Question 1

A person who experienced a hemorrhagic cardiac vascular accident (CVA) to the left hemisphere would demonstrate which type of symptoms?

Accepted Answer

A)  Language disturbances 
B)  Poor impulse control 
C)  Inappropriate affect 
D)  Confabulation 
A)  Language disturbances 
B)  Poor impulse control 
C)  Inappropriate affect 
D)  Confabulation A

Question 2

What is a symptom of inadequate insulin coverage in a patient with diabetes mellitus type I?

Accepted Answer

A)  Diminished urine output 
B)  Ketones in the urine 
C)  Shallow and slow respirations 
D)  Extreme diaphoresis 
A)  Diminished urine output 
B)  Ketones in the urine 
C)  Shallow and slow respirations 
D)  Extreme diaphoresis B

Question 3

When a 75-year-old male resident in an extended-care facility tells the nurse he wants to build up the muscles in his arms, the nurse recommends a(n) __________ exercise program.

Accepted Answer

isotonic
Isotonic exercises such as flexing and extending the arms while holding hand weights build tone and muscle mass.

Question 4

The nurse assesses a diabetic patient and finds the patient to be pale, edematous, and listless with a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4 mg/dL. What would the results of the nursing assessment indicate?

Accepted Answer

A)  Diverticulitis 
B)  Congestive heart failure 
C)  Chronic renal failure 
D)  Benign prostatic hypertrophy 
A)  Diverticulitis 
B)  Congestive heart failure 
C)  Chronic renal failure 
D)  Benign prostatic hypertrophy

Question 5

Why would a nurse lead a group of postmenopausal women on a daily 15-minute "walking tour" through the long-term care facility?

Accepted Answer

A)  To improve bone strength 
B)  To orient them to their surroundings 
C)  To improve their socialization 
D)  To increase their appetite 
A)  To improve bone strength 
B)  To orient them to their surroundings 
C)  To improve their socialization 
D)  To increase their appetite

Question 6

Arrange these common diseases of the older adult in order of their mortality rate. (Separate letters by a comma and space as follows: A, B, C, D)
A) Cancer
B) Pneumonia
C) Stroke
D) Chronic obstructive pulmonary disease (COPD)
E) Heart disease

Accepted Answer

E,A,C,B,D
The five leading cau

Question 7

What is the pathophysiology of emphysema?

Accepted Answer

A)  Constriction of the bronchial tree, excessive mucus, and nonproductive cough 
B)  Calcification of the alveoli and a dry cough 
C)  Overinflation of the alveoli, making them ineffective for gas exchange 
D)  Inflammation of the trachea and bronchioles, excessive mucus, and productive cough 
A)  Constriction of the bronchial tree, excessive mucus, and nonproductive cough 
B)  Calcification of the alveoli and a dry cough 
C)  Overinflation of the alveoli, making them ineffective for gas exchange 
D)  Inflammation of the trachea and bronchioles, excessive mucus, and productive cough

Question 8

How should the nurse provide written discharge instructions for a patient with macular degeneration?

Accepted Answer

A)  Write the instructions in bold print. 
B)  Adjust the table and light to assist the patient to use peripheral vision to read. 
C)  Place written document directly in front of the patient to read. 
D)  Read the document to the patient. 
A)  Write the instructions in bold print. 
B)  Adjust the table and light to assist the patient to use peripheral vision to read. 
C)  Place written document directly in front of the patient to read. 
D)  Read the document to the patient.

Question 9

What would be the most helpful response to a 70-year-old postmenopausal woman who asks whether her hormone replacement therapy (HRT) will prevent bone loss?

Accepted Answer

A)  "No. HRT is not helpful after the age of 60." 
B)  "Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast cancer." 
C)  "No. HRT is reliant on some natural estrogen production from the ovaries." 
D)  "Yes. HRT is a widely accepted therapy for prevention of bone loss." 
A)  "No. HRT is not helpful after the age of 60." 
B)  "Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast cancer." 
C)  "No. HRT is reliant on some natural estrogen production from the ovaries." 
D)  "Yes. HRT is a widely accepted therapy for prevention of bone loss."

Question 10

What would be an acceptable alteration in the plan of care for a patient with a hiatal hernia who is experiencing gastrointestinal reflux?

Accepted Answer

A)  Encouraging the patient to lie down after meals 
B)  Drinking two full glasses of liquid after the evening meal 
C)  Eating smaller, more frequent meals 
D)  Using caffeine drinks to assist with digestion 
A)  Encouraging the patient to lie down after meals 
B)  Drinking two full glasses of liquid after the evening meal 
C)  Eating smaller, more frequent meals 
D)  Using caffeine drinks to assist with digestion

Question 11

What should be avoided by an 82-year-old man with rosacea? (Select all that apply.)

