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Question 1:

A nurse is reviewing the medication list of an older adult client who takes several medications for different health problems.

The nurse recognizes that polypharmacy in older adults can increase the risk of which of the following?

Answer and Explanation

A
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Question 2:

A nurse is assessing an older adult client who has a history of falls.

Which of the following findings should the nurse identify as a risk factor for falls in older adults?

Answer and Explanation

A
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Question 3:

A nurse is providing discharge instructions to an older adult client who had a hip replacement surgery.

Which of the following statements by the client indicates a need for further teaching?

Answer and Explanation

A
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Question 4:

The nurse is caring for an elderly patient who has been admitted with pneumonia.

The nurse knows that elderly patients are at increased risk for respiratory infections because of which of the following factors?

(Select all that apply.).

Answer and Explanation

A
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Question 5:

The nurse is assessing an elderly patient’s skin turgor and notes that it is poor.

The nurse understands that this finding may be due to which of the following reasons?

Answer and Explanation

A
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Question 6:

The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following?

(Select all that apply.).

Answer and Explanation

A
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Question 7:

A nurse is planning care for an older adult client who has constipation due to decreased intestinal motility.

Which of the following interventions should the nurse include in the plan?

Answer and Explanation

A
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Question 8:

A nurse is evaluating a client who is 70 years old for signs of dehydration.

Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 9:

A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include?

(Select all that apply.).

Answer and Explanation

A
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Question 10:

A nurse is caring for an older adult client who reports feeling cold most of the time.

The nurse knows that this is most likely due to which of the following physiological changes with aging?

Answer and Explanation

A
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Question 11:

A nurse is assessing an older adult client who has sarcopenia.

The nurse knows that this condition is characterized by which of the following?

Answer and Explanation

A
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Question 12:

A nurse is planning care for an older adult client who has impaired tactile sensation due to aging.

Which of the following interventions should the nurse include?

(Select all that apply.).

Answer and Explanation

A
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Question 13:

The nurse is caring for an older adult client who has been diagnosed with benign prostatic hyperplasia (BPH). The client asks the nurse what causes this condition.

What is the best response by the nurse?

Answer and Explanation

A
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Question 14:

The nurse is teaching an older adult client who has menopause about hormone replacement therapy (HRT). The client asks about the benefits and risks of HRT.

What should the nurse include in the teaching?

Answer and Explanation

A
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Question 15:

The nurse is reviewing the laboratory results of an older adult client who has a urinary tract infection (UTI).

Which of the following findings should alert the nurse to a possible complication of UTI in older adults?

(Select all that apply.).

Answer and Explanation

A
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Question 16:

The nurse is caring for an older adult client who has an infection and a fever of 38°C (100.4°F).

The nurse should monitor the client for which of the following complications?

Answer and Explanation

A
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Question 17:

The nurse is providing discharge instructions to an older adult client who has diabetes mellitus and is taking oral hypoglycemic agents.

The nurse should advise the client to do which of the following?

Answer and Explanation

A
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Question 18:

The nurse is assessing an older adult client who has osteoporosis and reports frequent falls.

The nurse should ask the client about which of the following factors that could contribute to falls?

(Select all that apply.).

Answer and Explanation

A
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Question 19:

A nurse is reviewing the results of a functional status assessment for an older adult client using the Katz Index of Independence in Activities of Daily Living (ADLs). The nurse notes that the client scored 4 out of 6 on this tool.

What does this score indicate?

Answer and Explanation

A
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Question 20:

A nurse is conducting a functional status assessment for an older adult client using the Lawton Instrumental Activities of Daily Living (IADLs) Scale. The nurse asks the client about his ability to use transportation.

Which of the following questions is appropriate for this domain?

Answer and Explanation

A
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Question 21:

A nurse is implementing interventions to improve the functional status of an older adult client who has diabetes and hypertension.

Which of the following interventions should the nurse include?

(Select all that apply.).

Answer and Explanation

A
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Question 22:

A nurse is reviewing the medication list of an older adult client who has delirium.

Which of the following medications can contribute to delirium in older adults?

Answer and Explanation

A
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Question 23:

A nurse is performing a mental status examination on an older adult client who has delirium.

Which of the following tools can the nurse use to assess the client’s attention span and concentration?

Answer and Explanation

A
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Question 24:

A nurse is providing discharge instructions to an older adult client who has recovered from delirium and their family caregiver.

Which of the following recommendations should the nurse make to prevent recurrence of delirium?

(Select all that apply.).

Answer and Explanation

A
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Question 25:

The nurse is caring for a patient who has had a spinal cord injury at level C5-C6 as a result of an automobile accident. The patient suddenly develops severe hypertension, throbbing headache, blurred vision, and bradycardia.

What is the priority nursing intervention?

Answer and Explanation

A
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Question 26:

The nurse is assessing a patient who has been diagnosed with multiple sclerosis (MS).

Which of the following findings is most consistent with this condition?

Answer and Explanation

A
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Question 27:

A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin).

Which of the following instructions should the nurse include?

(Select all that apply.).

Answer and Explanation

A
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Question 28:

A nurse is caring for an older adult client who has depression and reports having chronic pain in his lower back.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 29:

A nurse is evaluating an older adult client who has depression after four weeks of treatment with an antidepressant medication.

Which of the following findings would indicate that the medication is effective?

Answer and Explanation

A
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Question 30:

A nurse is educating an older adult client who has depression about the benefits of physical activity and exercise.

Which of the following statements should the nurse include?

(Select all that apply.).

Answer and Explanation

A
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Question 31:

According to Erikson’s psychosocial theory, what is the main developmental task of older adults?

Answer and Explanation

A
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Question 32:

What are some of the environmental factors that can influence the psychosocial changes in older adults?

Answer and Explanation

A
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Question 33:

A nurse is conducting a psychosocial assessment of an older adult client who has recently retired from work.

Which of the following questions should the nurse ask?

(Select all that apply.).

Answer and Explanation

A
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Question 34:

A nurse is teaching an older adult client about the benefits of social interaction for health and well-being.

Which of the following statements by the client indicates a need for further teaching?

Answer and Explanation

A
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Question 35:

A nurse is assessing an older adult client who has been diagnosed with depression and social isolation.

Which of the following questions should the nurse ask to determine the possible causes of the client’s condition?

Answer and Explanation

A
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Question 36:

A nurse is implementing interventions to prevent or reduce social isolation in older adult clients who live in a long-term care facility.

Which of the following interventions are appropriate for this setting?

(Select all that apply.).

Answer and Explanation

A
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Question 37:

A nurse is providing education to a group of older adults about sexuality and aging.

Which of the following information should the nurse include?

Answer and Explanation

A
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Question 38:

A nurse is caring for an older adult client who has erectile dysfunction due to diabetes mellitus.

The client asks the nurse what he can do to improve his sexual function.

Which of the following responses should the nurse give?

Answer and Explanation

A
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Question 39:

A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients.

Which of the following factors should the nurse consider?

(Select all that apply.).

Answer and Explanation

A
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