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NR222 HEALTH AND WELLNESS FINAL
EXAM 2026- WELL REVISED ASSESSMENT
EXAM WITH PERFECTLY ANSWERED
QUESTIONS
The psychosocial stresses of retirement are usually related to role changes with a
spouse or within the family and to loss of the work role. Often there are new
expectations of the retired person. This patient is not likely to become socially
isolated because of the size of the family. Whether the wife will have to work is
not a major concern at this time nor is the age of the patient.
A nursing student is caring for a 78-year-old patient with multiple sclerosis. The
patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the
patient's temperature was 37.1° C (98.8° F). The student reports her recent
assessment to the registered nurse (RN): the patient's temperature is 37.2° C (99°
F); the Foley catheter is still in place, draining dark urine; and the patient is
uncertain what time of day it is. From what the RN knows about presentation of
symptoms in older adults, what should he recommend first? - correct-answer -Tell
the student that he will notify the patient's health care provider of the findings
and recommend a urine culture.
The patient may have subtle symptoms of a urinary tract infection, as evidenced
by a slight increase in body temperature, development of confusion, and the dark-
colored urine. Temporary confusion is not a normal condition in older adults.
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Increasing the fluid intake is acceptable but not a recommendation for the set of
symptoms the patient presents. The presenting set of symptoms is not normal.
Older adults frequently experience a change in sexual activity. Which best explains
this change? - correct-answer -Frequency and opportunities for sexual activity
may decline.
As a result of loss of a loved one or a chronic illness in themselves or their partner,
opportunities for sexual activity may decline. Aging does not change the need for
touch, and older adults are diverse.
Sexuality is maintained throughout our lives. Which of the following answers best
explains sexuality in an older adult? - correct-answer -All older adults, whether
healthy or frail, need to express sexual feelings.
Sexuality is normal throughout the life span, and older adults need to be able to
express their sexual feelings.
The nurse is working with an older adult after an acute hospitalization. The goal is
to help this person be more in touch with time, place, and person. Which
intervention will likely be most effective? - correct-answer -Reality orientation.
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Reality orientation is a communication technique that can help restore a sense of
reality, improve level of awareness, promote socialization, elevate independent
functioning, and minimize confusion.
A 71-year-old patient enters the emergency department after falling down stairs in
the home. The nurse is conducting a fall history with the patient and his wife. They
live in a one-level ranch home. He has had diabetes for over 15 years and
experiences some numbness in his feet. He wears bifocal glasses. His blood
pressure is stable at 130/70. The patient does not exercise regularly and states
that he experiences weakness in his legs when climbing stairs. He is alert,
oriented, and able to answer questions clearly. What are the fall risk factors for
this patient? - correct-answer -Impaired vision.
Leg weakness.
Exercise history.
Risk factors for falling include sensory changes such as visual loss, musculoskeletal
conditions affecting mobility (in this case weakness), and deconditioning (from
lack of exercise). The mere presence of a chronic disease is not a risk factor unless
it is a condition such as a neurological disorder that alters mobility or cognitive
function. The patient's blood pressure is stable, and there is no report of
orthostatic hypotension. A one-floor residence should not pose risks.
The nurse is completing a health history with the daughter of a newly admitted
patient who is confused and agitated. The daughter reports that her mother was
diagnosed with Alzheimer's disease 1 year ago but became extremely confused
last evening and was hallucinating. She was unable to calm her, and her mother
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thought she was a stranger. On the basis of this history, the nurse suspects that
the patient is experiencing: - correct-answer -Delirium.
Hallmark characteristics of delirium are acute confusion, hallucinations, and
agitation. It is not a new onset of dementia since she already has a diagnosis of
Alzheimer's disease and, as dementia worsens, we see a gradual rather than
sudden changes in memory usually not accompanied with hallucinations.
Depression does not present with acute confusion and agitation.
The nurse sees a 76-year-old woman in the outpatient clinic. She states that she
recently started noticing a glare in the lights at home. Her vision is blurred; and
she is unable to play cards with her friends, read, or do her needlework. The nurse
suspects that the woman may have: - correct-answer -Cataract(s).
Cataracts normally result in blurred vision, sensitivity to glare, and gradual loss of
vision. Presbyopia is a common eye condition resulting in a person having
difficulty adjusting to near and far vision. The symptoms are not reflective of
depression since her vision affects her ability to interact. She has not chosen to
avoid her friends.
A nurse is caring for a patient preparing for discharge from the hospital the next
day. The patient does not read. His family caregiver will be visiting before
discharge. What can the nurse do to facilitate the patient's understanding of his
discharge instructions? - correct-answer -Sit facing the patient so he is able to
watch your lip movements and facial expressions.
Present one idea or concept at a time.
