Test Bank for Brunner and Suddarths Textbook of Medical
Surgical Nursing 14th Edition | 9781496355140 | All Chapters
with Answers and Rationals
Which neurotransmitter is implicated in depression?
Acetylcholine
Epinephrine
Atropine
Serotonin - ANSWER: Serotonin
Older adults, who are more subject to falls, may fracture one or more ribs and be more susceptible to
which condition after a rib fracture?
Pneumonia
Asthma attacks
Confusion
Bronchospasm - ANSWER: Pneumonia
During a home visit, the nurse notes that an older adult's health status has not improved with
prescribed medications. Which statement indicates to the nurse that the client may not be adhering
to the prescribed medication regimen?
"I put my morning medications next to my bed to take first thing in the morning."
"My neighbor brought me a pill box with compartments to organize my medications."
"That one little white pill that I take in the morning makes me feel sleepy all day."
"My pharmacy delivers, and I can pay the bill once a month when my check arrives." - ANSWER: "That
one little white pill that I take in the morning makes me feel sleepy all day."
The client asks the nurse why she seems to have bone changes since she has gotten older. What is the
best response by the nurse?
"Bone changes from aging result from a loss of magnesium."
"Bone changes from aging result from most medication therapies."
"Bone changes from aging result from a loss of calcium."
"Bone changes from aging result from a loss of vitamin absorption." - ANSWER: "Bone changes from
aging result from a loss of calcium."
The nurse identifies which of the following as an age-related change in the respiratory system?
Increased residual lung volume
Increased vital capacity
Increased diffusion capacity
Increased cough efficiency - ANSWER: Increased residual lung volume
A client with Alzheimer disease becomes agitated while the nurse is attempting to take vital signs.
What action by the nurse is most appropriate?
Place the client in a secluded room until calm.
Document the inability to assess vital signs due to client's agitation.
Continue taking the vital signs.
Distract the client with a familiar object or music. - ANSWER: Distract the client with a familiar object
or music.
, The nurse is working in a long-term care facility. When assessing her patients, what body system
dysfunction should the nurse look for as the leading cause of morbidity and mortality in the older
adult population?
Cardiovascular
Gastrointestinal
Respiratory
Genitourinary - ANSWER: Cardiovascular
The family of an older adult seeks medical attention for the client because of an increase in
inappropriate responses and avoidance of social interactions. On which body area will the nurse focus
when assessing the client?
Genitourinary system
Hearing
Respiratory system
Digestion - ANSWER: Hearing
Which is a factor that contributes to urinary incontinence in older female adults?
Detrusor stability
Increased bladder capacity
Relaxed perineal muscle
Decreased urinary residual - ANSWER: Relaxed perineal muscle
The nurse is attempting to take vital signs of an older adult hospitalized following knee surgery. The
client continuously yells, "It's 1999 and you are going to hurt me!" What action should the nurse do
first?
Assess for infection.
Reorient the patient.
Notify the physician.
Take the vital signs. - ANSWER: Reorient the patient.
To encourage adequate nutritional intake for a client with Alzheimer's disease, a nurse should:
help the client fill out his menu.
give the client privacy during meals.
stay with the client and encourage him to eat.
fill out the menu for the client. - ANSWER: stay with the client and encourage him to eat.
A nurse is providing a fall prevention clinic for a group of older adults. What information should the
nurse include? Select all that apply.
Place grab bars in the shower and tub
Frequently change the furniture layout in the home
Have routine vision and hearing screenings
Use scatter rugs on hard wood surfaces.
Review medications routinely for side effects
Wear nonslip shoes or socks when walking - ANSWER: Place grab bars in the shower and tub
Have routine vision and hearing screenings
Wear nonslip shoes or socks when walking
Review medications routinely for side effects
An age-related change associated with the cardiovascular system is?
Surgical Nursing 14th Edition | 9781496355140 | All Chapters
with Answers and Rationals
Which neurotransmitter is implicated in depression?
Acetylcholine
Epinephrine
Atropine
Serotonin - ANSWER: Serotonin
Older adults, who are more subject to falls, may fracture one or more ribs and be more susceptible to
which condition after a rib fracture?
Pneumonia
Asthma attacks
Confusion
Bronchospasm - ANSWER: Pneumonia
During a home visit, the nurse notes that an older adult's health status has not improved with
prescribed medications. Which statement indicates to the nurse that the client may not be adhering
to the prescribed medication regimen?
"I put my morning medications next to my bed to take first thing in the morning."
"My neighbor brought me a pill box with compartments to organize my medications."
"That one little white pill that I take in the morning makes me feel sleepy all day."
"My pharmacy delivers, and I can pay the bill once a month when my check arrives." - ANSWER: "That
one little white pill that I take in the morning makes me feel sleepy all day."
The client asks the nurse why she seems to have bone changes since she has gotten older. What is the
best response by the nurse?
"Bone changes from aging result from a loss of magnesium."
"Bone changes from aging result from most medication therapies."
"Bone changes from aging result from a loss of calcium."
"Bone changes from aging result from a loss of vitamin absorption." - ANSWER: "Bone changes from
aging result from a loss of calcium."
The nurse identifies which of the following as an age-related change in the respiratory system?
Increased residual lung volume
Increased vital capacity
Increased diffusion capacity
Increased cough efficiency - ANSWER: Increased residual lung volume
A client with Alzheimer disease becomes agitated while the nurse is attempting to take vital signs.
What action by the nurse is most appropriate?
Place the client in a secluded room until calm.
Document the inability to assess vital signs due to client's agitation.
Continue taking the vital signs.
Distract the client with a familiar object or music. - ANSWER: Distract the client with a familiar object
or music.
, The nurse is working in a long-term care facility. When assessing her patients, what body system
dysfunction should the nurse look for as the leading cause of morbidity and mortality in the older
adult population?
Cardiovascular
Gastrointestinal
Respiratory
Genitourinary - ANSWER: Cardiovascular
The family of an older adult seeks medical attention for the client because of an increase in
inappropriate responses and avoidance of social interactions. On which body area will the nurse focus
when assessing the client?
Genitourinary system
Hearing
Respiratory system
Digestion - ANSWER: Hearing
Which is a factor that contributes to urinary incontinence in older female adults?
Detrusor stability
Increased bladder capacity
Relaxed perineal muscle
Decreased urinary residual - ANSWER: Relaxed perineal muscle
The nurse is attempting to take vital signs of an older adult hospitalized following knee surgery. The
client continuously yells, "It's 1999 and you are going to hurt me!" What action should the nurse do
first?
Assess for infection.
Reorient the patient.
Notify the physician.
Take the vital signs. - ANSWER: Reorient the patient.
To encourage adequate nutritional intake for a client with Alzheimer's disease, a nurse should:
help the client fill out his menu.
give the client privacy during meals.
stay with the client and encourage him to eat.
fill out the menu for the client. - ANSWER: stay with the client and encourage him to eat.
A nurse is providing a fall prevention clinic for a group of older adults. What information should the
nurse include? Select all that apply.
Place grab bars in the shower and tub
Frequently change the furniture layout in the home
Have routine vision and hearing screenings
Use scatter rugs on hard wood surfaces.
Review medications routinely for side effects
Wear nonslip shoes or socks when walking - ANSWER: Place grab bars in the shower and tub
Have routine vision and hearing screenings
Wear nonslip shoes or socks when walking
Review medications routinely for side effects
An age-related change associated with the cardiovascular system is?
