NCMB 314 Exam Questions and answers
2025
A. Autonomy - ANS✓✓-Which ethical principle underlies nursing actions
respecting each patient's values and beliefs?
a. Autonomy.
b. Beneficence.
c. Justice.
d. Responsibility.
C. intermittency, hesitancy, and dribbling. - ANS✓✓-The most common
symptoms of benign prostatic hypertrophy are:
A. chills, fever, and nausea.
B. dysuria, abdominal pain, and urinary retention.
C. intermittency, hesitancy, and dribbling.
D. nocturia, bladder spasms, and hematuria.
B. The resident was not included in the decision making. - ANS✓✓-A resident in a
nursing home requests a new room because he or she does not like the view
from the current room. While the resident is away from the home on a provider
visit, the staff moves the resident's belongings to another room with a better
view. The resident and the resident's family later file a formal complaint regarding
the move. Which statement gives the best justification for the resident's
complaint?
a. The change was made without a provider's order.
B. The resident was not included in the decision making.
c. The resident's belongings were moved without his or her assistance.
d. The resident's family was not included in the decision making.
a. ask the supervisor to get an interpreter. - ANS✓✓-A recently admitted nursing
home resident and the resident's family only speak Spanish. One evening during
a visit, the resident and the family begin to wail and sob loudly. The
gerontological nurse is unable to determine what is wrong. The nurse's most
appropriate action is to:
a. ask the supervisor to get an interpreter.
b. attempt to make the resident and the family comfortable.
c. contact the provider for orders.
d. find an escort to take the resident and the family to the chapel for privacy.
c. informing how data and outcomes are directly related to the staff's daily work. -
ANS✓✓-The gerontological nurse manager involves the nursing staff in the
utilization of trend data and analysis for quality improvement by:
a. encouraging staff to volunteer for The Joint Commission's onsite surveys.
,b. highlighting the quality improvement work of experts in the specialty area.
c. informing how data and outcomes are directly related to the staff's daily work.
d. using scatter diagrams to identify the root cause of unresolved concerns.
d. serving soup in a mug, and offering finger foods. - ANS✓✓-An effective way to
adequately provide nourishment to a patient with moderate dementia is:
a. allowing the patient to choose foods from a varied menu.
b. hand feeding the patient's favorite foods.
c. routinely reminding the patient about the need for adequate nutrition.
d. serving soup in a mug, and offering finger foods.
a. "Did you have the pain before the rash appeared?" - ANS✓✓-An 82-year-old
patient has a painful, vesicular rash that burns over the left abdomen. The patient
indicates that he or she has tried multiple creams that have not helped. Which
question does the gerontological nurse first ask?
a. "Did you have the pain before the rash appeared?"
b. "Do you have any food or drug allergies?"
c. "Have you been around anyone with a rash?"
d. "Have your grandchildren visited recently?"
c. "Do you take a diuretic?" - ANS✓✓-Which question does the gerontological
nurse prioritize for an 86-year-old patient with abdominal pain, muscle weakness,
and leg cramps?
a. "Do you eat a lot of meat?"
b. "Do you have heart problems?"
c. "Do you take a diuretic?"
d. "Do you walk every day?"
c. distortion of lines and print. - ANS✓✓-Signs and symptoms of age-related
macular degeneration include:
a. decreases in depth perception.
b. deficits in peripheral vision.
c. distortion of lines and print.
d. reports of flashes of light.
a. arranging inpatient respite care for the spouse. - ANS✓✓-A frail 80-year-old
patient, who cares for a spouse at home without assistance, requires minor
surgery. Lacking any family members residing in the area, the patient expresses
concern about the spouse's care while the patient is recovering. The
gerontological nurse's recommendation is:
a. arranging inpatient respite care for the spouse.
b. having the patient remain in the hospital during the post operative period.
c. hiring around-the-clock help for two weeks.
d. hospitalizing the spouse.
d. rephrase the questions slightly, and slowly repeat them in a lower voice. -
ANS✓✓-A 90-year-old patient comes to the clinic with a family member. During
the health history, the patient is unable to respond to questions in a logical
manner. The gerontological nurse's action is to:
, a. ask the family member to answer the questions.
b. ask the same questions in a louder and lower voice.
c. determine if the patient knows the name of the current president.
