NUR 257 (Concepts of Aging and Chronic Illness)
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
1. Which of the following is a normal physiological change in aging?
A) Decreased cardiac output
B) Increased lung elasticity
C) Increased renal filtration
D) Increased bone density
Answer: A
Explanation: Cardiac output decreases with age due to reduced heart muscle efficiency.
2. What is the most common cause of accidental death in older adults?
A) Burns
B) Falls
C) Choking
D) Hypothermia
Answer: B
Explanation: Falls are the leading cause of injury-related deaths among the elderly.
3. The SPICES assessment tool is used to identify:
A) Pain level
B) Common geriatric syndromes
,NUR 257 (Concepts of Aging and Chronic Illness)
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
C) Mental status changes
D) Nutritional deficiencies
Answer: B
Explanation: SPICES stands for Sleep disorders, Problems with eating, Incontinence,
Confusion, Evidence of falls, Skin breakdown.
4. Which statement best describes “polypharmacy”?
A) Taking only prescribed medications
B) Taking multiple medications unnecessarily
C) Avoiding herbal supplements
D) Using drugs under supervision
Answer: B
Explanation: Polypharmacy occurs when an older adult uses multiple drugs, often leading to
side effects or interactions.
5. Which of the following is not a normal part of aging?
A) Slower reaction time
B) Memory loss interfering with daily life
C) Reduced vision
D) Decreased muscle strength
,NUR 257 (Concepts of Aging and Chronic Illness)
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
Answer: B
Explanation: Severe memory loss suggests a disease process like dementia, not normal aging.
6. The nurse uses the Beers Criteria to:
A) Choose foods for older adults
B) Identify potentially inappropriate medications
C) Screen for fall risk
D) Assess hydration
Answer: B
Explanation: The Beers Criteria list medications that are risky for older adults due to side
effects.
7. Which intervention prevents skin breakdown in a bedridden elderly patient?
A) Turning the patient every 2 hours
B) Limiting fluid intake
C) Using scented powders
D) Applying tight bandages
Answer: A
Explanation: Repositioning prevents pressure injuries and improves circulation.
8. The nurse recognizes that the most accurate sign of dehydration in an older adult is:
, NUR 257 (Concepts of Aging and Chronic Illness)
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
A) Dry mouth
B) Poor skin turgor
C) Concentrated urine
D) Decreased urine output
Answer: D
Explanation: Low urine output is the best indicator because skin elasticity changes with age.
9. A patient with dementia becomes agitated in the evening. This is known as:
A) Hallucination
B) Sundowning
C) Delirium
D) Disorientation
Answer: B
Explanation: Sundowning refers to increased confusion and agitation later in the day.
10. When communicating with an older adult with hearing loss, the nurse should:
A) Shout loudly
B) Speak slowly, clearly, and face the patient
C) Cover their mouth
D) Use medical jargon
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
1. Which of the following is a normal physiological change in aging?
A) Decreased cardiac output
B) Increased lung elasticity
C) Increased renal filtration
D) Increased bone density
Answer: A
Explanation: Cardiac output decreases with age due to reduced heart muscle efficiency.
2. What is the most common cause of accidental death in older adults?
A) Burns
B) Falls
C) Choking
D) Hypothermia
Answer: B
Explanation: Falls are the leading cause of injury-related deaths among the elderly.
3. The SPICES assessment tool is used to identify:
A) Pain level
B) Common geriatric syndromes
,NUR 257 (Concepts of Aging and Chronic Illness)
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
C) Mental status changes
D) Nutritional deficiencies
Answer: B
Explanation: SPICES stands for Sleep disorders, Problems with eating, Incontinence,
Confusion, Evidence of falls, Skin breakdown.
4. Which statement best describes “polypharmacy”?
A) Taking only prescribed medications
B) Taking multiple medications unnecessarily
C) Avoiding herbal supplements
D) Using drugs under supervision
Answer: B
Explanation: Polypharmacy occurs when an older adult uses multiple drugs, often leading to
side effects or interactions.
5. Which of the following is not a normal part of aging?
A) Slower reaction time
B) Memory loss interfering with daily life
C) Reduced vision
D) Decreased muscle strength
,NUR 257 (Concepts of Aging and Chronic Illness)
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
Answer: B
Explanation: Severe memory loss suggests a disease process like dementia, not normal aging.
6. The nurse uses the Beers Criteria to:
A) Choose foods for older adults
B) Identify potentially inappropriate medications
C) Screen for fall risk
D) Assess hydration
Answer: B
Explanation: The Beers Criteria list medications that are risky for older adults due to side
effects.
7. Which intervention prevents skin breakdown in a bedridden elderly patient?
A) Turning the patient every 2 hours
B) Limiting fluid intake
C) Using scented powders
D) Applying tight bandages
Answer: A
Explanation: Repositioning prevents pressure injuries and improves circulation.
8. The nurse recognizes that the most accurate sign of dehydration in an older adult is:
, NUR 257 (Concepts of Aging and Chronic Illness)
EXAM LATEST 2026 QUESTIONS WITH VERIFIED
ANSWERS
A) Dry mouth
B) Poor skin turgor
C) Concentrated urine
D) Decreased urine output
Answer: D
Explanation: Low urine output is the best indicator because skin elasticity changes with age.
9. A patient with dementia becomes agitated in the evening. This is known as:
A) Hallucination
B) Sundowning
C) Delirium
D) Disorientation
Answer: B
Explanation: Sundowning refers to increased confusion and agitation later in the day.
10. When communicating with an older adult with hearing loss, the nurse should:
A) Shout loudly
B) Speak slowly, clearly, and face the patient
C) Cover their mouth
D) Use medical jargon
