CRN GERIATRICS
FINAL EXAM
QNS & ANS
MODULE 1
2023/2024
,When a fall results in injury and hospitalization, a cycle of disuse may occur over time. When
establishing a care plan for the patient and family to prevent this, it is important to remember
disuse is most likely a result of:
A. Decreasing muscle strength.
B. Decreased joint mobility.
C. Fear of repeated falls.
D. Changes in sensory perception.
What is the best resource (of those listed below) for identifying information regarding an older
adult's current functional ability?
A. Psychological tests and related exams
B. Diagnostic x-rays and lab tests
C. Family members who visit occasionally and call weekly
D. Neighbor who visits daily and helps the person to the store weekly.
When caring for an older adult patient, the nurse uses the following interventions to
accommodate visual changes with age:
A. Eye glasses in the bedside table.
B. Adequate lighting and uncluttered walkways.
C. Draw drapes in room to prevent glare.
D. Keep bedside rails down.
The primary reason an older adult client is more likely to develop a pressure ulcer on the elbow
as compared to a middle-age adult is:
A. A reduced skin elasticity is common in the older adult
B. The attachment between the epidermis and dermis is weaker
C. The older client has less subcutaneous padding on the elbows
D. Older adults have a poor diet that increases risk for pressure ulcers
While bathing an elderly client who has limited abilities for self-care, the nurse notices several
patches of dry skin on the clients heels, elbows, and coccyx. The nurse cleans and dries all the
areas well and applies a moisturizing lotion. The most appropriate immediate follow-up by the
nurse to ensure appropriate nursing care for this clients skin is to:
A. Revise the client's care plan to show the need for the application of moisturizing lotion
B. Assume personal responsibility to apply the moisturizing lotion daily to the client's skin
C. Encourage the client to tell whomever bathes her to apply the moisturizing lotion to her areas
of dry skin
,D. Inform the staff that the client's skin is showing signs of breakdown and moisturizing lotion
needs to be applied daily
A 76-year-old adult female is brought to a neighborhood client after being found wandering
around the local park. The client appears disheveled and reports being hungry. Which of the
following assessment and interview findings would cause the nurse to suspect elder abuse?
(Select all that apply.)
A. Falls asleep in the examination room
B. Repeatedly states, "Don't hurt me."
C. Chafing around wrists and ankles
D. Bruises in various stages of healing
One reason for medication problems in the elderly is that
1. Regular use of laxatives increases absorption of medications
2. Decreased renal function slows excretion of drugs
3. Enhanced sense of taste of medications
4. Increased perception of pain from injections
You are caring for a 78 year-old female cardiac patient. In preconference, your clinical instructor
asks you what is an age-related change in the cardiac system of the older adult? Your best
response would be
1. Decreased blood pressure
2. Decreased cardiac output
3. Increase ability to respond to stress
4. Increased heart recovery rate
The most common affective or mood disorder of old age is
1. dementia.
2. depression.
3. delirium.
4. Alzheimer's.
Your patient assigned to you has pneumonia. You are reviewing the age-related changed involved
with the older adult. Select all age-related changes of the respiratory system that apply.
1. Decreased in residual lung volume
2. Decreased gas exchange
3. Decreased cough efficiency
4. Increased gas exchange
The leading cause of injury and preventable source of mortality and morbidity in older adults is
1. presbycusis.
2. car accidents.
3. pneumonia.
4. falls.
, Which medication prevents the breakdown of a brain chemical important for memory and
thinking and may slow the progress of Alzheimer's disease.
1. memantine (Namenda)
2. ozazepam (Serax)
3. donepezil (Aricept)
4. citalopram (Celexa)
HESI 100 QUESTIONS
The cleansing of the stomach with solution delivered through a nasogastric tube is known as
what?
Gavage
Emesis
Lavage
Stomach pumping
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or other toxic
substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her daughter, with whom
she lives and who prepares many of her meals, asks what types of foods she should incorporate
into her diet and which she should avoid. Which of the following is NOT a food that this patient
should be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
Dialysis patients are encouraged to eat lean meat, including red meat. High quality proteins
produce less waste and help the body heal and maintain regular processes. Dialysis patients
should avoid foods high in potassium, including avocado, banana, and dried fruit, and should eat
other potassium-containing foods in moderation.
