2. A 75-year-old male is worried that his wartlike dark macules with distinct borders
are melanomas. What would be the most likely cause for the macules?
a. Senile lentigo
b. Cutaneous papillomas
c. Seborrheic keratoses
d. Xerosis
ANS: C
Dark, slightly raised macules are seborrheic keratoses, which may be mistaken for melanomas.
DIF: Cognitive Level: Comprehension REF: p. 32 OBJ: 1
TOP: Seborrheic Keratosis KEY: Nursing Process Step: Implementation
3. The nurse is accompanying a group of older adults on a July 4th outing to monitor
heat prostration. What factor is related to heat intolerance in the older adult?
a. An increase in melanin
b. A reduction of perspiration
c. A reduction in body temperature
, d. Increased capillary fragility
ANS: B
Reduction in perspiration related to reduced sweat gland function results in possible heat intolerance
from an inability to cool the body by evaporation.
DIF: Cognitive Level: Analysis REF: p. 33 OBJ: 2
TOP: Heat Intolerance KEY: Nursing Process Step: Assessment
4. The nurse cautions the Certified Nursing Assistants (CNAs) to use care when
transferring or handling older adults. The nurse understands that the vascular
fragility of the older adult can result in which of the following conditions?
a. Altered blood pressure
b. Pressure ulcers
c. Pruritus
d. Senile purpura
ANS: D
Increased capillary fragility results in subcutaneous hemorrhage or senile purpura from careless
handling by caregivers.
, DIF: Cognitive Level: Comprehension REF: p. 33 OBJ: 7
TOP: Senile Purpura KEY: Nursing Process Step: Planning
6. The Certified Nursing Assistant (CNA) caring for an older adult asks if the yellow,
waxy, crusty lesions on the patient’s axilla and groin are contagious. Which response
shows the nurse’s understanding for the cause of the lesions?
a. “Yes. It is cellulitis caused by bacteria.”
b. “No. It is seborrheic dermatitis caused by excessive sebum.”
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