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

Failure to sense a 10-gram monofilament indicates loss of protective sensation, a key finding that predicts high risk for undetected foot injuries and diabetic foot ulcers.

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

Patients with severe COPD who chronically retain CO2 may rely on hypoxic drive for respiration; administering high-flow oxygen can suppress this drive and cause dangerous CO2 retention.

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

Loop diuretics used in heart failure can cause hypokalemia and worsen renal perfusion in patients with CKD, requiring careful electrolyte and creatinine monitoring.

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

Methotrexate can cause bone marrow suppression and hepatotoxicity; regular CBC and liver function tests are essential safety monitoring requirements for patients on long-term therapy.

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

Regular repositioning every two hours relieves sustained pressure over bony prominences, which is the primary mechanism of pressure injury development, making it the highest-priority prevention intervention.

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Practice Test

Gerontological Nurse Test Chronic Disease Management in the Elderly 3