Answers Verified 100% Correct
For an individual with age-related hearing loss, which sound is
most difficult to hear:
a) A recording of a march played softly
b) A young child talking in a cafeteria line
c) Hammering during construction of a house next door
d) The voice of a man speaking in an elevator - ANSWER 2
Pain of gastrointestinal origin is best differentiated from pain of
cardiac origin by the
presence of:
1. chest pain lasting longer than five minutes.
2. chest pain of rapid onset.
3. left flank pain.
4. substernal chest discomfort. - ANSWER 4
The progression of intermittent claudication is measured by the:
1. distance walked before leg pain starts.
2. pedal edema after dangling the legs for 20 minutes.
3. peripheral pulses in the affected leg.
4. skin temperature and color of the feet. - ANSWER 1
An early sign of alcohol withdrawal is:
1. auditory hallucinations.
2. decreased blood pressure.
3. depression.
4. diaphoresis. - ANSWER 4
A stage III pressure ulcer is characterized by:
,1. blisters, abrasions, or shallow craters.
2. deep craters with or without undermining and full-thickness skin
loss involving subcutaneous tissue.
3. full-thickness skin loss with tissue necrosis or damage to
muscle or bone.
4. partial-thickness skin loss involving the dermis or epidermis. -
ANSWER 2
The primary risk factor for the development of pressure ulcers in
older adult patients is:
1. immobility.
2. impaired circulation.
3. incontinence.
4. malnutrition. - ANSWER 1
An 80-year-old resident of a retirement center states that
something is wrong with the
lighting in the room because colored rings appear around the light
bulbs. The resident
most likely has:
1. cataracts.
2. delusions.
3. glaucoma.
4. increased intracranial pressure. - ANSWER 3
The most common cause of chronic pain in older adults is:
1. arthritis.
2. fractures.
3. headaches.
4. neuropathy. - ANSWER 1
, A 72-year-old man with asthma, chronic obstructive pulmonary
disease, and chronic anxiety is admitted to a nursing home.
Care plan objectives for this man include:
1. adherence to his medication regimen, inhalation therapy,
and instruction about methods of conserving energy.
2. an exercise program to increase the vital capacity of his
lungs. 3. instruction in respiratory exercises with emphasis on
forced inhalation.
4. oxygen therapy at 3 L/min as needed and deep-breathing
exercises for
relaxation. - ANSWER 1
A 65-year-old man with a 45-year history of smoking complains
of a change in his cough pattern, a nonproductive cough, and
an ache in his chest. The man's chest x-ray reveals an infiltrate.
The gerontological nurse suspects:
1. a lung tumor.
2. chronic obstructive pulmonary disease.
3. pulmonary edema.
4. tuberculosis. - ANSWER 1
Which symptom in older adults is most indicative of a urinary
tract infection? 1. Confusion
2. Dysuria
3. Fever
4. Frequency - ANSWER 1
Which is a risk factor for vaginitis in older adult women?
1. Anticoagulation therapy
2. Increased sexual activity
3. Poor nutrition
4. Prolonged antibiotic therapy - ANSWER 4
, Which condition might be indicated by an increase in hemoglobin
values? 1. Dehydration
2. Infection
3. Malnutrition
4. Opiate use - ANSWER 1
An 83-year-old female patient underwent a total hip replacement
three days ago. She should not cross her legs because:
1. abduction of the hip can cause dislocation of the prosthesis.
2. adduction of the hip can cause dislocation of the prosthesis.
3. blood clots often result from pressure on arteries in the legs.
4. contracture can be prevented by avoiding acute flexion of the
hip. - ANSWER 2
A 76-year-old patient with osteoarthritis complains of pain,
stiffness, and deformities of
the fingers. The gerontological nurse recommends:
1. cold packs.
2. exercise.
3. meditation therapy.
4. vitamin therapy. - ANSWER 2
A factor that contributes to hypothermia in older adults is:
1. decreased activity.
2. decreased vulnerability to cold.
3. increased perception of cold.
4. increased subcutaneous fat. - ANSWER 1
Heat stroke is a serious form of hyperthermia that is
characterized by:
1. absence of sweating.