ADH2 FINAL MISC PRACTICE QUESTIONS
WITH CORRECT ANSWERS 2025/2026 A+
GRADED 100% VERIFIED
A 47-year-old patient who has come to the physician's office for his annual physical is being
assessed by the office nurse. The nurse who is performing routine health screening for this
patient should be aware that one of the first physical signs of aging is what?
Select one:
A. Failing eyesight, especially close vision
B. Having more frequent aches and pains
C. Increasing loss of muscle tone
D. Accepting limitations while developing assets - ANS-A. Failing eyesight, especially close
vision
Failing eyesight, especially close vision, is one of the first signs of aging in middle life. More
frequent aches and pains begin in the "early" late years (between ages 65 and 79). Increase in
loss of muscle tone occurs in later years (ages 80 and older). Accepting limitations while
developing assets is socialization development that occurs in adulthood.
A 93-year-old male patient with failure to thrive has begun exhibiting urinary incontinence. When
choosing appropriate interventions, you know that various age-related factors can alter urinary
elimination patterns in elderly patients. What is an example of these factors?
Select one:
A. Decreased muscle tone
B. Decreased residual volume
C. Increased bladder capacity
D. Urethral stenosis - ANS-A. Decreased muscle tone
Factors that alter elimination patterns in the older adult include decreased bladder capacity,
decreased muscle tone, increased residual volumes, and delayed perception of elimination
cues. The other noted phenomena are atypical.
A design firm is contracted to remodel a care facility. Which bathroom design component is most
conducive to safety and quality of life for the older adult residents who will use them?
Select one:
A. A small independent light to remain lit in the bathroom at all times
,B. Bathrooms will include bathtubs rather than showers
C. A single, rotating faucet installed at the sink to control water flow and temperature
D. Throw rugs will be placed on the tile floors - ANS-A. A small independent light to remain lit in
the bathroom at all times
A small light that remains lit in a bathroom promotes safety. It is not necessary to exclude
showers from all residents' rooms and clearly marked, separate hot and cold faucets should be
used. Throw rugs constitute a fall risk.
A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen.
What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic
regimen involving wound care?
Select one:
A. Provide a detailed pamphlet on a dressing change.
B. Delegate the dressing change to a trusted family member.
C. Verbally instruct the patient how to change a dressing and check for comprehension.
D. Demonstrate a dressing change and allow the patient to practice. - ANS-D. Demonstrate a
dressing change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to draw inferences,
apply information, or understand major teaching points. Demonstration and practice are
essential in meeting their learning needs. The other options are incorrect because the elderly
may have problems reading and/or understanding a written pamphlet or verbal instructions.
Having a family member change the dressing when the patient is capable of doing it impedes
self-care and independence.
A gerontologic nurse is basing the therapeutic programs at a long-term care facility on Miller's
Functional Consequences Theory. To actualize this theory of aging, the nurse should prioritize
what task?
Select one:
A. Helping older adults accept the inevitability of death
B. Attempting to control age-related physiological changes
C. Lowering expectations for recovery from acute and chronic illnesses
D. Differentiating between age-related changes and modifiable risk factors - ANS-D.
Differentiating between age-related changes and modifiable risk factors
The Functional Consequences Theory requires the nurse to differentiate between normal,
irreversible age-related changes and modifiable risk factors. This theory does not emphasize
lowering expectations, controlling age-related changes, or helping adults accept the inevitability
of death.
A gerontologic nurse is making an effort to address some of the misconceptions about older
adults that exist among health care providers. The nurse has made the point that most people
,aged 75 years remains functionally independent. The nurse should attribute this trend to what
factor?
Select one:
A. Changes in the medical treatment of hypertension and hyperlipidemia
B. Early detection of disease and increased advocacy by older adults
C. Genetic changes that have resulted in increased resiliency to acute infection
D. Application of health-promotion and disease-prevention activities - ANS-D. Application of
health-promotion and disease-prevention activities
Even among people 75 years of age and over, most remain functionally independent, and the
proportion of older Americans with limitations in activities is declining. These declines in
limitations reflect recent trends in health-promotion and disease-prevention activities, such as
improved nutrition, decreased smoking, increased exercise, and early detection and treatment
of risk factors such as hypertension and elevated serum cholesterol levels. This phenomenon is
not attributed to genetics, medical treatment, or increased advocacy.
A gerontologic nurse is overseeing the care that is provided in a large, long-term care facility.
The nurse is educating staff about the significant threat posed by influenza in older, frail adults.
What action should the nurse prioritize to reduce the incidence and prevalence of influenza in
the facility?
Select one:
A. Make arrangements for residents to limit social interaction during winter months.
B. Teach staff how to administer prophylactic antiviral medications effectively.
C. Ensure that residents receive a high-calorie, high-protein diet during the winter.
D. Ensure that residents receive influenza vaccinations in the fall of each year. - ANS-D.
Ensure that residents receive influenza vaccinations in the fall of each year.
