Basic Geriatric Nursing 6th Edition By Williams – Test Bank
Sample Questions
Instant Download With Answers
Basic Geriatric Nursing 6th Edition
Chapter 03: Physiologic Changes
Test Bank
MULTIPLE CHOICE
1. Why does
...
Basic Geriatric Nursing 6th Edition By Williams – Test Bank
Sample Questions
Instant Download With Answers
Basic Geriatric Nursing 6th Edition
Chapter 03: Physiologic Changes
Test Bank
MULTIPLE CHOICE
1. Why does the nurse modify the environment to keep it warmer for the older
adult?
a. A change in the metabolic rate
b. Decreased subcutaneous tissue
c. Changes in the musculoskeletal system
d. A weakened peripheral vascular system
ANS: B
The reduction of subcutaneous tissue as an age-related change causes sensitivity to cold because it
is the main insulator of the body.
TEST BANK FOR BASIC GERIATRIC
6TH EDITION BY WILLIAMS
DIF: Cognitive Level: Application REF: pp. 32-33 OBJ: 1
TOP: Sensitivity to Cold KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A 75-year-old male is worried that his wartlike dark macules with distinct borders
are melanomas. What would be the most likely cause for the macules?
a. Senile lentigo
b. Cutaneous papillomas
c. Seborrheic keratoses
d. Xerosis
ANS: C
Dark, slightly raised macules are seborrheic keratoses, which may be mistaken for melanomas.
DIF: Cognitive Level: Comprehension REF: p. 32 OBJ: 1
TOP: Seborrheic Keratosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. The nurse is accompanying a group of older adults on a July 4th outing to monitor
heat prostration. What factor is related to heat intolerance in the older adult?
a. An increase in melanin
b. A reduction of perspiration
c. A reduction in body temperature
d. Increased capillary fragility
ANS: B
Reduction in perspiration related to reduced sweat gland function results in possible heat intolerance
from an inability to cool the body by evaporation.
DIF: Cognitive Level: Analysis REF: p. 33 OBJ: 2
TOP: Heat Intolerance KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. The nurse cautions the Certified Nursing Assistants (CNAs) to use care when
transferring or handling older adults. The nurse understands that the vascular
fragility of the older adult can result in which of the following conditions?
a. Altered blood pressure
b. Pressure ulcers
c. Pruritus
d. Senile purpura
ANS: D
Increased capillary fragility results in subcutaneous hemorrhage or senile purpura from careless
handling by caregivers.
DIF: Cognitive Level: Comprehension REF: p. 33 OBJ: 7
TOP: Senile Purpura KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. Which symptom would be a characteristic of a stage I pressure ulcer on an older
adult’s coccyx?
a. Clear blister
b. Nonblanchable area of erythema
c. Scaly abraded area
d. Painful reddened area
ANS: B
A red nonblanchable area is indicative of a stage I pressure ulcer.
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