Mrs. Bedard is a 72-year-old woman who has been admitted to the acute care for elders (ACE) unit due to an exacerbation of chronic obstructive pulmonary disease (COPD). The nurse has conducted a focused respiratory assessment.
Which of the following assessment findings should the nurse recognize as being anomalous?
A) Tactile fremitus is present.
B) The ratio of the anteroposterior diameter of Mrs. Bedard's chest to the lateral diameter is 1:2.
C) Thoracic percussion over Mrs. Bedard's lung fields is resonant.
D) Mrs. Bedard's resting respiratory rate is 26 breaths per minute.
Question 2Which of the following is most likely to be a cause of dementia in an older adult rather than a cause of delirium in an older adult?
A) Genetic predisposition
B) Hyperlipidemia
C) Creutzfeldt-Jakob disease
D) Hypertension
Question 3An older individual is touring an assisted living facility with his family in order to find a place to live after the death of his spouse and issues with mobility. Which characteristic of the facility is most in need of modification?
A) The temperature of common areas is kept between 75F and 77F
B) Aromatherapy is used in the facility to provide a pleasant scent environment
C) Area rugs are placed in front of each sink in residents' washrooms to ensure warmth
D) There is more tile than carpet throughout the facility and carpets are glued to the floor
Question 4A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. As a part of this examination she can expect to have a
a. culdoscopy.
b. colposcopy.
c. cervical biopsy.
d. Papanicolaou smear.
Question 5Which of the following would most likely be associated with delirium in older adults? (Select all that apply.)
A) Urinary tract infection
B) Dehydration secondary to gastroenteritis
C) Low zinc levels
D) A new medication that causes confusion
E) Neurofibrillary tangles
Question 6Which of the following lighting schemes should the nurse manager integrate into the plan for a new long-term care facility?
A) Placement of multiple diffuse lighting sources
B) The use of large banks of windows to maximize direct sunlight
C) Placement of large fluorescent lighting panels centered in each room
D) Low levels of lighting to reduce glare and accommodate residents with light sensitivity
Question 7A 68-year-old male patient has been admitted to the surgical unit from the PACU after surgical repair of an inguinal hernia. When performing the patient's admission assessment, the nurse notes that the patient has a barrel chest.
This assessment finding should suggest to the nurse that the patient may have a history of what health problem?
A) Asthma
B) Emphysema
C) Tuberculosis
D) Chronic bronchitis
Question 8The nurse is providing care for a 60-year-old patient who has been admitted for the treatment of community-acquired pneumonia. The nurse reads in the patient's chart that he has an 80 pack-year history of cigarette smoking.
During health education about smoking cessation, the patient tells the nurse that he began smoking as a 20-year-old when he was conscripted into the army. What conclusion can the nurse draw from these data?
A) The patient smokes four packs of cigarettes each day.
B) The patient has been smoking two packs a day for most of his adult life.
C) The patient is extremely unlikely to be able to stop smoking.
D) The patient is unaware of the health consequences of smoking.
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