Exam 2 & Exam 3: PNR 108/ PNR108 (Latest 2024/ 2025
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Gerontological Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
A 78 yr old female presents to the ED with complaints of nausea and sudden onset
shortness of breath. The initial workup includes ____________,
a. upper endoscopy
b. CT of the head
c. liver function studies
d. EKG and serial enzymes for determination of an MI - ANSWERD
The following statement is not true.
a. osteoarthritis is progressive erosion of articular cartilage with formation of new
bone in this space
b. rheumatoid arthritis is symmetrical inflammation of peripheral joints
c. osteoarthritis occurs more commonly in the hands, elbows and shoulders whereas
rheumatoid arthritis occurs in weight bearing joints more commonly
d. osteoarthritis is associated with obesity, trauma, cold climate and overuse of a
joint - ANSWERC
A 75 yr old client is recovering from abdominal surgery. The DR. has ordered
morphine 2-6 mg every 4 hrs prn for pain. As the nurse plans to administer this
medication, what intervention would the nurse choose to administer this drug to an
older person.
a. administer the highest dose of 6 mg
b. administer the lowest dose of 2 mg
c. avoid the narcotic because of the risk of addiction
d. administer the dose only when the client asks for the medication 2 times -
ANSWERB
________ is a factor that contributes to a high incidence of falls in the elderly.
a. increased muscle mass and tone
b. high likelihood of orthostatic hypotension upon rising quickly
c. increasing acuity in eyesight in dim light
d. constipation - ANSWERB
Identify the correct statement describing the abuse of elderly persons in the United
States.
a. Elder abuse is the most often reported form of domestic violence
b. Statistically, neglect is the most common form of elder abuse
c. Most cases of elder abuse are reported to the proper authorities
d. Healthcare practitioners are only mandated to report verified, not suspected,
cases of elder abuse - ANSWERB
,An 81 yr old female presents to the ED with altered level of consciousness. All of the
following except____ are possible causes for this condition.
a. peripheral arterial disease
b. hypoglycemia
c. pneumonia
d. hypotension from dehydration - ANSWERA
Pneumonia in the older client can be caused by all of the following except_____
a. aspiration from a poor swallow
b. community acquired pneumonia
c. sleep apnea
d. compromised immune function and decreased pulmonary antibodies - ANSWERC
Which of the following cases seen by a nurse working in the ED identifies a situation
that suggests a case of elder mistreatment?
a. an 85 yr old male who has several areas of bruising on the back of the hands and is
taking Clopidogrel sisulfate(Plavix) and aspirin daily
b. an 86 yr old woman who has 3 dime sized burned areas on her upper inner thigh
c. a 77 yr old woman who fell at home after tripping over her dog and broke her arm
about 30 minutes earlier
d. a 73 yr old male with a history of gastric ulcers who is found to be anemic after
vomiting blood 3 hours earlier - ANSWERB
Mr J., an 80 yr old who has had flu like symptoms with diarrhea and has vomited 4
times in the last 24 hours is seen in the ED. Mr. J seems confused and is lethargic.
The nurse notes that Mr. J has dry skin, a brown tongue, sunken cheeks and
concentrated urine. This array of symptoms indicates:
a. congestive heart failure
b. dehydration
c. urinary tract infection
d. bowel obstruction - ANSWERB
The microvascular changes that occur as a result of uncontrolled diabetes include all
of the following except___:
a. Retinopathy
b. nephropathy
c. neuropathy
d. cerebral vascular disease - ANSWERD
All of the following conditions except___ can cause renal failure, especially in the
older adult.
a. diabetes mellitus
b. prostate hypertrophy causing obstruction of urine thru the urethra
c. heart failure
d. ingesting more than 4 gms of acetaminophen (Tylenol) per day consistently for 2
years - ANSWERD
, Which of the following clients is at greatest risk for orthostatic hypotension?
a. a 75 yr old woman who uses a walker
b. an 80 yr old male hypertensive who strains to void when using the bedside
commode
c. a 69 yr old is a long leg cast on his right leg
d. an 80 yr old woman who is taking Premarin for post menopausal osteoporosis -
ANSWERB
Which of the following can occur as a result of decreased hearing in the older person
?
a. Decreased stressful interactions due to need to have verbal communication
repeated.
b. Increased danger due to inability to hear smoke or security alarms
c. Decreased danger when driving or walking in traffic due to inability to hear car
horns or traffic sounds
d. Increased incidence of falls - ANSWERB
Which of the following interview questions would be most appropriate when a nurse
is assessing a client's respiratory function?
a. Would you be interested in finding out more about environmental smoke?
b. Did wither of your parents experience lung disease?
c. Have you ever worked in a job where you were exposed to dust, fumes, smoke or
other pollutants?
d. What do you do to actively maintain your health? - ANSWERC
Which nursing intervention would not help a patient with xerostomia?
a. Using humidifiers
b. Using mouth rinses or artificial saliva products
c. Providing sugar free hard candies
d. Increasing medications from once a day to twice a day - ANSWERD
All of the following except___ can occur due to the decreased tactile sensations that
occur in the older person.
a. Burns on feet and hands due to inability to feel the temperature of bath water
b. Social isolation due to not wanting to be touched
c. Development of sores on feet due to inability to feel pressure and injury
d. Increased tendency to fall due to decreased sensation of feet to floor - ANSWERB
Which of the following statements best conveys an aspect of diabetes and the older
adult?
