1. A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion.
She has had a minimally productive cough for several years that does not bother her. On
further questioning, she states tha
...
1. A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion.
She has had a minimally productive cough for several years that does not bother her. On
further questioning, she states that her breathing gets much worse when she lies down. The
most likely cause of her dyspnea is:
Cardiac
2. A 68-year-old male presents with a chief complaint of episodes of lightheadedness or
dizziness. He statesthatsweating, tachycardia, and some hand trembling are often associated
with these episodes. Which one of the following questionsshould you ask to help confirm the
diagnosis?
Are these symptoms related to eating?
3. A 68-year-old male presents with a chief complaint of episodic dizziness. Although not dizzy at
present, he states that he has noted onset of dizzy episodes when he rolls over in bed and
occasionally when he turns his head rapidly. Episodes last about 3 minutes. The most likely
diagnosis is:
Benign positional vertigo
4. A 75-year old resident in the nursing home has end stage dementia and experiences a 10-
pound weight loss over the course of 2 months. The resident has become increasingly difficult
to feed and often spits out food, pocketsfood, and frequently drools. The family is concerned
about the resident's nutritionalstatus. What isthe initial action of the nurse practitioner?
order a swallow evaluation
5. A 77-year-old client being treated for glaucoma asks the nurse practitioner what causes
glaucoma. The nurse basesthe response on the knowledge that the increase in intraocular
pressure is a result of:
a breakdown in the absorption process
6. . A 78-year-old man is being evaluated in the geriatric clinic. His daughter reportsthat he has
been very forgetful lately, and she is concerned that he might be "senile." The advanced
practice nurse administers the clock drawing test and the patient draws a distorted circular
shape and places the numbers all on one side of the shape. Based on his performance, the
nurse concludes that the patient:
needs further evaluation
7. The abrupt onset of symptoms of stress or urge incontinence is most often due to a urinary
tract infection
True
8. After first managing the pain being experienced by the client with gout, the treatment focuses
on:
Preventing systemic involvement by altering the client's diet
9. Based on current demographic data, which statement identifies a predictive trend regarding
the health care needs of society?
More nursing services will be required to serve the needs of the population 85 years of age and
older.
10. The caregiver for an older adult with cognitive impairment is concerned about the individual's
seeming disinterest in eating. Which suggestion doesthe nurse practitioner offer based upon a
known effect of dementia on a client's nutrition?
Establish a routine of when and where the individual will have their meals.
11. A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best
evaluate the management plan prescribed for this client?
Quarterly hemoglobin A1C
12. Compared with acute pain, persistent chronic pain requiresthe nurse practitioner to:
Educate the patient to the benefit ofspecific lifestyle changes
13. Ethnocentrism is defined as:
a belief that one's ethnic group is superior to that of another true
14. The FANCAPES assessment tool focuses on the older adult's:
ability to meet personal needs to identify the amount of assistance needed
15. The following are true statements about bipolar disordersin older adults except
"Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults."
16. The greatest risk for injury for a client with progressed Parkinson's disease is:
Falls
17. In the elderly population, the fastest growing group isthe age range:
85 years or older
18. It has been projected that the cultural group presenting the greatest growth rate among the
older adult population will be the:
Hispanic Americans
19. The nurse isteaching a health promotion class at a senior center. Which of the following
statements demonstrate that the participant does not understand the topic:
"We need to use caustic soaps and scrub aggressively with a wash cloth bathing to minimize
bacteria on the skin."
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