Joyce University NUR198 Exam 1
neurologic changes of older adults - CORRECT ANSWER-
-slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
integumentary changes of older adults - CORRECT ANSWER-
- decreased skin turgor, subcutaneous fat, and connective tissue leading to
wrinkles and dry, transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes of older adults - CORRECT ANSWER-
-decreased chest wall movement, vital capacity, and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
gastrointestinal changes of older adults - CORRECT ANSWER-
-decreased saliva production
-decreased digestive enzymes
-decreased intestinal motility leading to constipation
-increased dental problems
musculoskeletal changes of older adults - CORRECT ANSWER-
-decreased height
-decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older adults - CORRECT ANSWER-
-decreased bladder capacity
-prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults - CORRECT ANSWER-
-lowered T3 production
-decreased sensitivity to insulin
,immune system changes of older adults - CORRECT ANSWER-
-decreased antibodies
-increased AUTOimmune response
-decreased core body temp
-decreased T-Cell function
-decreased stress response
-decreased response to immunizations
A nurse is obtaining a health history from an older adult client as part of a
comprehensive physical examination. Which of the following findings should the nurse
expect as associated with aging? (SATA)
A. skin thickening
B. increased saliva production
C. decreased height
D. nail thickening
E. decreased bladder capacity - CORRECT ANSWER-C, D, E
delirium - CORRECT ANSWER-
-acute + temporary
-often caused by physiological source or change in environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation of a UTI in older adults? - CORRECT ANSWER-
delirium
dementia - CORRECT ANSWER-Chronic, progressive
Ex. Alzheimer's, vascular dementia
A nurse is counseling an older adult who describes having difficulty dealing with several
issues. Which of the following problems verbalized by the client should the nurse
identify as the priority?
A. "I spent my whole life dreaming about retirement, and now I wish I had my job back."
B. "It's been so stressful for me to have to depend on my child to help around the
house."
C. "I just heard my friend Al died. That's the third one in 3 months."
D. "I keep forgetting which medications I have taken during the day." - CORRECT
ANSWER-D. "I keep forgetting which medications I have taken during the day."
Explanation: The nurse should identify that the greatest risk to this client is injury from
overdosing or underdosing medications due to loss of short-term memory. The priority
issue is to assist the client to implement safe medication strategies. Assist the client to
use a pill organizer to help them remember to take their medications and to keep a list
of all current medications.
, A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change for which the nurse should monitor?
A. increased bone density
B. enhanced immune response
C. decreased skin elasticity
D. improved renal function - CORRECT ANSWER-C. decreased skin elasticity
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the renal system for which the nurse should monitor?
A. increased glomerular filtration rate (GFR)
B. enhanced ability to concentrate urine
C. decreased renal blood flow
D. improved electrolyte balance - CORRECT ANSWER-C. decreased renal blood flow
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the cardiovascular system for which the nurse should
monitor?
A. increased cardiac output
B. reduced heart rate variability
C. decreased arterial stiffness
D. improved myocardial contractility - CORRECT ANSWER-B. reduced heart rate
variability
An 82-year -old female client is being seen in the clinic for a routine check-up. She has
no significant medical history but reports feeling more fatigued and experiencing
occasional dizziness. Which nursing intervention is most appropriate to address the
expected age-related physiological changes?
A. encourage a high-protein diet to increase energy levels
B. monitor blood pressure regularly to detect orthostatic hypotension
C. administer vitamin supplements to prevent deficiencies
D. reccommend daily vigorous exercise to improve cardiovascular health - CORRECT
ANSWER-B. monitor blood pressure regularly to detect orthostatic hypotension
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the pulmonary system for which the nurse should
monitor?
A. increased lung elasticity
B. enhanced alveolar surface are
C. decreased chest wall compliance
D. improved respiratory muscle strength - CORRECT ANSWER-C. decreased chest
wall compliance
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the neurological system for which the nurse should
monitor?
