NUR2214
Nursing Care of the
Older Adult
COMPLETED EXAM w/
RATIONALES
2024
,1. Which of the following is the most common cause of
aspiration in older adults?
a) Dysphagia
b) Gastroesophageal reflux disease (GERD)
c) Parkinson's disease
d) Stroke
Answer: a) Dysphagia
Rationale: Dysphagia, or difficulty swallowing, is the most
common cause of aspiration in older adults. It can be
caused by various conditions, such as stroke, Parkinson's
disease, and other neurological disorders.
2. Which of the following strategies is NOT effective in
preventing aspiration in older adults?
a) Positioning the patient in an upright position while
eating
b) Providing thickened fluids as appropriate
c) Administering medications associated with dry mouth
before meals
d) Assisting with oral hygiene before meals
Answer: c) Administering medications associated with dry
mouth before meals
Rationale: Administering medications associated with dry
, mouth before meals can increase the risk of aspiration.
Nurses should be aware of the side effects of medications
and take appropriate measures to ensure patients have
adequate saliva production during meals.
3. What is the primary nursing intervention to prevent
aspiration in older adults with dysphagia?
a) Teaching swallowing techniques
b) Monitoring vital signs
c) Administering medication to improve swallowing
d) Recommending small frequent meals
Answer: a) Teaching swallowing techniques
Rationale: Teaching swallowing techniques is essential in
preventing aspiration in older adults with dysphagia. It
involves teaching patients techniques to improve
swallowing, such as chin tuck, sips of fluid between bites,
and proper positioning during meals.
4. Which assessment finding indicates a high risk for
aspiration in an older adult?
a) Chronic cough
b) Hypertension
c) Frequent urination
Nursing Care of the
Older Adult
COMPLETED EXAM w/
RATIONALES
2024
,1. Which of the following is the most common cause of
aspiration in older adults?
a) Dysphagia
b) Gastroesophageal reflux disease (GERD)
c) Parkinson's disease
d) Stroke
Answer: a) Dysphagia
Rationale: Dysphagia, or difficulty swallowing, is the most
common cause of aspiration in older adults. It can be
caused by various conditions, such as stroke, Parkinson's
disease, and other neurological disorders.
2. Which of the following strategies is NOT effective in
preventing aspiration in older adults?
a) Positioning the patient in an upright position while
eating
b) Providing thickened fluids as appropriate
c) Administering medications associated with dry mouth
before meals
d) Assisting with oral hygiene before meals
Answer: c) Administering medications associated with dry
mouth before meals
Rationale: Administering medications associated with dry
, mouth before meals can increase the risk of aspiration.
Nurses should be aware of the side effects of medications
and take appropriate measures to ensure patients have
adequate saliva production during meals.
3. What is the primary nursing intervention to prevent
aspiration in older adults with dysphagia?
a) Teaching swallowing techniques
b) Monitoring vital signs
c) Administering medication to improve swallowing
d) Recommending small frequent meals
Answer: a) Teaching swallowing techniques
Rationale: Teaching swallowing techniques is essential in
preventing aspiration in older adults with dysphagia. It
involves teaching patients techniques to improve
swallowing, such as chin tuck, sips of fluid between bites,
and proper positioning during meals.
4. Which assessment finding indicates a high risk for
aspiration in an older adult?
a) Chronic cough
b) Hypertension
c) Frequent urination
