geria

finals

Left upper quadrant pain radiating to the back

Which sign is most strongly associated with acute pancreatitis?

Maintain NPO status

A patient with pancreatitis has elevated amylase and lipase. What is the priority intervention?

Avoid nuts and whole grains

A patient with UC is given dietary instructions. Which teaching is correct?

Purple-black stoma

After ileostomy, which finding should be reported immediately?

Lukewarm water, 500–1000 mL, 1 hour after meals

In stoma irrigation, the nurse uses which technique?

Encourage visual scanning to affected side

A stroke patient presents with homonymous hemianopsia. What is the safest nursing action?

CT scan

A patient is suspected of stroke. Which order should the nurse anticipate first?

CT scan showing hemorrhage

tPA is ordered. Which finding requires IMMEDIATE cancellation of the order?

Left hemisphere

A patient with R-sided hemiplegia may have damage where?

Warfarin

Which medication is most appropriate for long-term prevention of embolic stroke?

10–20 mcg/mL

What is the therapeutic serum level of phenytoin?

35 mcg/mL

A patient on phenytoin shows ataxia and slurred speech. What level is expected?

Place patient side-lying

During a seizure, which action is PRIORITY?

Foods high in vitamin B6 A

patient with Parkinson’s disease is given levodopa. Which food should be avoided?

Pill-rolling tremor at rest

Which Parkinson’s symptom is most characteristic?

Crackles and decreased PaO₂

Which finding indicates Stage II (Progressive) shock?

Pulmonary edema

A patient in hypovolemic shock has received large volumes of fluids. Which complication should the nurse watch for?

Dobutamine

Which medication increases cardiac contractility in shock?

Elevate HOB 30°

A patient receiving epidural anesthesia is at risk for neurogenic shock. What is the priority?

Change in LOC

Which assessment is the EARLIEST sign of increased ICP?

Risk for cerebral vasodilation

A patient with increased ICP has CO₂ level of 55 mmHg. What does this indicate?

Maintain PaCO₂ < 30 mmHg

Which intervention is appropriate for a patient with increased ICP?

DIC

Which complication is MOST associated with progressive shock?

Crackles and chest pain

In cardiogenic shock, which assessment finding is expected?

Valsalva maneuver

A patient with suspected increased ICP should avoid which action?

Provide written step-by-step notes with simple language and screenshots

An 82-year-old man with mild cognitive impairment forgets steps when using his tablet. Which intervention should the nurse prioritize?

Increase screen illumination and minimize glare

During telehealth visit, a 78-year-old woman squints to see the screen clearly. What is the best nursing action?

Verbally clarify ambiguous cues, acknowledging telehealth barriers

During a video session, the nurse notices the older adult patient appears withdrawn and is giving short responses. What communication strategy is most appropriate?

Enhance audio by suggesting headphones or closed captioning

An older adult says she can’t understand the nurse because background noise “blends together”. What modification should the nurse make?

Reduces transportation-related barriers to receiving healthcare

A 90-year-old woman living alone in rural area is now homebound because of mobility issues. Which telehealth advantage is most relevant to her situation?

Telepsychiatry improves access and reduces delays in care

An older adult with depression refuses in-person psychiatric visits due to fear of COVID-19 exposure. What justification supports telepsychiatry?

Mentation

A telehealth nurse wants to tailor a session to an older adult patient with arthritis and memory lapses. Which “M” is being addressed when she evaluates the patient’s cognitive function during the virtual visit?

Marketing and accounting

A nurse plans to open a community-based home health product business. Which skill outside of nursing education is most essential?

She may start a business with BSN and license

A nurse wants to become a nurse entrepreneur but only holds a BSN. What is the best guidance?

Business viability of the entrepreneurial plan

A group of unemployed nurses joins the EntrepreNURSE program. What primary factor should be considered when selecting deployment areas?

Health educator and provider

A nurse deployed to a rural area under the EntrepreNURSE initiative conducts home visits and teaches families about disease prevention. Which role is being fulfilled?

Managing accounting and business finances

Financial responsibilities of Nurse Entrepreneurs A newly established nurse-run wellness clinic is struggling financially. Which responsibility directly falls under the entrepreneur’s role?

At least ₱14,000 per visit, funded by LGU/PhilHealth/HMOs or donors

Understanding compensation: A nurse working in an EntrepreNURSE cooperative performs primary care visits in remote areas. How is she compensated?

Contact the patient beforehand to test the telehealth platform

Telehealth troubleshooting before appointment A nurse wants to reduce the risk of delays during an older adult’s online consultation. What proactive strategy should she use?

Using nursing expertise + business marketing skills

Integrating entrepreneurship with Nursing Practice: A nurse entrepreneur wants to improve patient reach for her telehealth-based home care service. Which strategic combination best aligns with entrepreneurship concepts discussed?

Disagree, because the economic burden of aging in 2030 is projected to be no greater than the burden of raising Baby Boomer children in the 1960s.

A public policy analyst is arguing that the anticipated increase in the Baby Boomer generation needing long-term care by 2030 will necessarily lead to an overwhelming economic burden on the nation’s economy. Based on the study’s principal findings, how should a gerontological nurse evaluate this claim?

Changing how society organizes community services andaltering the cultural view of aging to ensure all ages areintegrated into community life.

A long-term care facility consistently struggles with inaccessible community services and a lack of social integration for its residents. Which of the following macro-level strategies for addressing the real challenges of caring for the elderly in 2030 would be most directly applied to resolve this specific issue?

Establishing an adaptive, cyclical system focused on continuous improvement, monitoring, review, and managing progress toward integrated goals.

A country is drafting its national strategy for aging and sustainable development. Which approach best synthesizes the core principle of a National Sustainable Development Strategy (NSDS) as a necessary institutional change?

The complexity of financial and social service burdens willbecome too overwhelming if not addressed until the BabyBoomers actually require long-term care.

The document highlights that social and public policychanges to meet the long-term care needs of Baby Boomersmust "begin soon" (before 2030). What is the primaryrationale for this urgency?

Unpaid care work

A Gerontological Nurse is advocating for the rights of older adults who serve as primary, unpaid caregivers for their grandchildren due to high migration rates in the younger generation. The nurse's argument directly relates to which of the following contributions of older persons to the 2030Agenda for Sustainable Development?

Challenge: Medicine and behavioral health advances.Mitigation: It directly supports keeping the elderly as healthyand active as possible

Imagine a new medical innovation drastically reduces theincidence of chronic disability in the elderly population. Thisaligns with which of the four "real challenges" of the 2030problem, and how does it mitigate that challenge?

The system will be financially solvent, but care will remaininaccessible, poorly delivered, and unintegrated intocommunity life.

If a society decides to focus policy only on ensuring"sufficient resources" (macro-cost) for aging, but neglects the"four key challenges" (payment systems, health advances,community services, cultural view) , what is the most likelyoutcome?

It failed to balance and integrate economic, social, and environmental objectives.

The concept of NSDS emphasizes a balanced andintegrative process. A developing nation implements astrategy that successfully boosts the economy, but leads tosocial exclusion and environmental degradation. What is thecritical flaw in this strategy from an NSDS perspective?

Integrating older generations' historical memory and rare knowledge into a formal mentorship program for local youth and civic institutions.

Older persons contribute to social capital by being activein community and civic life through volunteering andgovernance. How could a local government best utilize thiscontribution to foster an age-friendly community?

Developing community-based delivery systems and making care more accessible and culturally integrated.

The “2030 problem” is defined as the challenge of assuring that sufficient resources and an effective service system are available. Which action represents the most effective approach to reforming the service system?