Online Practice Test 23

Your Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 23 > NCLEX® Review Date/Time Submitted: July 14, 2012 at 4:27 AM (UTC/GMT)

Summary of Results 60% Correct of 10 Scored items: 6 Correct:  60% 4 Incorrect:  40% More information about scoring

1.		An 86-year-old client sitting up in a chair complains of being cold even though the room thermometer measures 78 degrees. The most appropriate nursing action would be to: Your Answer: Check the client's temperature Correct Answer: Get the client a sweater, blanket, and stockings
		Objective: Describe the usual physical changes that occur during older adulthood. Rationale: Loss of subcutaneous fat decreases elders' tolerance for cold. This is not a sign of illness. They may be uncomfortable when younger people are not. Extra clothing may be necessary for elders' comfort. Space heaters pose a safety hazard and should not be used. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
2.		The daughter of an 88-year-old female client newly admitted to a nursing home states that her mother does not socialize much at all, and asks the nurse to "be sure to plan activities to get her out more." Keeping continuity theory in mind, what assessment information does the nurse need to obtain before planning any intervention?  Your Answer: The visual and hearing abilities of the client Correct Answer: The amount of social activity the client was involved in when younger
		Objective: List the common psychosocial theories about aging. Rationale: Continuity theory states that people maintain values, habits, and behavior into old age. If the client was not social when younger, she will not be social when older. While other factors affect the person's ability to socialize, they do not pertain to continuity theory. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		The nurse is preparing to discharge several clients from the hospital. All the clients require medications and special diets at home. The nurse will assess financial status of which client in particular, who may be most in need of financial assistance to obtain medications and proper food? Your Answer: A 60-year-old Caucasian male Correct Answer: A 87-year-old African-American female
		Objective: Describe the demographic socioeconomic, ethnicity and health characteristics of elders in the U.S. Rationale: Financial needs of elders vary widely, but minority elders often have greater financial problems than elderly whites, and all elderly women tend to have lower incomes than men, with oldest women the poorest. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which fast growing U.S. population is going to impact the face and characteristic of nursing care?  Your Answer: Geriatric
		Objective: Identify the different categories of elders as they range from 65 to 100 years of age. Rationale: According to U.S. Department of Health and Human Services, people over 85 are the fastest growing of all age groups in the country. Their physical, psychosocial and economic needs are unique and will impact nursing as chronic care issues burgeon. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Comprehension Strategy: Use nursing knowledge and the processes of elimination to make a selection.
5.		An elderly client has complained about her "thinning skin." Upon examination, the nurse performs a skin turgor test. To promote healthier skin, the nurse can suggest: Your Answer: Methods to ensure adequate hydration and nutrition
		Objective: Describe the usual physical changes that occur during older adulthood. Rationale: Changes in integument accompany progressive loss of subcutaneous fat and muscle tissue. Health promotion may assist the client in minimizing the aging process. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Knowledge Strategy: Decide what is the best action for client and situation.
6.		The home health nurse has been assigned to assess the home of an elderly client for safety hazards. The nurse should be concerned about: Your Answer: Unsecured area rugs
		Objective: List examples of health promotion topics for older adulthood. Rationale: Hazards in the home are numerous. The nurse assesses the home for hidden hazards such as unsecured area rugs, poorly lit areas, and broken steps. Nursing Process: Assessment Client Need: Safe Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the processes of elimination to make a selection.
7.		The nurse meets with an elderly client who is living with her family. The client has had some difficulty with activities of daily living making it difficult for her to be alone while the family works during the day. The nurse can suggest: Your Answer: Adult day care assistance
		Objective: Describe the demographic socioeconomic, ethnicity and health characteristics of elders in the U.S. Rationale: Some adult day care centers provide both social and health care. Family members who work during the day or who need respite may find adult day care centers helpful in maintaining a safe environment during the day for the older adult. Nursing Process: Assessment Client Need: Safe Effective Care Environment Cognitive Level: Analysis Strategy: Decide what is the best action for client and situation.
8.		A client refuses to leave home because of incontinence. She is afraid that she will have an "accident" and is too embarrassed to run errands or go to social events. What can the nurse suggest the client do to regain bladder control? Your Answer: Practice pelvic exercises to stop or control stress incontinence
		Objective: Describe the usual physical changes that occur during older adulthood. Rationale: Complaints of urinary frequency and urgency are common in the elderly. Urinary incontinence is not normal and can be treated. Health promotion activities can promote good urinary function and elimination patterns. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
9.		The most common type of dementia is __________ . Your Answer: alzheimer's disease Correct Answer: Alzheimer's
		Objective: Explain changes in cognitive abilities while aging. Rationale: Dementia is a progressive loss of cognitive function. The most common type of dementia is Alzheimer's disease. Symptoms include cognitive dysfunctions. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Comprehension Strategy: Use nursing knowledge of the process of aging.
10.		An active elderly client who has been attending computer classes has suddenly stopped coming to the Senior Citizen's Center. According to Atchley's continuity theory, the nurse should:  Your Answer: Call the client's home to check on his health status.
		Objective: List the common psychosocial theories about aging. Rationale: Atchley's continuity theory suggests that people maintain their values, habits, and behavior in old age. A person accustomed to having people around will continue to do so. The nurse should be concerned about the client's sudden absence. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection