Geri Final Exam Questions And Answers

The nurse assesses an older man using the Timed Up and Go Test (TUG). The nurse determines that the man earned a score of 14 seconds, additionally he used his hands to push up from a seated position and has decreased arm swing. The nurse concludes which of the following based on the TUG results? a. The man has early Parkinson's Disease b. The man is not at risk to fall c. The man is at risk to fall d. The man would benefit from using a cane - ANS C Bone fractures are a serious risk to older adults. Which of the following contributes to fractures in older adults? a. Diminished calcium absorption b. Deterioration of cartilage surfaces c. Formation of bone spurs. d. Reduced caloric intake - ANS A A 76-year-old female has been admitted with a diagnosis of pneumonia, requiring antibiotics and respiratory therapy. She is fatigued and short of breath with exertion. Her activity orders are - "Up as tolerated." To prevent functional decline, the nurse would perform which intervention? (select all that apply) a. Assist her to a chair for meals. b. Assist her to the bathroom or a bedside commode. c. Encourage her to stay in bed so she can breathe. d. Assist her with active and passive range of motion exercises. - ANS A, B, D Which of the following medications can contribute to loss of hearing in the older adult? a. Penicillin b. Aminoglycosides c. Acetaminophen d. Cephalosporins - ANS B Which of the following increases the risk of osteoporosis? Select all that apply a. Having a BMI of 17 b. Regular weight bearing activity c. Being a white woman d. Excessive caffeine consumption - ANS A, C, D Which of the following standardized tools screens for cognitive impairment by having older adults repeat 3 words and draw a clock with a specific time? a. CAM-ICU b. 2 item Ultra-Brief Assessment (UB-2) c. Mini Mental Status Evaluation d. Mini Cog - ANS D The patient you are caring for in the clinic has a significant narrowing of her visual fields (loss of peripheral vision). This may indicate that she has which of the following? a. Cataracts b. Glaucoma c. Diabetic neuropathy d. Macular degeneration - ANS B The most frequent cause of reversible vision impairment for older adults is which of the following? a. Diabetic retinopathy b. Macular Degeneration c. Glaucoma d. Cataracts - ANS D A 75-year-old man complains of hearing loss in the right ear that began 3 weeks ago. He has no pain, fever, tinnitus or discharge from the ear. As his nurse you will inspect his ears for which of the following? a. Cerumen impaction b. Otitis externa c. Otitis media d. Trochlear tumor - ANS A Which of the following factors increase the risk for hearing loss in an older adult (select all that apply)? a. Exposure to loud noises b. Ototoxic medications c. Genetic predisposition d. Being female - ANS A, B, C