Reproductive
Female older adults experience which of the following age-related reproductive changes:
a. More regular menstrual cycles
b. Increased strength of pelvic floor muscles
c. Decreased vaginal secretions
d. Increased thermoregulation
c. Decreased vaginal secretions
An older adult patient undergoing chemotherapy and radiation is at risk for :
a. elevated RBC counts
b. Malnutrition
c. Hypertension
d. Bursitis
b. Malnutrition
Malnutrition can quickly occur in older adults due to GI side effects. Chemotherapy suppresses red bone marrow activity reducing RBC and WBC production.
Painful joints, enlarged joint spaces, and limited range of motion are symptoms of:
a. osteoarthritis
b. osteoporosis
c. Parkinson's disease
a. osteoarthritis
Which is an age-related neurological findings in older adults
a. increased brain size and brain mass
b. decrease in working neurons and impulse conduction
c. faster reflexes and reaction times
b. decrease in working neurons and impulse conduction
Fatigue, malaise, cold intolerance, and weight gain are signs of:
a. osteoarthritis
b. hypothyroidism
c. elevated estrogen levels
b. hypothyroidism
Patients with Macular Degeneration:
a. lose peripheral vision
b. lose one side of their vision in both eyes
c. lose the ability to focus only on up close items
d. lose central vision
d. lose central vision
Which skin lesion can be precancerous?
a. age spots
b. actinic/senile keratosis
c. senile purpura
d. seborrheic keratosis
b. actinic/senile keratosis
An appropriate nursing diagnosis for an older adult vocalizing feelings of missing her life partner and intimacy would be:
a. body image disturbance
b. sexual dysfunction
c. noncompliance
b. sexual dysfunction
Brown and white spots/patches of discoloration on the affected tissue are signs of
a. Breast cancer
b. Ovarian cancer
c. Vulvular cancer
d. Cervical cancer
c. Vulvular cancer
Caucasian and Asian older adult women who are thin with small body frames are at high risk for:
a. osteoarthritis
b. osteoporosis
c. ovarian cancer
b. osteoporosis
Common signs of stroke include which 3?
a. unilateral weakness
b. visual disturbances/ blurred vision
c. suddenly having trouble finding words to speak
d. painful and swollen joints
a, b, and c
unilateral weakness, visual disturbances/ blurred vision, and suddenly having trouble finding words to speak should be treated as emergent situations and require immediate assessment by the nurse
Insulin would be ordered for which of the following patients?
a. hypothyroid patient not responding to levothyroxine
b. diabetes patient with an A1C of 12 with metformin use
c. diabetes patient with A1C of 5.8 with the use of metformin
b. diabetes patient with an A1C of 12 with metformin use
Uncontrolled diabetes may require insulin to control blood sugars if unsuccessful with oral medications
Glaucoma patients:
a. lose peripheral vision
b. lose one side of their vision in both eyes
c. lose the ability to focus only on up close items
d. lose central vision
a. lose peripheral vision
Stage I pressure ulcers :
a. have intact skin but are red and unblanchable
b. are wounds that involve partial-thickness skin loss into the dermis
c. are wounds that involve full-thickness skin loss into the subcutaneous/hypodermis
d. are wounds that are deep and go past the subcutaneous tissue to expose bone or muscle
a. have intact skin but are red and unblanchable
SSRI antidepressants (fluoxetine and escitalopram) have reproductive system side effects in males that can cause:
a. increased appetite
b. emotional lability
c. erectile dysfunction
d. increased sperm count
c. erectile dysfunction
Teaching the older adult male client to promote health maintenance includes
a. Self testicular exams
b. Self Prostate exams
c. Counting his sperm
d. Self eye exams
a. Self testicular exams
Age-related musculoskeletal findings in the older adult include
a. decreased muscle strength and muscle atrophy
b. softening of the costal cartilage
c. increased strength and increased bone mass
d. lengthening of the spine
a. decreased muscle strength and muscle atropy
Parkinson's patients experience which of the following symptoms from the disease process and side effects from medications such as Levodopa.
a. Neuropathy
b. constipation
c. diarrhea
d. hyperglycemia
b. constipation
a high fiber diet and plenty of liquids should be included in the plan of care
Care plans for Type II diabetics include exercising 3-5 days a week to:
a. prevent hypoglycemia
b. prevent diabetic retinal neuropathy
c. regulate and manage their glucose levels
c. regulate and manage their glucose levels
An expected age-related vision change for older adults is:
a. glaucoma - causing increased pressure and loss of peripheral vision
b. macular degeneration - causing loss of central vision
c. presbyopia - causing loss of visual acuity with up-close objects and reading
c. presbyopia - causing loss of visual acuity with up-close objects and reading
increased pressure, loss of peripheral or central vision are not expected or normal age-related findings
Age-related expected findings in the skin in the older adult are all EXCEPT:
a. age spots due to clustering of melanocytes
b. decreased melanocyte activity creating a high risk of skin cancer
c. decreased subcutaneous fat affecting temperature regulation
d. increased moisture from increased sebaceous gland activity
d. increased moisture from increased sebaceous gland activity
All are correct except d.