d. rephrase the questions slightly, and slowly repeat them in a lower voice.
b. that the health status data of older adult patients be documented in a
retrievable form. - ANS✓✓-The American Nurses Association's Gerontological
Nursing: Scope and Standards of Practice emphasizes:
a. that abnormal responses to the aging process determine the appropriate
nursing diagnoses.
b. that the health status data of older adult patients be documented in a
retrievable form.
c. the role of the older adult patient as the sole decision maker in planning his or
her care.
d. the unchanging nature of the goals and plans of care for older adult patients.
a. The ombudsman may proceed with the investigation without identifying the
individual who made the complaint, and without obtaining a court order or written
consent. - ANS✓✓-A state ombudsman initiates an investigation after a complaint
about the care of a nursing home resident. Which statement about the
investigation process is true?
a. The ombudsman may proceed with the investigation without identifying the
individual who made the complaint, and without obtaining a court order or written
consent.
b. The ombudsman must identify the individual who made the complaint.
c. The ombudsman must obtain a court order to review documentation, if the
resident described in the complaint does not give written permission.
d. The ombudsman must obtain the written permission of the resident who is
described in the complaint.
c. A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-
density lipoprotein level of 149 mg/dL. - ANS✓✓-Which patient is at greatest risk
for developing arteriosclerotic heart disease?
a. A 68-year-old female patient with a triglyceride level of 135 mg/dL, and a high-
density lipoprotein level of 68 mg/dL.
b. A 70-year old male patient with a total cholesterol level of 181 mg/dL, and a
low-density lipoprotein level of 90 mg/dL.
c. A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-
density lipoprotein level of 149 mg/dL.
d. An 86-year-old male patient with a low-density lipoprotein level of 100 mg/dL,
and a high-density lipoprotein level of 50 mg/dL.
d. "Have you noticed blood in your urine?" - ANS✓✓-A 76-year-old male patient
reports hesitancy, decreased force of the urinary flow, a sensation of incomplete
emptying of the bladder, and dribbling. The gerontological nurse first asks:
a. "Have you experienced abdominal pain?"
b. "Have you had a daily bowel movement?"
c. "Have you had low back pain?"
d. "Have you noticed blood in your urine?"
2025
A. Autonomy - ANS✓✓-Which ethical principle underlies nursing actions
respecting each patient's values and beliefs?
a. Autonomy.
b. Beneficence.
c. Justice.
d. Responsibility.
C. intermittency, hesitancy, and dribbling. - ANS✓✓-The most common
symptoms of benign prostatic hypertrophy are:
A. chills, fever, and nausea.
B. dysuria, abdominal pain, and urinary retention.
C. intermittency, hesitancy, and dribbling.
D. nocturia, bladder spasms, and hematuria.
B. The resident was not included in the decision making. - ANS✓✓-A resident in a
nursing home requests a new room because he or she does not like the view
from the current room. While the resident is away from the home on a provider
visit, the staff moves the resident's belongings to another room with a better
view. The resident and the resident's family later file a formal complaint regarding
the move. Which statement gives the best justification for the resident's
complaint?
a. The change was made without a provider's order.
B. The resident was not included in the decision making.
c. The resident's belongings were moved without his or her assistance.
d. The resident's family was not included in the decision making.
a. ask the supervisor to get an interpreter. - ANS✓✓-A recently admitted nursing
home resident and the resident's family only speak Spanish. One evening during
a visit, the resident and the family begin to wail and sob loudly. The
gerontological nurse is unable to determine what is wrong. The nurse's most
appropriate action is to:
a. ask the supervisor to get an interpreter.
b. attempt to make the resident and the family comfortable.
c. contact the provider for orders.
d. find an escort to take the resident and the family to the chapel for privacy.
c. informing how data and outcomes are directly related to the staff's daily work. -
ANS✓✓-The gerontological nurse manager involves the nursing staff in the
utilization of trend data and analysis for quality improvement by:
a. encouraging staff to volunteer for The Joint Commission's onsite surveys.