A. decreased nerve conduction velocity
neurologic changes of older adults - CORRECT ANSWER-
-slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
integumentary changes of older adults - CORRECT ANSWER-
- decreased skin turgor, subcutaneous fat, and connective tissue leading to
wrinkles and dry, transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes of older adults - CORRECT ANSWER-
-decreased chest wall movement, vital capacity, and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
gastrointestinal changes of older adults - CORRECT ANSWER-
-decreased saliva production
-decreased digestive enzymes
-decreased intestinal motility leading to constipation
-increased dental problems
musculoskeletal changes of older adults - CORRECT ANSWER-
-decreased height
-decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older adults - CORRECT ANSWER-
-decreased bladder capacity
-prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults - CORRECT ANSWER-
-lowered T3 production
-decreased sensitivity to insulin
,immune system changes of older adults - CORRECT ANSWER-
-decreased antibodies
-increased AUTOimmune response
-decreased core body temp
-decreased T-Cell function
-decreased stress response
-decreased response to immunizations
A nurse is obtaining a health history from an older adult client as part of a
comprehensive physical examination. Which of the following findings should the nurse
expect as associated with aging? (SATA)
A. skin thickening
B. increased saliva production
C. decreased height
D. nail thickening
E. decreased bladder capacity - CORRECT ANSWER-C, D, E
delirium - CORRECT ANSWER-
-acute + temporary
-often caused by physiological source or change in environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation of a UTI in older adults? - CORRECT ANSWER-
delirium
dementia - CORRECT ANSWER-Chronic, progressive
Ex. Alzheimer's, vascular dementia
A nurse is counseling an older adult who describes having difficulty dealing with several
issues. Which of the following problems verbalized by the client should the nurse
identify as the priority?
A. "I spent my whole life dreaming about retirement, and now I wish I had my job back."
B. "It's been so stressful for me to have to depend on my child to help around the
house."
C. "I just heard my friend Al died. That's the third one in 3 months."
D. "I keep forgetting which medications I have taken during the day." - CORRECT
ANSWER-D. "I keep forgetting which medications I have taken during the day."
Explanation: The nurse should identify that the greatest risk to this client is injury from
overdosing or underdosing medications due to loss of short-term memory. The priority
issue is to assist the client to implement safe medication strategies. Assist the client to
use a pill organizer to help them remember to take their medications and to keep a list
of all current medications.
, A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change for which the nurse should monitor?
A. increased bone density
B. enhanced immune response
C. decreased skin elasticity
D. improved renal function - CORRECT ANSWER-C. decreased skin elasticity
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the renal system for which the nurse should monitor?
A. increased glomerular filtration rate (GFR)
B. enhanced ability to concentrate urine
C. decreased renal blood flow
D. improved electrolyte balance - CORRECT ANSWER-C. decreased renal blood flow
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the cardiovascular system for which the nurse should
monitor?
A. increased cardiac output
B. reduced heart rate variability
C. decreased arterial stiffness
D. improved myocardial contractility - CORRECT ANSWER-B. reduced heart rate
variability
An 82-year -old female client is being seen in the clinic for a routine check-up. She has
no significant medical history but reports feeling more fatigued and experiencing
occasional dizziness. Which nursing intervention is most appropriate to address the
expected age-related physiological changes?
A. encourage a high-protein diet to increase energy levels
B. monitor blood pressure regularly to detect orthostatic hypotension
C. administer vitamin supplements to prevent deficiencies
D. reccommend daily vigorous exercise to improve cardiovascular health - CORRECT
ANSWER-B. monitor blood pressure regularly to detect orthostatic hypotension
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the pulmonary system for which the nurse should
monitor?
A. increased lung elasticity
B. enhanced alveolar surface are
C. decreased chest wall compliance
D. improved respiratory muscle strength - CORRECT ANSWER-C. decreased chest
wall compliance
A nurse is caring for an older adult client. Which of the following is an expected age-
related physiological change in the neurological system for which the nurse should
monitor?
A. decreased nerve conduction velocity
