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Smith Chason College ADN NURS 146 Gero Final Exam

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Title : Smith Chason College ADN NURS 146 Gero Final Exam

Type : Nursing

Category : RN Nursing Exams

Subcategory : GENERAL Exams

Domain : Adult Health (General RN)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 250 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Adult Health questions tailored for RN students.

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No.

1 :
Diabetes, dementia, Parkinson’s disease, stroke, and vitamin B deficiencies may cause neurological damage leading to what condition?

Aphasia

Traumatic brain injury (TBI)

Gait disturbances

Postprandial hypotension (PPH)

Fallophobia

Hint : 👣Think about what happens when neurological control of walking and balance is disrupted.

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2 :
When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

Heart failure

Functional impairments

Longitudinal furrows on the tongue

Hypertension

Diabetes

Hint : 🥤Think about conditions that either reduce access to fluids or increase fluid loss.

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3 :
Which of the following is a true statement concerning suicide among older adults?

Older African American women have the highest risk of suicide among older adults.

Older adults and younger adults manifest suicidal intent in a similar manner.

A major crisis experienced by the client can contribute to the risk of suicide.

Ethics require that the nurse respects a person’s intent to terminate his or her own life.

Hint : 🕯️Consider what life event can trigger severe emotional distress leading to suicide risk.

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4 :
When teaching a client about foods that do not increase blood glucose, which should the nurse include?

Corn

White bread

Baked beans

Broccoli

Hint : 🥦Think about which food has the least carbohydrate content and lowest effect on blood sugar.

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5 :
Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. As a nurse, what do you know you must do to prevent pressure ulcers? (Select all that apply.)

Turn immobile clients every 2 hours off bony prominences.

Use lift or draw sheets to move clients in bed.

Keep the moist

Ensure that your client maintains a healthy nutritional status.

Apply pressure-relieving devices to vulnerable areas.

Hint : 🛏️Focus on strategies that reduce pressure, friction, and promote good nutrition.

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6 :
An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)

Pressure ulcers

Death

Sepsis

Decreased circulation/perfusion to the extremities

Fractures

Hint : 🔒Think about complications related to immobility, impaired circulation, and injury risk from restraints.

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7 :
During an assessment, an older adult male client reports that he fell the night before. What should you follow up with? (Select all that apply.)

Ask about the circumstances behind the fall(s).

Assess for any injuries the client might have.

Evaluate the client for gait and balance.

Ask about the history or frequency of falls.

Apply a non-adherent dressing to prevent another fall.

Hint : 🕵️Focus on investigating causes, injuries, mobility, and past episodes after a fall.

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8 :
Which are potential results of end-organ damage from chronic hypertension? (Select all that apply.)

Isolated systolic hypertension

Atrial fibrillation

Renal insufficiency

Stroke

Cardiac disease

Hint : 🩸Think about which organs (brain, kidney, heart) are most damaged by uncontrolled blood pressure.

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9 :
When an older female adult client complains of itching and pain and several days later shows you a rash, what do you realize she has?

Scabies

Herpes zoster

Skin cancer

Actinic keratosis

Hint : 🌡️Think of a painful rash that follows a nerve path in older adults.

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10 :
You notice that your older adult male client frequently knocks his arm or hand against door frames or chair backs and then develops a purpura. What do you advise your client to do? (Select all that apply.)

Protect the skin from trauma.

Remind the health care personnel to be gentle when handling this client’s skin.

Wear a long-sleeved shirt.

Tape a nonadherent dressing over the site of a skin tear.

Hint : 👕Think about protective strategies that prevent fragile skin from bump-related injury.

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Total Questions: 10

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Ans

Smith Chason College ADN NURS 146 Gero Final Exam

No.

1 : Diabetes, dementia, Parkinson’s disease, stroke, and vitamin B deficiencies may cause neurological damage leading to what condition?

2 : When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

3 : Which of the following is a true statement concerning suicide among older adults?

4 : When teaching a client about foods that do not increase blood glucose, which should the nurse include?

5 : Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. As a nurse, what do you know you must do to prevent pressure ulcers? (Select all that apply.)

6 : An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)

7 : During an assessment, an older adult male client reports that he fell the night before. What should you follow up with? (Select all that apply.)

8 : Which are potential results of end-organ damage from chronic hypertension? (Select all that apply.)

9 : When an older female adult client complains of itching and pain and several days later shows you a rash, what do you realize she has?

10 : You notice that your older adult male client frequently knocks his arm or hand against door frames or chair backs and then develops a purpura. What do you advise your client to do? (Select all that apply.)

1 :
Diabetes, dementia, Parkinson’s disease, stroke, and vitamin B deficiencies may cause neurological damage leading to what condition?

2 :
When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

3 :
Which of the following is a true statement concerning suicide among older adults?

4 :
When teaching a client about foods that do not increase blood glucose, which should the nurse include?

5 :
Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. As a nurse, what do you know you must do to prevent pressure ulcers? (Select all that apply.)

6 :
An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)

7 :
During an assessment, an older adult male client reports that he fell the night before. What should you follow up with? (Select all that apply.)

8 :
Which are potential results of end-organ damage from chronic hypertension? (Select all that apply.)

9 :
When an older female adult client complains of itching and pain and several days later shows you a rash, what do you realize she has?

10 :
You notice that your older adult male client frequently knocks his arm or hand against door frames or chair backs and then develops a purpura. What do you advise your client to do? (Select all that apply.)