Exam Review
- What is the most common sleep disorder?A)InsomniaB)OSA insomniaC)Circadian rhythm sleep disordersD)Restless leg syndrome
- Consequences of hearing loss in the elderly include all of the following except (Select All that Apply.)(SATA)A)Decreased functionB)FallsC)All of the aboveD)DepressionE)None of the aboveF)Miscommunication
- Untreated OSA can lead to all of the following except:A)Heart diseaseB)StrokeC)Type 2 diabetesD)Cardiac dysrhythmias
- An older patient is diagnosed with sensorineural hearing loss. You know that causes of sensorineural hearing loss include: (Select all that apply.)(SATA)A)Tumors of the middle earB)Cerumen impactionC)Age-related hearing impairmentD)Infections of the external and middle earE)Excessive and loud noise
Exam Review
- An older resident in a long-term care facility reports to the nurse that she has been noticing changes in her vision, including the appearance of halos around objects and a yellow tint to most objects. The nurse knows that these complaints are most often associated with:A)CataractsB)Age-related macular degenerationC)GlaucomaD)Diabetic retinopathy
- An older client reports to a nurse. "My daughter says there is something wrong with my hearing. I am not so sure. Yes, I have some problems hearing, but I am 78 years old. What does she expect? I noticed that at Christmas dinner, with all the racket around, I had some trouble. I think it is that my granddaughters mumble a lot, just like all young people. I guess it has been getting steadily worse; it seems to be both ears as well." Based on the client's description, the nurse suspects which of the following?A)A perforated eardrumB)OtosclerosisC)TinnitusD)Presbycusis
- An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?A)Raise her voice when speaking to the residentB)Examine the resident's ears for cerumen impactionC)Teach the resident to read lipsD)Refer the resident for an evaluation for a hearing aid
- You are caring for a 92-year-old female patient who was admitted to the hospital 1 day after outpatient cataract surgery. The patient who lives in an assisted living facility became very confused and agitated and was found wandering in the lobby of the building in her nightgown. The patient refused to return to their room and stated that there were "bad men" in the room. The patient has a history of dementia, diabetes, heart failure, and is on seven different medications. The patients lost their spouse 1 year ago. The nurse suspects that the patient is experiencing delirium. What are the patient's risk factors for delirium? (Select all that apply.)(SATA)A)Recent cataract surgeryB)History of dementiaC)Age of 92D)Female genderE)Residing in an assisted living facility
Exam Review
- Individual fall risk factors can be categorized as either intrinsic or extrinsic. Which of the following is an example of an intrinsic fall risk factor?A)Poor lightingB)Height of bedC)Reduced visionD)Lack of support equipment for bathtubs and toilets
- Health benefits of physical activity include all of the following except:A)Increase in walking speedB)Prevention of weight gainC)Increased risk of hypertensionD)Improved bone and functional health
- A nurse in a long-term care facility is concerned that a 94-year-old resident with dementia is losing weight. Upon assessment, the nurse notes that the resident, who is able to self-feed independently, consumes less than 50% of each of the meal trays. Which of the following strategies can the nurse utilize to improve this resident's intake? (Select all that apply.)A)Assign a nursing assistant to feed the residentB)Alter the dining ambience to reduce distractions.C)Assign a nursing assistant to sit with the resident as the resident eats.D)Serve the resident finger foods.E)Serve the resident one dish at a time,
- A nurse is assessing an older patient and notes a cluster of fluid-filled vesicles on the right thoracic area. The nurse suspects HZ (Herpes Zoster). The patient asks the nurse. "I really don't understand how I got shingles. I don't even know anyone who has this infection." The nurse includes which of the following in formulating a response to the patient?A)HZ is caused by a reactivation of dormant varicella zoster virus within the sensory neuron of the dorsal root ganglionB)HZ is caused by the same virus as chickenpox and requires direct contact with an individual with HZC)HZ is caused by the same virus as chickenpox and requires exposure to an individual with active chickenpoxD)HZ is caused by the varicella zoster virus and occurs only in individuals who were never previously exposed to the virus
Exam Review