Your 89-year-old patient presents with dyspepsia and nausea. After testing, you determine she is
positive for Peptic Ulcer Disease. Of the following, which would LEAST likely be a differential
diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the condition
are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of smoking. Counseling
regarding smoking cessation is part of the GNP's job. The components of brief intervention for
treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
FINAL EXAM
QNS & ANS
MODULE 1
2023/2024
,When a fall results in injury and hospitalization, a cycle of disuse may occur over time. When
establishing a care plan for the patient and family to prevent this, it is important to remember
disuse is most likely a result of:
A. Decreasing muscle strength.
B. Decreased joint mobility.
C. Fear of repeated falls.
D. Changes in sensory perception.
What is the best resource (of those listed below) for identifying information regarding an older
adult's current functional ability?
A. Psychological tests and related exams
B. Diagnostic x-rays and lab tests
C. Family members who visit occasionally and call weekly
D. Neighbor who visits daily and helps the person to the store weekly.
When caring for an older adult patient, the nurse uses the following interventions to
accommodate visual changes with age:
A. Eye glasses in the bedside table.
B. Adequate lighting and uncluttered walkways.
C. Draw drapes in room to prevent glare.
D. Keep bedside rails down.
The primary reason an older adult client is more likely to develop a pressure ulcer on the elbow
as compared to a middle-age adult is:
A. A reduced skin elasticity is common in the older adult
B. The attachment between the epidermis and dermis is weaker
C. The older client has less subcutaneous padding on the elbows
D. Older adults have a poor diet that increases risk for pressure ulcers
While bathing an elderly client who has limited abilities for self-care, the nurse notices several
patches of dry skin on the clients heels, elbows, and coccyx. The nurse cleans and dries all the
areas well and applies a moisturizing lotion. The most appropriate immediate follow-up by the
nurse to ensure appropriate nursing care for this clients skin is to:
A. Revise the client's care plan to show the need for the application of moisturizing lotion
B. Assume personal responsibility to apply the moisturizing lotion daily to the client's skin
C. Encourage the client to tell whomever bathes her to apply the moisturizing lotion to her areas
of dry skin
,D. Inform the staff that the client's skin is showing signs of breakdown and moisturizing lotion
needs to be applied daily
A 76-year-old adult female is brought to a neighborhood client after being found wandering
around the local park. The client appears disheveled and reports being hungry. Which of the
following assessment and interview findings would cause the nurse to suspect elder abuse?
(Select all that apply.)
A. Falls asleep in the examination room
B. Repeatedly states, "Don't hurt me."
C. Chafing around wrists and ankles
D. Bruises in various stages of healing
One reason for medication problems in the elderly is that
1. Regular use of laxatives increases absorption of medications
2. Decreased renal function slows excretion of drugs
3. Enhanced sense of taste of medications
4. Increased perception of pain from injections
You are caring for a 78 year-old female cardiac patient. In preconference, your clinical instructor
asks you what is an age-related change in the cardiac system of the older adult? Your best
response would be
1. Decreased blood pressure
2. Decreased cardiac output
3. Increase ability to respond to stress
4. Increased heart recovery rate
The most common affective or mood disorder of old age is
1. dementia.
2. depression.
3. delirium.
4. Alzheimer's.
Your patient assigned to you has pneumonia. You are reviewing the age-related changed involved
with the older adult. Select all age-related changes of the respiratory system that apply.
1. Decreased in residual lung volume
2. Decreased gas exchange
3. Decreased cough efficiency
4. Increased gas exchange
The leading cause of injury and preventable source of mortality and morbidity in older adults is
1. presbycusis.
2. car accidents.
3. pneumonia.
4. falls.
, Which medication prevents the breakdown of a brain chemical important for memory and
thinking and may slow the progress of Alzheimer's disease.
1. memantine (Namenda)
2. ozazepam (Serax)
3. donepezil (Aricept)
4. citalopram (Celexa)
HESI 100 QUESTIONS
The cleansing of the stomach with solution delivered through a nasogastric tube is known as
what?
Gavage
Emesis
Lavage
Stomach pumping
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or other toxic
substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her daughter, with whom
she lives and who prepares many of her meals, asks what types of foods she should incorporate
into her diet and which she should avoid. Which of the following is NOT a food that this patient
should be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
Dialysis patients are encouraged to eat lean meat, including red meat. High quality proteins
produce less waste and help the body heal and maintain regular processes. Dialysis patients
should avoid foods high in potassium, including avocado, banana, and dried fruit, and should eat
other potassium-containing foods in moderation.
Your 89-year-old patient presents with dyspepsia and nausea. After testing, you determine she is
positive for Peptic Ulcer Disease. Of the following, which would LEAST likely be a differential
diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the condition
are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of smoking. Counseling
regarding smoking cessation is part of the GNP's job. The components of brief intervention for
treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
