A client has been complaining of headaches, poor vision in dim lighting, sensitivity to glare, and impaired peripheral vision, and he has a fixed and dilated pupil. He probably has which one of the following disorders?

Your client has severe hearing loss, and you are finding it increasingly difficult to talk with him. During your visit, you spend time with him to discuss options to assist him with his hearing. Which of the following would not benefit your client?

The nurse is providing discharge instructions to a client with glaucoma. Which activities does the nurse instruct the client to avoid? (Select all that apply.)

Which clients are at high risk for developing hearing problems? (Select all that apply.)

You are taking care of a female older adult client with a loss of height and kyphosis. She is also postmenopausal. Which one of the following diagnostic tools would you order?

Your client has a history of arthritis. After assessing her condition and finding stiffness with inactivity, pain relieved by rest, and crepitus, you realize she has which one of the following types of arthritis?

An older adult client has recently been diagnosed with gout. You will need to teach him all of the following EXCEPT

An older adult client who has osteoporosis is discharged from the hospital. What does the nurse include in client teaching related to the client’s home safety?

The nurse is taking the history of an adult female client. Which factor places the client at risk for osteoporosis?

The home health nurse visits a client who is having an acute attack of gout. The nurse determines that the client needs further instruction regarding the treatment of gout if the client states to take which action?

The clinic nurse is performing an assessment on a client with a diagnosis of rheumatoid arthritis (RA). The nurse checks for which assessment finding that is associated with RA?

The nurse has provided instructions to a client with a diagnosis of rheumatoid arthritis about measures to protect the joints. Which statement by the client indicates a need for further instruction?

•As a nurse, you know that sleep and rest are physiological and mental necessities for survival. Which of the following statements is incorrect about rest and sleep?

You want to encourage your older adult client to exercise and recommend all the following EXCEPT

•Regular recurrence of certain phenomena linked to the 24-hour day by time cues, defines which one of the following?

•A client admitted for sleep apnea asks the nurse, “Why does it seem like I wake up every 5 minutes?” What is the nurse’s best response?

Of all the following malignant skin cancers, which one is the most common?

•Pressure ulcers are defined as an injury to the skin or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. To prevent pressure ulcers, you know that you must perform all the following EXCEPT

•After working with the older adults, you know that which of the following skin problems are common? (Select all that apply.)

•When the nurse is assessing the skin of an older adult client, which of these findings will be most important to report to the health care provider (HCP)?

•Which characteristic of a skin lesion warrants further examination by a dermatologist or surgeon?

The nursing instructor reviews instructions with the nursing student about caring for an older adult client with a pressure ulcer. What action by the nursing student indicates a need for further instruction about proper skin care for this client?

What is the best way for the nurse to prevent a client’s stage I pressure ulcer from advancing to stage II?

The nurse is evaluating the effectiveness of interventions for pressure ulcer management. Which diagnostic test result with an increased level indicates client progress and effective health care team collaboration?

The nurse is assigned to care for a female client with herpes zoster (Shingles). Which of the following characteristics would the nurse expect to note when assessing the lesions of this infection?

The evening nurse reviews the nursing documentation in the male client’s chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which of the following would the nurse expect to note on assessment of the client’s sacral area?

The nurse is performing a skin assessment on a client with a facial lesion. It appears as a well-defined, red, scaling, thickened bump. This type of skin lesion refers to?

•Diabetes, dementia, Parkinson’s disease, stroke, and vitamin B deficiencies may cause neurologic damage, leading to

•When visiting an older adult client in his home, you note that he is unsteady on his feet, and you are concerned about him falling. Which of the following functional issues put him at risk? (Select all that apply.)

•When assessing your patient who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)

•Interventions the nurse may implement to help prevent falls include (Select all that apply.)

•If a patient is able to use upper side rail to assist in getting in and out of bed, then this patient is considered to be placed in a form of physical restraints.

•An older adult client who has osteoporosis is discharged from the hospital. What does the nurse include in client teaching related to the client’s home safety?

When taking care of an older adult client, you realize when assessing his pain level that all of the following considerations would apply EXCEPT

The best nursing care provided for older adults with pain is that in which

Normal aging changes that would influence an older client’s experience of pain would include all of the following EXCEPT

In the role of client advocate, what does the nurse do first for a client who reports pain?

When assessing a client for acute or chronic pain, what question does the nurse ask the client to obtain the most data?

The family of a client with chronic cancer pain says to the nurse, “Can you please reduce Dad’s pain medication so that we can spend more quality time with him?” How does the nurse respond?