Joyce University NUR198 Exam 1 Questions and
Answers with Complete Solutions | 2026 Update
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Terms in this set (115)
integumentary changes of older - decreased skin turgor, subcutaneous fat, and
adults connective tissue leading to wrinkles and dry,
transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes -decreased chest wall movement, vital capacity,
of older adults and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
neurologic changes of older adults -slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
,gastrointestinal changes of older -decreased saliva production
adults -decreased digestive enzymes
-decreased intestinal motility leading to
constipation
-increased dental problems
musculoskeletal changes of older -decreased height
adults -decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older -decreased bladder capacity
adults -prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults -lowered T3 production
-decreased sensitivity to insulin
immune system changes of older -decreased antibodies
adults -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 C, D, E
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
delirium -acute + temporary
-often caused by physiological source or change
in environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation delirium
of a UTI in older adults?
dementia Chronic, progressive
Ex. Alzheimer's, vascular dementia
, A nurse is counseling an older adult D. "I keep forgetting which medications I have
who describes having difficulty taken during the day."
dealing with several issues. Which
of the following problems Explanation: The nurse should identify that the
verbalized by the client should the greatest risk to this client is injury from
nurse identify as the priority? overdosing or underdosing medications due to
A. "I spent my whole life dreaming loss of short-term memory. The priority issue is to
about retirement, and now I wish I assist the client to implement safe medication
had my job back." strategies. Assist the client to use a pill organizer
B. "It's been so stressful for me to to help them remember to take their medications
have to depend on my child to help and to keep a list of all current medications.
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."
A nurse is caring for an older adult C. decreased skin elasticity
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
Answers with Complete Solutions | 2026 Update
Save
Terms in this set (115)
integumentary changes of older - decreased skin turgor, subcutaneous fat, and
adults connective tissue leading to wrinkles and dry,
transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes -decreased chest wall movement, vital capacity,
of older adults and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
neurologic changes of older adults -slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
,gastrointestinal changes of older -decreased saliva production
adults -decreased digestive enzymes
-decreased intestinal motility leading to
constipation
-increased dental problems
musculoskeletal changes of older -decreased height
adults -decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older -decreased bladder capacity
adults -prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults -lowered T3 production
-decreased sensitivity to insulin
immune system changes of older -decreased antibodies
adults -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 C, D, E
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
delirium -acute + temporary
-often caused by physiological source or change
in environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation delirium
of a UTI in older adults?
dementia Chronic, progressive
Ex. Alzheimer's, vascular dementia
, A nurse is counseling an older adult D. "I keep forgetting which medications I have
who describes having difficulty taken during the day."
dealing with several issues. Which
of the following problems Explanation: The nurse should identify that the
verbalized by the client should the greatest risk to this client is injury from
nurse identify as the priority? overdosing or underdosing medications due to
A. "I spent my whole life dreaming loss of short-term memory. The priority issue is to
about retirement, and now I wish I assist the client to implement safe medication
had my job back." strategies. Assist the client to use a pill organizer
B. "It's been so stressful for me to to help them remember to take their medications
have to depend on my child to help and to keep a list of all current medications.
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."
A nurse is caring for an older adult C. decreased skin elasticity
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
