During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

Hormonal changes causing vasodilation resulting in hypotension

Atrophy of the muscles causing venous insufficiency

Peripheral blood vessels become more rigid producing a rise in systolic blood pressure.

Narrowing of the inferior vena cava causing, bilateral lower extremities varicosities

Answer and Explanation

The Correct Answer is C

A.   Hormonal changes can occur, but they typically do not cause significant vasodilation or hypotension in the elderly.
B.   Atrophy of the muscles causing venous insufficiency. While venous insufficiency can occur in aging, muscle atrophy is not the primary factor in this issue.
C.   Peripheral blood vessels become more rigid producing a rise in systolic blood pressure. This is a common and expected finding in the elderly due to arteriosclerosis, leading to increased systolic blood pressure.
D.   The inferior vena cava does not typically narrow with age, and varicosities are more likely due to vein elasticity changes, not narrowing.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Although the medical record can provide background information, it does not give the real-time assessment of the patient's current functional abilities.
B. While this information can be valuable, observing the patient directly provides the most accurate assessment of his abilities.
C. The physician’s perspective is important but may not fully capture the patient's day-to-day functional capacity.
D. Direct observation allows the nurse to assess the patient’s current functional status and make necessary adjustments to the care plan.

A. Palpates the abdomen prior to performing auscultation B. Performs auscultation between meals C. Auscultates bowel sounds for 3 to 5 min D. Clamps the NG tube during auscultation

Correct Answer is A

Explanation

A. Palpation should be done after auscultation to avoid altering the bowel sounds. Palpation can cause changes in the sounds, making it difficult to assess accurately.
B. It is advisable to auscultate bowel sounds when the patient is not actively eating, so this action is appropriate.
C. This is the correct duration for assessing bowel sounds. Auscultating for 3-5 minutes is within the standard practice.
D. If the client has an NG tube, clamping it before auscultation is appropriate as it prevents additional noises or interference from the tube.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

Correct Answer is D

Explanation

A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

Correct Answer is A

Explanation

During an assessment of the neurological system, a nurse places a key in the hand of a client, and he identifies it as a key. The nurse would describe this finding as

The movement of the leg laterally then medially, with knee straight is referred to as:

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the……..lobe.

​​​​​​​The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:

Which of the following statements is true regarding the function of the brain?

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate

A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors?