Comprehensive Nrs 146 Final Exam

45 Questions | Total Attempts: 32

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Comprehensive Nrs 146 Final Exam

Comprehensive NRS 146


Questions and Answers
  • 1. 
    Bladder Training may be the most helpful in the prevention and management of which type of incontinence?
    • A. 

      Overflow

    • B. 

      Stress

    • C. 

      Functional

    • D. 

      Urge

  • 2. 
    Your older adult client is complaining of night time incontinence. Her incontinence occurs after she awakens and starts coughing. You suspect her type of incontinence is:
    • A. 

      Overflow

    • B. 

      Stress

    • C. 

      Functional

    • D. 

      Urge

  • 3. 
    An older adult man who is complaining about difficulty starting his urine flow and then dribbling urine after he urinates is most likely exhibiting signs of:
    • A. 

      Stress Incontinence

    • B. 

      Benign Prostatic Hypertrophy

    • C. 

      Pyelonephritis

    • D. 

      Nocturia

  • 4. 
    A nurse is providing care to an older adult with cystitis. Which of the following type of medication would most likely b prescribed?
    • A. 

      Tricyclic antidepressant

    • B. 

      Anticholinergic

    • C. 

      Antispasmodic

    • D. 

      Antibiotic

  • 5. 
    A nurse is providing care to a older adult with BPH (Benign prostatic hypertrophy). which of the following medications would most likely be prescribed?
    • A. 

      Keflex (cephalosporin)

    • B. 

      Togranil (imipramine)

    • C. 

      Flomax (tamsulosin)

    • D. 

      Detrol (tolterodine)

  • 6. 
    Your older adult client has been diagnosed with Gastroesophageal Reflux Disease (GERD). She is also experiencing diminished kidney function. Based on this diagnosis and his condition, you anticipate, she will have which type of drug ordered:  
    • A. 

      Histamine h2 Antagonist

    • B. 

      Stool Softener

    • C. 

      Stimulant Laxative

    • D. 

      Protein Pump Inhibitor

  • 7. 
    Older adults may exhibit which of the following if they are also experiencing sleep disturbances?
    • A. 

      Confusion

    • B. 

      Decreased memory

    • C. 

      Morning headaches

    • D. 

      Constipation

  • 8. 
    Your client asks you what changes normally occur in sleep patterns in the older adult: You tell them:
    • A. 

      The elderly retain sleep patterns from their younger years

    • B. 

      The elderly fall asleep more easily than younger adults

    • C. 

      The elderly have a longer total sleeping period

    • D. 

      The elderly tend to wake up earlier

  • 9. 
    Which non-pharmacological nursing interventions can assist an older adult with sleep: Check all that apply.
    • A. 

      Noise level (silence or using a fan to muffle sounds)

    • B. 

      Dark room (lighting)

    • C. 

      Benadryl

    • D. 

      Temperature of the room (cold or warm)

  • 10. 
    Your older adult client has been losing weight and you are considering the NANDA stem of Nutrition less than body requirements. You expect that his weight loss could be a result of all of the following: (Select all that apply)
    • A. 

      Ill Fitting Dentures

    • B. 

      Age related decrease in saliva production

    • C. 

      Access to food due to limited mobility

    • D. 

      Small diverticuli

  • 11. 
    You understand that your older adult client is at risk for poisoning due to all of the following normal age related changes except:
    • A. 

      Decreased sense of smell

    • B. 

      Decreased blood supply to the liver

    • C. 

      Decreased tolerance of lactose

    • D. 

      Decreased in near sighted vision

  • 12. 
    Your older adult client is complaining that his stool is very hard and dry. What medication would you anticipate will be ordered to soften his stool?
  • 13. 
    Along with administering this medication, what other education would you give your client to assist with his constipation?
    • A. 

      Increase water intake

    • B. 

      Decrease fiber intake

    • C. 

      Eat earlier in the day to aid peristalsis

    • D. 

      Limit his activity until his stool is normal

  • 14. 
    Which nursing intervention may help maximize existing pulmonary function:
    • A. 