Accepted Answer

A)  Stress 
B)  Dairy products 
C)  Sun exposure 
D)  Spicy foods 
E)  Alcohol consumption 
A)  Stress 
B)  Dairy products 
C)  Sun exposure 
D)  Spicy foods 
E)  Alcohol consumption

Question 12

What is a cause of pernicious anemia?

Accepted Answer

A)  An iron deficiency 
B)  A deficiency of vitamin B12 
C)  Low serum potassium level 
D)  Blood loss 
A)  An iron deficiency 
B)  A deficiency of vitamin B12 
C)  Low serum potassium level 
D)  Blood loss

Question 13

Which of the following assessments are the cardinal signs and symptoms of congestive heart failure?

Accepted Answer

A)  Dyspnea and edema 
B)  Myocardial pain and hypotension 
C)  Ventricular arrhythmias and cyanosis 
D)  Atrial arrhythmias and polycythemia 
A)  Dyspnea and edema 
B)  Myocardial pain and hypotension 
C)  Ventricular arrhythmias and cyanosis 
D)  Atrial arrhythmias and polycythemia

Question 14

What factors influence the timing and extent of age-related changes? (Select all that apply.)

Accepted Answer

A)  Health maintenance 
B)  Ethnicity 
C)  Heredity 
D)  Attitude 
E)  Environment 
A)  Health maintenance 
B)  Ethnicity 
C)  Heredity 
D)  Attitude 
E)  Environment

Question 15

Why does the nurse modify the environment to keep it warmer for the older adult?

Accepted Answer

A)  A change in the metabolic rate 
B)  Decreased subcutaneous tissue 
C)  Changes in the musculoskeletal system 
D)  A weakened peripheral vascular system 
A)  A change in the metabolic rate 
B)  Decreased subcutaneous tissue 
C)  Changes in the musculoskeletal system 
D)  A weakened peripheral vascular system

Question 16

A 70-year-old woman complains, "I weigh exactly the same as I did when I wore a size 10 and now I can barely squeeze into a size 16." Which statement by the nurse would most correctly explain the size change to the woman?

Accepted Answer

A)  "Metabolism in the older adult creates increased adipose tissue." 
B)  "Postmenopausal women gain adipose tissue related to loss of calcium." 
C)  "Decrease in muscle mass is replaced with adipose tissue." 
D)  "Kyphosis causes a redistribution of weight." 
A)  "Metabolism in the older adult creates increased adipose tissue." 
B)  "Postmenopausal women gain adipose tissue related to loss of calcium." 
C)  "Decrease in muscle mass is replaced with adipose tissue." 
D)  "Kyphosis causes a redistribution of weight."

Question 17

What is the pathophysiology of a myocardial infarct?

Accepted Answer

A)  A portion of the myocardium necroses and scars over. 
B)  The coronary vessels are narrowed during the attack. 
C)  The ischemic myocardium causes pain during the attack but is able to regenerate. 
D)  There is damage to the myocardium but no serious alteration of cardiac output. 
A)  A portion of the myocardium necroses and scars over. 
B)  The coronary vessels are narrowed during the attack. 
C)  The ischemic myocardium causes pain during the attack but is able to regenerate. 
D)  There is damage to the myocardium but no serious alteration of cardiac output.

Question 18

A 75-year-old male is worried that his wartlike dark macules with distinct borders are melanomas. What would be the most likely cause for the macules?

Accepted Answer

A)  Senile lentigo 
B)  Cutaneous papillomas 
C)  Seborrheic keratoses 
D)  Xerosis 
A)  Senile lentigo 
B)  Cutaneous papillomas 
C)  Seborrheic keratoses 
D)  Xerosis

Question 19

A 70-year-old woman asks, "How in the world can my bones be brittle when I eat all the right foods?" Which response by the nurse would be the most informative?

Accepted Answer

A)  "Calcium loss is expected in the older adult." 
B)  "Calcium is continuously withdrawn from bone for nerve and muscle function." 
C)  "Smoking and alcohol consumption speed calcium loss from the bones." 
D)  "Walking and standing increase calcium loss from the bone." 
A)  "Calcium loss is expected in the older adult." 
B)  "Calcium is continuously withdrawn from bone for nerve and muscle function." 
C)  "Smoking and alcohol consumption speed calcium loss from the bones." 
D)  "Walking and standing increase calcium loss from the bone."

Question 20

Which care plan modification would be the most beneficial for a 62-year-old woman who is suffering from a flare in her rheumatoid arthritis?

