Nurse Moose
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    Exam Review

    1. When discussing aging, to whom does the term “older adulthood” apply?
      A)Age 55 and above
      B)Age 65 and above
      C)Age 70 and above
      D)Age 75 and above
    2. A nurse is caring for an older adult client who has dementia and whose family reports he gets up and wanders around at night. Which action should the nurse take?
      A)Place the client in a quiet room at the end of the hallway.
      B)Tell the family that someone should plan to stay with the client.
      C)Provide bright lighting in the client’s room at night.
      D)Keep the client’s personal items within reach.
    3. A nurse is caring for an older adult client who is scheduled for surgery. The client becomes upset when the nurse asks her to remove her dentures prior to the surgery. Which of the following is a therapeutic response by the nurse?
      A)“You seem worried. Are you concerned someone may see you without your teeth?”
      B)“You wouldn’t want your teeth to be lost or broken during surgery, would you?”
      C)“The anesthesiologist requires everyone to remove their dentures.”
      D)“It’s for your safety. Dentures can slip and block your airway during surgery.”
    4. A nurse is caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting with planning the client’s care?
      A)Explaining the roles of the RN, licensed practical nurse, and assistive personnel
      B)Understanding the client’s routine for his own care at home
      C)Determining the client’s mobility
      D)Introducing health care team members to the client
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    Exam Review

    1. A nurse is caring for an older adult client who has a fractured hip. The client says, “I guess I’ve lived long enough and my time is up.” Which of the following responses should the nurse make?
      A)“You are in really good shape for your age.”
      B)“This is just a minor setback. You will be back on your feet in no time.”
      C)“You feel as though your life is ending?”
      D)“The doctors are going to take good care of you. There is nothing to worry about.”
    2. While collecting data from an older adult client, the nurse learns that the client has had difficulty sleeping at night for several months. When evaluating the client’s sleep disturbances, the nurse should factor in which of the following principles that can affect older adults and sleep?
      A)Older adults have an increase in rapid eye movement (REM) sleep.
      B)Older adults seldom awake at night once they have fallen asleep.
      C)Chronic pain and illness interfere with the sleep patterns of older adults.
      D)Older adults require much less sleep than younger adults do.
    3. A nurse is reinforcing teaching with an older adult client who is on bed rest about foods high in dietary fiber. Which of the following food items should the nurse indicate is the best source of fiber?
      A)Pears with skin
      B)Mashed potatoes
      C)Celery
      D)Canned pineapple
    4. A nurse in a community clinic is collecting data from an older adult client who has a body mass index of 17.5. When evaluating the client for dehydration, the nurse should look for which of the following indications of fluid-volume deficit?
      A)Tenting
      B)Protruding eyeballs
      C)Elevated blood pressure
      D)Dry mucous membranes
    Page 2 of 5

    Exam Review

    1. An older adult client who lives alone tells the nurse at the clinic that he is unable to drive himself to the store and is afraid to cook on the stove. The nurse should recommend which of the following community resources for this client?
      A)Hospice care
      B)Meals on Wheels
      C)Visiting nurse services
      D)The American Association of Retired Persons
    2. A nurse is caring for several clients at various developmental stages. The nurse understands that according to Erikson, acceptance of death occurs at which of the following stages of psychosocial development?
      A)Autonomy vs. Shame and Doubt
      B)Generativity vs. Stagnation
      C)Identity vs. Role Diffusion
      D)Integrity vs. Despair
    3. A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this older adult client?
      A)Urinary retention
      B)Low back pain
      C)Incontinence
      D)Confusion
    4. A nurse is assisting an older adult client plan an exercise regimen. Which of the following activities should the nurse encourage the client to avoid?
      A)Stretching
      B)Running
      C)Resistance training
      D)Aerobic exercises
    Page 3 of 5

    Exam Review

    1. A nurse is assisting in preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following alterations is appropriate for the nurse to include?
      A)Decreased muscle mass
      B)Thickened vertebral disks
      C)Decreased chest width
      D)Increased force of isometric contractions
    2. A nurse is reinforcing home safety information with an older adult client. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
      A)“I should have grab bars installed in my bathroom.”
      B)“I should leave a night light on when I go to bed at night.”
      C)“I should use my walker carefully when going upstairs.”
      D)“I should have my son change the batteries in my smoke detectors each year.”
    3. A nurse is reinforcing teaching with an older adult client. Which of the following strategies should the nurse use?
      A)Incorporate teaching needs into one daily session.
      B)Emphasize visual and auditory teaching techniques.
      C)Minimize distractions by closing the door to the room.
      D)Begin with the most difficult learning tasks.
    4. A nurse is collecting data on an older adult client who is experiencing age-related changes. Which of the following findings should the nurse expect?
      A)Increased muscle mass
      B)Increased balance
      C)Increased calcification of bones
      D)Increased joint stiffness
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    Exam Review

    1. A nurse is assisting with teaching an older adult client about a new medication. Which of the following actions should the nurse take?
      A)Provide reading material using blue-colored ink.
      B)Dim the lights in the client’s room.
      C)Present the information in small segments.
      D)Avoid repeating information to the client.
    2. A nurse is assisting with teaching an older adult client about a new medication. Which of the following actions should the nurse take?
      A)Provide reading material using small-sized font.
      B)Use a high tone of voice when speaking.
      C)Present the information in lengthy segments.
      D)Allow extra time for instruction.
    3. A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?
      A)Decrease in body fat
      B)Increase in muscle mass
      C)Increase in gag reflex
      D)Decrease in systolic blood pressure
    4. A nurse is assisting with teaching a class about physiological changes to hearing in older adult clients. Which of the following should the nurse include?
      A)Decreased ear wax
      B)Decreased tinnitus
      C)Decreased ability to hear high-frequency sounds
      D)Decreased thickness of tympanic membranes
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