1|Page
NUR 257 CHRONIC EXAM 4 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A group of older adults in an assisted living facility are talking
about one of the residents who fell and fractured her hip. The
residents ask a nurse the following: "It seems like so many of us
fall and break our hips, and then it is downhill from there. Is this
really true?" In formulating a response, the nurse considers which
of the following? (Select all that apply.)
A. Hip fractures are a leading cause of hospitalization for older
people.
B. The major cause of hip fractures is falls.
C. Women have significantly higher mortality rates from hip
fractures than do men.
D. Nearly all older patients who sustain a hip fracture will regain
prefracture mobility status within 1 year.
E. Hip fractures are associated with very high morbidity and
mortality. - ANSWER-ABE
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Which one of the following is a true statement about mobility and
safety for older adults? - ANSWER-About 50% to 70% of falls in
hospitals occur while transferring between bed/chair.
Which factors in the patient care environment should be routinely
assessed to decrease the risk of falls? (Select all that apply.)
A. Outdoor grounds
B. Grab bars in place
C. Appropriate footwear
D. All four bed rails raised - ANSWER-ABC
An older woman presents to the geriatric clinic for a routine
annual wellness visit. Upon assessment, the client reports that
she needs to wear a pad because she loses urine when she
coughs or sneezes. She also reports that this happens when she
picks up her 2-year-old grandson. The nurse suspects which type
of urinary incontinence? - ANSWER-Stress
The nurse recognized which of the following as symptoms of wet
age-related macular degeneration (AMD)? (Select all that apply.)
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Yellow deposits under the retina
A. Visual distortion
B. Decrease in central vision
C. Rapid progression of symptoms
D. Rarely causes severe visual impairment - ANSWER-AB
Which of the following diseases affects the eyesight of an older
adult by damaging the central part of the retina? - ANSWER-
Macular degeneration
An older nursing home resident reports that her hearing loss is
getting worse. What is the first action of the nurse? - ANSWER-
Examine the resident's ears for cerumen impaction.
Which conditions are likely to cause an older adult chronic pain?
(Select all that apply.)
A. Osteoarthritis
B. Hip replacement
C. Low back pain
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D. Hypoproteinemia
E. Headaches - ANSWER-AC
The nurse admits an older adult who had abdominal surgery.
Admission vital signs are heart rate (pulse) (P), 73 beats per
minute (bpm); respiration rate (R), 20 breaths per minute; blood
pressure (BP), 136/84 mm Hg. He is receiving intravenous (IV)
fluids but has not requested pain medication since surgery. Seven
hours later, his vital signs are P, 98 bpm; R, 26 breaths per
minute; and BP, 164/90 mm Hg; and he denies pain. Which
intervention should the nurse implement? - ANSWER-Ask if he
has about discomfort at the surgical site or any other location.
An older adult client who receives intravenous (IV) fluids is
making wide gesticulations with her arms and loudly insulting the
nursing staff. Which intervention should the nurse implement to
maintain safe, effective nursing care initially? - ANSWER-
Determine the patient's needs.
A nurse admitting and orienting an older adult to the hospital unit
discusses fall prevention and demonstrates the use of the call bell
NUR 257 CHRONIC EXAM 4 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A group of older adults in an assisted living facility are talking
about one of the residents who fell and fractured her hip. The
residents ask a nurse the following: "It seems like so many of us
fall and break our hips, and then it is downhill from there. Is this
really true?" In formulating a response, the nurse considers which
of the following? (Select all that apply.)
A. Hip fractures are a leading cause of hospitalization for older
people.
B. The major cause of hip fractures is falls.
C. Women have significantly higher mortality rates from hip
fractures than do men.
D. Nearly all older patients who sustain a hip fracture will regain
prefracture mobility status within 1 year.
E. Hip fractures are associated with very high morbidity and
mortality. - ANSWER-ABE
,2|Page
Which one of the following is a true statement about mobility and
safety for older adults? - ANSWER-About 50% to 70% of falls in
hospitals occur while transferring between bed/chair.
Which factors in the patient care environment should be routinely
assessed to decrease the risk of falls? (Select all that apply.)
A. Outdoor grounds
B. Grab bars in place
C. Appropriate footwear
D. All four bed rails raised - ANSWER-ABC
An older woman presents to the geriatric clinic for a routine
annual wellness visit. Upon assessment, the client reports that
she needs to wear a pad because she loses urine when she
coughs or sneezes. She also reports that this happens when she
picks up her 2-year-old grandson. The nurse suspects which type
of urinary incontinence? - ANSWER-Stress
The nurse recognized which of the following as symptoms of wet
age-related macular degeneration (AMD)? (Select all that apply.)
,3|Page
Yellow deposits under the retina
A. Visual distortion
B. Decrease in central vision
C. Rapid progression of symptoms
D. Rarely causes severe visual impairment - ANSWER-AB
Which of the following diseases affects the eyesight of an older
adult by damaging the central part of the retina? - ANSWER-
Macular degeneration
An older nursing home resident reports that her hearing loss is
getting worse. What is the first action of the nurse? - ANSWER-
Examine the resident's ears for cerumen impaction.
Which conditions are likely to cause an older adult chronic pain?
(Select all that apply.)
A. Osteoarthritis
B. Hip replacement
C. Low back pain
, 4|Page
D. Hypoproteinemia
E. Headaches - ANSWER-AC
The nurse admits an older adult who had abdominal surgery.
Admission vital signs are heart rate (pulse) (P), 73 beats per
minute (bpm); respiration rate (R), 20 breaths per minute; blood
pressure (BP), 136/84 mm Hg. He is receiving intravenous (IV)
fluids but has not requested pain medication since surgery. Seven
hours later, his vital signs are P, 98 bpm; R, 26 breaths per
minute; and BP, 164/90 mm Hg; and he denies pain. Which
intervention should the nurse implement? - ANSWER-Ask if he
has about discomfort at the surgical site or any other location.
An older adult client who receives intravenous (IV) fluids is
making wide gesticulations with her arms and loudly insulting the
nursing staff. Which intervention should the nurse implement to
maintain safe, effective nursing care initially? - ANSWER-
Determine the patient's needs.
A nurse admitting and orienting an older adult to the hospital unit
discusses fall prevention and demonstrates the use of the call bell
