Basic Geriatric Nursing Chapter 008,010,011,012 Revised
exam test Bank 2023/2024 VERIFIED
CHAPTER 8 NOTES correct answers
Which assessment tool is most highly regarded and often used to determine the mental status of the
older adult? correct answers The Mini-Cog
When assessing the respiratory system of an older adult, the nurse hears continuous, coarse, low-
pitched sounds. How would these sounds be reported? correct answers Gurgles (low-pitched wheezes)
When taking a racial pulse of an older adult, the nurse finds it difficult to count a weak and thready
pulse. What should the nurse do? correct answers Take an apical pulse instead.
When performing an assessment of the gastrointestinal system of an older adult, the nurse would
proceed in what order? Place the parts of a gastrointestinal system assessment in sequence from first to
last. correct answers 1.) Obtain a health history
2.) Inspect the oral cavity
3.) Observe abdomen for scars
4.) Auscultate bowel sounds
5.) Palpate abdomen
When performing an interview with an older adult, the nurse should consider physical environment
factors by: correct answers *Explaining what will take place during the assessment
*Ensuring privacy and minimum noise levels
*Selecting a room with a comfortable temperature
*Seeking a location in close proximity to a restroom
The nurse is preparing to assess the blood pressure of a patient and measures the patient s arm to
determine the proper sized cuff. The diameter of the patient s arm is 50 cm. How wide should the blood
pressure cuff be? correct answers 60
Older adults developing various disease processes may present with different symptoms from younger
adults. The nurse would be concerned about which disease if the patient were to demonstrate a
decreased appetite, constipation, and changes to his sleep pattern in which he is awake at night and
sleeps during the day? correct answers Depression
The nurse is assessing a patient and counts a respiratory rate of 8 breaths per minute. The nurse should
be concerned about which condition? correct answers Impending infection
The 71-year-old patient presents to the clinic for her routine exam. While reviewing the patient's chart,
the nurse notes the patient's most recent blood pressure screening, mammogram, and clinical breast
exam were performed at age 70. She last had her cholesterol levels checked at age 68. Her last guaiac
test and colonoscopy were performed at age 69. The nurse knows this patient should have which
screening test(s) performed? correct answers * Guaiac test
* Blood pressure
, * Screening for obesity
The patient presents to the clinic complaining of abdominal pain. Which information should be charted
as objective data? correct answers Patient is hunched in her chair, clutching her abdomen
The nurse is recording subjective data of a patient recently admitted following a myocardial infarction.
The patient states, "I have never been so scared in my life. On Tuesday, it felt like an elephant was sitting
on my chest and I couldn't catch my breath." How should the nurse chart this information? correct
answers "The patient stated, 'I have never been so scared in my life. On Tuesday, it felt like an elephant
was sitting on my chest and I couldn't catch my breath'"
The nurse is interviewing the patient who has recently been admitted to the long term care facility with
the patient's son present. Although the nurse directly addresses the patient with each question, the
patient's son interrupts and answers the question for the patient. How should the nurse best handle this
situation? correct answers Request the patient's son allow the patient to answer the questions
The nurse in the long term care facility knows each resident will be assessed using which comprehensive
tool to determine care needs and appropriate interventions? correct answers Minimum Data Set 3.0
The nurse palpates for the 78-year-old patient's radial pulse and counts 82 beats in one minute. Then,
the nurse auscultates the patient's apical pulse and counts 94 beats per minute. The nurse knows which
term describes this discrepancy? correct answers Pulse deficit
The nurse is assessing the older adult patient using the SPICES screening tool. Which questions would be
helpful to complete the screening tool? correct answers * "Have you fallen in the past 3 months?"
* "Do you have difficulty getting to the bathroom on time?"
* "Have you noticed your sleep patterns have changed in the past year?"
Health screenings are done to correct answers identify older adults who need further assessment.
Which of the following statements is an example of objective data? correct answers Blood pressure is
150/65 mm Hg.
Why is it essential to collect accurate and complete data? correct answers Nursing diagnoses and plan of
care are formulated based on data
It is more precise to correct answers take a temperature reading.
Which environment would be best for conducting an interview with an older adult? correct answers A
warm, diffusely lit patient room with access to a bathroom
At first contact, the proper way to address the older adult women is correct answers Ms., Mrs.
