RN GERIATRIC
COMPETENCY EXAM
Name:
= =
%
Rated by:
Directions: Shade the corresponding oval of the
correct answer.
Example: Pepcid is classified as what type of
medication:
H2 Blocker / acid reducer
Anticonvulsant
Anti-emetic
PART I – PHARMACOLOGY
1. Lasix is classified as what type of medication:
Narcotic Analgesic
Diuretic
Calcium Channel Blocker
2. When caring for an elderly resident with
dysphagia, it is important to consider the following
in their care plan:
make sure the resident is sitting at 30
degree angle during meals
have dietician evaluate resident on
appropriate foods for meals
recommend swallowing evaluation for
resident
b and c
3. Morphine Sulphate 3 mg IM is ordered for your
patient. The only available dosage strength is 4
mg/cc. What amount will you give?
0.50 cc
0.75 cc
1.33 cc
1.5 cc
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750 mg
7.5 mg
75 mg
5. Premarin 1.25 mg is ordered daily for your
patient. The only available tablet strength is 625
mcg. What amount will you give?
Date:
Your Score:
4. Convert 0.75 g to mg.
2 tablets
½ tablet
2.5 tablets
none of the above
6. When changing a decubitus wound dressing,
what is the most important step in preventing
spread of infection?
proper handwashing
use of sterile guaze
Irrigating with normal saline
setting up sterile field
7. When administering Coumadin, it is important to
check which lab value?
PT
SMA-7
INR
PTT
8. Morphine Sulfate is classified as what type of
medication?
analgesic
anesthetic
anticholinergic
9. Effexor liquid 37.5 mg has been ordered for your
patient. The only available dosage is 25 mg/cc.
What amount will you give?
1.5 cc
15 cc
0.67 cc
2 cc
10. The antidote treatment for Coumadin is:
Fragmin
Lovenox
Vitamin K
Factor VIII
RN-Competency Exam
PART II - COMPETENCY
11. Key symptoms of dementia include:
Suspicion and paranoia
Anxiety and depression
Memory loss and disorientation
Irritability and agitation
12. The legal concept of omissions in care applies
when:
The physician has missed a diagnosis and,
therefore, you have omitted treatment for it
because nothing is ordered
The RN does not work the weekend
You have intentionally or unintentionally
missed an antibiotic dose
Residents are given baths only every other
day
13. The nursing process is:
A procedure that registered nurses use to
make care assignments
A type of standardized care plan
A framework for providing nursing care
An instinctive method of providing care
14. Basic components of an exercise routine for
older people are:
Strengthening, dieting, and proper walking
Strengthening, endurance, flexibility
Strengthening, dieting and aerobics
Strengthening, aerobics and the food
17. An important health problem the nurse should
help the older adult prevent is:
Dehydration
Malnutrition
Fecal impaction
All of the Above
18. Important considerations when conducting
psychological assessments are:
Privacy and elimination of interruptions
Timing
Positive introduction of the assessment
All of the above
19. The following are normal aging changes
EXCEPT:
Osteoporosis, arteriosclerosis
Presbyopia, presbycusis
Kyphosis, ptosis
Presbyopia, urinary incotinence
20. A 90 year old frail patient has just been
admitted to the unit. The nursing assessment
reveals lethargy, poor capillary perfusion and
urinary incontinence. Based on these observations
the nurse knows that this patient is at risk for:
Skin breakdown
Contractures
Aspiration
Dehydration
pyramid
15. What affect does immobility or sedentary
lifestyles have on the older adult?
Thinning of cartilage in joints
Decreased serum sodium levels
Loss of skin elasticity
Loss of muscle size and strength
16. The aim for rehabilitation for older adults is to:
Deny function and performance that
existed prior to the incident
Keep food and fluids at a level so that
energy and strength are minimized
Engage in limited ADLs
Restore an individual to his/her former
function and environmental status
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RN-Competency Exam