SAS 16

1. A 67-year-old male client has been complaining of sleeping more, increased urination,
anorexia, weakness, iritability. depression, and bone pain that interferes with her going
outdoors. Based on these assessment findings, nurse Richard would suspect which of the
following disorders?

A Diabetes mellitus
B. Diabetes insipidus
C Hypoparathyroidism
D Hyperparathyroidism

2. Nurse Kate is providing dietary instructions to a male client with hypoglycemia. To control
hypoglycemic episodes, the nurse should recommend

A. Increasing saturated fat intake and fasting in the afternoon

B.. Increasing intake of vitamins B and D and taking iron supplements.
C Eating a candy bar if lightheadedness occurs.
D. Consuming a low-carbohydrate, high protein diet and avoiding fasting

3. What factors can cause premature menopause?

A. Smoking
B. Autoimmune disorders
C. A woman's mother had early menopause
D. All of the above

4. What is the serious adverse effect of menopause? SATA

A. Hot flashes
B. Osteoporosis
C. Heart disease
D. B and C
5. Hormone therapy causes some of the negative effects of menopause. Which of these
hormones is used?

A. Estrogen
B Estrogen and progesterone
C. Testosterone
D. Prostaglandin

6 The nurse recognizes that a client is experiencing insomnia when the client reports (select all
that apply)

A Extended time to fall asleep

B. Falling asleep at inappropriate times
C. Difficulty staying asleep.
D. Feeling tired after a night's sleep

7 A nursing measure to promote sleep in older adults is to

A. Make sure the room is dark and quiet

B Encourage evening exercise
C Encourage television watching
D. Encourage quiet activities prior to bedtime

8. A female client verbalizes that she has been having trouble sleeping and feels wide awake as
soon as getting into bed. The nurse recognizes that there are many interventions the promote
sleep. Check all that apply

A Eat a heavy snack before bedtime

B Read in bed before shutting out the light
C. Leave the bedroom if you are unable to sleep
D. Drink a cup of warm tea with milk at bedtime
E Exercise in the afternoon rather than the evening
F Count backwards from 100 to 0 when your mind is racing.

9 Which of the following substances is a natural hormone produced by the pineal gland that
induces sleep?

A Amphetamine
B. Melatonin
C. Methylphenidate
D Pemoline
10. Which of the following symptoms would a patient exhibit with hyperthyroidism?

A Intolerance to cold
B. Decreased bowl movements
C Slow heart rate
D. None of the above Answer:

SAS 17

1. A female client with dysphagia is being prepared for discharge. Which outcome indicates that
the client is ready for discharge?

A. The client doesn't exhibit rectal tenesmus.

B. The client is free from esophagitis and achalasia.
C. The client reports diminished duodenal inflammation.
D. The client has normal gastric structures.

2. What laboratory finding is the primary diagnostic indicator for pancreatitis?

A. Elevated blood urea nitrogen (BUN)

B. Elevated serum lipase
C. Elevated aspartate aminotransferase (AST)
D. Increased lactate dehydrogenase (LD)

3.Nurse Liza is teaching a group of old-aged men about peptic ulcers. When discussing risk
factors for peptic ulcers, the nurse should mention:

A a sedentary lifestyle and smoking.

B. A history of hemonholds and smoking.
C.alcohol abuse and a history of acute renal failure.
D alcohol abuse and smoking

4. When teaching an elderly client how to prevent constipation, which of the following
instructions should the nurse Include?

A "Drink 6 glasses of fluid each day

B. "Avoid grain products and nuts
C.”Add at least 4 grams of bran to your cereal each morning"
D. "Be sure to get regular exercise."
5. In a client with diarrhea, which outcome indicates that fluid resuscitation is successful?

A The client passes formed stools at regular intervals

B. The client reports a decrease in stool frequency and liquidity
C. The client exhibits firm skin turgor
D. The client no longer experiences perianal burning.

6 The nurse is caring for an older adult patient who reports continued problems with
constipation. What intervention can be implemented to promote timely bowel movements?

A Increase fiber intake.

B Limit fluid intake to 1500 mL daily
C Administration of an oil retention enema weekly.
D. Take a mild over-the-counter laxative each evening.

