Final Exam Review (Geriatric Nursing
Pre-Test) Exam 2024/2025
For an individual with age-related hearing loss, which sound is most difficult
to hear? - -A young child talking in a cafeteria line
- Pain of gastrointestinal origin is best differentiated from pain of cardiac
origin by the presence of: - -substernal chest discomfort
- The progression of intermittent claudication is measured by the: - -
distance walked before leg pain starts.
- An early sign of alcohol withdrawal is: - -diaphoresis.
- A stage III pressure ulcer is characterized by: - -deep craters with or
without undermining and full-thickness skin loss involving subcutaneous
tissue
- The primary risk factor for the development of pressure ulcers in older
adult patients is: - -immobility.
- An 80-year-old resident of a retirement center states that something is
wrong with the lighting in the room because colored rings appear around the
light bulbs. The resident most likely has: - -glaucoma.
- The most common cause of chronic pain in older adults is: - -arthritis.
- A 72-year-old man with asthma, chronic obstructive pulmonary disease,
and chronic anxiety is admitted to a nursing home. Care plan objectives for
this man include: - -adherence to his medication regimen, inhalation
therapy, and instruction about methods of conserving energy.
- A 65-year-old man with a 45-year history of smoking complains of a
change in his cough pattern, a nonproductive cough, and an ache in his
chest. The man's chest x-ray reveals an infiltrate. The gerontological nurse
suspects: - -a lung tumor.
- Which symptom in older adults is most indicative of a urinary tract
infection? - -Confusion
- Which is a risk factor for vaginitis in older adult women? - -Prolonged
antibiotic therapy
, - Which condition might be indicated by an increase in hemoglobin values? -
-Dehydration
- An 83-year-old female patient underwent a total hip replacement three
days ago. She should not cross her legs because: - -adduction of the hip can
cause dislocation of the prosthesis.
- A 76-year-old patient with osteoarthritis complains of pain, stiffness, and
deformities of the fingers. The gerontological nurse recommends - -exercise
- A factor that contributes to hypothermia in older adults is: - -decreased
activity
- Heat stroke is a serious form of hyperthermia that is characterized by - -
absence of sweating
- A gerontological nurse is teaching dressing techniques to a patient with
right hemiplegia and a severe speech impairment. An appropriate first step
in the nurse's teaching would be to: - -demonstrate the proper way to put on
a shirt.
- Older adults with Parkinson disease exhibit: - -rigidity and tremor at rest.
- To prevent injury, a gerontological nurse advises an older adult who is
taking tricyclic antidepressants to: - -stand up slowly from sitting or lying
positions.
- Persons who are taking anticholinergic drugs are at high risk for: - -dry
mouth.
- Age-related changes in which two organs most affect an older adult's
reaction to medication? - -Liver and kidneys
- Sildenafil citrate (Viagra) is hazardous for patients with: - -heart failure
and borderline hypotension.
- A 78-year-old patient calls a telephone triage nurse and reports several
falls after taking over-the-counter medication for a recent cold. Which
medication contributed to the falls? - -Diphenhydramine (Benadryl)
- Older adults who take the herbal supplement cascara sagrada are
monitored for the presence of: - -hypokalemia.
- A nursing home conducts a survey to evaluate nursing care. However,
some residents did not express their concerns due to fear of reprisal by the
staff. Which aspect of the evaluation is most affected? - -Validity
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