      Deceasing oral fluid intake

    • B. 

      Taking vital signs

    • C. 

      Sculpting once a week

    • D. 

      Elevating the head of the bed

  • 15. 
    You make the following suggestions for your healthy 70 year old healthy neighbor to reduce her cardiac workload:
    • A. 

      Increase caffeine intake

    • B. 

      Space out daily activities

    • C. 

      Take up gardening

    • D. 

      Decrease drinking water

  • 16. 
    Which of the following activities would best promote health maintenance among older adults when we consider normal cardiovascular changes that occur with aging?
    • A. 

      Running a marathon once a year

    • B. 

      Watching sports for an hour on television every night

    • C. 

      Taking 12 hour hikes in the mountains every weekend

    • D. 

      Swimming or yoga for 20 minutes 3-5 times a week

  • 17. 
    You know your 70 year old healthy neighbor is at increased risk for complications if she gets a respiratory infection because of these normal changes in the aging pulmonary system.
    • A. 

      Increased flexibility of her rib cage

    • B. 

      Increased total body water causing thinner mucus

    • C. 

      Decrease in cilia that helps move mucus out of respiratory tract

    • D. 

      Changes in respiratory muscles that cause increased respiratory rate

  • 18. 
    There are many changes in the cardiovascular and pulmonary systems that are a result of primary aging. Which one did we discuss in class?
    • A. 

      Ribs and vertebral joints expand

    • B. 

      Valves in veins become less competent

    • C. 

      Pericardium softens

    • D. 

      Heart valves become floppy

  • 19. 
    When assessing the older adult regarding sleep, which of the following would be appropriate?
    • A. 

      The nurse will ask about the parent history regarding sleep

    • B. 

      The nurse will ask key points about the environment during sleep hours

    • C. 

      The nurse will ask about sleep routines, including any sleep aides usually utilized

    • D. 

      The nurse will ask about dietary intake and medications schedules

  • 20. 
    Which of the following medications are commonly used to assist a client with sleep?
    • A. 

      Iphenhydramine/ Benadryl

    • B. 

      Methotrexate/Rhematrex

    • C. 

      Zolpidem/Ambien

    • D. 

      Temazepam/Restoril

  • 21. 
    Which of the following criteria indicates that an older patient has become a victim of polypharmacy?
    • A. 

      Medications that are contraindicated are not used

    • B. 

      Medications that interact concurrently are not used

    • C. 

      There is no improvement after discontinuation of medications

    • D. 

      Medications are used to counteract side effects of previous medications

  • 22. 
    The definition of polypharmacy according to the World Health Organization (WHO) supports which statement?
    • A. 

      The cost of medications for older adults should be better covered by Medicare

    • B. 

      Middle age adults are the greatest consumer of drugs in western countries

    • C. 

      Adverse drug events (ADEs) are decreasing in older adults due to better vigilence

    • D. 

      Polypharmacy exists when more medicines are used that are clinically necessary

  • 23. 
    Mr. Penta was receiving an oral antibiotic for an infection. The nurse noticed that the peak level of antibiotic  was not in therapeutic range. The physiological reason for this was that:
    • A. 

      The patient took the antibiotic with milk, which was contraindicated

    • B. 

      The patient was not taking the antibiotic as prescribed

    • C. 

      Decreased gastrointestinal motility delayed the peak effects of the oral drug

    • D. 

      The rate of absorption was fast due to increased cardiac input

  • 24. 
    What is a contributing factor to multiple drug use by older adults?
    • A. 

      No changes have occurred in older adults' lifestyles

    • B. 

      The occurrence of adverse drug reactions has decreased

    • C. 

      Health care providers fail to coordinate medication regimens

    • D. 

      Compliance with medication regimens has increased

  • 25. 
    The BEERS criteria describes:
    • A. 

      How medication is absorbed, distributed and metabolized differently by adults

    • B. 

      Limits on alcoholic beverages that are considered safe for older adults

    • C. 

      Medication that is recommended for use by older adults

    • D. 

      Rationale for medication considered inappropriate for use by older adults