnel vision, while central vision remains intact initially.
Regular screening is essential because the condition is often asymptomatic in its early
stages.
5. Which assessment finding is most characteristic of age-related macular degeneration
(AMD)?
A. Blurred distance vision
B. Halos around lights
C. Loss of central vision
