Gerontological Nurse Test Chronic Disease Management in the Elderly 3

Question 1

Which finding in an older adult with diabetes indicates peripheral neuropathy and increased risk for diabetic foot complications?

Accepted Answer

Loss of protective sensation detected by 10-gram monofilament testing

Answer

Elevated fasting blood glucose

Answer

Presence of microalbuminuria on urinalysis

Answer

Reduced ankle-brachial index

Question 2

An older adult with COPD is receiving supplemental oxygen. The nurse monitors for oxygen-induced hypercapnia primarily in patients who:

Accepted Answer

Are chronic CO2 retainers with a hypoxic drive for breathing

Answer

Have a SpO2 above 95%

Answer

Are newly diagnosed with COPD

Answer

Have concurrent pneumonia

Question 3

A nurse is reviewing the care plan for an older adult with both heart failure and CKD. The nurse recognizes that diuretic therapy in this patient requires monitoring for:

Accepted Answer

Electrolyte imbalances, particularly hypokalemia, and worsening renal function

Answer

Hypernatremia and fluid overload

Answer

Hypercalcemia and metabolic alkalosis

Answer

Increased urine specific gravity

Question 4

An older adult with rheumatoid arthritis has been on methotrexate therapy for several years. Which laboratory test should be routinely monitored?

Accepted Answer

Complete blood count (CBC) and liver function tests

Answer

Serum calcium and vitamin D levels

Answer

Thyroid function tests

Answer

Coagulation studies (PT/INR)

Question 5

Which intervention is the highest priority in preventing pressure injuries in an older adult with limited mobility due to severe osteoarthritis?

Accepted Answer

Repositioning the patient at least every 2 hours

Answer

Applying moisture barrier creams to bony prominences

Answer

Using a heel lift to elevate the feet above bed level

Answer

Providing a high-protein diet to support wound healing

Question 6

A gerontological nurse is developing a care plan for an older adult with multiple chronic conditions. Which approach best represents the principle of individualized chronic disease management?

Accepted Answer

Prioritizing conditions based on the patient's goals, function, and life expectancy

Answer

Applying standard disease-specific guidelines uniformly to all patients

Answer

Treating each chronic disease in isolation according to specialty guidelines

Answer

Focusing exclusively on the most recently diagnosed condition