2024 GERONTOLOGY EXAM 4
STUDY GUIDE WITH CORRECT
ANSWERS
2024\2025
A 62 year old man who works in a factory line takes indomethacin for
arthritis. He recently read in a magazine that older individuals should take
baby aspirin (81 mg) to decrease incidence of heart disease. Soon has
problem with ringing in his ears. Which should nurse suspect? - CORRECT-
ANSWERSTinnitus
A 65 yr old woman is speaking to her nurse at the primary care clinic. She
states that it is very painful when she has sexual relations. She asks the
nurse what she can do to alleviate the pain. Which of the following should
the nurse suggest? - CORRECT-ANSWERSShe should use a water soluble
lubricant or estrogen cream.
Which one of the following is an effective first-line intervention for men and
women with stress, urge, and mixed incontinence? - CORRECT-
ANSWERSPelvic floor muscle exercises
What are the risk factors that affect digestion and nutrition? (Select all that
apply) - CORRECT-ANSWERS-Poor oral care
-dysphagia
-effects from smoking and alcohol
What are some age-related changes that effect urinary wellness? (Select all
that apply) - CORRECT-ANSWERS-Changes in the kidney
-Voluntary control issues
A resident of a nursing home has experienced a progressive loss of vision as
a consequence of her diabetes. How should the nurse accommodate the
residents loss of visual acuity? - CORRECT-ANSWERSProvide the resident
with brightly colored grooming utensils.
A 74 yr old goes to his ophthalmologist for his yearly eye exam. During the
visit, he states that "People's faces look wavy to me." When looking at his
eyes closer, the ophthalmologist sees deposits of yellow retinal pigment
called drusen on the macula. This eye disorder is: - CORRECT-
ANSWERSGlaucoma
, Which of the following statements about the functional consequences
impacting visual wellness is true? - CORRECT-ANSWERSAn older adult who
has parkinson's disease and visual impairment is at risk for developing visual
hallucinations.
You know as a nurse that constipation is a big problem in older adults. What
is one piece of health education that you could implement about constipation
with your older adult population? - CORRECT-ANSWERSExercising regularly
will increase peristalsis.
A nurse assesses an older adult in the assisted living facility who has
presbyphagia. Which system should the nurse auscultate? - CORRECT-
ANSWERSlung sounds
Mrs. C is a healthy active 85 yr old with a complaint of constipation. Which of
the following age-related changes may contribute to these changes? -
CORRECT-ANSWERSslower peristalsis
A nurse is working for human services visits a long-term care facility. Which
resident assessment finding indicates poor quality of care? - CORRECT-
ANSWERSUnintentional weight loss
An older adult state, "I just feel so full so fast, I can't eat anymore." Which
response is most appropriate? - CORRECT-ANSWERS"Slower emptying of
your stomach may be the cause."
A 64 yr old man had a myocardial infarction 2 months ago. He has recovered
to the point that he is able to climb up two flights of stairs, but he and his
wife have not resumed sexual relations. Which of the following best describe
the problem that he is having? - CORRECT-ANSWERSMyocardial infarction
can lead to loss of libido in men.
A recent heat wave has seen an increase number of older adults who are
visiting the ER with actual or suspected hyperthermia. What assessment
findings are congruent with a diagnosis of hyperthermia in older adults?
(Select all that apply) - CORRECT-ANSWERS-Weakness
-Warm, dry skin
An 80 yr old woman complains of being very cold while in an air-conditioned
restaurant with her family. Which of the following factors may have
interfered with her ability to respond to cold? - CORRECT-ANSWERSDelayed
or diminished shivering
An older adult client states that he has lately been taking up to 2 hours to
fall asleep at night, despite avoiding caffeine during the day and going for a
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