7. An elderly patient reports a loss of interest in eating. When providing information to the
patient, which action by the nurse is likely to be most helpful in increasing the patient's intake?

A Having the patient keep a food diary

B. Giving the patient a list of high-calorie foods
C. Reminding the patient of the importance of eating.
D. Suggesting to the patient's family members that someone join the patient for meals

9. The specific cause of dysphagia can be determined more easily when the nurse obtains
which information about the patient?

A Patient's vital signs, especially rate and depth

B. Level of physical activity tolerated by the patient
C Patient's bowel habits and whether taxatives are taken habitually
D.Observing conditions under which the patient experiences difficulty swallowing

10. When planning care for the patient with acute pancreatitis, the nurse knows which
intervention is a priority of care?

A Pain control
B. Nutritional supplementation
C Observation for mental changes
D Observation for intestinal obstruction
SAS 18

1. You have a patient that might have a urinary tract infection (UTI). Which statement by the
patient suggests that a UTI is likely?

A "I pee a lot"

B. "It burns when I pee."
C. "I go hours without the urge to pee."
D. "My pee smells sweet."

2. Which patient is at greatest risk for developing a urinary tract infection (UTI)?

A. A 35 y.o. woman with a fractured wrist

B. A 20 y.o. woman with asthma
C. A 50 y.o. postmenopausal woman
D. A 28 y.o. with angina

3. Nurse Gil is aware that the following statements describing urinary incontinence in the elderly
is true?

A. Urinary Incontinence is a normal part of aging.

B. Urinary Incontinence isn't a disease.
C. Urinary Incontinence in the elderly can't be treated.
D. Urinary Incontinence is a disease.

4.When developing a plan of care for the stress incontinence is best defined as the involuntary
loss of urine associated with

A. A strong urge to urinals

B. Overdistention of the bladder
C. Activities that increase abdominal pressure
D. Obstruction of the urethra

5. The nurse is developing a teaching plan for a client with stress incontinence. Which of the
following instructions should be included?

A. Avoid activities that are stressful and upsetting

B Avoid caffeine and alcohol
C. Do not wear a girdle
D. Limit physical exertion
6.A client has urge incontinence Which of the following signs and symptoms would the nurse
expect to find in this client?

A Inability to empty the bladder

B. Loss of urine when coughing
C. Involuntary urination with minimal warning
D. Frequent dribbling of urine.

7. When assessing the patient who has a lower urinary tract infection (UTI), the nurse will
initially ask about

a. Flank pain
b. Pain with urination.
c. Poor urine output.
d. Nausea.

8. After her bath, a 62-year-old patient asks the nurse for a perineal pad, saying that she uses
them because sometimes she leaks urine when she laughs or coughs. Which intervention is
most appropriate to include in the care plan for the patient?

A Teach the patient how to perform Kegel exercises

B.Demonstrate how to perform Credé's maneuver
C. Place commode at the patient's bedside.
D. Assist the patient to the bathroom q3hr

9. A 78-year-old patient is admitted to the hospital with dehydration and electrolyte imbalance.
The patient is confused and incontinent of urine on admission. In developing a plan of care for
the patient, an appropriate nursing intervention for the patient's Incontinence is to

a. Insert an indwelling catheter.

b. Apply absorbent incontinent pads.
c. Assist the patient to the bathroom q2hr.
d. Restrict fluids after the evening meal.

10. A patient in the hospital has a history of urinary incontinence. Which nursing action will be
included in the plan of care?

a. Place a bedside commode near the patient's bed.

b. Use an ultrasound scanner to check urine residual after the patient voids.
c. Demonstrate the use of the Credé maneuver to the patient.
d. Teach the use of Kegel exercises to strengthen the pelvic floor.
SAS 19

1. The nurse is counseling a postmenopausal woman about her new stress incontinence. Which
statement by the nurse is most important?

a. "You can try a variety of briefs and undergarments"

b. "It will be important to keep that area clean and dry."
c. "I can refer you to a good incontinence clinic."
d. "Unfortunately, incontinence is common in women your age."

