Alone, metformin does not cause hypoglycaemia (low blood sugar). However, in rare cases, you may develop hypoglycaemia if you combine metformin with:

You are looking after a 76-year old woman who has had a number of recent falls at home. What would you do to try & ensure her safety whilst she is in hospital?

Conditions producing orthostatic hypotension in the elderly:

You are caring for a patient who is known to have dementia. What particular issues should you consider prior to discharge.

How do we handle a specimen container labelled with a yellow hazard sticker?

What is the most common cause of hypotention in elderly?

The nurse is caring for a diabetic patient and when making rounds, notices that the patient is trembling and stating they are dizzy. The next action by the nurse would be:

The nurse should adjust the walker at which level to promote safety & stability?

An 83-year old lady just lost her husband. Her brother visited the lady in her house. He observed that the lady is acting okay but it is obvious that she is depressed. 3weeks after the husband’s death, the lady called her brother crying and was saying that her husband just died. She even said, “I cant even remember him saying he was sick.” When the brother visited the lady, she was observed to be well physically but was irritable and claims to have frequent urination at night and she verbalizes that she can see lots of rats in their kitchen. Based on the manifestations, as a nurse, what will you consider as a diagnosis to this patient?

Mrs Smith has been assessed to have a cardiac arrest after anaphylactic reaction to a medication. Cardiopulmonary Resuscitation (CPR) was started immediately. According to the Resuscitation Council UK, which of the following statements is true?

How to act in an emergency in a health care set up?

How many phases of korotkoff sounds are there?

Which is not an appropriate way to care for patients with Dementia/Alzheimer’s?

A nurse is caring for a patient with canes. After providing instruction on proper cane use, the patient is asked to repeat the instructions given. Which of the following patient statement needs further instruction?

Mr Bond, 72 years old, complains of difficulty of chewing his food. He normally wears upper dentures daily. On assessment, you noticed some signs of gingivitis. Which of the following signs will you expect?

In a community hospital, an elderly man approaches you and tells you that his neighbour has been stealing his money, saying “sometimes I give him money to buy groceries but he didn’t buy groceries and he kept the money” what is your best course of action for this?

Which is the first drug to be used in cardia arrest of any aetiology?

A patient is prescribed methformin 1 000mg twice a day for his diabetes. While taking with the patient he states “I never eat breakfast so I take 1⁄2 tablet at lunch and a whole tablet at supper because I don’t want my blood sugar to drop.” As his primary care nurse you:

How do you ensure the correct blood to culture ratio when obtaining a blood culture specimen from an adult patient?

What action would you take if a specimen had a biohazard sticker on it?

You are looking after a postoperative patient and when carrying out their observations, you discover that they are tachycardic and anxious, with an increased respiratory rate. What could be happening? What would you do?

You are preparing to consider a Tuberculin (Mantoux) skin test to a client suspected of having TB. The nurse knows that the test will reveal which of the following?

The nurse is caring for a diabetic patient and when making rounds, notices that the patient is trembling and stating they are dizzy. The next action by the nurse would be:

Which finding should the nurse report to the provider to a magnetic resonance imaging MRI?

Which of the following can a patient not have if they have a pacemaker in situ?

An elderly client with dementia is cared by hid daughter. The daughter locks him in a room to keep him safe when she goes out to work and not considering any other options. As a nurse what is your action?

You are looking after a 75 year old woman who had an abdominal a) b) c) d) 328. a) b) c) d) 329. Malnutrition Hyperglycemia Dehydration Hypoglycaemia What is the most common cause of hypotention in elderly? Decreased response in adrenaline & noradrenaline Atheroma changes in vessel walls hyperglycaemia Age What is an intermediate care home? hysterectomy 2 days ago. What would you do reduce the risk of her developing a deep vein thrombosis (DVT)?

Which of the following displays the proper use of Zimmer frame?

Which of the following is a behavioural risk factor when assessing the potential risks of falling in an older person?

People with blood group A are able to receive blood from the following:

You are looking after an emaciated 80-year old man who has been admitted to your ward with acute exacerbation of chronic obstructive airways disease (COPD). He is currently so short of breath that it is difficult for him to mobilize. What are some of the actions you take to prevent him developing a pressure ulcer?

Fiona a 70 year old has recently been diagnosed with type 2 diabetes. You have EC devised a care plan to meet her nutritional needs. However, you have noted that she ahs poor fitting dentures. Which of the following is the least likely risk to the service user?

Knowing the difference between normal age- related changes & pathologic findings, which finding should the nurse identify as pathologic in a 74 year old patient?

Anti-embolic stockings an effective means of reducing the potential of developing a deep vein thrombosis because:

The nurse is caring for an immobile client. The nurse is promoting interventions to prevent foot drop from occurring. Which of the following is least likely a cause of foot drop?

The nurse should consider performing preparatory exercises on which muscle to prevent flexion or buckling during crutch walking?

Mr Cross informed you of how upset he was when you commented on his diabetic foot during your regular home visit. He is considering to see another tissue viability nurse. How will you best respond to him?

Why is pyrexia not always evident in the elderly?

Most commonly aneurysms can develop on?

Nurses assume responsibility on patient with cane. Which of the following is the nurse’s topmost priority in caring for a patient with cane?

What is an intermediate care home?

