PEBC Evaluating Exam, PEBC Qualifying Exam, OSCE, MCC, Nurse Exams, IELTS, NAPLEX

Care of the Older Client Sample Questions

1. When talking with older client with presbycusis, what approach is appropriate method of communication with older client who has a hearing loss?
A. Speak slowly B. Speak loudly C. Use low pitched tones D. Use high pitched tones.
Answer Ans: C Presbycusis refers to the age related hearing loss which is age- related, irreversible degenerative disease of the inner ear. As a result of these changes, the older client has decreased response to high frequency sounds. Low – pitched tones of voice are more easily heard and interpreted by the older client. Speaking softly or slowly will not help the older client. Saunders: 234

2. What will be the most common sign of adverse reaction to medication for older client?
A. Hypertension B. Vision changes C. Changes in mental status D. Presbycusis.
Answer Ans: C Changes in mental status is one of the common sign of adverse reaction of medication. Saunders: 236.

3. Which vital signs is remain unchanged due to aging?
A. Temperature. B. Heart rate. C. Respiratory rate. D. O2 saturation.
Answer Ans: C The respiratory system usually remains unchanged. Heart rate will be decreased during rest and peripheral pulse has weakness. Decreases size and number of alveoli, thus may cause an alteration in spo2. Saunders: 233.