The nurse is developing a plan of care for a client with a language barrier that is recovering from surgery and has not requested any pain medication. Which of the following interventions should the nurse do first to manage the client’s pain in a culturally appropriate manner?

The nurse is leading a community health class for a group of older adults at a senior center. During the discussion, one participant says, “I guess it’s normal to be depressed and forgetful when you’re old. There’s not much we can do about it.”Which response by the nurse best addresses myths of aging?

The nurse is caring for an older adult who has just been scheduled for urgent surgery. The client suffers from Alzheimer’s and is currently confused. What is the nurse’s first action?

The nurse is caring for a client with heart failure on a 1500 mL fluid restriction per 24 hours. At the end of the day shift, the nurse reviews the intake record:08:00: Coffee – 8 oz09:00: Orange juice – 4 oz12:00: Soup – 12 oz14:00: Water – 6 oz16:00: Gelatin – 4 oz17:00: Tea – 4 ozAt 20:00 the client asks for a cup of hot tea (8 oz).  The client has not had any additional fluid since dayshift.Can the nurse give the tea without exceeding the fluid restriction?  Put 1 for yes or put 2 for no.

The nurse administers oral medications to an older confused adult client. What should the nurse do to ensure that the client swallows the medication?

The client has been admitted for treatment of hypertension. The initial B/P was 190/110. Antihypertensive medications were prescribed.  Which statement by the nurse during client teaching indicates a focus on health promotion rather than disease management?

An elderly client, while being seen in an urgent care facility for a possible respiratory infection, asks the nurse if Medicare is going to cover the cost of the visit. What information can the nurse give the client?

The nurse is reviewing an elderly client’s medication administration record. The provider’s order states: Acetaminophen (Tylenol) 650 mg PO every 6 hours as needed for pain.The client reports taking the following doses in the past 24 hours:06:00 – 650 mg10:00 – 1,000 mg (extra-strength tablets)14:00 – 650 mg20:00 – 500 mg (regular tablet)23:00 – 1,000 mgIs the dosage received within the safe limit for a frail elderly client?   Put 1 for yes or put 2 for no

Read each question carefully. There is only one correct answer unless the stem of the question includes directions that state otherwise. There are 50 items on the exam. You have 75 minutes to complete the exam. There is no backtracking to complete a skipped question or to change an answer. When you finish the test, click submit.

The nurse learns that a client of the Jewish faith does not eat certain types of foods and fasts on religious holidays. Which intervention would best support the client’s cultural practice?