2. An older woman is asking the nurse about her husband's sexual functioning. Which statement
by the nurse is most accurate?

a. "Men his age tend to have a rapid decline in sexual abilities."

b. "His testosterone levels will decrease only slightly until he is quite old."
c. "Changes in testosterone levels do not affect sexual performance."
d. "You are lucky your husband is healthy enough for sexual activity"

3. The nurse is conducting a reproductive assessment of a postmenopausal woman. Which

assessment finding reported by the client requires Immediate intervention by the nurse?

a. Urinary incontinence
b. Vaginal dryness
c. Painful intercourse
d. Returning periods

4. A postmenopausal client says that she is experiencing difficulty with vaginal dryness during
intercourse and wonders what might be causing this Which is the nurse's best response?

a. "The less frequently you have intercourse, the drier the vaginal tissues become"
b. "Estrogen deficiency causes the vaginal tissues to become drier and thinner”
c. "Drinking at least 3 liters of water each day will make all your tissues less dry
d. "Try using a water-soluble lubricant during intercourse."

5. The nurse is teaching a postmenopausal woman about nutrition Which statement by the
nurse is most appropriate?

a."Be sure to eat cereal fortified with folic acid and B vitamins."
b. "Make sure you take a calcium supplement every day"
c."Vitamin C is important for the postmenopausal woman"
d. "You can get all the iron you need in two daily meat servings."
6. When performing an assessment of the external genitalia of an older man, the nurse
observes the scrotum to have smooth skin and to be very pendulous. Which action by the nurse
is most appropriate?

a. Suggest to the client that he should wear an athletic supporter while awake.
b. Ask the client if he has been treated for a sexually transmitted disease
c. Document the observation and continue the assessment
d. Notify the health care provider and facilitate a scrotal ultrasound

7. The nurse counsels the 70-year-old female who has remained on hormone replacement
therapy (HRT) that she needs to have a

a semiweekly douche to wash out cervical debris

b. liver function assessment annually
c.mammogram biannually.
d. Pap smear annually.

8. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness
when the 70-year-old patient says:

a."Vaseline was good enough for my mother. It's good enough for me."
b."I use a water-soluble lubricant to aid intercourse"
c."I'm trying an estrogen cream to see if it works"
d "Til let you know how wild yams work for vaginal dryness."

9. The nurse identifies the person most likely to experience erectile dysfunction as the
65-year-old who has been sexually active in earlier years.

a. diabetes and was very

b. irritable bowel syndrome and was minimally
c. chronic pancreatitis and was very
d. osteoarthritis and was moderately

10. The nurse lists the age-related changes in the female reproductive system that affect sexual
intercourse, which are (Select all that apply.)
a. pruritus vulvae
b. atrophic vaginitis
c. frequent yeast infections
d. dyspareunia
e. decreased response time
SAS 20

1. As we get older, we should limit our physical activities because they can be too taxing on our
bodies.

A. True
B. False

2. Exercising during the day will keep you up at night.

A. True
B. False

3. Many exercises can be done from a wheelchair.

A. True
B. False

4. An older person's exercise program should include activities that develop flexibility, balance,
strength training, and endurance

A True
B. False

5. Older people don't need to drink as much fluid during exercise as younger people.

A True
B. False

6. During the morning change-of-shift report at the long-term care facility, the nurse leams that
the patient with dementia has had sundowning. Which nursing action should the nurse take
while caring for the patient?

A Provide hourly orientation to time of day.

B. Move the patient to a quieter room at night.
C. Keep blinds open during the daytime hours.
D. Have the patient take a brief mid-morning nap
7. A long-term care patient with moderate dementia develops increased restlessness and
agitation. The nurse's initial action should be to

A.reorient the patient to lime, place, and person.

B.administer the PRN dose of lorazepam (Alivan)
C.assess for factors that might be causing discomfort.
D. have a nursing assistant stay with the patient to ensure safety

8 Which statement(s) accurately describe(s) mild cognitive impairment (select all that apply)?

A. Always progresses to AD
B. Caused by variety of factors and may progress to AD
C. Should be aggressively treated with acetylcholinesterase drugs
D. Caused by vascular infarcts that, if treated, will delay progression to AD
E.Patient is usually not aware that there is a problem with his or her memory

9. Which patient is most at risk for developing dellnum?

A.A 50-year-old woman with cholecystitis

B. A 19-year-old man with a fractured femur
C. A 42-year-old woman having an elective hysterectomy
D. A 78-year-old man admitted to the medical unit with complications related to heart failure

10. 82-year-old Mr. Robeson together with his daughter arrived at the medical-surgical unit for
diagnostic confirmation and management of probable delirium. Which statement by the client's
daughter best supports the diagnosis?

