NU 226 Exam 3 Practice Questions – Nursing Leadership & Management Review Guide and
Study Material
Which of the following assessment findings of a male client age 77 years should signal the nurse
to a potentially pathologic finding, rather than a normal age-related change? - ANS ✔✔The
client is oriented to person and place but is unsure of the month.
Explanation: Age-related physiologic changes include a weakening of bladder emptying,
presbycusis (hearing loss), and a slow gait that may be accompanied by stooped posture.
Disorientation to time, however, should always prompt the nurse to perform further assessment
A group of nursing students is reviewing information about the older adult and mobility. The
students demonstrate a need for additional study when they identify which statement as
accurate? - ANS ✔✔Falls are the leading cause of death due to injury in individuals who are
over the age of 75 years.
Explanation: This is FALSE because for people >65 years, falls are the leading cause of
injury=death. Risk for falls= history of falls, fear, cognitive/ mood impairments, dizziness,
functional impairments, and environmental hazards. Fear of falling and striving for
independence. Medications and other complications.
A nurse is caring for an older adult client who has been confined to bed for several weeks
following a fall. The client has been exhibiting symptoms of sundowner's syndrome. Which of
the following are characteristics of sundowner's syndrome? - ANS ✔✔Feeling agitated and
wakeful at night.
Explanation: Awakening more frequently, requiring longer time to fall asleep, or napping during
the daytime are a natural part of aging.
After graduation, if you especially want to care for the aged population, you would consider the
nursing specialty that focuses on the health and illnesses of the aging. This specialty is: - ANS
✔✔Gerontologic nursing.
,Explanation: combines the knowledge and skills of nursing with specialized focus on the aging in
both health and illness. Ex. hospice.
The middle adult is sometimes called the "sandwich generation". According to Erikson, the
developmental task of the middle adult is what? - ANS ✔✔Generativity versus stagnation.
Explanation: guiding the next generation, accepting their own changes and adjusting to need of
aging parents, as well as evaluating their own goals and accomplishments.
The nurse is assigned to care for a client age 87 years admitted to the medical unit for
congestive heart failure. It is the fourth hospital day, and the response to treatment has been
good. The client is no longer short of breath and the lung sounds are clearing. There is still a diet
restriction of decreased sodium and fluids are limited to no more than 1000 mL per day. The
nurse is preparing the client and family for discharge. The nurse's discharge education, in order
to promote the older client's health, will include which instructions? Select all that apply. - ANS
✔✔Gradually increase activity as tolerated.
Increased stress may interfere with recovery.
Do not use the salt shaker at meals.
The nurse practitioner is examining a 55-year-old female client. Which of the following findings
would be uncommon for this age group? - ANS ✔✔Lower extremity pulses are weak.
A nursing student is studying the normal physiologic changes of older adults. The faculty
member knows that the student comprehends the information when the student makes which
statements? Select all that apply. - ANS ✔✔There is an increased sensitivity to glare.
Fluids and electrolytes remain within normal findings.
Height may decrease 1-3 in.
, A nurse is assessing middle-age adults living in a retirement community. What behavior would
the nurse typically see in the middle-age adult? - ANS ✔✔Looks inward, accepts life span as
having definite boundaries, and has special interest in spouse, friends, and community.
A nurse encourages residents of a long-term care facility to continue a similar pattern of
behavior and activity that existed in their middle adulthood years to ensure healthy aging. This
intervention is based on which aging theory? - ANS ✔✔identity-continuity theory.
Explanation: theory assumes that healthy aging is related to the older adult's ability to continue
similar patterns of behavior from young and middle adulthood.
Erikson identified ego integrity vs. despair and disgust as the last stage of human development,
which begins at about 60 years of age. Which intervention would best foster older clients' ego
integrity? - ANS ✔✔Encouraging life review.
Explanation: a way for an older adult to relive and restructure life experiences and is part of
achieving ego integrity.
A nurse is preparing a presentation for a group of older adults about promoting safety while
maintaining their mobility. Based on the nurse's understanding of factors placing the older adult
at risk for falls, which area would the nurse most likely address? Select all that apply. - ANS
✔✔Environment hazards.
Medication use.
Diminished strength.
Explanation: medications affecting balance, thinking, memory, and elimination; impaired vision;
environmental hazards (e.g., slippery floors, throw rugs, poor lighting); decreased strength; loss
of bone mass; and neurological and musculoskeletal problems.