there is decreased sebaceous gland activity, and decreased sebum/oil production in the skin causing decreased moisture in the skin
Which of the following older adult clients requires information on contraception for pregnancy and/or STI prevention: (pick 2)
a. a woman with weakened pelvic floor muscles
b. a man with a fertile wife who has not reached menopause
c. a man who is not sexually active
d. a sexually active female with multiple partners
b. a man with a fertile wife who has not reached menopause
d. a sexually active female with multiple partners
Which of the following is the highest risk factor for breast cancer?
a. Family history of breast cancer
b. Smoking
c. Breast augmentation
d. Use of birth control pills
a. Family history of breast cancer
Risk for falls can be decreased for the older adult client by:
a. wearing properly fitting shoes
b. doing weight-bearing exercises
c. going from sitting to standing slowly
d. all of the above
d. all of the above
Which is not a risk factor for a stroke?
a. a patient with a history of smoking
b. a patient with type II diabetes mellitus
c. a patient with many sexual partners
d. a patient with a history of hypertension
c. a patient with many sexual partners
An older adult woman reports feeling cold all the time, fatigued, and gaining weight. The LVN should say:
a. these are age-related changes that are expected
b. you have hypothyroidism which happens at your age
c. when did your symptoms begin?
c. when did your symptoms begin?
Hypothyroidism symptoms and age-related changes are similar. The nurse should continue assessment and data collection and report it to the doctor. The doctor is the only one who can diagnose a client after testing.
Mrs. Galen has had a career as a landscaper and gardener for 50 years. She is most at risk for:
a. cataracts
b. glaucoma
c. homonymous hemianopsia
a. cataracts
Stage III pressure ulcers:
b. are wounds that involve partial-thickness skin loss into the dermis
c. are wounds that involve full-thickness skin loss into the subcutaneous/hypodermis
d. are wounds that are deep and go past the subcutaneous tissue to expose bone or muscle
c. are wounds that involve full-thickness skin loss into the subcutaneous/hypodermis
Which of the following is an expected age-related reproductive finding for older adult males?
a. decreased sperm count
b. smaller prostate
c. enlarged testicles
d. erectile dysfunction
a. decreased sperm count
Patients with skin cancer should be taught by their healthcare provider which of the following?
a. nonulcerated lesions are a sign of cancer
b. ulcerated lesions can be a sign of cancer
c. moles that remain symmetrical, round, and small in size are a sign of cancer
d. lesions changing to different colors are not worrisome
The LVN should immediately leave the room in which situation?
a. 2 consenting adult residents are having intercourse privately in a room.
b. an older adult resident is masturbating in the dining room
c. a dementia patient enters a neighbor's room uninvited and crawls into bed with them.
a. 2 consulting adult residents are having intercourse privately in a room.
Homonymous hemianopia:
a. causes inability to see one side of the visual field of both eyes after a stroke
b. is unilateral weakness after a stroke
c. is slurred speech and dysphagia after a stroke
a. causes inability to see one side of the visual field of both eyes after a stroke
To increase endurance, the older adult can promote cardiovascular and respiratory health with all except:
a. walking
b. running
c. swimming
d. sleeping
d. sleeping
A client is having difficulty hearing. After checking the client for impacted cerumen (ear wax), the LVN notes his ears are clean. She suggests that he:
a. purchase a hearing aid online on Amazon
b. ask his family to speak to him with a megaphone
c. suggest that the family use an erase board to communicate with the client for the remainder of his life
d. suggest that the client consider seeing an audiologist for a hearing exam
d. suggest that the client consider seeing an audiologist for a hearing exam
High risk factors for Basal or Squamous cell carcinoma are:
a. Working on computers indoors all day
b. Working with loud machinery for years
c. Standing on one's feet all day
d. Working outdoors all day.
d. Working outdoors all day
Patients with reproductive cancers, history of stroke, and other chronic conditions should use health promotion practices such as:
a. smoking and drinking
b. wearing well-fitting shoes
c. staying up to date with flu, pneumonia, and tetanus vaccines
c. staying up to date with flu, pneumonia, and tetanus vaccines
The best intervention the nurse can provide for cancer prevention in older adults is:
a. Tell everyone to stop smoking
b. Teach about participating in early cancer screenings
c. Organize a blood drive for cancer patients
b. Teach about participating in early cancer screenings
Osteoarthritis symptoms include:
a. painful swollen joints
b. decreased energy and bradycardia
c. goiter and exophthalmos
a. painful swollen joints
A client's medical history is taken, which alerts the nurse that they are at risk for stroke?
a. Her best friend had a stroke last year
b. history of smoking and coronary artery disease
c. history of frequent UTIs
b. history of smoking and coronary artery disease
Hypothyroidism can be missed by a health care provider because:
a. older adult clients often have tachycardia and goiter
b. older adult client often are fatigued, have weight gain, and slow metabolism
c. older adults often have exophthalmos - eye bulging
b. older adult client often are fatigued, have weight gain, and slow metabolism
hypotension and normal findings of aging are similar
Hearing aids
a. Help a person hear and the sounds will sound like they normally sound
b. only need to be cleaned once a year
c. amplify sounds nearby and all surrounding noises. A person's hearing will not be the same as it was before.
c. amplify sounds nearby and all surrounding noises. A person's hearing will not be the same as it was before.
The nurse is teaching the older adult about skin care. She includes telling the client to
a. use very hot water to wash bacteria off
b. dry skin vigorously with a rough towel
c. apply lotion to maintain moisture after baths
c. apply lotion to maintain moisture after baths