Which method is the most commonly used during physical assessment? correct answers Inspection
Which method uses the sense of touch to obtain data? correct answers Palpation
Which method is used to evaluate heart sounds? correct answers Auscultation
exam test Bank 2023/2024 VERIFIED
CHAPTER 8 NOTES correct answers
Which assessment tool is most highly regarded and often used to determine the mental status of the
older adult? correct answers The Mini-Cog
When assessing the respiratory system of an older adult, the nurse hears continuous, coarse, low-
pitched sounds. How would these sounds be reported? correct answers Gurgles (low-pitched wheezes)
When taking a racial pulse of an older adult, the nurse finds it difficult to count a weak and thready
pulse. What should the nurse do? correct answers Take an apical pulse instead.
When performing an assessment of the gastrointestinal system of an older adult, the nurse would
proceed in what order? Place the parts of a gastrointestinal system assessment in sequence from first to
last. correct answers 1.) Obtain a health history
2.) Inspect the oral cavity
3.) Observe abdomen for scars
4.) Auscultate bowel sounds
5.) Palpate abdomen
When performing an interview with an older adult, the nurse should consider physical environment
factors by: correct answers *Explaining what will take place during the assessment
*Ensuring privacy and minimum noise levels
*Selecting a room with a comfortable temperature
*Seeking a location in close proximity to a restroom
The nurse is preparing to assess the blood pressure of a patient and measures the patient s arm to
determine the proper sized cuff. The diameter of the patient s arm is 50 cm. How wide should the blood
pressure cuff be? correct answers 60
Older adults developing various disease processes may present with different symptoms from younger
adults. The nurse would be concerned about which disease if the patient were to demonstrate a
decreased appetite, constipation, and changes to his sleep pattern in which he is awake at night and
sleeps during the day? correct answers Depression
The nurse is assessing a patient and counts a respiratory rate of 8 breaths per minute. The nurse should
be concerned about which condition? correct answers Impending infection
The 71-year-old patient presents to the clinic for her routine exam. While reviewing the patient's chart,
the nurse notes the patient's most recent blood pressure screening, mammogram, and clinical breast
exam were performed at age 70. She last had her cholesterol levels checked at age 68. Her last guaiac
test and colonoscopy were performed at age 69. The nurse knows this patient should have which
screening test(s) performed? correct answers * Guaiac test
* Blood pressure
, * Screening for obesity
The patient presents to the clinic complaining of abdominal pain. Which information should be charted
as objective data? correct answers Patient is hunched in her chair, clutching her abdomen
The nurse is recording subjective data of a patient recently admitted following a myocardial infarction.
The patient states, "I have never been so scared in my life. On Tuesday, it felt like an elephant was sitting
on my chest and I couldn't catch my breath." How should the nurse chart this information? correct
answers "The patient stated, 'I have never been so scared in my life. On Tuesday, it felt like an elephant
was sitting on my chest and I couldn't catch my breath'"
The nurse is interviewing the patient who has recently been admitted to the long term care facility with
the patient's son present. Although the nurse directly addresses the patient with each question, the
patient's son interrupts and answers the question for the patient. How should the nurse best handle this
situation? correct answers Request the patient's son allow the patient to answer the questions
The nurse in the long term care facility knows each resident will be assessed using which comprehensive
tool to determine care needs and appropriate interventions? correct answers Minimum Data Set 3.0
The nurse palpates for the 78-year-old patient's radial pulse and counts 82 beats in one minute. Then,
the nurse auscultates the patient's apical pulse and counts 94 beats per minute. The nurse knows which
term describes this discrepancy? correct answers Pulse deficit
The nurse is assessing the older adult patient using the SPICES screening tool. Which questions would be
helpful to complete the screening tool? correct answers * "Have you fallen in the past 3 months?"
* "Do you have difficulty getting to the bathroom on time?"
* "Have you noticed your sleep patterns have changed in the past year?"
Health screenings are done to correct answers identify older adults who need further assessment.
Which of the following statements is an example of objective data? correct answers Blood pressure is
150/65 mm Hg.
Why is it essential to collect accurate and complete data? correct answers Nursing diagnoses and plan of
care are formulated based on data
It is more precise to correct answers take a temperature reading.
Which environment would be best for conducting an interview with an older adult? correct answers A
warm, diffusely lit patient room with access to a bathroom
At first contact, the proper way to address the older adult women is correct answers Ms., Mrs.
Which method is the most commonly used during physical assessment? correct answers Inspection
Which method uses the sense of touch to obtain data? correct answers Palpation
Which method is used to evaluate heart sounds? correct answers Auscultation
