INTENSIVE PHASE
POST-TEST
GERIATRIC NURSING
1. Which statement by an older adult regarding her diet
indicates a need for FURTHER teaching by the nurse?
A.“I’m going to have dinner with my friends more often.”
B.“I plan to eat more dairy foods like milk and yogurt
every day.”
C. “I plan to eat more raw fruits and whole grain foods
everyday.”
D. “I need to eat foods high in fat to help me keep warm
this winter.”
2. A nurse is working with the family of a client who has
Alzheimer’s disease. The nurse notes that the client’s
spouse is too exhausted to provide care all alone. The
adult children live too far away to provide relief on a
weekly basis. Which nursing interventions would be
helpful?
A.Recommending that the client be placed in a
long-term care facility.
B.Encouraging the spouse to talk about the difficulties
involved in caring for a loved one.
C. Suggesting that the spouse seek psychological
counselling to help cope with exhaustion.
D. Calling a family meeting to tell that absent children
that they must participate in caregiving.
3. An elderly client requires behavioral therapies to
decrease or eliminate urinary incontinence. Which
procedures would the nurse expect to include in the
teaching plan for this client?
A.Kegel exercises
B.External catheters
C.Self-catheterization devices
D. Post void residual monitoring
4. The client scheduled for a transurethral resection
prostatectomy (TURP) has listened to the surgeon’s
explanation of the surgery. The client later asks the
nurse to explain again how the prostate is going to be
removed. The nurse should tell the client that the
prostate will be removed through which location?
A. The urethra
B. A lower abdominal incision
C. An upper abdominal incision
D. An incision made in the perineal area
5. The nurse is caring for a client who has returned from
the post-anesthesia care unit after prostatectomy. The
client has a three-way Foley catheter with an infusion of
continuous bladder irrigation (CBI). Which color
description of the urinary drainage should lead the nurse
to determine that the flow rate is adequate?
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A.Dark cherry
B.Clear as water
C.Pale yellow or slightly pink
D.Concentrated yellow with small clots
6. A client with benign prostatic hyperplasia undergoes
transurethral resection of the prostate (TURP). The
nurse should request which solution from the pharmacy,
so it is available postoperatively for continuous bladder
irrigation (CBI)?
A.Sterile water
B.Sterile normal saline
C.Sterile Dakin’s solution
D. Sterile water with 5% dextrose
7. An older adult client at the retirement center spits her
food out and throws it on the floor. She yells, “This
chicken is dry and cold! I can’t stand the food here!”
How should the nurse respond to the client?
A.“Now look what you’ve done! You’re ruining this meal
for the whole community. Aren’t you ashamed of
yourself?”
B.“I think you had better return to your apartment now.
I’ll make arrangements for a new meal to be served to
you there.”
C.“Let me get you another serving that is more to your
liking. Would you like to see the chef and select your
own serving?”
D.“One of the things that was agreed upon was that
anyone who did not use appropriate behavior would be
asked to leave the dining room. Please leave now.”
8. A health care provider prescribes a follow-up home
care visit for an older adult client with emphysema.
When the home care nurse arrives, the client is smoking.
Which statement by the nurse would be therapeutic?
A.“Well, I can see you never got to the stop smoking
clinic!”
B.“I’m glad I caught you smoking! Now that your secret
is out, let’s decide what you are going to do.”
C.“I notice that you are smoking. Did you explore the
stop smoking program at the senior citizens center?”
D.“I wonder if you realize that you are slowly killing
yourself. Why prolong the agony? You can just jump off
the bridge!”
9. The nurse is providing medication instructions to an
older client who is taking digoxin daily. The nurse
explains to the client that decreased lean body mass and
decreased glomerular filtration rate, which are
age-related body changes, could place the client at risk
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for which complication with medication therapy?
A.Decreased absorption of digoxin
B.Increased risk for digoxin toxicity
C.Decreased therapeutic effect of digoxin
D. Increased risk for side effects related to digoxin
10. The nurse is caring for an older client in a long-term
care facility. Which action contributes to encouraging
autonomy in the client?
A.Planning meals
B.Decorating the room
C.Scheduling haircut appointments
D.Allowing the client to choose social activities
11. The nurse is providing care to an older client with
hearing loss. Which of the following is correct about
older clients with hearing loss?
A.They are often distracted.
B.They have middle ear changes.
C.They respond to low-pitched tones.
D.They develop moist cerumen production.
12. The nurse is performing an assessment on an older
client who is having difficulty sleeping at night. Which
statement by the client indicates the need for further
teaching regarding measures to improve sleep?
A.“I swim 3 times a week.”
B.“I have stopped smoking cigars.”
C.“I drink hot chocolate before bedtime.”
D.“I read for 40 minutes before bedtime.”
13. The nurse is performing an assessment on an older
adult client. Which assessment data would indicate a
potential complication associated with the skin?
A.Crusting
B.Wrinkling
C.Deepening of expression lines
D.Thinning and loss of elasticity in the skin
14. The nurse is visiting a client for the first time. While
assessing the client’s medication history, it is noted that
there are 19 prescriptions and several over-the-counter
medications that the client has been taking. Which
intervention should the nurse take first?
A.Check for medication interactions.
B.Determine whether there are medication duplications.
C. Call the prescribing doctor and report polypharmacy.
D. Determine whether a family member supervises
medication administration.
15. The long-term care nurse is performing assessments
on several of the residents. Which are normal
age-related physiological changes the nurse should NOT
expect to note?
