NCMB 314 Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
A. Autonomy - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER 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. -
CORRECT ANSWER 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. - CORRECT ANSWER 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?" - CORRECT ANSWER 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?" - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT
ANSWER 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.
AND CORRECT ANSWERS
A. Autonomy - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER 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. -
CORRECT ANSWER 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. - CORRECT ANSWER 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?" - CORRECT ANSWER 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?" - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT ANSWER 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. - CORRECT
ANSWER 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.
