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Gerontology Exam Sample (ANCC study set) Questions With Complete Solutions
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Gerontology Exam Sample (ANCC study set) Questions With Complete Solutions
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Gerontology Exam Sample (ANCC study set) QuestionsWith Complete Solutions
A 63-year-old patient is returning home after being hospitalized
for injuries received
during a robbery and home invasion. Although neighborhood
robberies are rampant, the
patient has lived in the same house for 50 years and does not
want to move. The
patient receives a monthly social security check. The
gerontological nurse's most
appropriate step is to:
1. advise the patient to arrange for someone to visit regularly or
move into the
home.
2. advise the patient to have the social security check deposited
directly to the bank
and to get a dog.
3. assume that the patient is incompetent and initiate
commitment proceedings.
4. take no action since the patient has a right to autonomy.
Correct Answer 2
A 65-year-old man with a 45-year history of smoking complains
of a change in his
cough pattern, a nonproductive cough, and an ache in his chest.
The man's chest x-ray
reveals an infiltrate. The gerontological nurse suspects:
1. a lung tumor.
2. chronic obstructive pulmonary disease.
3. pulmonary edema.
,4. tuberculosis. Correct Answer 1
A 68-year-old man calls his daughter every night to talk about
his beloved wife who died
four weeks ago. During the day, he is sad and goes out
frequently to get away from the
empty house. The man's most probable state is:
1. depression.
2. mourning.
3. neurosis.
4. prolonged grief. Correct Answer 2
A 69-year-old female presents with knee pain. The nurse hears a
dry crackling or grating sound and the client feels the same
sensation on exam. The nurse reconizes this as:
a. Nothing abnormal for the age of the client
b. Crepitation, the sound of osteoarthritis in the knee joint
c. Osteoporosis and a softening of the knee joint
d. Fluid-filled spaces in the knee joint Correct Answer B
A 70-year-old presents to the clinic stating that his family things
he is losing his mind and they want to put him in a home. What
would be the intial role of the gerontological nurse?
a) Begin the process of finding a qualified nursing home
b) Do a complete history,physical, and assessment
c) Speak with the family about their concerns
d) Make light of the subject until the nurse can evaluate the
situation Correct Answer B
A 72-year-old man with asthma, chronic obstructive pulmonary
disease, and chronic
,anxiety is admitted to a nursing home. Care plan objectives for
this man include:
1. adherence to his medication regimen, inhalation therapy, and
instruction about
methods of conserving energy.
2. an exercise program to increase the vital capacity of his lungs.
3. instruction in respiratory exercises with emphasis on forced
inhalation.
4. oxygen therapy at 3 L/min as needed and deep-breathing
exercises for
relaxation. Correct Answer 1
A 73-year-old patient is admitted to a rehabilitation facility after
sustaining a mild stroke.
After three nights in the facility, the patient begins to sleep only
four to five hours a night
and to awaken frequently during the night. The patient then
complains of not feeling
rested and begins to nap during the day. Which is the most
appropriate nursing action?
1. Completing an assessment of the patient's sleep-wake cycle to
determine
necessary interventions
2. Doing nothing since this type of sleep pattern is associated
with normal aging
3. Inquiring if the patient takes a medication at bedtime and
requesting that the
physician order it
4. Moving the patient further away from the nurse's station to
minimize disturbances Correct Answer 1
, A 73-year-old patient reports "dizzy spells" for the past several
weeks. The patient describes three similar episodes during
which the patient experienced "a swimming in my head," loss of
balance without falling, and numbness in the left arm. These
episodes lasted 10 to 30 minutes. This patient is experiencing:
a) carotid artery stenosis
b) Meniere's disease
c) postural hypotension
d) transient ischemic attacks Correct Answer D
A 75-year-old patient who sustained a stroke has residual left-
sided weakness. From
the first day of hospitalization, the patient has been combative
and demanding, and has
refused to swallow any medication. The most constructive
nursing action is to:
1. continue to attempt to follow the physician's orders.
2. determine the patient's premorbid personality.
3. restrain the patient and request a change in the route of
medication.
4. wait for the patient to become more cooperative. Correct
Answer 2
A 76-year-old patient with osteoarthritis complains of pain,
stiffness, and deformities of
the fingers. The gerontological nurse recommends:
1. cold packs.
2. exercise.
3. meditation therapy.
4. vitamin therapy. Correct Answer 2
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