Download IGGY Exam Questions and Answers: Unit 1, 4, 5 - 2024/2025 and more Exams Nursing in PDF only on Docsity!
Unit 1, 4, 5 IGGY Exam Questions With Correct Answers 2024/2025 A+ Review
A nurse working with older adults in the community plans programming to improve morale and emotional health in this population. What activity would best meet this goal? - Answer->Exercise program to improve physical function
A home health care nurse is planning an exercise program with an older adult who lives at home independently but whose mobility issues prevent much activity outside the home. Which exercise regimen would be most beneficial to this adult? - Answer->Building strength and flexibility
An older adult recently retired and reports "being depressed and lonely." What information would the nurse assess as a priority? - Answer->Role of work in the adult's life Correct
A nurse working in an Acute Care of the Elderly unit learns that frailty in the older population includes which components? (Select all that apply.) - Answer->weakness, slowed physical activity, exhaustion
A nurse cares for a client who recently completed genetic testing and received a negative result. The client states, "I feel guilty because so many of my family members are carriers of this disease and I am not." How would the nurse respond? - Answer->"We usually encourage clients to participate in counseling after receiving test results. Can I arrange this for you?"
A nurse cares for a client who has a specific mutation in the a1AT (alpha1-antitrypsin) gene. What action would the nurse take? - Answer->Advise the client to limit exposure to secondhand smoke and other respiratory irritants
A nurse cares for an adult client who has received genetic testing. The patient's mother asks to receive the results of the genetic tests. Which action would the nurse take? - Answer->Direct the mother to speak with the client and support the client's decision to share or not share the results.
A nurse admits an older adult to the hospital who lives at home with family. The nurse assesses that the client is malnourished. What actions by the nurse are best? (Select all that apply.) - Answer->Request a dietary consultation from the health care provider., Suggest a high-protein oral supplement between
meals, Perform and document results of a Braden Scale assessment., Assess the client's own teeth or the dentures for proper fit.
A nurse caring for an older client in the hospital is concerned the client is not competent to give consent for upcoming surgery. What action by the nurse is best? - Answer->Discuss concerns with the health care team
A nurse admits an older adult from a home environment. The client lives with an adult son and daughter-in-law. The client has urine burns on the skin, no dentures, and several pressure injuries. What action by the nurse is most appropriate? - Answer->Report the findings as per agency policy.
An older adult client is in the hospital. The client is ambulatory and independent. What intervention by the nurse would be most helpful in preventing falls in this client? - Answer->Keep the light on in the bathroom at night
What are the social determinants of health that lead more older adults of color to increased hospitalizations and mortality? - Answer->limited income and multiple health conditions
The overuse of table salt and sugar places the elderly at risk for hypertension and diabetes. The developmental change attributed to this is: - Answer->diminished taste and smell
Elderly adults are at risk for dehydration due to voluntary limiting fluid intake during the evening hours. Elderly adults do this because (select all that apply): - Answer->urinary incontinence, prescribed diuretic use, poor mobility
The health risks for unhoused and imprisoned elderly populations increase due to: - Answer->substance abuse
A novice nurse reports to the nurse preceptor that a client requested pain medication, and when the nurse brought it, the client was sound asleep. The nurse states the client cannot possibly sleep with the
A patient in the medical surgical unit is in active process of dying. The patient's significant other asks the nurse what to expect when the patient's heart stops. The nurse responds correctly by saying: - Answer-
"your loved one will stop breathing shortly after"
The condition which leads to inadequate tissue perfusion and potentially death is: - Answer->shock
A nurse planning hospice care for a client who is nearing end of life can best assure client-centered care by asking which question? - Answer->"Do you want to be at home or in a care facility at the end of your life?"
A nurse caring for a client who is in the terminal stage of lung cancer would question which prescription? - Answer->Morphine 10 mg sublingual every 6 hours PRN for pain level greater than 5
A terminally ill client who has just died in a hospital setting with family members at the bedside. Which action will the nurse take first? - Answer->Ask family members if they would like to spend time alone with the client.
The nurse is caring for a terminally ill client who is has entered the end-of-life stage of illness. How does the nurse respond when the spouse expresses concern about the client's lack of appetite? - Answer-
"Let him know that food is available if he wants it, but do not insist that he eat."
