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2024 OVERVIEW OF GERONTOLOGIC NURSING CHAPTER 01 EXAM WITH CORRECT ANSWERS
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2024 OVERVIEW OF GERONTOLOGIC NURSING CHAPTER 01 EXAM WITH CORRECT ANSWERS
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2024 OVERVIEW OFGERONTOLOGIC NURSING
CHAPTER 01 EXAM WITH CORRECT
ANSWERS
2024
1. An older adult patient reports burning and itching eyes. On assessment,
the nurse notes
swelling of the eyelid margins bilaterally. What additional data are necessary
to confirm the nurse's
suspicion of blepharitis?
a. The patient reports visual disturbances such as rainbow halos.
b. The eyelids are reddened from seborrhea.
c. The patient is being treated with anticoagulants.
d. Small corneal hemorrhages are present. - CORRECT-ANSWERSb. The
eyelids are reddened from seborrhea.
2. The morning of her scheduled cataract extraction and intraocular lens
placement of the
right eye, an older adult patient expresses concern that she will not
remember her instructions for
home care. Which statement is the best response to the patient's concern?
a. "Is your family going to be here while you're in surgery?"
b. "Are you anxious about the surgery?"
c. "I'll reinforce the important points."
d. "We will provide you with written instructions." - CORRECT-ANSWERSd.
"We will provide you with written instructions."
3. Your 88-year-old patient is hospitalized for a retinal detachment. He is on
bed rest, and
both eyes are covered with patches. Which nursing diagnosis takes priority
at this time?
a. Self-esteem disturbance related to decreased independence
b. High risk for altered thought processes related to visual impairment
c. High risk for injury related to altered sensory perception
d. Impaired social interaction related to visual deficit - CORRECT-ANSWERSc.
High risk for injury related to altered sensory perception
4. A 66-year-old patient has been diagnosed with type 2 diabetes mellitus
and related
,vision loss. Which statement demonstrates the ability to manage her
condition?
a. "I schedule my yearly eye examination for the week of my birthday."
b. "When I notice haloes around lights, I'll know I'm developing a problem
with
retinopathy."
c. "My sister had diabetic retinopathy, and the vessels in her eyes were
scarred."
d. "I understand that the eye problems need to be diagnosed with an
ophthalmoscopic
exam." - CORRECT-ANSWERSa. "I schedule my yearly eye examination for
the week of my birthday."
5. A 77-year-old patient who is quiet and withdrawn may have a hearing
deficit related to
impacted cerumen. During the nursing assessment, the nurse confirms
supporting evidence of the
condition when noting:
a. frothy drainage from the patient's ears.
b. patient reports of dizziness.
c. patient reports of a feeling of fullness in the ears.
d. gray, metallic-appearing tympanic membrane. - CORRECT-ANSWERSc.
patient reports of a feeling of fullness in the ears.
6. An older adult patient reports "ringing" in the ears. What additional data
should the
nurse gather to help determine the cause of the patient's problem?
a. History of ear surgery
b. Use of prescription medications
c. Exercise and sleep patterns
d. Nutritional status, especially protein intake - CORRECT-ANSWERSb. Use of
prescription medications
7. An older patient with presbycusis has been advised to purchase a hearing
aid and asks
about its function and use. Which information is most accurate to give the
patient about the
function of hearing aids?
a. Hearing aids amplify sound but do not improve the ability to hear.
b. Hearing aids improve the ability to hear by intensifying the duration of
sound
waves.
c. Hearing aids control the input of sound waves to eliminate extraneous
noise.
,d. Hearing aids intensify sound waves and improve the ability to hear. -
CORRECT-ANSWERSa. Hearing aids amplify sound but do not improve the
ability to hear.
8. An older adult's chart documents that she has been diagnosed with
macular
dysequilibrium. Based on an understanding of this condition and the
resulting vertigo, the nurse
suggests that the patient:
a. turn her head very slowly when looking from right to left.
b. dangle her legs at the bedside before getting out of bed.
c. use the wall for stabilization when ambulating in the hallway.
d. be careful to be seated when flexing or hyperextending her neck. -
CORRECT-ANSWERSb. dangle her legs at the bedside before getting out of
bed
9. A 96-year-old patient reports symptoms of xerostomia. The nurse
attempts to minimize
the effects of the condition by:
a. providing appropriate fluids with the patient's meals.
b. cutting the patient's meat into small bite-sized pieces.
c. elevating the head of the patient's bed at mealtimes.
d. assisting the patient with oral care before each meal. - CORRECT-
ANSWERSa. providing appropriate fluids with the patient's meals.
10. The preferred way for the nurse to communicate with a 72-year-old
hearing-impaired
patient is to:
a. speak loudly into the patient's unaffected ear.
b. exaggerate the form of each word.
c. provide all communication in written form.
d. speak clearly and directly, facing the person. - CORRECT-ANSWERSd.
speak clearly and directly, facing the person.
9. A 96-year-old patient reports symptoms of xerostomia. The nurse
attempts to minimize
the effects of the condition by:
a. providing appropriate fluids with the patient's meals.
b. cutting the patient's meat into small bite-sized pieces.
c. elevating the head of the patient's bed at mealtimes.
d. assisting the patient with oral care before each meal. - CORRECT-
ANSWERSa. providing appropriate fluids with the patient's meals.
11. A patient in a nursing home is confused, nonverbal, but pleasant. The
nurse notes the
, patient has suddenly become agitated and is screaming and scratching at
the eyes. While the nurse
is examining the patient, the patient vomits. What action by the nurse is
best?
a. Consult the provider about an ophthalmologic exam.
b. Sedate the patient so she won't injure herself.
c. Place mitts on the patient's hands to avoid scratches.
d. Give the patient a prn medication for pain. - CORRECT-ANSWERSa. Consult
the provider about an ophthalmologic exam.
10. The preferred way for the nurse to communicate with a 72-year-old
hearing-impaired
patient is to:
a. speak loudly into the patient's unaffected ear.
b. exaggerate the form of each word.
c. provide all communication in written form.
d. speak clearly and directly, facing the person. - CORRECT-ANSWERSd.
speak clearly and directly, facing the person.
14. A patient has Ménière disease. What statement by the patient indicates a
good ability
to manage the condition?
a. "Because it's from dehydration, I can increase salt in my food."
b. "There are no medications, so I just have to learn to live with it."
c. "If I get dizzy I should lie down immediately and hold my head still."
d. "Because I have asthma, I cannot take any medications for Ménière
disease." - CORRECT-ANSWERSc. "If I get dizzy I should lie down immediately
and hold my head still."
15. A patient had a chemical splash into the eye at work. What action by the
occupational
health nurse takes priority?
a. Begin flushing the patient's eye with cool water.
b. Call emergency medical services.
c. Ask about the patient's tetanus status.
d. Tape the eye closed to prevent injury. - CORRECT-ANSWERSa. Begin
flushing the patient's eye with cool water.
12. A patient has been admitted to the postanesthesia care unit after a
trabeculectomy.
What assessment takes priority?
a. Airway
b. Pain
c. Eye patch
d. Blood pressure - CORRECT-ANSWERSa. Airway
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