A 78-year-old woman is status post right hip fracture after a fall. She has stopped going to her
church over the past few months. She has also asked her neighbor to help her and do her
Study Material
Which of the following assessment findings of a male client age 77 years should signal the nurse
to a potentially pathologic finding, rather than a normal age-related change? - ANS ✔✔The
client is oriented to person and place but is unsure of the month.
Explanation: Age-related physiologic changes include a weakening of bladder emptying,
presbycusis (hearing loss), and a slow gait that may be accompanied by stooped posture.
Disorientation to time, however, should always prompt the nurse to perform further assessment
A group of nursing students is reviewing information about the older adult and mobility. The
students demonstrate a need for additional study when they identify which statement as
accurate? - ANS ✔✔Falls are the leading cause of death due to injury in individuals who are
over the age of 75 years.
Explanation: This is FALSE because for people >65 years, falls are the leading cause of
injury=death. Risk for falls= history of falls, fear, cognitive/ mood impairments, dizziness,
functional impairments, and environmental hazards. Fear of falling and striving for
independence. Medications and other complications.
A nurse is caring for an older adult client who has been confined to bed for several weeks
following a fall. The client has been exhibiting symptoms of sundowner's syndrome. Which of
the following are characteristics of sundowner's syndrome? - ANS ✔✔Feeling agitated and
wakeful at night.
Explanation: Awakening more frequently, requiring longer time to fall asleep, or napping during
the daytime are a natural part of aging.
After graduation, if you especially want to care for the aged population, you would consider the
nursing specialty that focuses on the health and illnesses of the aging. This specialty is: - ANS
✔✔Gerontologic nursing.
,Explanation: combines the knowledge and skills of nursing with specialized focus on the aging in
both health and illness. Ex. hospice.
The middle adult is sometimes called the "sandwich generation". According to Erikson, the
developmental task of the middle adult is what? - ANS ✔✔Generativity versus stagnation.
Explanation: guiding the next generation, accepting their own changes and adjusting to need of
aging parents, as well as evaluating their own goals and accomplishments.
The nurse is assigned to care for a client age 87 years admitted to the medical unit for
congestive heart failure. It is the fourth hospital day, and the response to treatment has been
good. The client is no longer short of breath and the lung sounds are clearing. There is still a diet
restriction of decreased sodium and fluids are limited to no more than 1000 mL per day. The
nurse is preparing the client and family for discharge. The nurse's discharge education, in order
to promote the older client's health, will include which instructions? Select all that apply. - ANS
✔✔Gradually increase activity as tolerated.
Increased stress may interfere with recovery.
Do not use the salt shaker at meals.
The nurse practitioner is examining a 55-year-old female client. Which of the following findings
would be uncommon for this age group? - ANS ✔✔Lower extremity pulses are weak.
A nursing student is studying the normal physiologic changes of older adults. The faculty
member knows that the student comprehends the information when the student makes which
statements? Select all that apply. - ANS ✔✔There is an increased sensitivity to glare.
Fluids and electrolytes remain within normal findings.
Height may decrease 1-3 in.
, A nurse is assessing middle-age adults living in a retirement community. What behavior would
the nurse typically see in the middle-age adult? - ANS ✔✔Looks inward, accepts life span as
having definite boundaries, and has special interest in spouse, friends, and community.
A nurse encourages residents of a long-term care facility to continue a similar pattern of
behavior and activity that existed in their middle adulthood years to ensure healthy aging. This
intervention is based on which aging theory? - ANS ✔✔identity-continuity theory.
Explanation: theory assumes that healthy aging is related to the older adult's ability to continue
similar patterns of behavior from young and middle adulthood.
Erikson identified ego integrity vs. despair and disgust as the last stage of human development,
which begins at about 60 years of age. Which intervention would best foster older clients' ego
integrity? - ANS ✔✔Encouraging life review.
Explanation: a way for an older adult to relive and restructure life experiences and is part of
achieving ego integrity.
A nurse is preparing a presentation for a group of older adults about promoting safety while
maintaining their mobility. Based on the nurse's understanding of factors placing the older adult
at risk for falls, which area would the nurse most likely address? Select all that apply. - ANS
✔✔Environment hazards.
Medication use.
Diminished strength.
Explanation: medications affecting balance, thinking, memory, and elimination; impaired vision;
environmental hazards (e.g., slippery floors, throw rugs, poor lighting); decreased strength; loss
of bone mass; and neurological and musculoskeletal problems.
A 78-year-old woman is status post right hip fracture after a fall. She has stopped going to her
church over the past few months. She has also asked her neighbor to help her and do her
