Adult Health
A nurse is caring for an older adult client who has diabetes mellitus. The client reports loss of
peripheral vision. For which of the following is the client at risk?
a) cataracts
b) macular degeneration
c) glaucoma
d) presbyopia - ANS c) glaucoma
The nurse teaches a student nurse about health care disparities and older adult women. Which
statement, if made by the student nurse, would indicate an understanding of the teaching?
a) "Women have a shorter life expectancy than men."
b) "Women have fewer financial resources than men."
c) "Women are not likely to be a caregiver to their spouses."
d) "Women more often have age-related cognitive impairments." - ANS b) "Women have fewer
financial resources than men."
An older adult male is having his blood pressure checked by the nurse at the senior center,
where the nurse notes large bruises on both of his upper arms. When questioned by the nurse
about the cause of the bruises, the patient responds, "I must have bumped myself." Which is the
most appropriate initial action for the nurse to take?
a) Ask the patient if anyone has been mistreating him.
b) Report the finding to the state agency for elder abuse.
c) Question the patient about his living situation and activities.
d) Reassure the patient that information will be confidential. - ANS c) Question the patient
about his living situation and activities.
Which patient would the nurse determine is at highest risk for untreated hypertension?
a) 62-year-old Asian American female who is able to read
b) 74-year-old upper middle class female who is not married
c) 46-year-old African American male without health insurance
d) 58-year-old white male who has a high school education - ANS c) 46-year-old African
American male without health insurance
A patient admitted to the emergency department after an auto crash is found to have a blood
alcohol concentration of 210 mg/dL (0.21 mg%). The patient is alert, can relate information
related to the crash, and does not appear intoxicated. Which action by the nurse is most
appropriate?
A) Request a repeat blood test be completed.
B) Obtain an accurate history of alcohol intake.
C) Administer the antidote for alcohol intoxication.
D) Assess the patient for alcohol withdrawal delirium. - ANS B) Obtain an accurate history of
alcohol intake.
Short Michigan Alcoholism Screening Test - ANS as a short-form alcoholism-screening
instrument for older adults. it can can identify those with a potential AUD.
Which client should the nurse in the emergency department see FIRST?
a) A client with sudden onset eye pain
b) A client with an intraoccular pressure of 12mmHg
c) A client with a blood pressure of 140/80
A nurse is caring for an older adult client who has diabetes mellitus. The client reports loss of
peripheral vision. For which of the following is the client at risk?
a) cataracts
b) macular degeneration
c) glaucoma
d) presbyopia - ANS c) glaucoma
The nurse teaches a student nurse about health care disparities and older adult women. Which
statement, if made by the student nurse, would indicate an understanding of the teaching?
a) "Women have a shorter life expectancy than men."
b) "Women have fewer financial resources than men."
c) "Women are not likely to be a caregiver to their spouses."
d) "Women more often have age-related cognitive impairments." - ANS b) "Women have fewer
financial resources than men."
An older adult male is having his blood pressure checked by the nurse at the senior center,
where the nurse notes large bruises on both of his upper arms. When questioned by the nurse
about the cause of the bruises, the patient responds, "I must have bumped myself." Which is the
most appropriate initial action for the nurse to take?
a) Ask the patient if anyone has been mistreating him.
b) Report the finding to the state agency for elder abuse.
c) Question the patient about his living situation and activities.
d) Reassure the patient that information will be confidential. - ANS c) Question the patient
about his living situation and activities.
Which patient would the nurse determine is at highest risk for untreated hypertension?
a) 62-year-old Asian American female who is able to read
b) 74-year-old upper middle class female who is not married
c) 46-year-old African American male without health insurance
d) 58-year-old white male who has a high school education - ANS c) 46-year-old African
American male without health insurance
A patient admitted to the emergency department after an auto crash is found to have a blood
alcohol concentration of 210 mg/dL (0.21 mg%). The patient is alert, can relate information
related to the crash, and does not appear intoxicated. Which action by the nurse is most
appropriate?
A) Request a repeat blood test be completed.
B) Obtain an accurate history of alcohol intake.
C) Administer the antidote for alcohol intoxication.
D) Assess the patient for alcohol withdrawal delirium. - ANS B) Obtain an accurate history of
alcohol intake.
Short Michigan Alcoholism Screening Test - ANS as a short-form alcoholism-screening
instrument for older adults. it can can identify those with a potential AUD.
Which client should the nurse in the emergency department see FIRST?
a) A client with sudden onset eye pain
b) A client with an intraoccular pressure of 12mmHg
c) A client with a blood pressure of 140/80