NR222 HEALTH AND WELLNESS FINAL
EXAM 2026- WELL REVISED ASSESSMENT
EXAM WITH PERFECTLY ANSWERED
QUESTIONS
The psychosocial stresses of retirement are usually related to role changes with a
spouse or within the family and to loss of the work role. Often there are new
expectations of the retired person. This patient is not likely to become socially
isolated because of the size of the family. Whether the wife will have to work is
not a major concern at this time nor is the age of the patient.
A nursing student is caring for a 78-year-old patient with multiple sclerosis. The
patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the
patient's temperature was 37.1° C (98.8° F). The student reports her recent
assessment to the registered nurse (RN): the patient's temperature is 37.2° C (99°
F); the Foley catheter is still in place, draining dark urine; and the patient is
uncertain what time of day it is. From what the RN knows about presentation of
symptoms in older adults, what should he recommend first? - correct-answer -Tell
the student that he will notify the patient's health care provider of the findings
and recommend a urine culture.
The patient may have subtle symptoms of a urinary tract infection, as evidenced
by a slight increase in body temperature, development of confusion, and the dark-
colored urine. Temporary confusion is not a normal condition in older adults.
,2|Page
Increasing the fluid intake is acceptable but not a recommendation for the set of
symptoms the patient presents. The presenting set of symptoms is not normal.
Older adults frequently experience a change in sexual activity. Which best explains
this change? - correct-answer -Frequency and opportunities for sexual activity
may decline.
As a result of loss of a loved one or a chronic illness in themselves or their partner,
opportunities for sexual activity may decline. Aging does not change the need for
touch, and older adults are diverse.
Sexuality is maintained throughout our lives. Which of the following answers best
explains sexuality in an older adult? - correct-answer -All older adults, whether
healthy or frail, need to express sexual feelings.
Sexuality is normal throughout the life span, and older adults need to be able to
express their sexual feelings.
The nurse is working with an older adult after an acute hospitalization. The goal is
to help this person be more in touch with time, place, and person. Which
intervention will likely be most effective? - correct-answer -Reality orientation.
,3|Page
Reality orientation is a communication technique that can help restore a sense of
reality, improve level of awareness, promote socialization, elevate independent
functioning, and minimize confusion.
A 71-year-old patient enters the emergency department after falling down stairs in
the home. The nurse is conducting a fall history with the patient and his wife. They
live in a one-level ranch home. He has had diabetes for over 15 years and
experiences some numbness in his feet. He wears bifocal glasses. His blood
pressure is stable at 130/70. The patient does not exercise regularly and states
that he experiences weakness in his legs when climbing stairs. He is alert,
oriented, and able to answer questions clearly. What are the fall risk factors for
this patient? - correct-answer -Impaired vision.
Leg weakness.
Exercise history.
Risk factors for falling include sensory changes such as visual loss, musculoskeletal
conditions affecting mobility (in this case weakness), and deconditioning (from
lack of exercise). The mere presence of a chronic disease is not a risk factor unless
it is a condition such as a neurological disorder that alters mobility or cognitive
function. The patient's blood pressure is stable, and there is no report of
orthostatic hypotension. A one-floor residence should not pose risks.
The nurse is completing a health history with the daughter of a newly admitted
patient who is confused and agitated. The daughter reports that her mother was
diagnosed with Alzheimer's disease 1 year ago but became extremely confused
last evening and was hallucinating. She was unable to calm her, and her mother
, 4|Page
thought she was a stranger. On the basis of this history, the nurse suspects that
the patient is experiencing: - correct-answer -Delirium.
Hallmark characteristics of delirium are acute confusion, hallucinations, and
agitation. It is not a new onset of dementia since she already has a diagnosis of
Alzheimer's disease and, as dementia worsens, we see a gradual rather than
sudden changes in memory usually not accompanied with hallucinations.
Depression does not present with acute confusion and agitation.
The nurse sees a 76-year-old woman in the outpatient clinic. She states that she
recently started noticing a glare in the lights at home. Her vision is blurred; and
she is unable to play cards with her friends, read, or do her needlework. The nurse
suspects that the woman may have: - correct-answer -Cataract(s).
Cataracts normally result in blurred vision, sensitivity to glare, and gradual loss of
vision. Presbyopia is a common eye condition resulting in a person having
difficulty adjusting to near and far vision. The symptoms are not reflective of
depression since her vision affects her ability to interact. She has not chosen to
avoid her friends.
A nurse is caring for a patient preparing for discharge from the hospital the next
day. The patient does not read. His family caregiver will be visiting before
discharge. What can the nurse do to facilitate the patient's understanding of his
discharge instructions? - correct-answer -Sit facing the patient so he is able to
watch your lip movements and facial expressions.
Present one idea or concept at a time.