Accepted Answer

A)  Increase fluid intake 
B)  Schedule several rest periods to balance activity 
C)  Reduce salt in the diet 
D)  Assist with rigorous finger extension exercises 
A)  Increase fluid intake 
B)  Schedule several rest periods to balance activity 
C)  Reduce salt in the diet 
D)  Assist with rigorous finger extension exercises

A person who experienced a hemorrhagic cardiac vascular accident (CVA) to the left hemisphere would demonstrate which type of symptoms?

What is a symptom of inadequate insulin coverage in a patient with diabetes mellitus type I?

When a 75-year-old male resident in an extended-care facility tells the nurse he wants to build up the muscles in his arms, the nurse recommends a(n) __________ exercise program.

The nurse assesses a diabetic patient and finds the patient to be pale, edematous, and listless with a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4 mg/dL. What would the results of the nursing assessment indicate?

Why would a nurse lead a group of postmenopausal women on a daily 15-minute "walking tour" through the long-term care facility?

Arrange these common diseases of the older adult in order of their mortality rate. (Separate letters by a comma and space as follows: A, B, C, D) A) Cancer B) Pneumonia C) Stroke D) Chronic obstructive pulmonary disease (COPD) E) Heart disease

What is the pathophysiology of emphysema?

How should the nurse provide written discharge instructions for a patient with macular degeneration?

What would be the most helpful response to a 70-year-old postmenopausal woman who asks whether her hormone replacement therapy (HRT) will prevent bone loss?

What would be an acceptable alteration in the plan of care for a patient with a hiatal hernia who is experiencing gastrointestinal reflux?

What should be avoided by an 82-year-old man with rosacea? (Select all that apply.)

What is a cause of pernicious anemia?

Which of the following assessments are the cardinal signs and symptoms of congestive heart failure?

What factors influence the timing and extent of age-related changes? (Select all that apply.)

Why does the nurse modify the environment to keep it warmer for the older adult?

A 70-year-old woman complains, "I weigh exactly the same as I did when I wore a size 10 and now I can barely squeeze into a size 16." Which statement by the nurse would most correctly explain the size change to the woman?

What is the pathophysiology of a myocardial infarct?

A 75-year-old male is worried that his wartlike dark macules with distinct borders are melanomas. What would be the most likely cause for the macules?

A 70-year-old woman asks, "How in the world can my bones be brittle when I eat all the right foods?" Which response by the nurse would be the most informative?

Which care plan modification would be the most beneficial for a 62-year-old woman who is suffering from a flare in her rheumatoid arthritis?

Trends and Issues

Theories of Aging

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters

Exam 3: Physiologic Changes

A person who experienced a hemorrhagic cardiac vascular accident (CVA) to the left hemisphere would demonstrate which type of symptoms?

What is a symptom of inadequate insulin coverage in a patient with diabetes mellitus type I?

When a 75-year-old male resident in an extended-care facility tells the nurse he wants to build up the muscles in his arms, the nurse recommends a(n) __________ exercise program.

The nurse assesses a diabetic patient and finds the patient to be pale, edematous, and listless with a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4 mg/dL. What would the results of the nursing assessment indicate?

Why would a nurse lead a group of postmenopausal women on a daily 15-minute "walking tour" through the long-term care facility?

Arrange these common diseases of the older adult in order of their mortality rate. (Separate letters by a comma and space as follows: A, B, C, D) A) Cancer B) Pneumonia C) Stroke D) Chronic obstructive pulmonary disease (COPD) E) Heart disease

What is the pathophysiology of emphysema?

How should the nurse provide written discharge instructions for a patient with macular degeneration?

What would be the most helpful response to a 70-year-old postmenopausal woman who asks whether her hormone replacement therapy (HRT) will prevent bone loss?

What would be an acceptable alteration in the plan of care for a patient with a hiatal hernia who is experiencing gastrointestinal reflux?

What should be avoided by an 82-year-old man with rosacea? (Select all that apply.)

What is a cause of pernicious anemia?

Which of the following assessments are the cardinal signs and symptoms of congestive heart failure?

What factors influence the timing and extent of age-related changes? (Select all that apply.)

Why does the nurse modify the environment to keep it warmer for the older adult?

A 70-year-old woman complains, "I weigh exactly the same as I did when I wore a size 10 and now I can barely squeeze into a size 16." Which statement by the nurse would most correctly explain the size change to the woman?

What is the pathophysiology of a myocardial infarct?

A 75-year-old male is worried that his wartlike dark macules with distinct borders are melanomas. What would be the most likely cause for the macules?

A 70-year-old woman asks, "How in the world can my bones be brittle when I eat all the right foods?" Which response by the nurse would be the most informative?

Which care plan modification would be the most beneficial for a 62-year-old woman who is suffering from a flare in her rheumatoid arthritis?

Trends and Issues

Theories of Aging

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating with Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment for Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters