ANCC Gerontological Nursing 3

Question 1

A 75-year-old patient is prescribed a statin for hyperlipidemia. Which muscle-related adverse effect requires immediate follow-up?

Accepted Answer

Severe muscle pain with dark urine suggesting rhabdomyolysis

Answer

Mild muscle aching that resolves with rest

Answer

Mild creatine kinase elevation only

Answer

Joint stiffness in the morning

Question 2

Which change in sleep architecture is expected with normal aging?

Accepted Answer

Decreased REM sleep and increased nighttime awakenings

Answer

Increased total sleep time

Answer

Earlier sleep onset without any fragmentation

Answer

Increased deep (slow-wave) sleep

Question 3

What is the primary goal of palliative care for older adults with serious illness?

Accepted Answer

Improving quality of life by managing symptoms and supporting goals of care

Answer

Curative treatment of the underlying disease

Answer

Withholding all life-sustaining treatments

Answer

Transitioning patients to hospice immediately

Question 4

A nurse is educating an older adult about prevention of osteoporosis. Which recommendation is most appropriate?

Accepted Answer

Engage in weight-bearing and resistance exercise, ensure adequate calcium and vitamin D

Answer

Avoid all weight-bearing exercise to prevent fractures

Answer

Take calcium supplements alone without exercise

Answer

Avoid dairy products due to lactose intolerance risk

Question 5

Which laboratory finding is most consistent with dehydration in an older adult?

Accepted Answer

BUN:creatinine ratio greater than 20:1

Answer

BUN:creatinine ratio less than 10:1

Answer

Low serum sodium (hyponatremia)

Answer

Low hematocrit

Question 6

An older adult is found to have orthostatic hypotension. Which nursing intervention is most appropriate?

Accepted Answer

Encourage slow position changes and leg exercises before standing

Answer

Advise the patient to rise quickly to avoid prolonged sitting

Answer

Restrict fluid intake to prevent volume overload

Answer

Increase antihypertensive medication dose