The influenza and the pneumococcal vaccinations lower the risks of hospitalization and death in
elderly people. The influenza vaccine, which is prepared yearly to adjust for the specific
immunologic characteristics of the influenza viruses at that time, should be administered
annually in autumn. Prophylactic antiviral medications are not used. Limiting social interaction is
not required in most instances. Nutrition enhances immune response, but this is not specific to
influenza prevention.
A gerontologic nurse practitioner provides primary care for a large number of older adults who
are living with various forms of cardiovascular disease. This nurse is well aware that heart
disease is the leading cause of death in the aged. What is an age-related physiological change
that contributes to this trend?
Select one:
A. Resting heart rate decreases with age.
B. Atrial-septal defects develop with age.
C. Systolic blood pressure decreases.
D. Heart muscle and arteries lose their elasticity. - ANS-D. Heart muscle and arteries lose their
elasticity.
, The leading cause of death for patients over the age of 65 years is cardiovascular disease. With
age, heart muscle and arteries lose their elasticity, resulting in a reduced stroke volume. As a
person ages, systolic blood pressure does not decrease, resting heart rate does not decrease,
and the aged are not less likely to adopt a healthy lifestyle.
A group of residents in a skilled nursing facility are sitting outside in the garden enjoying a hot
summer day. What primary concern does the nurse recognize for these residents?
Select one:
A. Lack of motivation to get out of the sun
B. Effects of certain medications on body temperature
C. Lack of thirst perception
D. Lack of energy and related depression - ANS-C. Lack of thirst perception
Thirst perception declines with age, and so older persons are less aware of their fluid needs.
This can be dangerous in hot weather. Natural sunlight would help with energy and depression.
The residents may need assistance to get out of the sun. The effects of medications on body
temperature may or may not be a concern since it would depend upon the resident and the
medications being taken.
A home care nurse makes the following assessments of a wound: increased drainage and pain,
increased body temperature, red and swollen wound, and purulent wound drainage. What
wound complication do these assessments indicate?
Select one:
A. fistula
B. dehiscence
C. evisceration
D. infection - ANS-D. infection
Symptoms of infection usually become apparent within 2 to 7 days after an injury or surgery;
often the patient is at home. Symptoms include purulent drainage; increased drainage; pain,
redness, and swelling around the wound; increased body temperature; and increased WBCs.
A home health nurse makes a home visit to a 90-year-old patient who has cardiovascular
disease. During the visit the nurse observes that the patient has begun exhibiting subtle and
unprecedented signs of confusion and agitation. What should the home health nurse do?
Select one:
A. Arrange for the patient to see his primary care physician.
B. Have a family member check in on the patient in the evening.
C. Refer the patient to an adult day program.
D. Increase the frequency of the patient's home care. - ANS-A. Arrange for the patient to see
his primary care physician.
WITH CORRECT ANSWERS 2025/2026 A+
GRADED 100% VERIFIED
A 47-year-old patient who has come to the physician's office for his annual physical is being
assessed by the office nurse. The nurse who is performing routine health screening for this
patient should be aware that one of the first physical signs of aging is what?
Select one:
A. Failing eyesight, especially close vision
B. Having more frequent aches and pains
C. Increasing loss of muscle tone
D. Accepting limitations while developing assets - ANS-A. Failing eyesight, especially close
vision
Failing eyesight, especially close vision, is one of the first signs of aging in middle life. More
frequent aches and pains begin in the "early" late years (between ages 65 and 79). Increase in
loss of muscle tone occurs in later years (ages 80 and older). Accepting limitations while
developing assets is socialization development that occurs in adulthood.
A 93-year-old male patient with failure to thrive has begun exhibiting urinary incontinence. When
choosing appropriate interventions, you know that various age-related factors can alter urinary
elimination patterns in elderly patients. What is an example of these factors?
Select one:
A. Decreased muscle tone
B. Decreased residual volume
C. Increased bladder capacity
D. Urethral stenosis - ANS-A. Decreased muscle tone
Factors that alter elimination patterns in the older adult include decreased bladder capacity,
decreased muscle tone, increased residual volumes, and delayed perception of elimination
cues. The other noted phenomena are atypical.
A design firm is contracted to remodel a care facility. Which bathroom design component is most
conducive to safety and quality of life for the older adult residents who will use them?
Select one:
A. A small independent light to remain lit in the bathroom at all times
,B. Bathrooms will include bathtubs rather than showers
C. A single, rotating faucet installed at the sink to control water flow and temperature
D. Throw rugs will be placed on the tile floors - ANS-A. A small independent light to remain lit in
the bathroom at all times
A small light that remains lit in a bathroom promotes safety. It is not necessary to exclude
showers from all residents' rooms and clearly marked, separate hot and cold faucets should be
used. Throw rugs constitute a fall risk.
A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen.
What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic
regimen involving wound care?
Select one:
A. Provide a detailed pamphlet on a dressing change.
B. Delegate the dressing change to a trusted family member.
C. Verbally instruct the patient how to change a dressing and check for comprehension.
D. Demonstrate a dressing change and allow the patient to practice. - ANS-D. Demonstrate a
dressing change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to draw inferences,
apply information, or understand major teaching points. Demonstration and practice are
essential in meeting their learning needs. The other options are incorrect because the elderly
may have problems reading and/or understanding a written pamphlet or verbal instructions.