,b. highlighting the quality improvement work of experts in the specialty area.
c. informing how data and outcomes are directly related to the staff's daily work.
d. using scatter diagrams to identify the root cause of unresolved concerns.
d. serving soup in a mug, and offering finger foods. - ANS✓✓-An effective way to
adequately provide nourishment to a patient with moderate dementia is:
a. allowing the patient to choose foods from a varied menu.
b. hand feeding the patient's favorite foods.
c. routinely reminding the patient about the need for adequate nutrition.
d. serving soup in a mug, and offering finger foods.
a. "Did you have the pain before the rash appeared?" - ANS✓✓-An 82-year-old
patient has a painful, vesicular rash that burns over the left abdomen. The patient
indicates that he or she has tried multiple creams that have not helped. Which
question does the gerontological nurse first ask?
a. "Did you have the pain before the rash appeared?"
b. "Do you have any food or drug allergies?"
c. "Have you been around anyone with a rash?"
d. "Have your grandchildren visited recently?"
c. "Do you take a diuretic?" - ANS✓✓-Which question does the gerontological
nurse prioritize for an 86-year-old patient with abdominal pain, muscle weakness,
and leg cramps?
a. "Do you eat a lot of meat?"
b. "Do you have heart problems?"
c. "Do you take a diuretic?"
d. "Do you walk every day?"
c. distortion of lines and print. - ANS✓✓-Signs and symptoms of age-related
macular degeneration include:
a. decreases in depth perception.
b. deficits in peripheral vision.
c. distortion of lines and print.
d. reports of flashes of light.
a. arranging inpatient respite care for the spouse. - ANS✓✓-A frail 80-year-old
patient, who cares for a spouse at home without assistance, requires minor
surgery. Lacking any family members residing in the area, the patient expresses
concern about the spouse's care while the patient is recovering. The
gerontological nurse's recommendation is:
a. arranging inpatient respite care for the spouse.
b. having the patient remain in the hospital during the post operative period.
c. hiring around-the-clock help for two weeks.
d. hospitalizing the spouse.
d. rephrase the questions slightly, and slowly repeat them in a lower voice. -
ANS✓✓-A 90-year-old patient comes to the clinic with a family member. During
the health history, the patient is unable to respond to questions in a logical
manner. The gerontological nurse's action is to:
, a. ask the family member to answer the questions.
b. ask the same questions in a louder and lower voice.
c. determine if the patient knows the name of the current president.
d. rephrase the questions slightly, and slowly repeat them in a lower voice.
b. that the health status data of older adult patients be documented in a
retrievable form. - ANS✓✓-The American Nurses Association's Gerontological
Nursing: Scope and Standards of Practice emphasizes:
a. that abnormal responses to the aging process determine the appropriate
nursing diagnoses.
b. that the health status data of older adult patients be documented in a
retrievable form.
c. the role of the older adult patient as the sole decision maker in planning his or
her care.
d. the unchanging nature of the goals and plans of care for older adult patients.
a. The ombudsman may proceed with the investigation without identifying the
individual who made the complaint, and without obtaining a court order or written
consent. - ANS✓✓-A state ombudsman initiates an investigation after a complaint
about the care of a nursing home resident. Which statement about the
investigation process is true?
a. The ombudsman may proceed with the investigation without identifying the
individual who made the complaint, and without obtaining a court order or written
consent.
b. The ombudsman must identify the individual who made the complaint.
c. The ombudsman must obtain a court order to review documentation, if the
resident described in the complaint does not give written permission.
d. The ombudsman must obtain the written permission of the resident who is
described in the complaint.
c. A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-
density lipoprotein level of 149 mg/dL. - ANS✓✓-Which patient is at greatest risk
for developing arteriosclerotic heart disease?
a. A 68-year-old female patient with a triglyceride level of 135 mg/dL, and a high-
density lipoprotein level of 68 mg/dL.
b. A 70-year old male patient with a total cholesterol level of 181 mg/dL, and a
low-density lipoprotein level of 90 mg/dL.
c. A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-
density lipoprotein level of 149 mg/dL.
d. An 86-year-old male patient with a low-density lipoprotein level of 100 mg/dL,
and a high-density lipoprotein level of 50 mg/dL.
d. "Have you noticed blood in your urine?" - ANS✓✓-A 76-year-old male patient
reports hesitancy, decreased force of the urinary flow, a sensation of incomplete
emptying of the bladder, and dribbling. The gerontological nurse first asks:
a. "Have you experienced abdominal pain?"
b. "Have you had a daily bowel movement?"
c. "Have you had low back pain?"
d. "Have you noticed blood in your urine?"
