NURS 212 Exam Questions With Complete Solutions
'Frail Senior' gait Correct Answer Stooped posture, hip and
knee flexion, diminished arm swing, stiffness
in turning
(universal falls risk SAFE) Assist with mobility Correct
Answer • Mobilize at least 2x/day
• Safe and regular toileting: Q2-3h
• Transfer/ mobility status documented and visible
•Glasses, hearing and mobility aides within patient's reach
(universal falls risk SAFE) Engage patient and family/ caregiver
Correct Answer •Discuss avoidable/ ongoing risk factors
•Discuss how, why, and when to use interventions
• Mutual falls/ injury risk reduction plan developed
(universal falls risk SAFE) Fall and injury risk reduction
Correct Answer • Call bell and personal items within patient's
reach
• Bed lowered to patient's knee height
• Proper footwear or non-skid socks in use
•Assess need for hip protectors
According to Hirst, Lane, & Miller (2015), older adults living in
residential care experience UTI's 44-58% of the time. True or
False. Correct Answer TRUE
Acute Angle-Closure Glaucoma Correct Answer Less
common form
, Pressure builds up very quickly as drainage becomes
completely blocked
o A medical emergency
o Generally noticed quickly as symptoms are apparent
Severe eye pain, blurred vision, headache, dilation of the pupil,
increased IOP, nausea and vomiting
Can be caused by meds that cause pupil dilation (ie
anticholinergics)
Unless treated very quickly with meds or surgery, blindness can
result
Acute complications of diabetes Correct Answer
•Hypoglycemia
•Diabetic Ketoacidosis (DKA): Body produces high level of
blood acids called ketones.
•Hyperglycemic Hyperosmolar Nonketoic Syndrome (HHNS):
When kidneys try to get rid of extra blood sugar by putting more
sugar into urine.
Acute Exacerbation Correct Answer Episodes of increased
signs and symptoms of disease. Chronic disease can be fairly
silent (minimal symptoms) or can flare dramatically. An
example of an acute exacerbation of a chronic disease is an
asthma attack.
,Acute Exacerbation of disease Correct Answer active illness
or complications, person requires hospitalization for
management
acute illness Correct Answer Occurs suddenly and often
without warning •
Examples: hemorrhagic CVA, myocardial infarction, hip
fracture, infection
acute pain Correct Answer • Acute pain
• Sudden onset
• Usually subsides once treated
• Often affects BP, HR, RR
• Behavioral changes may be apparent,
though culturally mediated.
ADD Protocol Correct Answer 1. Look for physical causes of
discomfort (consider
infection, inflammation, acute illness, chronic disease
manifestations) and treat these (or advocate for
physician's assessment)
2. Explore the resident's medical history for sources of
potentially painful conditions, including previous
fractures, history of migraine, etc.
3. If no physical causes found, implement nonpharmacological
comfort interventions
4. If non-pharmacological interventions are ineffective,
work with the prescribing physician to administer an
analgesic trial
, addiction Correct Answer craving, compulsive use, inability
to control
Additional age-related changes that affect urinary function
Correct Answer •Changes in nervous system and other
regulatory systems
•Later sensation of fullness d/t changes in the cerebral cortex
•Diminished estrogen support post-menopause can cause loss of
tone, strength and collagen
support that can predispose the urinary system to leakage; lower
estrogen also can increase
bladder sensitivity with more urgency to void
•Thirst perception
Adjuvant Analgesics Correct Answer • Medication that have a
primary indication
other than treatment of pain but relieve pain in
some conditions.
• Antidepressants
• Tricyclic antidepressants (TCAs)
• Selective Serotonin Reuptake Inhibitors (SSRIs)
• Anticonvulsants (neuropathic pain)
• Carbamazepine, Clonazepam, Lyrica
• Corticosteroids (inflammatory pain)
• Prednisone, Dexamethasone
• Caffeine (acts as a synergist, or 'booster' to
other analgesics) and is a 'true' adjuvant
medication.