A. "Maybe it's just caused by aging. This usually happens by age 82."
B. "The changes in his behavior came on so quickly! I wasn't sure what was happening"
C. "Dad just didn't seem to know what he was doing. He would forget what he had for
breakfast."
D. "Dad has always been so independent. He's lived alone for years since mom died."

SAS 21

1. What are the benefits of telehealth? (Select all that apply)

A Continuity of care
B. Centralized health records
C. Collaboration among healthcare professionals
D. low quality of care
2. After instituting a new system for recording patient data, a nurse evaluates the "usability of
the system. Which actions by the nurse BEST reflect this goal? Select all that apply

A. The nurse checks that the screens are formatted to allow for ease of data entry
B. The nurse reorders the screen sequencing to maximize effective use of the system
C. The nurse ensures that the computers can be used by specified users effectively.
D. The nurse checks that the system is intuitive, and supportive of nurses.
E The nurse improves end-user skills and satisfaction with the new system.
F. The nurse ensures patient data is able to be shared across health care systems

3. Mr. Sanchez is using telehealth services. He can talk with this physician via videocall about
his condition What type of telehealth applications in he using?

A Synchronous
B. Store-and-Forward
C. Remote Patient Monitoring
D. Mobile Health

4. Mrs. Quezon noticed a rash on her face. She immediately took a picture and send it to her
dermatologist. What type of telehealth applications is she using?

A Synchronous
B. Store-and-Forward
C. Remote Patient Monitoring
D. Mobile Health

5. Telehealth differs from telemedicine in that

A Telemedicine is a broader term than telehealth and emphasizes the provision of Information to
healthcare providers and consumers
B.Telemedicine uses the Internet to provide professionals with Information while telehealth does
not
C. Telehealth encompasses telemedicine, but is a broader term that emphasizes the provision
of information to health care providers and consumers
D.Telehealth is a narrow term referring only to wellness behaviors
6. A 79-year-old patient recently fractured her hip and had a Hemiarthroplasty bipolar hip repair
Her daughter works during the day but provides care in the evening. Which service agency is
most appropriate to provide for this patients daily care?

A Private duty agency

B. Home health agency
C Nursing home facility
D. Outpatient rehabilitation agency

7 A student nurse asks her nurse educator why there is an increased demand for home health
care. Which response is the MOST accurate for the nurse educator?

A. Most family members want to care for their ill members at home.
B. There is a shortage of nurses who want to work in acute hospital care settings
C. There is an increase in the number of older patients with chronic illnesses
D. There is increased technology in hospitals which provokes anxiety to many patients

8. Nurse Abbie is assigned to home health care for an 83-year-old patient with a stroke who has
right-sided hemiplegia, the home care nurse provide? difficulty swallowing, and speech
impairment. He is receiving care in his home from his wife and daughter What should

A Strict regimen and care plan

B. Holistic, nonjudgmental philosophy
C.Teaching plan for all family members
D. Means of transporting the patient to his physician

9. A 68-year-old patient is recovering from an abdominoperineal Resection with a permanent

Colostomy Her physician has ordered home health care nursing on her discharge What is the
primary patient goal?

A. The patient will be able to return to previous lifestyle.

B. The patient will avoid dependency on medication therapy.
C. The patient will establish self-care and independence.
D. The patient will maintain a friendly relationship with family members.
10. The home health nurse has been assigned to provide care for a patient with cultural values
that differ from the nurse's What is the BEST action for the nurse to take? (Select all that apply)

A. Ask for an assignment change to allow a colleague who has cultural values more in line with
those of the patient to be assigned.
B. Take time to consider the differences between the values held and those of the assigned
patient
C. Research the culture of the assigned patient
D. Accept the assignment and provide the patient with information on the values of the nurse to
facilitate communication