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    Exam Review

    1. Which classification of drugs is on the list of potentially inappropriate medications (PIM) for older adults and should be avoided except in extreme cases?
      A)Benzodiazepines
      B)Warfarin
      C)Acetaminophen
      D)Analgesics
    2. Which of the following symptoms is indicative of a detached retina, a condition considered a medical emergency?
      A)Mild discomfort when moving the affected eye
      B)Sudden onset of flashes of light and floaters in the field of vision
      C)Persistent eye redness and irritation
      D)Gradual onset of blurry vision
    3. An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse implement?
      A)Schedule voiding for every 2 hours around the clock.
      B)Coordinate a family conference with the older adult.
      C)Tell her to eliminate the use of caffeinated beverages.
      D)Recommend exercises to strengthen the pelvic floor.
    4. A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?
      A)Gastroesophageal reflux disease
      B)Aspiration
      C)Peptic ulcer disease
      D)Dumping syndrome
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    Exam Review

    1. An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?
      A)Poor solid food intake
      B)Constipation
      C)Poor liquid intake
      D)Diarrhea
    2. Which nutrient deficiency is commonly associated with an increased risk of falls and fractures in older adults?
      A)Magnesium
      B)Vitamin D
      C)Vitamin B12
      D)Iron
    3. In what ways does constipation significantly impact hospitalized older adults, necessitating close clinical management?
      A)It paradoxically promotes gastrointestinal motility, diminishing the likelihood of bowel impactions.
      B)It intricately complicates the management of chronic conditions, leading to decreased hospital stay durations.
      C)It commonly exacerbates pre-existing health conditions, heightening the risk of complications such as bowel impactions and delirium.
      D)It frequently contributes to enhanced urinary function and reduced risk of urinary tract infections.
    4. What is the appropriate nursing intervention for a geriatric patient who is experiencing frequent falls and gait difficulties at home?
      A)Recommend the use of a walker or cane to assist with mobility.
      B)Advise the patient to avoid physical activity to prevent falls.
      C)Instruct the patient to only move around when someone is available to assist.
      D)Suggest wearing loose-fitting shoes for comfort.
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    Exam Review

    1. Of all the following malignant skin cancers, which one is the most common?
      A)Actinic keratosis
      B)Melanoma
      C)Basal cell carcinoma
      D)Squamous cell carcinoma
    2. The nurse in the emergency department is caring for a patient brought by ambulance for shortness of breath with a history of chronic obstructive pulmonary disease (COPD). The health care provider recommends a short-acting beta agonist to be administered STAT. Which medication should the nurse anticipate will be ordered?
      A)Salmeterol
      B)Metoprolol
      C)Misoprostol
      D)Albuterol
    3. You are taking care of an older female adult with severe cognitive impairments. She is unable to tell you when she needs to urinate and, as a result, is often incontinent. What do you realize she is experiencing?
      A)Functional incontinence
      B)Urge incontinence
      C)Postvoid residual
      D)Stress incontinence
    4. Your female client has a history of arthritis. After assessing her condition and finding stiffness with inactivity, pain relieved by rest, and crepitus, you realize she has which one of the following types of arthritis?
      A)Rheumatic arthritis (RA)
      B)Polymyalgia Rheumatica
      C)Osteoarthritis (OA)
      D)Gout
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    Exam Review

    1. The nurse is reviewing the results of the testing for a 68-year-old male client newly diagnosed with an acute gout attack. Which laboratory/specimen finding should the nurse expect for a client with gout? Reference Ranges: Uric Acid: 2.4-7.0 mg/dL C-Reactive Protein (CRP):< 10 mg/L Erythrocyte Sedimentation Rate (ESR): 0-20 mm/hr
      A)Uric acid of 6.5 mg/dL
      B)Erythrocyte sedimentation rate (ESR) of 5 mm/hr
      C)Decreased C-Reactive Protein (CRP)
      D)Urate crystals in the synovial fluid
    2. An 85-year-old client is admitted to the orthopedic unit following a repair of a left hip fracture. Three days later, the nurse observes an area of nonblanchable redness on the client's sacrum. Which action by the nurse is the most appropriate?
      A)Inform the provider that blood cultures are needed.
      B)Inform the charge nurse that this client requires a private room.
      C)Inform the nurse manager that the client's family is dissatisfied with his care.
      D)Inform the assistive personnel (AP) of the need to turn the client every two hours
    3. A nurse is providing education for a client who has glaucoma. Which of the following statements should the nurse include in the teaching?
      A)"Without treatment, glaucoma can cause blindness."
      B)"Double vision is a common symptom of glaucoma."
      C)"Use of eye drops will improve vision over time."
      D)"Glaucoma is caused by inadequate production of fluid within the eye."
    4. Which of the following is a true statement about skin care for older adults?
      A)A ram's-horn nail should be cut to give a smooth, rounded edge.
      B)Onychomycosis is quickly eradicated with antifungal creams or powders.
      C)Maintaining oral hydration may reduce the incidence of xerosis
      D)A licensed practical nurse is qualified to care for the feet of a client with diabetes.
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    Exam Review

    1. What is the most effective intervention to reduce the risk of falls in older hospitalized clients?
      A)Encouraging clients to use furniture for support while walking
      B)Performing regular medication reviews to identify drugs that increase fall risk
      C)Placing all clients on bed rest to prevent falls
      D)Turning off all lights at night to ensure clients sleep well
    2. A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A new nurse in a long-term care facility is caring for a client diagnosed with Parkinson's disease (PD). The nurse should note that which one of the following actions is likely to be observed during the assessment?
      A)Resting hand tremors
      B)Fast movements
      C)Frequent movement
      D)Changing facial expression
    4. A patient presents to the emergency department with sudden, severe eye pain, blurred vision, and seeing halos around lights. Which of the following conditions is most likely causing these symptoms?
      A)Conjunctivitis
      B)Acute angle-closure glaucoma
      C)Dry eye syndrome
      D)Cataract
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