A normal sign of aging in the renal system is

The client advanced his left crutch first followed by the right foot, then the right crutch followed by the left foot. What type of gait is the client using?

A client is ambulating with a walker. The nurse corrects the walking pattern of the patient if he does which of the following?

What are the contraindications for the use of the blood glucose meter for blood glucose monitoring?

Why are support stockings used?

After instructing the client on crutch walking technique, the nurse should evaluate the client’s understanding by using which of the following methods?

An 86 year old male with senile dementia has been physically abused & neglected for the past two years by his live in caregiver. He has since moved & is living with his son & daughter-in-law. Which response by the client’s son would cause the nurse great concern?

In a community setting, an elderly patient reported to you that he gives shopping money to his neighbours but failed to bring groceries on frequent occasions. What is your best response on this situation?

If blood is being taken for other tests, and a patient requires collection of blood cultures, which should come first to reduce the risk of contamination?

When dealing with a patient who has a biohazard specimen, how will you ensure proper disposal? Select which does not apply:

The correct management of an adult patient in ventricular fibrillation (VF) cardiac arrest includes:

For an average person from UK who has non-insulin dependent diabetes, how many servings of fruits and vegetables per day should they take?

Most of the symptoms are common in both type1 and type 2 diabetes. Which of the following symptom is more common in typ1 than type2?

While having lunch at the cafeteria, your co-worker suddenly collapsed. As a nurse, what would you do?

In DVT TEDS stockings affect circulation by:

Hypoglycaemia in patients with diabetes is more likely to occur when the patients take:

A patient puts out his arm so that you can take his blood pressure. What type of consent is this?

What is atrial fibrillation?

What Is not a cause of postural hypotension?

A nurse is advised one hour vital charting of a patient, how frequently it should be recorded?

Your nurse manager approaches you in a tertiary level old age home where complex cases are admitted, and she tells you that today everyone should adopt task – oriented nursing to finish the tasks by 10 am what’s your best action

A patient is being discharged form the hospital after having coronary artery bypass graft (CABG). Which level of the health care system will best serve the needs of this patient at this point?

To promote stability for a patient using walkers, the nurse should instruct the patient to place his hands at:

A 76 year old man who is a resident in an extended care facility is in the late stages of Alzheimer’s disease. He tells his nurse that he has sore back muscles from all the construction work he has been doing all day. Which response by the nurse is most appropriate?

Why is pyrexia not evident in the elderly?

Mrs Red’s doctor is suspecting an aortic aneurysm after her chest x-ray. Which of the most common type of aneurysm?

What are the principles of communicating with a patient with delirium?

What is not included in the care package in a nursing home?

Among the following drugs, which does not cause falls in an elderly?

What would you do if a patient with diabetes and peripheral neuropathy requires assistance cutting his toe nails?

Which of the following is a guiding principle for the nurse in distinguishing mental disorders from the expected changes associated with aging

Which of the following techniques is advisable when obtaining a urine specimen in order to minimize the contamination of a specimen?

When collecting an MSU from a male patient, what should they do prior to the specimen being collected?

Why should healthcare professionals take extra care when washing and drying an elderly patients skin?

Common signs and symptoms of a hypoglycaemia exclude:

Which of the following is the most common aneurysm site?

The patient is being discharged from the hospital after having a coronary artery bypass graft (CABG). Which level of the health care system will best serve the needs of this patient at this point?

How should be the surrounding area of a patient with dementia?

Nurse is teaching patient about crutch walking which is incorrect?

Barbara, an elderly patient with dementia, wishes to go out of the hospital. What will be you appropriate action?

A patient with dementia is mourning and pulling the dress during night what do you understand from this?

When developing a program offering for patients who are newly diagnosed with diabetes, a nurse case manager demonstrates an understanding of learning styles by:

Common causes for hyperglycaemia include:

You are currently on placement in the emergency department (ED). A 55- year-old city worker is blue lighted into the ED having had a cardiorespiratory arrest at work. The paramedics have been resuscitating him for 3 minutes. On arrival, he is in ventricular fibrillation. Your mentor asks you the following question prior to your shift starting: What will be the most important part of the patient’s immediate advanced life support?

What medications would most likely increase the risk for fall?

What is the name given to a decreased pulse rate or heart rate?

CVP line measures?

Why constipation occurs in old age?

How do we handle a specimen container labelled with a yellow hazard sticker?

The nurse cares for an elderly patient with moderate hearing loss. The nurse should teach the patient’s family to use which of the following approaches when speaking to the patient?

Which finding should the nurse report to the provider prior to a magnetic resonance imaging MRI?

Why are elderly prone to postural hypotension? Select which does not apply:

Which of the following is a sign of dehydration in the elderly?

Angel, 52 years old lose her husband due to some disease. 4 weeks later, she calls her mother and says that, yesterday my husband died…I didn’t know that he was sick…I cant sleep and I see rats and mites in the kitchen. What is angel’s condition?

During cardiopulmonary resuscitation:

Mr Bond also shared with you that his gums also bleed during brushing. Which of the following statement will best explain this?

In Spinal cord injury patients, what is the most common cause of autonomic dysreflexia ( a sudden rise in blood pressure)?

Which of the major theories of aging suggest that older adults may decelerate the aging process?

You are looking after a 75 year old woman who had an abdominal hysterectomy 2 days ago. What would you do reduce the risk of her developing a deep vein thrombosis (DVT)?