NYU ADULT AND ELDER 1 MIDTERM
EXAM 2025 QUESTIONS AND ANSWERS
A student nurse is caring for a 78-year-old patient with multiple sclerosis. The patient has had
an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1°
C (98.8° F). The student reports her recent assessment to the registered nurse (RN): the
patient's temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine;
and the patient is uncertain what time of day it is. From what the RN knows about presentation
of symptoms in older adults, what should he recommend?
A. Tell the student that temporary confusion is normal and simply requires reorientation
B. Tell the student to increase the patient's fluid intake since the urine is concentrated
C. Tell the student that her assessment findings are normal for an older adult
D. Tell the student that he will notify the physician of the findings - ANS D
The patient may have subtle symptoms of a urinary tract infection, as evidenced by a slight
increase in body temperature, development of confusion, and the dark-colored urine.
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,Temporary confusion is not a normal condition in older adults. Increasing the fluid intake is
acceptable but not a recommendation for the set of symptoms the patient presents. The
presenting set of symptoms is not normal.
A patient's family member is considering having her mother placed in a nursing center. You
have talked with the family before and know that this is a difficult decision. Which of the
following criteria would you recommend in choosing a nursing center? (Select all that apply.)
A. The center should be clean, and rooms should look like a hospital room.
B. There should be adequate staffing on all shifts.
C. Social activities should be available for all residents.
D. Three meals should be served daily with a set menu and serving schedule.
E. Family involvement in care planning and assisting with physical care is necessary. - ANS B,
C, E
Adequate staffing, provision of social activities, and active family involvement are essential.
Meals should be high quality with options for what to eat and when it is served. A nursing
center should be clean, but it should look like a person's home.
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,A nurse has conducted an assessment of a new patient who has come to the medical clinic. The
patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20
years. He is alert but becomes easily distracted during the nursing history. He recently moved
to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
A. Dementia.
B. Depression.
C. Delirium.
D. Disengagement. - ANS B
Factors that often lead to depression include presence of a chronic disease or a recent change
or life event (such as loss). Patients are alert but easily distracted in conversation.
A major life event such as the death of a loved one, a move to a nursing home, or a cancer
diagnosis could precipitate:
A. Dementia.
B. Delirium.
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, C. Depression.
D. Stroke. - ANS C
The onset of depression could be abrupt or gradual, but the usual cause is a major life-altering
event in the life of the person experiencing the depression.
Sexuality is maintained throughout our lives. Which answer below best explains sexuality in an
older adult?
A. When the sexual partner passes away, the survivor no longer feels sexual.
B. A decrease in an older adult's libido occurs.
C. Any outward expression of sexuality suggests that the older adult is having a developmental
problem.
D. All older adults, whether healthy or frail, need to express sexual feelings. - ANS D
Sexuality is normal throughout the life span, and older adults need to be able to express their
sexual feelings.
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EXAM 2025 QUESTIONS AND ANSWERS
A student nurse is caring for a 78-year-old patient with multiple sclerosis. The patient has had
an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1°
C (98.8° F). The student reports her recent assessment to the registered nurse (RN): the
patient's temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine;
and the patient is uncertain what time of day it is. From what the RN knows about presentation
of symptoms in older adults, what should he recommend?
A. Tell the student that temporary confusion is normal and simply requires reorientation
B. Tell the student to increase the patient's fluid intake since the urine is concentrated
C. Tell the student that her assessment findings are normal for an older adult
D. Tell the student that he will notify the physician of the findings - ANS D
The patient may have subtle symptoms of a urinary tract infection, as evidenced by a slight
increase in body temperature, development of confusion, and the dark-colored urine.
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 1
,Temporary confusion is not a normal condition in older adults. Increasing the fluid intake is
acceptable but not a recommendation for the set of symptoms the patient presents. The
presenting set of symptoms is not normal.
A patient's family member is considering having her mother placed in a nursing center. You
have talked with the family before and know that this is a difficult decision. Which of the
following criteria would you recommend in choosing a nursing center? (Select all that apply.)
A. The center should be clean, and rooms should look like a hospital room.
B. There should be adequate staffing on all shifts.
C. Social activities should be available for all residents.
D. Three meals should be served daily with a set menu and serving schedule.
E. Family involvement in care planning and assisting with physical care is necessary. - ANS B,
C, E
Adequate staffing, provision of social activities, and active family involvement are essential.
Meals should be high quality with options for what to eat and when it is served. A nursing
center should be clean, but it should look like a person's home.
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
,A nurse has conducted an assessment of a new patient who has come to the medical clinic. The
patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20
years. He is alert but becomes easily distracted during the nursing history. He recently moved
to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
A. Dementia.
B. Depression.
C. Delirium.
D. Disengagement. - ANS B
Factors that often lead to depression include presence of a chronic disease or a recent change
or life event (such as loss). Patients are alert but easily distracted in conversation.
A major life event such as the death of a loved one, a move to a nursing home, or a cancer
diagnosis could precipitate:
A. Dementia.
B. Delirium.
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, C. Depression.
D. Stroke. - ANS C
The onset of depression could be abrupt or gradual, but the usual cause is a major life-altering
event in the life of the person experiencing the depression.
Sexuality is maintained throughout our lives. Which answer below best explains sexuality in an
older adult?
A. When the sexual partner passes away, the survivor no longer feels sexual.
B. A decrease in an older adult's libido occurs.
C. Any outward expression of sexuality suggests that the older adult is having a developmental
problem.
D. All older adults, whether healthy or frail, need to express sexual feelings. - ANS D
Sexuality is normal throughout the life span, and older adults need to be able to express their
sexual feelings.
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