A&E 1 COMPREHENSIVE TEST
BANK AE 1 Comprehensive Test
Bank Newly Updated Complete
Solutions
, A&E I Comprehensive Testbank
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
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
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, A&E I Comprehensive Testbank
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
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
2
, A&E I Comprehensive Testbank
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
b) Risk for injury related to drug interactions
c) Caregiver role strain related to family employment schedule
d) Compromised family coping related to the patient’s care needs
ANS: B
The patient’s age and multiple medications indicate a risk for injury caused by interactions
between the multiple drugs being taken and a decreased drug metabolism rate. Problems with
social isolation, caregiver role strain, or compromised family coping are not physiologic
priorities. Drug–drug interactions could cause the most harm to the patient and are therefore the
priority.
4. Which method should the nurse use to gather the most complete assessment of an older
patient?
a) Review the patient’s health record for previous assessments.
b) Use a geriatric assessment instrument to evaluate the patient.
c) Ask the patient to write down medical problems and medications.
d) Interview both the patient and the primary caregiver for the patient.
3
BANK AE 1 Comprehensive Test
Bank Newly Updated Complete
Solutions
, A&E I Comprehensive Testbank
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
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
1
, A&E I Comprehensive Testbank
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
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
2
, A&E I Comprehensive Testbank
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
b) Risk for injury related to drug interactions
c) Caregiver role strain related to family employment schedule
d) Compromised family coping related to the patient’s care needs
ANS: B
The patient’s age and multiple medications indicate a risk for injury caused by interactions
between the multiple drugs being taken and a decreased drug metabolism rate. Problems with
social isolation, caregiver role strain, or compromised family coping are not physiologic
priorities. Drug–drug interactions could cause the most harm to the patient and are therefore the
priority.
4. Which method should the nurse use to gather the most complete assessment of an older
patient?
a) Review the patient’s health record for previous assessments.
b) Use a geriatric assessment instrument to evaluate the patient.
c) Ask the patient to write down medical problems and medications.
d) Interview both the patient and the primary caregiver for the patient.
3