What are the legal requirements under the Patient Self Determination Act? Select all that apply. - Answer->Patients who do not have an Advanced Directive should be receive education, Representatives in a health care agency should ask all patients if they have an Advanced Directive,
The nurse's role in advanced care planning is to: - Answer->facilitate informed decisions and communication
Advance Directive is similar to the Durable Power of Attorney document. - Answer->false
It is the model of care for patients who have life limiting injury or illness. - Answer->hospice
The nurse is assessing medications being taken by an older adult who lives in the community. For which medication would the nurse contact the client's primary health care provider? - Answer->lorazepam
The nurse is assessing an older adult using the Confusion Assessment Method (CAM) and finds that the client meets the required criteria. Which condition would the client most likely have? - Answer-
delirium
The nurse has assessed a client who is dying. Which action will the nurse take when cool extremities that are mottled and cyanotic are noted? - Answer->Place a warm blanket over the client.
The nurse is talking with a family member of a dying client who states, "I am afraid to say goodbye to my mother." Which nursing response is appropriate? - Answer->"Why do you think it is hard for you to say goodbye?"
The nurse is caring for a client in a rehabilitation setting who has a urinary tract infection with burning and urgency. Which drug does the nurse anticipate will be prescribed? - Answer->trimethoprim
The nurse is planning care for a client in a rehabilitation setting. To avoid patient constipation, which dietary choices will the nurse include in the plan of care? Select all that apply. - Answer->whole grain bread, bran muffins, apples, green peas, baked beans
Which statement by an older adult indicates the need for additional teaching on health-enhancing behaviors? - Answer->I will sit in the sun for 30 minutes every day
To cope with the stress of relocation, which suggestion would the nurse make to an older adult who recently became widowed and moved into an assisted living apartment? - Answer->Place valued knickknacks in the new setting
The nurse cares for a client who has a specific mutation in the A-1 a T or alpha one antitrypsin gene. What action will the nurse take - Answer->Advise the client to limit exposure to secondhand smoke and other respiratory irritant
A nurse admits an older patient to the hospital who lives at home with family. The nurse assesses that the client is malnourished. What actions by the nurse are best - Answer->Perform and document results of a Braden scale assessment, assess the clients own teeth and the dentures for a proper fit, request a dietary consultation from the healthcare provider, suggest a high-protein oral supplement between meals
A nurse caring for an older client in the hospital is concerned that the client is not competent to give consent for upcoming surgery. Which action by the nurse is best - Answer->Discuss concerns with the healthcare team
A nurse admits an older patient from a home environment. The client lives with adult son and daughter- in-law. The patient has urine burns on the skin, no dentures, and several pressure injuries, which action by the nurse is most appropriate - Answer->Report the findings as per agency policy
An older client is in the hospital. The client is ambulatory and independent. Which intervention by the nurse would be most helpful in preventing Falls in this client - Answer->Keep the light on in the bathroom at night
What are the social determinants of health that lead more adults of color to increase hospitalizations and mortality - Answer->Limited income and multiple health conditions
Elderly adults are at risk for dehydration due to voluntary limiting fluid intake during the evening hours. Elderly adults do this because what - Answer->Prescribed diuretic use, poor mobility, urinary incontinence
A nurse is assessing pain on a confused older client who has difficulty with verbal expression. Which pain assessment tool would the nurse choose for the assessment - Answer->Faces pain scale revised
A nurse on the MedSurg unit receives handoff report. Which client with the nurse assess first - Answer-
Client reported new onset abdominal pain rated as an eight on 0 to 10 scale
A client has extreme postoperative pain that is worse than when participating in physical therapy sessions. Which intervention for pain management with the nurse include in the clients care plan for the 48 hours post surgery - Answer->Round the clock analgesia with PRN analgesics
Which assessment would the nurse complete to assist in the prevention of pressure injury formation for a bedbound client - Answer->Nutritional intake and serum albumin levels
Which assessment finding noted by the nurse is this older adult clients greatest risk for health inequality
- Answer->Reliance on public transportation
Which assessment with the nurse complete to evaluate the clients activity tolerance three days post coronary bypass graft surgery - Answer->Vital signs before, during, and after activity
In response to the increasing fall rates among elderly clients, the center for disease control and prevention launched a STEADI initiative which includes - Answer->Screening elderly adults for fall risk, assess the modifiable risk factors, intervenes suing community and clinical strategies
The result of inadequate tissue perfusion and anaerobic metabolism includes - Answer->Hyperkalemia
The part of the immune system that provides non-specific initial response to infection is called - Answer-
Innate immunity
The leukocyte that provides nonspecific ingestion of invading microbes - Answer->Neutrophil
The allele test used to determine hypersensitivity reactions to abacavir is called - Answer->HLA B