A.Decline in visual acuity
B.Decline in long-term memory
C.Increased susceptibility to urinary tract infections
D.Increased incidence of awakening after sleep onset
16. The nurse reviews the client’s health care record and
notes that the client is taking donepezil hydrochloride
(Aricept). Understanding the purpose of this medication,
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the nurse suspects this client has which medical
problem?
A.Delirium
B.Dementia
C.Osteoporosis
D.Benign Prostatic Hyperplasia
17. The nurse is developing a plan of care for an older
client with dementia. The nurse develops which realistic
outcome for the client?
A.The client will function at the highest level of
independence possible.
B.The client will be admitted to a nursing home to have
the needs of activities of daily living met.
C.The nursing staff will attend to all of the client’s
activities of daily living needs during the hospital stay.
D.The client will complete all activities of daily living
independently within a 1- to 1½-hour time frame.
18. The nurse is caring for a client diagnosed with
dementia who has needs related to nutrition. Which
appropriate goal should the nurse plan for with this
client?
A. Client will be free of hallucinations.
B. Client will feed self with cueing within 24 hours.
C. Client will be oriented to place by the time of
discharge.
D. Client will correctly identify objects in his or her room
by the time of discharge
19. The nurse is caring for a client diagnosed with
delirium who states, “Look at the spiders on the wall.”
How should the nurse respond?
A. “Would you like me to kill the spiders for you?”
B. “While there may be spiders on the wall, they are not
going to hurt you.”
C. “I know that you are frightened, but I do not see any
spiders on the wall.”
D.“You are having a hallucination; I’m sure there are no
spiders in this room.”
20. The nurse is caring for an older client who has been
placed in Buck’s extension traction after a hip fracture.
During the assessment of the client, the nurse notes that
the client is disoriented. What is the appropriate nursing
intervention for this client?
A.Apply restraints to the client.
B. Ask the family to stay with the client.
C. Ask the laboratory to perform electrolyte studies.
D. Reorient the client frequently and place a clock and a
calendar in the client’s room.
21. An older client is admitted to the hospital with a
fractured hip and is experiencing periods of confusion.
The nurse develops a plan of care and should identify
which psychosocial outcome?
A.Improved sleep patterns
B.Reduced family fears and anxiety
C.Meeting self-care needs independently
D. Increased ability to concentrate and participate in
care
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22. The home care nurse visits an older client
experiencing limited range of motion who is upset about
urinary incontinence. Which should the nurse determine
is a potential environmental contributor to the client’s
problem?
A.A low toilet seat
B.Nightlights in the hallways
C.Large, unmovable furniture
D. A bathroom at each end of the house
23. When assessing the cardiovascular system of a
75-year-old male, a nurse auscultates a systolic heart
murmur. This is the only abnormality noted. Which
analysis by the nurse is correct?
A.Indication for valve replacement
B.Indication that the client has congestive heart failure
(CHF)
C.Usually representative of underlying heart disease
D.Common due to age-related calcification and stiffening
of the heart valves
24. When a nurse completes height measurement for a
62-year-old female client, the woman says that she has
lost half an inch. Which explanation by the nurse is most
accurate?
A.“As we age, we lose muscle mass.”
B.“Bone loss is due to lack of exercise.”
C.“Aging changes in the cartilage of the knees and hips
result in shortening stature.”
D.“The vertebral column shortens due to compression
and thinning of the vertebrae with aging.”
25. For which age-related skin changes should a nurse
assess an 81-year-old hospitalized client to best protect
the client from developing pressure ulcer?
A.Increased tissue vascularity
B.Increase in subcutaneous tissue
C.Loss of skin thickness and elasticity
D.Increased rate of cellular replacement
26. A 76-year-old client is admitted to a surgical unit
following a right colectomy for a small tumor. The client
has lactated Ringer’s solution infusing intravenously at
125 mL/hr, O2 per nasal cannula at 3 L, and a right
abdominal dressing. A nurse analyzes the client’s
assessment information and identifies the nursing
diagnosis: Risk for infection (pneumonia) due to
age-related functional changes in the respiratory system.
Which age-related assessment most likely prompted the
nurse to establish the nursing diagnosis?
A.Decreased residual volume
B.Decreased cough reflex
C.Increased vital capacity
D.Increased PaO2
27. A nurse obtains information for a 75-year-old client
and concludes that some findings are not age related
and require further follow-up because the client is at risk
for falls. Which report by the client represents a
non-age-related finding that requires
additional investigation?
A.Reports experiencing a decreased ability to see at
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night
B.Reports having difficulty distinguishing some colors
C.Reports seeing halos around lights
D.Reports diminished visual acuity
28. An 85-year-old client is hospitalized for diverticulitis.
The client’s 83-year-old girlfriend spends most of the
day and evening with him. Several nurses have made
comments about the couple’s relationship. Which nurse’s
comment represents a myth about the intimacy needs of
older adults in general?
A.Sexual interest tends to persist throughout one’s life
span.
B.Older adults require less physical contact than younger
adults.
C.Sexual expression may not enhance the quality of life
of older adults.
D.Sexual expression is not difficult or impossible for
some older adults.
29. All the following goals should be included in the plan
of care for a client with dementia except:
A.The client will remain physically safe.
B.The client will receive emotional support.
C.The client will receive physical health care.
D.The client will show cognitive improvement.
30. A home health nurse caring for a client diagnosed
with Alzheimer’s disease is attempting to determine
whether the client’s daughter understands the client’s
prognosis. Which of the daughter’s questions to the
nurse will most accurately assess the daughter’s
understanding of Alzheimer’s disease and its prognosis?
A.“What types of support services are available?”
B.“What can we do to improve our father’s memory?”
C.“Which local hospital has the best treatment
program?”
D.“How long does it take for his medication to cure his
condition?”
A
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