u r my 1st
An elderly patient with dementia and hemiparesis is bed-bound. Which nursing action should be done first?
A. Assist with feeding
B. Perform range-of-motion exercises
C. Reposition to prevent pressure injury
D. Provide health teaching
C. Reposition to prevent pressure injury
Older adults are more susceptible to adverse drug reactions due to which of the following age-related changes?
A. Increased renal clearance
B. Increased liver metabolism
C. Decreased body fat
D. Decreased renal function
D. Decreased renal function
An immobile elderly patient is at greatest risk for which complication?
A. Hypertension
B. Pressure injury
C. Hypoglycemia
D. Visual impairment
B. Pressure injury
Which communication strategy is best for an elderly patient with hearing loss and mild cognitive impairment?
A. Speaking louder and faster
B. Using medical jargon
C. Combining verbal cues with gestures
D. Limiting communication
C. Combining verbal cues with gestures
In an online clinical simulation, which action best demonstrates clinical reasoning?
A. Copying nursing diagnoses
B. Identifying abnormal cues and prioritizing care
C. Memorizing disease names
D. Listing medications
B. Identifying abnormal cues and prioritizing care
An elderly patient with heart disease presents with bilateral leg edema and shortness of breath on exertion. What is the priority focus of care?
A. Skin hygiene
B. Fluid balance monitoring
C. Cognitive stimulation
D. Pain management
B. Fluid balance monitoring
Which class of medications is commonly prescribed for older adults with hypertension but requires caution due to risk of electrolyte imbalance?
A. Beta-blockers
B. ACE inhibitors
C. Thiazide diuretics
D. Calcium channel blockers
C. Thiazide diuretics
Which intervention best prevents complications of immobility in elderly patients?
A. Limiting movement
B. Regular repositioning and skin assessment
C. Use of restraints
D. Prolonged sitting
B. Regular repositioning and skin assessment
Which observation indicates effective communication with a cognitively impaired elderly patient?
A. Restlessness
B. Ability to follow simple commands
C. Refusal of care
D. Agitation
B. Ability to follow simple commands
Why are case scenarios used in online gerontological nursing exposure?
A. To replace learning objectives
B. To simulate real clinical decision-making
C. To eliminate documentation
D. To reduce student participation
B. To simulate real clinical decision-making
Which elderly patient requires the most immediate nursing attention?
A. Patient with stable vital signs and mild joint stiffness
B. Patient with controlled diabetes and good appetite
C. Patient with signs of congestion and activity intolerance
D. Patient requesting assistance with grooming
C. Patient with signs of congestion and activity intolerance
An older adult patient is prescribed benzodiazepines for anxiety. What is a major concern with this medication in the elderly?
A. Hypertension
B. Increased risk of falls
C. Hyperglycemia
D. Diarrhea
B. Increased risk of falls
An elderly patient post-orthopedic surgery tolerates sitting only briefly. What is the most appropriate nursing action?
A. Encourage prolonged sitting
B. Assist with frequent position changes
C. Discourage activity
D. Withhold mobility assistance
B. Assist with frequent position changes
Which nursing approach best supports dignity in elderly patients with dementia?
A. Completing tasks quickly without explanation
B. Providing care without patient involvement
C. Explaining procedures and allowing participation
D. Limiting interaction
C. Explaining procedures and allowing participation
Which output best reflects effective learning in an online nursing duty?
A. Completed attendance
B. Accurate FDAR and justified care plan
C. Passive participation
D. Copying peer answers
B. Accurate FDAR and justified care plan
A resident in a long-term care facility is short of breath and has new-onset confusion. In a team nursing model, who should be notified first?
A. The nursing assistant
B. The charge nurse or RN
C. The social worker
D. The unit secretary
B. The charge nurse or RN
Which intervention helps reduce the risk of polypharmacy in older adults?
A. Prescribing multiple medications for every condition
B. Reviewing medications regularly for necessity and interactions
C. Ignoring over-the-counter supplements
D. Increasing doses to achieve faster results
B. Reviewing medications regularly for necessity and interactions
Which of the following is the most effective intervention to prevent falls in a long-term care facility?
A. Placing all residents in bed during the night
B. Regularly assessing fall risk and implementing individualized interventions
C. Removing all mobility aids to prevent misuse
D. Administering sedatives to reduce activity
B. Regularly assessing fall risk and implementing individualized interventions
You are educating a group of older adults about fall prevention. Which technique enhances understanding?
A. Using medical jargon to appear professional
B. Providing written information only
C. Combining verbal explanation, demonstration, and written handouts
D. Speaking quickly to cover all topics
C. Combining verbal explanation, demonstration, and written handouts
During online simulation debriefing, a student reflects that they did not recognize early signs of dehydration in a resident. Which reflection demonstrates growth in clinical judgment?
A. Blaming the simulation design for not being realistic
B. Acknowledging the oversight and planning to monitor intake, output, and vital signs more carefully
C. Ignoring the missed signs
D. Assuming dehydration is not critical in older adults
B. Acknowledging the oversight and planning to monitor intake, output, and vital signs more carefully
A team nursing approach is being used. Which task should not be delegated to a newly hired LPN under supervision?
A. Administering oral medications to stable residents
B. Performing wound care on a resident with an infected pressure ulcer
C. Monitoring intake and output
D. Reporting abnormal findings to the RN
B. Performing wound care on a resident with an infected pressure ulcer
A patient with dementia is experiencing agitation. Which class of drugs should be used cautiously in this population?
A. SSRIs
B. Antipsychotics
C. ACE inhibitors
D. Beta-blockers
B. Antipsychotics
Which environmental modification is most important to prevent falls in older adults with impaired vision?
A. Installing grab bars and adequate lighting
B. Removing all furniture
C. Encouraging residents to stay in bed
D. Using high rugs to absorb sound
A. Installing grab bars and adequate lighting
A resident appears withdrawn and reluctant to communicate. Which approach encourages interaction?
A. Forcing conversation repeatedly
B. Sitting quietly and offering empathetic presence
C. Ignoring the resident until they speak
D. Speaking only about medical procedures
B. Sitting quietly and offering empathetic presence
A student is using an online module to practice delegation in a functional nursing model. Which action demonstrates correct clinical judgment?
A. Delegating medication administration to a nursing assistant
B. Delegating ADLs like bathing or toileting to a nursing assistant
C. Doing all tasks personally to ensure accuracy
D. Ignoring the team structure
B. Delegating ADLs like bathing or toileting to a nursing assistant