NUR257 Exam 3 – Concepts of Aging & Chronic
Illness in Nursing
Focus on-
Aging
Chronic illness
Nursing interventions
Ethical/legal issues, pharmacology
Psychosocial aspects
Patient-centered care
Q1 Which physiological change is most common in normal aging?
A. Increased cardiac output
B. Decreased renal filtration rate
C. Increased lung elasticity
D. Increased bone density
Q2 A nurse caring for an older adult with dementia should prioritize which intervention?
A. Encourage independent medication management
B. Provide frequent orientation cues
C. Limit social interaction
D. Avoid routine schedules
Q3 Polypharmacy in older adults increases the risk of:
A. Improved adherence
B. Drug interactions
C. Enhanced therapeutic effect
D. Faster metabolism
Q4 Which chronic illness is most strongly associated with neuropathic pain in older
adults?
A. Hypertension
B. Diabetes mellitus
C. Osteoarthritis
D. COPD
Q5 The most effective nursing intervention to reduce fall risk in elderly patients is:
A. Encourage bed rest
B. Provide adequate lighting
C. Restrict mobility
D. Increase sedative use
Q6 Which psychosocial theory of aging emphasizes withdrawal from social roles?
A. Activity theory
,B. Continuity theory
C. Disengagement theory
D. Modernization theory
Q7 An older adult with chronic heart failure reports fatigue and shortness of breath. The
priority nursing action is:
A. Encourage fluid intake
B. Assess oxygen saturation
C. Increase physical activity
D. Discontinue medications
Q8 Which nutritional recommendation is most appropriate for older adults with
osteoporosis?
A. Increase sodium intake
B. Increase calcium and vitamin D intake
C. Reduce protein intake
D. Avoid dairy products
Q9 A nurse suspects elder abuse. The best initial action is to:
A. Confront the suspected abuser
B. Document findings and report according to policy
C. Ignore unless the patient complains
D. Immediately discharge the patient
Q10 Which intervention best supports autonomy in older adults with chronic illness?
A. Making all decisions for the patient
B. Encouraging participation in care planning
C. Limiting choices to reduce confusion
D. Avoiding patient input
Q11 Which chronic illness is most associated with brittle bones in older adults?
A. COPD
B. Osteoporosis
C. Diabetes
D. Hypertension
Q12 The most common cause of visual impairment in aging is:
A. Glaucoma
B. Cataracts
C. Retinoblastoma
D. Strabismus
Q13 Which nursing intervention best supports medication adherence in older adults?
A. Complex dosing schedules
B. Use of pill organizers
C. Frequent medication changes
, D. Limiting patient education
Q14 A nurse teaching an older adult about hypertension management should
emphasize:
A. Avoiding all physical activity
B. Reducing sodium intake
C. Increasing caffeine intake
D. Skipping medications when feeling well
Q15 Which chronic illness is most associated with dyspnea and barrel chest?
A. Asthma
B. COPD
C. Heart failure
D. Pneumonia
Q16 The best nursing approach to address loneliness in older adults is:
A. Encourage social engagement
B. Limit family visits
C. Promote isolation
D. Reduce communication opportunities
Q17 Which age-related change increases risk of constipation?
A. Increased peristalsis
B. Decreased GI motility
C. Increased saliva production
D. Increased gastric acid secretion
Q18 The primary goal of palliative care in chronic illness is:
A. Cure disease
B. Prolong life at all costs
C. Enhance quality of life
D. Prevent aging
Q19 Which chronic illness is most associated with tremors and rigidity?
A. Alzheimer’s disease
B. Parkinson’s disease
C. Osteoarthritis
D. Stroke
Q20 A nurse suspects delirium in an older adult. The hallmark feature is:
A. Gradual memory loss
B. Sudden onset confusion
C. Long-term cognitive decline
D. Stable orientation
Q21 Which intervention best prevents pressure ulcers in immobile older adults?
Illness in Nursing
Focus on-
Aging
Chronic illness
Nursing interventions
Ethical/legal issues, pharmacology
Psychosocial aspects
Patient-centered care
Q1 Which physiological change is most common in normal aging?
A. Increased cardiac output
B. Decreased renal filtration rate
C. Increased lung elasticity
D. Increased bone density
Q2 A nurse caring for an older adult with dementia should prioritize which intervention?
A. Encourage independent medication management
B. Provide frequent orientation cues
C. Limit social interaction
D. Avoid routine schedules
Q3 Polypharmacy in older adults increases the risk of:
A. Improved adherence
B. Drug interactions
C. Enhanced therapeutic effect
D. Faster metabolism
Q4 Which chronic illness is most strongly associated with neuropathic pain in older
adults?
A. Hypertension
B. Diabetes mellitus
C. Osteoarthritis
D. COPD
Q5 The most effective nursing intervention to reduce fall risk in elderly patients is:
A. Encourage bed rest
B. Provide adequate lighting
C. Restrict mobility
D. Increase sedative use
Q6 Which psychosocial theory of aging emphasizes withdrawal from social roles?
A. Activity theory
,B. Continuity theory
C. Disengagement theory
D. Modernization theory
Q7 An older adult with chronic heart failure reports fatigue and shortness of breath. The
priority nursing action is:
A. Encourage fluid intake
B. Assess oxygen saturation
C. Increase physical activity
D. Discontinue medications
Q8 Which nutritional recommendation is most appropriate for older adults with
osteoporosis?
A. Increase sodium intake
B. Increase calcium and vitamin D intake
C. Reduce protein intake
D. Avoid dairy products
Q9 A nurse suspects elder abuse. The best initial action is to:
A. Confront the suspected abuser
B. Document findings and report according to policy
C. Ignore unless the patient complains
D. Immediately discharge the patient
Q10 Which intervention best supports autonomy in older adults with chronic illness?
A. Making all decisions for the patient
B. Encouraging participation in care planning
C. Limiting choices to reduce confusion
D. Avoiding patient input
Q11 Which chronic illness is most associated with brittle bones in older adults?
A. COPD
B. Osteoporosis
C. Diabetes
D. Hypertension
Q12 The most common cause of visual impairment in aging is:
A. Glaucoma
B. Cataracts
C. Retinoblastoma
D. Strabismus
Q13 Which nursing intervention best supports medication adherence in older adults?
A. Complex dosing schedules
B. Use of pill organizers
C. Frequent medication changes
, D. Limiting patient education
Q14 A nurse teaching an older adult about hypertension management should
emphasize:
A. Avoiding all physical activity
B. Reducing sodium intake
C. Increasing caffeine intake
D. Skipping medications when feeling well
Q15 Which chronic illness is most associated with dyspnea and barrel chest?
A. Asthma
B. COPD
C. Heart failure
D. Pneumonia
Q16 The best nursing approach to address loneliness in older adults is:
A. Encourage social engagement
B. Limit family visits
C. Promote isolation
D. Reduce communication opportunities
Q17 Which age-related change increases risk of constipation?
A. Increased peristalsis
B. Decreased GI motility
C. Increased saliva production
D. Increased gastric acid secretion
Q18 The primary goal of palliative care in chronic illness is:
A. Cure disease
B. Prolong life at all costs
C. Enhance quality of life
D. Prevent aging
Q19 Which chronic illness is most associated with tremors and rigidity?
A. Alzheimer’s disease
B. Parkinson’s disease
C. Osteoarthritis
D. Stroke
Q20 A nurse suspects delirium in an older adult. The hallmark feature is:
A. Gradual memory loss
B. Sudden onset confusion
C. Long-term cognitive decline
D. Stable orientation
Q21 Which intervention best prevents pressure ulcers in immobile older adults?
