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NUR163/ NUR 163 Exam 2 (Latest 2025/ 2026
Update) Concepts of Practical Nursing in Care of
Elderly Patients| Questions and Answers| 100%
Correct | Verified Solutions | GRADED A -
Hondros
Question:
The nurse is caring for four patents today. Which finding should the nurse immediately report to the RN?
Answer:
- Patient with positive Chvostek's signs
Question:
Which patient finding should cause the nurse to encourage oral (PO) fluid intake?
Answer:
Diarrhea
Question:
The home health nurse is visiting a patient and notices the unpaid caregiver is having caregiver strain. The nurse knows, when communicating with the patient unpaid caregiver praise is the best way to improve caregiver strain. Which of the following would be the best response to the caregiver?
Answer:
I've noticed all your time and effort with the patient. You are very important to the healthcare team"
Question:
Which patient will the nurse determine to have potential for hypernatremia?
Answer:
The patient who consumes excessive amount of table salt
Question:
The LPN is preparing to discuss a plan of care with a 72-year-old patient who is hard of hearing. When communicating with the patient. What is the best approach?
Answer:
Speak in a low pitch tone and face level with the patient
Question:
patient arrives in the emergency department (ED) and is diagnosed with hyperkalemia. The nurse will monitor the patient for which possible consequence of hyperkalemia.
Answer:
Cardiac arrhythmias
Question:
Which of the following patients would least likely experience a fluid and electrolyte imbalance?
Answer:
A 23-year-old with an upper extremity bone fracture
Question:
The LPN is providing teaching on the use of complimentary and alternative therapies. Which statement by the geriatric patient shows an understanding of the teaching?
Answer:
- I am looking forward to starting the medication classes, and all the benefits it can have on my health
Question:
Which of the following is associated with an age-related complication, and could contribute to the geriatric patient's pain?
Answer:
Bone demineralization and contractures
Question:
The patient is having a cardiac catherization in the morning. Which of the following is in response to stress?
Answer:
Decreased production of digestive enzymes
Question:
Which comment about stress is true?
Answer:
Interventions that reduce stress are beneficial
Question:
The nurse is evaluating the patient's use of a cane for left- sided weakness. The nurse should intervene if the patient is observed performing which action?
Answer:
Moving the cane when the right leg is moved
Question:
Which strategy would be effective in reducing an elderly patient's stress?
Answer:
Focusing on the emotions of the patient
Question:
The nurse is caring for a patient recently transferred to a long-term care facility from the community hospital. The patient refuses to eat, leave the room, or take prescribed medication. Which action will the nurse take?
Answer:
Provide continuity of care by having the same nurse assigned to the patient as much as possible
Question:
The nurse is making a home visit to a patient diagnosed with hypertension. The patient's spouse died 3 months ago. Which behavior by the patient suggests ineffective coping?
Answer:
Neglecting personal grooming
The LPN knows in problem- focused coping and elderly patient faced with a stressful event, is most likely to do which of the following?
Answer:
Seek as much information about the situation they can
Question:
The LPN knows in emotion- focused coping, when faced with a stressful event, an elderly patient may do which of the following?
Answer:
Attempt to control their emotional response
Question:
Which of these is a key factor for poor coping in older adult patients?
Answer:
Limited cognitive functioning
Question:
The LPN knows that not all coping behaviors are healthy, some are maladaptive. Which of the following coping behaviors are considered maladaptive? SELECT ALL THAT APPLY
Answer:
- Alcohol use
- Excessive eating
- Denial
Question:
The LPN knows when an elderly patient experiences chronic stress, there may be a response in the cardiovascular system. Which one of the following represents the best response to chronic stress related to the cardiovascular system?
Answer:
Increased heart rate and blood pressure
Question:
The LPN knows primary prevention in stress management includes which of the following?
Answer:
Activities to promote health and well-being
Question:
The LPN assessing a group of elderly patients at a community center chose the best complementary and alternative therapies to manage stress. The LPN knows which of the following are complimentary therapies? SELECT ALL THAT APPLY
Answer:
Aroma therapy
- Guided imagery
- Massage therapy
- Acupuncture
Question:
The LPN knows stress causes the release of the stress hormone cortisol in the body. Cortisol is known as the stress hormone. Long-term exposure to cortisol can have which effect on the body?
Question:
The LPN is conducting a head-to-toe assessment on the patient prior to sending them to physical therapy. The patient reports a pain level of 1/10. The LPN knows which of the following nursing intervention would be appropriate prior to the patient attending physical therapy?
Answer:
- Document the assessment findings
- Give the patient the prescribed as needed (PRN) painmedication
- Provide a nursing report the physical therapy department
Question:
A prideful independent older adult patient is recovering from a stroke with left-sided weakness and now uses a cane. The patient explains to the LPN they are having psychological effects of decreased mobility such as boredom, helplessness, and depression. The LPN notices the patient walking without their cane. Which of the following would be a priority for the LPN?