• Ex. Midol is very common example
• Drugs that can cause orthostatic hypotension
should be used with caution, especially in a
'Frail Senior' gait Correct Answer Stooped posture, hip and
knee flexion, diminished arm swing, stiffness
in turning
(universal falls risk SAFE) Assist with mobility Correct
Answer • Mobilize at least 2x/day
• Safe and regular toileting: Q2-3h
• Transfer/ mobility status documented and visible
•Glasses, hearing and mobility aides within patient's reach
(universal falls risk SAFE) Engage patient and family/ caregiver
Correct Answer •Discuss avoidable/ ongoing risk factors
•Discuss how, why, and when to use interventions
• Mutual falls/ injury risk reduction plan developed
(universal falls risk SAFE) Fall and injury risk reduction
Correct Answer • Call bell and personal items within patient's
reach
• Bed lowered to patient's knee height
• Proper footwear or non-skid socks in use
•Assess need for hip protectors
According to Hirst, Lane, & Miller (2015), older adults living in
residential care experience UTI's 44-58% of the time. True or
False. Correct Answer TRUE
Acute Angle-Closure Glaucoma Correct Answer Less
common form
, Pressure builds up very quickly as drainage becomes
completely blocked
o A medical emergency
o Generally noticed quickly as symptoms are apparent
Severe eye pain, blurred vision, headache, dilation of the pupil,
increased IOP, nausea and vomiting
Can be caused by meds that cause pupil dilation (ie
anticholinergics)
Unless treated very quickly with meds or surgery, blindness can
result
Acute complications of diabetes Correct Answer
•Hypoglycemia
•Diabetic Ketoacidosis (DKA): Body produces high level of
blood acids called ketones.
•Hyperglycemic Hyperosmolar Nonketoic Syndrome (HHNS):
When kidneys try to get rid of extra blood sugar by putting more
sugar into urine.
Acute Exacerbation Correct Answer Episodes of increased
signs and symptoms of disease. Chronic disease can be fairly
silent (minimal symptoms) or can flare dramatically. An
example of an acute exacerbation of a chronic disease is an
asthma attack.
,Acute Exacerbation of disease Correct Answer active illness
or complications, person requires hospitalization for
management
acute illness Correct Answer Occurs suddenly and often
without warning •
Examples: hemorrhagic CVA, myocardial infarction, hip
fracture, infection
acute pain Correct Answer • Acute pain
• Sudden onset
• Usually subsides once treated
• Often affects BP, HR, RR
• Behavioral changes may be apparent,
though culturally mediated.
ADD Protocol Correct Answer 1. Look for physical causes of
discomfort (consider
infection, inflammation, acute illness, chronic disease
manifestations) and treat these (or advocate for
physician's assessment)
2. Explore the resident's medical history for sources of
potentially painful conditions, including previous
fractures, history of migraine, etc.
3. If no physical causes found, implement nonpharmacological
comfort interventions
4. If non-pharmacological interventions are ineffective,
work with the prescribing physician to administer an
analgesic trial
, addiction Correct Answer craving, compulsive use, inability
to control
Additional age-related changes that affect urinary function
Correct Answer •Changes in nervous system and other
regulatory systems
•Later sensation of fullness d/t changes in the cerebral cortex
•Diminished estrogen support post-menopause can cause loss of
tone, strength and collagen
support that can predispose the urinary system to leakage; lower
estrogen also can increase
bladder sensitivity with more urgency to void
•Thirst perception
Adjuvant Analgesics Correct Answer • Medication that have a
primary indication
other than treatment of pain but relieve pain in
some conditions.
• Antidepressants
• Tricyclic antidepressants (TCAs)
• Selective Serotonin Reuptake Inhibitors (SSRIs)
• Anticonvulsants (neuropathic pain)
• Carbamazepine, Clonazepam, Lyrica
• Corticosteroids (inflammatory pain)
• Prednisone, Dexamethasone
• Caffeine (acts as a synergist, or 'booster' to
other analgesics) and is a 'true' adjuvant
medication.
• Ex. Midol is very common example
• Drugs that can cause orthostatic hypotension
should be used with caution, especially in a