- An older adult is referred to a geriatric nurse practitioner because of changes in memory and reports by family members that "there is something different about her." The nurse practitioner evaluates the older adult for which potentially reversible causes for the changes? (Select all that apply.)A)Delirium.B)Depression.C)OsteoporosisD)Medication side effectsE)Rheumatoid arthritis
- Painful, acute, accidental wounds, largely preventable.A)Skin tearsB)Pressure injuriesC)XerosisD)Purpura
- An older person is admitted to the hospital with an exacerbation of congestive heart failure. The nurse notes that the patient complains of severe itching at night and has a red rash on her torso. The patient is diagnosed with scabies. The patient asks the nurse, "How did I get something like this?" The best response by the nurse is:A)Scabies is only seen in older adults who have multiple chronic illnessesB)Scabies is highly contagious and spreads easily through physical contactC)Certain medications can make you more susceptible to contracting scabiesD)Scabies is commonly seen in older adults due to normal age-related changes in the skin
- You are preparing educational materials concerning fire safety in the home. What research data will be included in the material?A)Most people who die in fires are killed by the fumesB)Most fires occur outside the homeC)Fire mortality is highest in adults older than 80 years of ageD)Most fires occur during the daytime hours
Exam Review
- Which of the following would be beneficial in minimizing an older adult's risk of being a victim of fraud? (Select all that apply.)A)Contact the local Medicare or Medicaid service office for information when neededB)Never provide personal information to telephone sales solicitorsC)Rely on the advice of people who only friends have recommendedD)Keep your bank account and credit card numbers with you at all timesE)Do not allow uninvited salespersons into your home
- An older patient is diagnosed with diabetic retinopathy. The patient asks a nurse: "Is there anything that I can do to prevent progression of this disease and blindness?" The nurse incudes which of the following into the response? (Select all that apply.)A)Strict control of blood glucose levels is important in slowing disease progression.B)Laser photocoagulation treatments can stop progression of the disease.C)Eating a diet high in beta-carotene can stop disease progression.D)Wearing sunglasses to protect the eyes from ultraviolet light can stop disease progressionE)Control of blood pressure and cholesterol levels are important steps slowing disease progression
- Approximately 25% to 35% of these are on the heels. those with peripheral vascular disease are at high risk. These may also be seen on the sacrum, knees. ankles, pinna of the ears, elbows. What is this?A)Candida AlbicansB)MelanomaC)KeratosisD)Pressure injuries
- You are assessing an older adult's risk for falls. One of the questions you as is whether or not she has fallen in the past year. You ask this because individuals who have fallen:A)Are most likely to have a balance disorder as compared to persons who did not fall in the past yearB)Have a higher risk of falling again than persons who did not fall in the past yearC)Are more likely to sustain injuries if they fall again than persons who did not fall in the past yearD)Have most likely developed a fear of falling as compared to persons who did not fall in the past year
Exam Review
- You are visiting a client in the home to conduct a fall risk assessment. The nurse assess the client and the home for extrinsic risk factors for falls. Which of the following are extrinsic risk factors? (Select all that apply.)A)The client uses a cane, but the cane is not the appropriate size for the clientB)The client has an unsteady gaitC)The client's home is clutteredD)The client is o two different medications that cause orthostatic hypotensionE)There are no grab bars in the client's bathroom
- An older man tells a nurse. "The doctor says I have something wrong with my eyes, something called presbyopia. Can you explain why I have this? I was always fortunate to have good eyesight." The nurse formulates a response based on the knowledge that:A)The lens of the eye loses elasticity causing a loss of focus for near objects.B)The cornea of the eye becomes thicker and less curved causing an increase in astigmatism.C)The cornea of the eye forms a gray ring at the edges.D)The lens of the eye increases in opacity causing a decrease in light refraction.
- Benzodiazepines are the best pharmacological treatment to use for insomnia in older adults. (True or False)A)TrueB)False
- An older adult who has a balance disorder and has sustained repeated falls is recommended to start an exercise program. Which of the following exercises would be most beneficial improving balance in this individual? (Select all that apply.)A)WeightliftingB)Tai ChiC)PilatesD)SwimmingE)Yoga