2025 NUR 163 Exam Practice Test New Latest Version
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Correct Answers
How do you educate an elderly person taking blood pressure medication ? ---------- Correct
Answer ----------- if dizzy sit on side of bed with feet dangling, call for help
Why do older patients get super cold ? ---------- Correct Answer ----------- body can't regulate
temperature, poor perfusion
How do you an educate a cancer patient who c/o tiredness and wants to go visit grandchildren for
the weekend ? ---------- Correct Answer ----------- -take breaks
-pace themselves
What should you do when a pt comes in with hypothermia and has wet clothes on ? ----------
Correct Answer ----------- remove clothes, provide warm blanket
Who would be at an increased risk for injury? ----------- Correct Answer ----------- Patients
suffering from sleep disorders or daytime sleepiness
Therapeutic approaches for a patient with chronic pain, fatigue, fibromyalgia, and sleep
disorders? ----------- Correct Answer ----------- Pharmacological and non-pharmacological are
both good approaches
65-year-old patient presents in the Emergency room (ER) with complaints of dizziness, nausea,
and increased urinary retention that started in the first hour. The patient's vital signs are 158/82,
92, 22, and 98.5. Which should be the most appropriate action by the nurse? ------------ Correct
Answer ------------ Ask the patient. "Are you experiencing any stressors in your life?"
An older patient has recently moved to a long-term care facility after the death of their spouse.
After hearing the patient make comments such as "I am so tired" and "What's the point" The
nurse is concerned the patient is suffering from which of the following? ------------ Correct
Answer ------------ Depression
patient in a long-term care facility verbalizes fears about attending the facilities upcoming 50-
year celebration. The patient explains they are easily startled by loud noises, and the event is not
extremely important to them. Which would be the best response by the nurse? ------------ Correct
Answer ------------ If the event is not important to you and cause you fear, how do you feel about
avoiding the event?
The LPN is educating an older adult patient about the benefits of regular exercise. Which patient
statement indicates they understand the benefits of exercising? ------------ Correct Answer --------
---- should complete 30 minutes of moderate exercise each day"
,An older adult patient who has rheumatoid arthritis wants recommendations on how to get daily
exercise. Which response by the nurse would be the most appropriate? ------------ Correct
Answer ------------ You should try swimming. It eases movement"
new patient informs the nurse that walking has become more difficult. The nurse should
collaborate with which team member? ------------ Correct Answer ------------ Physical therapy
he LPN is caring for a patient who had a stroke (cerebrovascular accident) and has generalized
weakness. Which care plan would be most beneficial for this patient? ------------ Correct Answer
------------ Active range of motion (AROM) three times a day
The LPN is educating a patient with congestive heart failure about method that can be used to
conserve energy. Which statement by the patient indicates a need for further education? -----------
- Correct Answer ------------ "I should take a rest break only after I complete my morning care
The LPN is teaching a patient about risk factors related to altered activity tolerance. Which
statements by the patient indicate risk factors? ------------ Correct Answer ------------ watch
documentaries on television most of the day"
- "My wife died six month ago and I have been feeling down
"
- "I have been eating less food over the last six months
. A patient is refusing their scheduled physical therapy. Which nursing action would be the most
appropriate? ------------ Correct Answer ------------ Access patient for pain
The nurse is caring for an older patient who has intermittent diarrhea, dry mouth, and low urine
output. The nurse would expect which assessment finding? ------------ Correct Answer ------------
Fluid volume deficit
The nurse is providing stress education to a group od elderly patients. Which assessment finding
may indicate that a patient is experiencing moderate to severe stress? ------------ Correct Answer
------------ Anxiety
- Feelings of vulnerability
- Exhaustion
The unlicensed assistive personal (UAP) is caring for an elderly diabetic patient who is at risk for
skin breakdown. Which education reminders would the nurse give the UAP who is preparing to
give the patient a bed bath ------------ Correct Answer ------------ Avoid using hot water
- If repositioning uses a draw sheet to lift the patient up in bed
- Dry the skin thoroughly
- Allow the patient to assist as much as possible
, What could cause behavioral changes in older adults? ----------- Correct Answer ----------- a)
medication reaction
b) stroke
c) nutritional deficiency
What can cause sleep disorders in older adults? ----------- Correct Answer ----------- Corticoid
Steroids
how much exercise is recommended for the older adult? ----------- Correct Answer ----------- 30
minutes per day
What are some benefits to exercise in older adults? ----------- Correct Answer ----------- a)
maintains bone density
b) help prevent or reduce depression
c) helps with independence
d) regulation of blood sugar
What is a major risk factor for activity intolerance in older adults? ----------- Correct Answer -----
------ Cognitive impairment
What would you asses in an older adult that is starting a new exercise program? -----------
Correct Answer ----------- a) motivation
b) peripheral pulses
c) muscle weakness
d) respiratory status
e) oxygenation staturation
Why do diuretics alter sleep patterns? ----------- Correct Answer ----------- They cause frequent
urination
Which body system if primary defense against infection? ----------- Correct Answer -----------
Integumentary
Infection can occur due to: ----------- Correct Answer ----------- a) pathogen
b) entry
c) reservoir
d) mode of transmission
What patient would be most at risk for developing infection? ----------- Correct Answer -----------
Cancer patient receiving chemotherapy
What are some signs and symptoms of severe stress? ----------- Correct Answer ----------- a)
anxiety
b) hyperventilation
c) tachycardia
d) muscle tension
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