a. a combination of lifestyle factors and age related changes contribute to the high
incidence of diabetes in the older population
b. nurses should have a knowledge base sufficient to accurately diagnose diabetes
among older adults
c. nurses should avoid drawing conclusions about diabetes risk based on ethnicity
d. development of diabetes is considered a normal age related change - ANSWERA
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Gerontological Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
A 78 yr old female presents to the ED with complaints of nausea and sudden onset
shortness of breath. The initial workup includes ____________,
a. upper endoscopy
b. CT of the head
c. liver function studies
d. EKG and serial enzymes for determination of an MI - ANSWERD
The following statement is not true.
a. osteoarthritis is progressive erosion of articular cartilage with formation of new
bone in this space
b. rheumatoid arthritis is symmetrical inflammation of peripheral joints
c. osteoarthritis occurs more commonly in the hands, elbows and shoulders whereas
rheumatoid arthritis occurs in weight bearing joints more commonly
d. osteoarthritis is associated with obesity, trauma, cold climate and overuse of a
joint - ANSWERC
A 75 yr old client is recovering from abdominal surgery. The DR. has ordered
morphine 2-6 mg every 4 hrs prn for pain. As the nurse plans to administer this
medication, what intervention would the nurse choose to administer this drug to an
older person.
a. administer the highest dose of 6 mg
b. administer the lowest dose of 2 mg
c. avoid the narcotic because of the risk of addiction
d. administer the dose only when the client asks for the medication 2 times -
ANSWERB
________ is a factor that contributes to a high incidence of falls in the elderly.
a. increased muscle mass and tone
b. high likelihood of orthostatic hypotension upon rising quickly
c. increasing acuity in eyesight in dim light
d. constipation - ANSWERB
Identify the correct statement describing the abuse of elderly persons in the United
States.
a. Elder abuse is the most often reported form of domestic violence
b. Statistically, neglect is the most common form of elder abuse
c. Most cases of elder abuse are reported to the proper authorities
d. Healthcare practitioners are only mandated to report verified, not suspected,
cases of elder abuse - ANSWERB
,An 81 yr old female presents to the ED with altered level of consciousness. All of the
following except____ are possible causes for this condition.
a. peripheral arterial disease
b. hypoglycemia
c. pneumonia
d. hypotension from dehydration - ANSWERA
Pneumonia in the older client can be caused by all of the following except_____
a. aspiration from a poor swallow
b. community acquired pneumonia
c. sleep apnea
d. compromised immune function and decreased pulmonary antibodies - ANSWERC
Which of the following cases seen by a nurse working in the ED identifies a situation
that suggests a case of elder mistreatment?
a. an 85 yr old male who has several areas of bruising on the back of the hands and is
taking Clopidogrel sisulfate(Plavix) and aspirin daily
b. an 86 yr old woman who has 3 dime sized burned areas on her upper inner thigh
c. a 77 yr old woman who fell at home after tripping over her dog and broke her arm
about 30 minutes earlier
d. a 73 yr old male with a history of gastric ulcers who is found to be anemic after
vomiting blood 3 hours earlier - ANSWERB
Mr J., an 80 yr old who has had flu like symptoms with diarrhea and has vomited 4
times in the last 24 hours is seen in the ED. Mr. J seems confused and is lethargic.
The nurse notes that Mr. J has dry skin, a brown tongue, sunken cheeks and
concentrated urine. This array of symptoms indicates:
a. congestive heart failure
b. dehydration
c. urinary tract infection
d. bowel obstruction - ANSWERB
The microvascular changes that occur as a result of uncontrolled diabetes include all
of the following except___:
a. Retinopathy
b. nephropathy
c. neuropathy
d. cerebral vascular disease - ANSWERD
All of the following conditions except___ can cause renal failure, especially in the
older adult.
a. diabetes mellitus
b. prostate hypertrophy causing obstruction of urine thru the urethra
c. heart failure
d. ingesting more than 4 gms of acetaminophen (Tylenol) per day consistently for 2
years - ANSWERD
, Which of the following clients is at greatest risk for orthostatic hypotension?
a. a 75 yr old woman who uses a walker
b. an 80 yr old male hypertensive who strains to void when using the bedside
commode
c. a 69 yr old is a long leg cast on his right leg
d. an 80 yr old woman who is taking Premarin for post menopausal osteoporosis -
ANSWERB
Which of the following can occur as a result of decreased hearing in the older person
?
a. Decreased stressful interactions due to need to have verbal communication
repeated.
b. Increased danger due to inability to hear smoke or security alarms
c. Decreased danger when driving or walking in traffic due to inability to hear car
horns or traffic sounds
d. Increased incidence of falls - ANSWERB
Which of the following interview questions would be most appropriate when a nurse
is assessing a client's respiratory function?
a. Would you be interested in finding out more about environmental smoke?
b. Did wither of your parents experience lung disease?
c. Have you ever worked in a job where you were exposed to dust, fumes, smoke or
other pollutants?
d. What do you do to actively maintain your health? - ANSWERC
Which nursing intervention would not help a patient with xerostomia?
a. Using humidifiers
b. Using mouth rinses or artificial saliva products
c. Providing sugar free hard candies
d. Increasing medications from once a day to twice a day - ANSWERD
All of the following except___ can occur due to the decreased tactile sensations that
occur in the older person.
a. Burns on feet and hands due to inability to feel the temperature of bath water
b. Social isolation due to not wanting to be touched
c. Development of sores on feet due to inability to feel pressure and injury
d. Increased tendency to fall due to decreased sensation of feet to floor - ANSWERB
Which of the following statements best conveys an aspect of diabetes and the older
adult?
a. a combination of lifestyle factors and age related changes contribute to the high
incidence of diabetes in the older population
b. nurses should have a knowledge base sufficient to accurately diagnose diabetes
among older adults
c. nurses should avoid drawing conclusions about diabetes risk based on ethnicity
d. development of diabetes is considered a normal age related change - ANSWERA