Having a family member change the dressing when the patient is capable of doing it impedes
self-care and independence.
A gerontologic nurse is basing the therapeutic programs at a long-term care facility on Miller's
Functional Consequences Theory. To actualize this theory of aging, the nurse should prioritize
what task?
Select one:
A. Helping older adults accept the inevitability of death
B. Attempting to control age-related physiological changes
C. Lowering expectations for recovery from acute and chronic illnesses
D. Differentiating between age-related changes and modifiable risk factors - ANS-D.
Differentiating between age-related changes and modifiable risk factors
The Functional Consequences Theory requires the nurse to differentiate between normal,
irreversible age-related changes and modifiable risk factors. This theory does not emphasize
lowering expectations, controlling age-related changes, or helping adults accept the inevitability
of death.
A gerontologic nurse is making an effort to address some of the misconceptions about older
adults that exist among health care providers. The nurse has made the point that most people
,aged 75 years remains functionally independent. The nurse should attribute this trend to what
factor?
Select one:
A. Changes in the medical treatment of hypertension and hyperlipidemia
B. Early detection of disease and increased advocacy by older adults
C. Genetic changes that have resulted in increased resiliency to acute infection
D. Application of health-promotion and disease-prevention activities - ANS-D. Application of
health-promotion and disease-prevention activities
Even among people 75 years of age and over, most remain functionally independent, and the
proportion of older Americans with limitations in activities is declining. These declines in
limitations reflect recent trends in health-promotion and disease-prevention activities, such as
improved nutrition, decreased smoking, increased exercise, and early detection and treatment
of risk factors such as hypertension and elevated serum cholesterol levels. This phenomenon is
not attributed to genetics, medical treatment, or increased advocacy.
A gerontologic nurse is overseeing the care that is provided in a large, long-term care facility.
The nurse is educating staff about the significant threat posed by influenza in older, frail adults.
What action should the nurse prioritize to reduce the incidence and prevalence of influenza in
the facility?
Select one:
A. Make arrangements for residents to limit social interaction during winter months.
B. Teach staff how to administer prophylactic antiviral medications effectively.
C. Ensure that residents receive a high-calorie, high-protein diet during the winter.
D. Ensure that residents receive influenza vaccinations in the fall of each year. - ANS-D.
Ensure that residents receive influenza vaccinations in the fall of each year.
The influenza and the pneumococcal vaccinations lower the risks of hospitalization and death in
elderly people. The influenza vaccine, which is prepared yearly to adjust for the specific
immunologic characteristics of the influenza viruses at that time, should be administered
annually in autumn. Prophylactic antiviral medications are not used. Limiting social interaction is
not required in most instances. Nutrition enhances immune response, but this is not specific to
influenza prevention.
A gerontologic nurse practitioner provides primary care for a large number of older adults who
are living with various forms of cardiovascular disease. This nurse is well aware that heart
disease is the leading cause of death in the aged. What is an age-related physiological change
that contributes to this trend?
Select one:
A. Resting heart rate decreases with age.
B. Atrial-septal defects develop with age.
C. Systolic blood pressure decreases.
D. Heart muscle and arteries lose their elasticity. - ANS-D. Heart muscle and arteries lose their
elasticity.
, The leading cause of death for patients over the age of 65 years is cardiovascular disease. With
age, heart muscle and arteries lose their elasticity, resulting in a reduced stroke volume. As a
person ages, systolic blood pressure does not decrease, resting heart rate does not decrease,
and the aged are not less likely to adopt a healthy lifestyle.
A group of residents in a skilled nursing facility are sitting outside in the garden enjoying a hot
summer day. What primary concern does the nurse recognize for these residents?
Select one:
A. Lack of motivation to get out of the sun
B. Effects of certain medications on body temperature
C. Lack of thirst perception
D. Lack of energy and related depression - ANS-C. Lack of thirst perception
Thirst perception declines with age, and so older persons are less aware of their fluid needs.
This can be dangerous in hot weather. Natural sunlight would help with energy and depression.
The residents may need assistance to get out of the sun. The effects of medications on body
temperature may or may not be a concern since it would depend upon the resident and the
medications being taken.
A home care nurse makes the following assessments of a wound: increased drainage and pain,
increased body temperature, red and swollen wound, and purulent wound drainage. What
wound complication do these assessments indicate?
Select one:
A. fistula
B. dehiscence
C. evisceration
D. infection - ANS-D. infection
Symptoms of infection usually become apparent within 2 to 7 days after an injury or surgery;
often the patient is at home. Symptoms include purulent drainage; increased drainage; pain,
redness, and swelling around the wound; increased body temperature; and increased WBCs.
A home health nurse makes a home visit to a 90-year-old patient who has cardiovascular
disease. During the visit the nurse observes that the patient has begun exhibiting subtle and
unprecedented signs of confusion and agitation. What should the home health nurse do?
Select one:
A. Arrange for the patient to see his primary care physician.
B. Have a family member check in on the patient in the evening.
C. Refer the patient to an adult day program.
D. Increase the frequency of the patient's home care. - ANS-A. Arrange for the patient to see
his primary care physician.
