1. A nurse is teaching a health promotion class for older adults. In which order

will the nurse list the most common to least common conditions that can lead

to death in older adults?

1. Chronic obstructive lung disease

2. Cerebrovascular accidents

3. Heart disease

4. Cancer

a. 4, 1, 2, 3

b. 3, 4, 1, 2

c. 2, 3, 4, 1

d. 1, 2, 3, 4

ANS: B

Heart disease is the leading cause of death in older adults followed by cancer,

chronic lung disease, and stroke (cerebrovascular accidents).

13. A nurse is observing skin integrity of an older adult. Which finding will the

nurse document as a normal finding?

a. Oily skin

b. Faster nail growth

c. Decreased elasticity

d. Increased facial hair in men

ANS: C

Loss of skin elasticity is a common finding in the older adult. Other common

findings include pigmentation changes, glandular atrophy (oil, moisture, and

sweat glands), thinning hair (facial hair: decreased in men, increased in women),

slower nail growth, and atrophy of epidermal arterioles.

14. An older-adult patient in no acute distress reports being less able to