Answer:
Give the patient their cane and remind them they should use the cane for safety reasons
Question:
The nurse is caring for an elderly patient who has been in the hospital for 3 days. After visiting the ER the patient was admitted to the ICU for 2 days, then to step-down unit for 1 day. Today has expressed feelings of powerlessness, helplessness, and loneliness. The nurse suspects that the patient may be experiencing what common occurrence?
Answer:
Disruptive Living Situation
Question:
When reviewing the diet of a patient who has a Vitamin D deficiency the LPN knows efficient absorption of calcium requires Vitamin D. The LPN knows which of the following is the best source of Vitamin D?
Answer:
Taking a walk on a sunny day
Question:
. The LPN knows the following pharmacological agents are used to treat mobility problems?
Answer:
Anti-inflammatory agents
- Bisphosphate
- Analgesic
- Muscle relaxers
Question:
The LPN knows the following is the most common condition affecting mobility?
Answer:
Low back pain
Question:
Question:
patient actively attempting to increase their support system after the loss of a spouse is demonstrating which type of coping strategy?
Answer:
Problem- focused coping strategy
Question:
Which goal would not be appropriate initial goal for a patient experiencing disruptive living situation
Answer:
Independence in taking medication
Question:
Which statement about depression in the older adult is true?
Answer:
Depression is a whole-body syndrome that causes physiological, emotional changes in the older adult, and cognitive
Question:
Which statement is false about an older adult coping with stress?
Answer:
Older adults have experienced stress throughout their lifetime and so their bodies are conditioned to handle stress in older age
Question:
LPN is caring for an older adult patient who has osteoarthritis. What assessment data related to altered mobility should the nurse report
Answer:
Patient pain level
- The patient uses a walker to go to the bathroom
- The patient requires help for the unlicensed assistive personnel (UAP) to transfer to their chair
- The patient can ambulate to the bathroom without assistance
- The patient has edema in his knees
Question:
The LPN is caring for a patient who refuses to use their new walker. Which response by the nurse is most appropriate
Answer:
Verify the patient knows how to use the walker
Question:
The nurse is educating a new LPN about interventions for a patient with emphysema. Which statement by the new nurse indicate understanding? SELECT ALL THAT APPLY
Answer:
- "I will assess the patient's pulse and respirations before activity, during and after"
The new graduate nurse has received report on a group of older patients and identifies which patient(s) are at risk for fluid balance deficit?
Answer:
A patient who is 70 years old
- A patient with altered cognition
- A patient who has been walking outside on a warm day
Question:
student nurse and LPN are reviewing the concept of impaired mobility. Which statement(s) by the student nurse indicates a need for further teaching?
Answer:
A patient with a leg amputation doesn't have any mobility needs."
- "Patients who are on bedrest should only be turned when they request it."
- "Patients with leg contractures have full range of motion."
Question:
The nurse is working with a group of elderly patients in a skilled nursing facility. Which patient assessment findings are indicative of increased stress?
Answer:
Agitation
- Increased urinary frequency
Question:
Patients who experience decreased mobility often experience which emotions?
Answer:
Helplessness
- Frustration and anger
- Anxiety
- Decreased self-worth
Question:
An elderly patient who weighs 265 pounds is concerned about being at risk for heart disease. Which primary health promotion activities will help alleviate stress
Answer:
Attending a class at the local YMCA entitled "Eating well...Your heart will Thank you!"
- Identify physical activities that will help in bringing a feeling of "Wellness"
- Learning relaxation techniques
Question:
patient present to the Emergency Department (ED) with elevated temperature of 104 degrees. Throbbing headache, rapid heartbeat, and behavioral changes. The nurse suspect which of the following diagnosis?
Answer:
Heatstroke
Answer:
should complete 30 minutes of moderate exercise each day"
Question:
An older adult patient who has rheumatoid arthritis wants recommendations on how to get daily exercise. Which response by the nurse would be the most appropriate?
Answer:
You should try swimming. It eases movement"
Question:
new patient informs the nurse that walking has become more difficult. The nurse should collaborate with which team member?
Answer:
Physical therapy
Question:
he LPN is caring for a patient who had a stroke (cerebrovascular accident) and has generalized weakness. Which care plan would be most beneficial for this patient?
Answer:
Active range of motion (AROM) three times a day
Question:
The LPN is educating a patient with congestive heart failure about method that can be used to conserve energy. Which statement by the patient indicates a need for further education?
Answer:
"I should take a rest break only after I complete my morning care
Question:
The LPN is teaching a patient about risk factors related to altered activity tolerance. Which statements by the patient indicate risk factors?
Answer:
watch documentaries on television most of the day"
- "My wife died six month ago and I have been feeling down "
- "I have been eating less food over the last six months
Question:
. A patient is refusing their scheduled physical therapy. Which nursing action would be the most appropriate?
Answer:
Access patient for pain
Question:
The nurse is caring for an older patient who has intermittent diarrhea, dry mouth, and low urine output. The nurse would expect which assessment finding?
Answer:
Fluid volume deficit
