NR222 EXAM STUDY GUIDE QUESTIONS WITH
CORRECT DETAILED ANSWERS 2025
A nurse is planning to write a grant for a health promotion project in the
community. Which of considerations should the nurse make when determining the
appropriate population for this project?
a. The fastest growing population is children under the age of 12.
b. The fastest growing population is young Black American adults.
c. The fastest growing population is White middle-age adults.
d. The fastest growing population is non-White older adults age 65 and older. -
Correct Answer ✔d
Which of the following statements made by a client best identifies someone who
would benefit from health promotion interventions?
a. "I have a new grandchild and want to be part of her life."
b. "My mother lived until she was 90, so a long life is in my genes."
c. "Some chronic illness is just a part of aging."
d. "I hope I'll live a lot longer, but one never knows." -Correct Answer ✔a
Which of the following statements concerning nutrition and older adults is true?
a. Older adults who live in their own homes are more likely to be malnourished
than older adults living in a nursing home.
b. Older adults lose their desire for high-fat, salty foods.
c. Meals served in long-term care institutions are usually more well-balanced than
foods eaten by older adults living at home.
d. Many older adults are not aware of food assistance programs. -Correct Answer
✔d
Which of the following statements concerning urinary incontinence is correct?
a. Urge incontinence occurs when one has the urge to void but is unable.
b. Stress incontinence is associated with emotional turmoil.
c. Functional incontinence occurs is associated with environmental barriers.
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d. Incontinence with high post-void residual occurs when someone laughs or
sneezes. -Correct Answer ✔c
Which of the following nursing diagnoses is a priority related to the problem of
urinary incontinence?
a. Risk for social isolation
b. Risk for impaired skin integrity
c. Risk for inadequate fluid intake
d. Risk for impaired coping -Correct Answer ✔b
A 75-year-old man tells the nurse that he has difficulty staying asleep during the
night. Which of the following responses should be made by the nurse?
a. "Older adults need as much sleep as middle-age and younger adults. Let's talk
about your sleep patterns."
b. "I'll ask the nurse practitioner to prescribe a sleeping pill for you."
c. "Taking naps during the day can help relieve excessive fatigue and will help you
sleep better."
d. "Let's talk about your sleep schedule and things that may prevent you from
getting a restful night's sleep." -Correct Answer ✔d
A nurse is conducting a community education program about cognition in older
adults. Which of the following information should be included?
a. Some form of mild dementia is a normal part of aging.
b. All forms of dementia have the same symptoms, but progress at different rates.
c. Assessment for dementia should be part of routine physical exams.
d. Elders who score below 27 points on the Mini-Mental State Exam (MMSE) are
not likely to have a cognition problem. -Correct Answer ✔c
A nurse has recently accepted the position of unit nurse manager on a long-term
care unit. Which of the following directives should the nurse give to the staff
nurses?
a. Encourage residents to participate in unit activities such as Scrabble™ and
bingo.
b. Demonstrate the caring aspect of nursing by dressing residents before breakfast.
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c. Fill in "missing words" during conversation with the residents to avoid
embarrassment.
d. Instruct the aides to get residents ready for breakfast as quickly as possible to
make sure they are ready to eat. -Correct Answer ✔a
A nurse is assisting with development of menu items at a long-term care facility.
Which of the following menus would the nurse most likely recommend?
a. One egg over easy, one slice of whole wheat toast with sugar-free jam, 4 oz
orange juice
b. 5-oz cheeseburger cooked medium well with lettuce and tomato, 10 baked
potato chips, and 1 cup of decaf coffee with low-fat milk and artificial sweetener
c. Chef salad with 2 oz each ham and turkey, lettuce, tomato, bean sprouts, onion,
green pepper with low-fat dressing, and one small roll with low-fat spread
d. Turkey bacon, lettuce, and tomato sandwich on whole wheat bread with two
teaspoons of low-fat mayonnaise, 10 vegetable chips, and ice tea with artificial
sweetener -Correct Answer ✔d
Which of the following individuals would be at greatest risk of injury?
a. 80-year-old who does not have air conditioning or a fan
b. 70-year-old who has new dentures
c. 68-year-old who has difficulty tasting salt in food
d. 84-year-old who needs hearing aids -Correct Answer ✔a
According to Erikson's theory of development, which of the following older adults
has successfully navigated the stage of ego integrity versus despair?
a. 72-year-old man who is reluctant to retire because "work is everything to me"
b. 78-year-old woman who has scheduled her third face lift
c. 80-year-old man who has informed his children that he has made his funeral
arrangements
d. 67-year-old woman who is depressed because she has not been promoted at
work for the past 10 years -Correct Answer ✔c
A couple in their sixties has assumed responsibility for raising their two
grandchildren ages 9 and 12 because the children's parents died in a car accident.
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Which of the following are priority nursing interventions that the nurse can
implement to help the grandparents cope with the responsibility of raising their
grandchildren?
a. Connecting them with the "Grandparents Raising Grandchildren" support group
b. Encouraging them by reinforcing how they successfully raised their own
children
c. Volunteering to provide respite time for them as needed
d. Assuring them that their stress level will lessen as they gain confidence -Correct
Answer ✔a
A nurse is conducting a staff development program about human sexuality for
nurses who work in a long-term care facility. Which of the following statements
would most likely be made by the nurse?
a. "The desire for sexual intimacy declines rapidly with age."
b. "Older adults are very well-informed about sexuality."
c. "Older adults need to practice safe sex."
d. "The danger of contracting STDs during sexual intimacy is extremely low in
older adults." -Correct Answer ✔c
The clinic nurse has seen the following four people today. Which of the following
people is demonstrating a healthy coping pattern?
a. Discusses very little except the loss of her husband 3 years ago
b. Talks about the "good times" she and her husband had before his illness and
death 1 year ago
c. States that life is not worth living without her husband, who died 2 years ago
d. Blames herself for her husband's death because she did not "make him go" to the
doctor -Correct Answer ✔b
A nurse is assigned to provide care for a 96-year-old bedridden man who
experiences severe pain from a chronic neurological disease. The man asks the
nurse to please help him leave this world so that his suffering ends. Which of the
following actions would be most appropriate for the nurse to take?
a. Assist the doctor with the man's request
b. Refuse to care for the man
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