fund test questions

The long term care nurse is performing assessments on several of the residents. Which are normal age related physiological changes the nurse should expect to note? Select all that apply A. Increased heart rate B. Decline in visual acuity C. decreased respiratory rate D. Decline in long term memory E. Increased susceptibility to urinary tract infections F. Increased incidence of awakening after sleep onset

B. Decline in visual acuity E. Increased susceptibility to urinary tract infections F. Increased incidence of awakening after sleep onset

A client who is recovering from surgery has been advanced from a clear liquid diet to a full liquid diet. The client is looking forward to the diet change because he has been "bored" with the clear liquid diet. The nurse should offer which full liquid item to the client? A. Tea B. Gelatin C. Custard D. Ice pop

C. Custard

The nurse is performing an assessment on an older client who is having difficulty sleeping at night. Which statement by the client indicates the need for further teaching regarding measures to improve sleep? A. "I swim 3 times a week" B. "I have stopped smoking cigars" C. "I drink hot chocolate before bed" D. "I read for 40 mins before bed"

C. I drank hot chocolate before bed

The nurse is planning to teach a client with malabsorption syndrome about the necessity of following a low fat diet. The nurse develops a list of high-fat foods to avoid and should include which food items on the list? Select all that apply. A. Oranges B. Broccoli C. Margarine D. Cream cheese E. Luncheon Meat F. Broiled haddock

C. Margarine D. Cream cheese E. Luncheon Meat

The visiting nurse observes that the older male client is confined by his daughter in law to his room. When the nurse suggests that he walk to the den and join the family, he says "I am in everyones way: My daughter in law needs me to stay here." Which is most important action for the nurse to take? A. Say to the daughter in law "confining your father in law to his room is inhumane." B. suggest to the client and daughter in law that they consider a nursing home for the client. C. say nothing because it is best for the nurse to remain neutral and wait to be asked for help. D. suggest appropriate resources to the client and daughter in law such as respite care and a senior citizen center

D. suggest appropriate resources to the client and daughter in law such as respite care and a senior citizen center

The nurse is performing an assessment on an older adult client. Which assessment data would indicate a potential complication associated with the skin? A. Crusting B. Wrinkling C. Deepening of expression lines D. Thinning and loss of elasticity in the skin

A. Crusting

The home health nurse is visiting a client for the first time. while assessing the clients medication history, it is noted that there are 19 perscriptions and several over the counter medications that the client has been taking. Which intervention should the nurse take first? A. Check the medications interactions B. Determine whether there are medication duplications. C. Determine whether a family member supervises mediation administration D. Call the prescribing primary health care provider and report polypharmacy.

B. Determine whether there are medication duplications.

A postoperative client has been placed on a clear liquid diet. The nurse should provide the client with which items that are allowed to be consumed on this diet? Select all that apply. A. Broth B. Coffee C. Gelatin D. Pudding E. Vegetable juice F. Pureed vegetables

A. Broth B. Coffee C. Gelatin

The nurse instructs a client with chronic kidney disease who is receiving hemodialysis about dietary modifications. The nurse determines that the client understands these dietary modifications if the client selects which items from the dietary menu? A. Cream of wheat, blueberries, coffee B. Sausage and eggs, banana, orange juice C. Bacon, cantaloupe melon, tomato juice D. Cured pork, grits, strawberries, orange juice

A. Cream of wheat, blueberries, coffee

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicates effective coping? SELECT ALL THAT APPLY A. Neglecting personal grooming B. Looking at old snapshots of family. C. Participating in a senior citizens program D. Visiting the spouses grave once a month E. Decorating a wall with the spouses pictures and awards received.

B. Looking at old snapshots of family C. Participating in a senior citizens program D. visiting the spouses grave once a month E. decorating a wall with the spouses pictures and awards received.

The nurse is conducting a dietary assessment on a client who is on a vegan diet. The nurse provides dietary teaching and should focus on foods high in which vitamin they could be lacking on the vegan diet? A. Vitamin A B. Vitamin B 12 C. Vitamin C D. Vitamin E

B. Vitamin B 12

The nurse is providing an educational session to new employees, and the topic is abuse of the older client. The nurse helps the employees identify which client as MOST typically a victim of abuse? A. A man who has moderate hypertension B. A man who has newly diagnosed cataracts c. A woman who has advanced Parkinson's disease D. A woman who has early diagnosed lyme disease

C. A woman who has advanced Parkinson's disease

The nurse is instructing a client with hypertension on the importance of choosing foods low in sodium. The nurse should teach the client to limit intake of which food? A. Apples B. Bananas C. Smoked salami D. Steamed vegetables

C. Smoked salami

The nurse is providing instructions to the assistive personnel regarding care of an older client with hearing loss. What should the nurse tell the AP about the older client with hearing loss? A. They are often distracted. B. They have middle ear changes C. They respond to low pitched tones D. They develop moist cerumen production.

C. They respond to low pitched tones

The nurse is caring for an older client in a long term care facility. Which action contributes to encouraging autonomy in the client? A. Planning meals B. Decorating the room C. scheduling haircut appointments D. Allowing the client to choose social activites

D. Allowing the client to choose social activites.

The nurse is teaching a client who has iron deficiency anemia about foods she should include in the diet. The nurse determines that the client understands the dietary modifications if which items are selected from the menu? A. Nuts and milk B. Coffee and tea C. Cooked rolled oats and fish D. Oranges and dark green leafy vegetables

D. Oranges and dark green leafy vegetables

A client with hypertension has been told to maintain a diet low in sodium. The nurse who is teaching this client about foods that are allowed should include with food item in a list provided to the client? A. Tomato soup B. Boiled Shrimp C. Instant oatmeal D. Summer squash

D. Summer squash