NUR 2214 Week 4 Quiz V1 | NUR 2214
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 4
Quiz) | Rasmussen University
1. A nurse identifies a shallow, open ulcer with a red-pink wound bed on an older adult’s
sacrum. How should the nurse document this finding?
A. Stage 1 pressure injury
B. Deep tissue injury
C. Stage 3 pressure injury
D. Stage 2 pressure injury
Answer: D
Rationale: Stage 2 pressure injuries are characterized by partial-thickness loss of the
dermis and present as a shallow open ulcer. They do not involve slough or bruising, which
distinguishes them from other stages. Consistent documentation is essential for tracking
wound healing and implementing appropriate interventions.
2. An older adult client reports difficulty seeing objects clearly in their central field of vision.
Which condition should the nurse suspect?
A. Age-related macular degeneration
B. Glaucoma
,C. Cataracts
D. Presbyopia
Answer: A
Rationale: Macular degeneration is a leading cause of vision loss in the elderly that
specifically impacts central vision. The macula is responsible for sharp, straight-ahead
vision needed for tasks like reading. Peripheral vision usually remains intact while central
clarity diminishes over time.
3. Which nutritional intervention is most effective for an older adult with a healing pressure
injury?
A. Reducing carbohydrate intake
B. Supplementing with Vitamin K only
C. Restricting fluid to 1000 mL daily
D. Increasing protein and calorie intake
Answer: D
Rationale: Protein is the primary building block for tissue repair and collagen synthesis.
Without adequate caloric intake, the body may use protein for energy instead of healing.
Nurses must monitor albumin levels and ensure a balanced diet rich in nitrogen-supporting
nutrients.
, 4. An older adult experiences involuntary leakage of urine when coughing or sneezing. Which
type of incontinence is this?
A. Urge incontinence
B. Functional incontinence
C. Stress incontinence
D. Overflow incontinence
Answer: C
Rationale: Stress incontinence occurs when physical movement or activity puts pressure
on the bladder. This is commonly seen in older women due to weakened pelvic floor
muscles. Management often includes pelvic floor exercises and weight management to
reduce intra-abdominal pressure.
5. A nurse is using the Braden Scale to assess an older adult. Which score indicates the
highest risk for pressure injury?
A. 18
B. 15
C. 9
D. 23
Answer: C
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 4
Quiz) | Rasmussen University
1. A nurse identifies a shallow, open ulcer with a red-pink wound bed on an older adult’s
sacrum. How should the nurse document this finding?
A. Stage 1 pressure injury
B. Deep tissue injury
C. Stage 3 pressure injury
D. Stage 2 pressure injury
Answer: D
Rationale: Stage 2 pressure injuries are characterized by partial-thickness loss of the
dermis and present as a shallow open ulcer. They do not involve slough or bruising, which
distinguishes them from other stages. Consistent documentation is essential for tracking
wound healing and implementing appropriate interventions.
2. An older adult client reports difficulty seeing objects clearly in their central field of vision.
Which condition should the nurse suspect?
A. Age-related macular degeneration
B. Glaucoma
,C. Cataracts
D. Presbyopia
Answer: A
Rationale: Macular degeneration is a leading cause of vision loss in the elderly that
specifically impacts central vision. The macula is responsible for sharp, straight-ahead
vision needed for tasks like reading. Peripheral vision usually remains intact while central
clarity diminishes over time.
3. Which nutritional intervention is most effective for an older adult with a healing pressure
injury?
A. Reducing carbohydrate intake
B. Supplementing with Vitamin K only
C. Restricting fluid to 1000 mL daily
D. Increasing protein and calorie intake
Answer: D
Rationale: Protein is the primary building block for tissue repair and collagen synthesis.
Without adequate caloric intake, the body may use protein for energy instead of healing.
Nurses must monitor albumin levels and ensure a balanced diet rich in nitrogen-supporting
nutrients.
, 4. An older adult experiences involuntary leakage of urine when coughing or sneezing. Which
type of incontinence is this?
A. Urge incontinence
B. Functional incontinence
C. Stress incontinence
D. Overflow incontinence
Answer: C
Rationale: Stress incontinence occurs when physical movement or activity puts pressure
on the bladder. This is commonly seen in older women due to weakened pelvic floor
muscles. Management often includes pelvic floor exercises and weight management to
reduce intra-abdominal pressure.
5. A nurse is using the Braden Scale to assess an older adult. Which score indicates the
highest risk for pressure injury?
A. 18
B. 15
C. 9
D. 23
Answer: C
