and CORRECT Answers
1. Paulina is a 76 year old patient with urinary tract infection. The most dependable sign of
infection in the older patient is:
a. Change in mental status
b. Fever and chills
c. Pleuritic chest pain during inspiratory phase
d. Decreased breath sounds with crackles - CORRECT ANSWER- ✔✔d. Decreased breath
sounds with crackles
2. A 67 year old female client is currently admitted for breast cancer. However, during
examination, you observed that the patient has shallow respirations but no sign of respiratory
distress. Which of the following isn't ABNORMAL physiologic change related to aging?
a. Increased elastic recoil of the lungs
b. Increased number of functional capillaries in the alveoli
c. Decreased residual volume
d. Decreased vital capacity - CORRECT ANSWER- ✔✔d. Decreased vital capacity
3. Tatay Clarito has been experiencing urinary incontinence. You know that her risk of
urinary incontinence increases because of which of the following changes?
a. Dilated urethra
b. Shrinkage of penis
c. Diuretic use
d. Decreased bladder capacity - CORRECT ANSWER- ✔✔d. Decreased bladder capacity
4. Nurse Delia works in a nursing home. In order to care for the fragile skin among the
elderly, she should exclude the following:
I. Apply lotion or cream on the skin
, II. Daily full bath
III. Provide sponge bath alternately with full bath
IV. Rub wash cloth briskly on the skin
a. 1 only
b. 2 and 4
c. 4 only
d. 1 and 3 - CORRECT ANSWER- ✔✔b. 2 and 4
5. Orlando is a 78 years old who had been bedridden for almost a year due to generalized
weakness. The following are appropriate nursing actions to prevent postural hypotension in
an elderly client except:
a. Advise to get out of bed gradually
b. Instruct to have a daily fluid intake of 3 glasses a Daly
c. Advise to avoid straining at stool
d. Advise to avoid bending down and suddenly standing up again - CORRECT ANSWER-
✔✔b. Instruct to have a daily fluid intake of 3 glasses a day
6. Eufemia is an 87 year old patient who verbalized to the nurse that she feels like she hasn't
lived her purpose in life at all. In order to respond accordingly, you have to know the
developmental task of the patient at this point.The developmental task of the older adult
according to Erickson is:
a. Identity vs. role confusion
b. Intimacy vs. isolation
c. Ego integrity vs. despair
d. Generativity vs. stagnation - CORRECT ANSWER- ✔✔c. Ego integrity vs. despair
7. A booster dose of a COVID-19 vaccine is about to be administered to Rodelia, an 87 year
old healthy geriatric patient. by the nurse. The nurse should remember that an older client
has:
a. less subcutaneous tissue and muscle mass than a younger client