LVN Geriatric & Long-Term Care 3

Question 1

Which finding is considered a normal physiological change of aging that the LVN should recognize?

Accepted Answer

Decreased lung capacity and reduced cough reflex

Answer

Normal aging includes decreased lung elasticity, reduced vital capacity, and a diminished cough reflex, increasing aspiration and pneumonia risk.

Question 2

An elderly resident with Alzheimer's disease is found wandering at night. What is the most appropriate intervention?

Accepted Answer

Calmly guide the resident back to a safe area and assess for unmet needs

Answer

Calmly guiding the resident while assessing for unmet needs (pain, hunger, need to toilet) is the safest, most therapeutic approach to nighttime wandering.

Question 3

A resident in long-term care is prescribed digoxin. Which assessment is most critical before administration?

Accepted Answer

Apical pulse for one full minute

Answer

Digoxin can cause bradycardia; the apical pulse must be assessed for one full minute before administration, and the drug should be withheld if the pulse is below 60 bpm.

Question 4

Which nutritional concern is most prevalent in elderly long-term care residents?

Accepted Answer

Dehydration and malnutrition

Answer

Dehydration and malnutrition are among the most common and serious nutritional problems in long-term care residents due to reduced thirst sensation and poor appetite.

Question 5

A resident with Parkinson's disease is at greatest risk for which complication during mealtimes?

Accepted Answer

Aspiration due to dysphagia

Answer

Parkinson's disease impairs the swallowing mechanism, placing residents at high risk for aspiration and aspiration pneumonia during eating.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Geriatric & Long-Term Care 3