When a client develops mucositis which of the following actions would the nurse take to help manage the discomfort and avoid additional risks - Answer->Provide local anesthetic medication's to swish and spit, encourage the client to eat room temperature food, assist with frequent rinsing of the mouth of the saline solution, remind the client to brush their teeth gently after each meal
The following activities with the nurse promote when developing primary efforts directed against preventing cancer - Answer->Providing vaccinations against certain cancers, instructing people on the use of chemo prevention
The nurse is learning about cancer development and remembers characteristics of normal cells. Which of the following characteristics with the nurse recognize resulting from normal cell development - Answer->Differentiated function, nonmigratory
Origin group of cancer cells or tumors caused by carcinogenesis is - Answer->Primary tumor (the school has it wrong and puts primary disease though)
A client asks for the nurse why did my colorectal cancer spread to my liver what does the nurse say - Answer->There are numerous lymph nodes in the abdomen which allow for spread to the liver
Abdominal tumors may obstruct or compressed structures in the G.I. tract which cause - Answer-
Altered absorption of nutrients
Superior vena cava syndrome is an oncological emergency caused by - Answer->Partial obstruction of blood of the superior vena cava
Which laboratory value is invaluable in supporting the diagnosis of bone cancer - Answer->Serum calcium
A pathology report of a patient with prostate cancer who underwent prostate surgery shows moderately differentiated cancer cells, indicating that some cells have retained some of the
characteristics of normal cells, and many others have more malignant characteristics. Based on these findings, the nurse expects documentation of which malignancy grade - Answer->G
How is the TNM classification of TisN0Mx for a patient with lung cancer interpreted - Answer-
Carcinoma in situ, presence of metastasis cannot be assessed
The histopathology report of a patient with breast cancer reveals poorly differentiated cells with no normal characteristics. It also is difficult to determine the tissue of origin. Which grade of cancer will the nurse anticipate being assigned to this patient - Answer->G
Which type of surgery is scheduled for a patient with colon polyps who has a strong family history of cancer - Answer->Prophylactic
Which nursing intervention would help prevent extravasation in a patient receiving combined chemotherapy - Answer->Access the site of drug ministration for pain, infection or tissue loss, closely monitor the IV site before, during, and after administration of vesicants
decitabine, an oral chemotherapeutic agent belongs to which drug category - Answer->Antimetabolite
When the nurse is reviewing the laboratory reports for a group of patients receiving chemotherapy, which laboratory result indicates the patient is displaying signs of bone marrow suppression - Answer-
Hemoglobin of 7.
The defense mechanism where in neutrophils and golf and ingest invading microorganisms is called - Answer->Phagocytosis
Which is a compensatory mechanism that works to increase cardiac output - Answer->Release of catecholamines
Which process is required for restoring skin integrity - Answer->Wound contraction, granulation, re- epithelialization
A nurse assesses a client with third-degree burn. Which documented findings with the nurse suspect wound infection - Answer->Boggy feel to granulation tissue
A nurse will plan to include an opioid analgesic to manage the pain of a client experiencing what burn injury - Answer->Superficial second-degree burn
Which of the following clients would the nurse arrange to transfer to a burn center - Answer->History of pulmonary edema, lightning injury, 15% partial thickness burn
The most recent lab finding for an older client who has been on dogoxin for chronic heart failure shows hypokalemia and hyponatremia. What is the nurse's priority concern for the client - Answer->Potential for digoxin toxicity
Which action will the nurse plan to take before changing the dressings on a patient with deep second- degree burns on both arms - Answer->Perform hand hygiene, gather the necessary supplies, Dan personal protective equipment, give narcotic analgesic
A nurse assesses clients on a cardiac unit. Which client with the nurse identify as being the greatest risk for developing left sided heart failure - Answer->A 36-year-old woman with aortic stenosis
A nurse cares for a client with right sided heart failure. The client asks why do I need to weigh myself every day? How would the nurse respond - Answer->Wait is the best indication that you're gaining or losing fluid
After administering the first dose of captopril to a client with heart failure, the nurse implement interventions to decrease complications. Which intervention is most important for the nurse to implement - Answer->Instruct the client to ask for assistance when rising from bed
A nurse assesses a client with mitral valve stenosis. Which clinical sign or symptom would alert the nurse to the possibility that the clients stenosis has progressed - Answer->Dyspnea on exertion
A nurse assesses a client with pericarditis. Which assessment finding would the nurse expect to find - Answer->Friction rub at the left lower sternal border
A nurse is assessing a client diagnosed with left sided heart failure. For which clinical manifestations with the nurse assess - Answer->Confusion, pulmonary crackles, cough that worsens at night
A nurse is caring for a client who is admitted with hypertrophic cardiomyopathy or HCM. What interprofessional care does the nurse anticipate providing - Answer->Administering beta blockers, preparing for cardiac catheterization
