Gerontological Nursing Exam Sample QuestionsThe following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Show
To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish. This practice exam is not timed, and you may take it as many times as you wish. Good luck! Assessment of Older Adults with Abdominal Pain in the Emergency Department: 10 Key Points - #57Take Quiz Develop a comprehensive approach to the timely evaluation of older adults with abdominal pain in the ED. Assessment1. Abdominal pain in older adults is more difficult to diagnose.
3. Evaluate abdominal complaints in older adults with cognitive impairment and/or delirium.
4. Physical exam and laboratory values are less reliable markers of disease severity in older adults with abdominal pain.
ContextOlder adults presenting to the emergency department with abdominal pain. ActionApply key concepts in the evaluation of older adults with abdominal pain. Incidence / Prevalence
Underlying SciencesPhysiologic changes associated with aging cause subtle and delayed presentations of serious abdominal disease in older adults. These include: atherosclerosis, decreased physiologic reserve, blunted adrenergic response, decreased abdominal wall musculature, decreased pain fiber function, and high incidence of asymptomatic underlying pathology. Science PrinciplesObjectives
Keywords/TagsReview of Systems (ROS)Geriatric TopicsACGME CompentenciesScience PrinciplesReferences1. Biese, Kevin, et al. “Abdominal Pain in the Elderly”. The American Geriatrics Society. Slideshow. (https://www.google.com/search?client=safari&rls=en&q=kevin+biese+abdominal+pain+slide&ie=UTF-8&oe=UTF-8) 2. Blaha, Steven, et al. “Abdominal Pain in the Elderly”. AHC media.com. Sept, 2008. (http://www.ahcmedia.com/articles/14962-abdominal-pain-in-the-elderly) 3. Bryan, David, et al. “Abdominal Emergencies in Elderly Persons”.Medscape. December, 2015. (http://emedicine.medscape.com/article/776663-overview) 4. Esser, et al. “Ability of CT to Alter Decision Making in Elderly Adults with Acute Abdominal Pain”. Am J Emerg Med. 2004 Jul:22(4)270-2. 5. “Emergency Department Measures Data Guide”. Emergency Dept. Benchmarking Alliance. 2012. 6. Green, Gemma, et al. “Emergency Laparotomy in Octogenarians: A 5 year study of Morbidity and Mortality”. World J Gastroint Surg 2013 Jul:5(7):216-21. 7. Lewis, Lawrence. “Etiology and Clinical Course of Abdominal Pain in Senior Patients: A Prospective, Multicenter Trial”. J Gerontology 2005 Aug:60(8)1071-6. 8. Mattu, Amal. “Abdominal Pain in the Elderly”. EM:RAP. Episode 56. May, 2006. 9. McNamara, Robert. “Abdominal Pain in the Elderly- Part I”. EM:RAP. Episode 92. May, 2009. 10. McNamara, Robert. “Abdominal Pain in the Elderly- Part II”. EM:RAP. Episode 93. June, 2009. 11. McNamara, Robert. “Abdominal Pain in the Elderly- Part III”. EM:RAP. Episode 93. June, 2009. 12. Sachs, Carolyn. “Tips Help Evaluation of Abdominal Pain in the Elderly”. ACEP News. July, 2008. 13. Shenvi, Christina. “Geriatric Abdominal Pain”. EM:RAP. Episode 153. June, 2014. 14. Shenvi, Christina. “Ten Tips for Approaching Abdominal Pain in the Elderly”. ALIEM.com. Oct, 2013. (http://www.aliem.com/2013/ten-tips-for-approaching-abdominal-pain-in-the-elderly/) 15. Spangler, Ryan. “Abdominal Emergencies in the Geriatric Patient”. Int J Emerg Med 2014 Oct:7:43. 16. “Urinary Tract Infections May Be Inappropriately Diagnosed and Treated in Nursing Home Residents Evaluated in Emergency Departments”. AGS 2014 Annual Scientific Meeting July 2014. 17. Warden, V. et al. “Development and Psychometric Evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale”. JAMDA. 2003 Jan-Feb:4(1)9-15. AuthorsAdam Perry, MD Geriatrics Fellow, Division of Geriatric Medicine and Palliative Care Thomas Jefferson University, Philadelphia, PA Michael Malone, MD Medical Director, Aurora Senior Services & Aurora at Home Geriatrics Fellowship Director, Aurora Sinai Medical Center Clinical Adjunct Professor, University of Wisconsin School of Medicine & Public Health CopyrightUsers are free to download and distribute Geriatric Fast Facts for informational, educational and research purposes only. See Term of Use for additional information. Disclaimer: Geriatric Fast Facts are for informational, educational and research purposes only. Geriatric Fast Facts are not, nor are they intended to be, medical advice. Health care providers should exercise their own independent clinical judgment when diagnosing and treating patients. Some Geriatric Fast Facts cite the use of a product in a dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used. What is an example of data validation quizlet?Which are examples of data validation? The nurse assesses the patient's heart rate and compares the value with the last value entered in the medical record. The nurse asks the patient if he is having pain and then asks the patient to rate the severity.
Which data would the nurse document as subjective data when admitting a patient?Subjective nursing data are collected from sources other than the nurse's observations. This type of data represents the patient's perceptions, feelings, or concerns as obtained through the nursing interview. The patient is considered the primary source of subjective data.
Which action would be appropriate for a nurse to take with a patient who is scheduled for an appendectomy and is crying?Which action would be appropriate for a nurse to take with a patient who is scheduled for an appendectomy and is crying? Validate the inference by asking the patient about the crying behavior. Family members bring an unconscious patient to the emergency department.
Which type of question is used when starting the assessment of a patient?Which type of question is used when starting the assessment of a patient? The nurse uses open-ended questions when beginning the assessment of a patient. This allows patients to talk about their concerns and problems in detail.
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