GERONTOLOGICAL NURSING EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
The nurse is performing an assessment on an older adult client. What assessment data would
indicate a potential complication associated with the skin of this client?- Crusting, Wrinkling, or
thinning/loss of elasticity of skin - ANS Crusting- indicates a potential complication
The nurse who volunteers at a senior citizens' center is planning activities for the members.
What activity would best promote health and maintenance? - ANS Walking 3-5 times per
week for 30 minutes. Exercise and activity are essential for health promotion and maintenance.
The home health nurse is visiting a client for the first time. While assessing the client's
medication, it is noted that there are 19 prescription and several over the counter medications
that the client is taking. What intervention should the nurse take first? - ANS Determine
whether there are medication duplications. Polypharamacy is a concern in the geriatric
population.
The nurse is working with older clients in a long term care facility. Which activities performed by
the nurse fosters reminiscence among these clients? - ANS Having storytelling hours- clients
who like to retell stories or past events need to be provided time to do so. It is a way for the
older adult to relive and restructure life experiences and is a part of achieving ego identity.
The home care nurse is performing an environmental assessment in the home of an older adult.
Which of the following requires immediate nursing action?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Unsecured scattered rugs, operable smoke detector, or prefilled medication cassette? -
ANS Unsecured scattered rugs- trauma to the older client in the home may be caused by a
variety of factors. These include unsteady gait, the presence of unsecured scatter rugs, clattered
passageways, and inoperable smoke detectors.
The nurse is teaching an older client about measures to prevent constipation. What statement
made by the client indicates further teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday" - ANS "I need to decrease fiber in my diet" -Adequate
dietary fiber is an important factor in aiding bowel function. Dietary fiber increases fecal weight
and water content and accelerates the transit of fecal mass through the GI tract.
Define Ageism. - ANS Ageism is a form of prejudice in which older adults are stereotyped by
characteristics found in only a few members of their group. Fundamental to ageism is the view
that older persons are different from "me" and will remain different from "me." Therefore, they
are portrayed as not experiencing the same desires, needs, and concerns.
The nurse is providing medication instructions to an older client who is taking digoxin (Lanoxin)
daily. What age related body changes could place the client at risk for digoxin toxicity? -
ANS Decreased lean body mass and decreased glomerular filtration rate.
The nurse employed in a long term care facility is caring for an older male client. What nursing
action contributes to encouraging autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities - ANS Client choosing own activities. Autonomy is
the personal freedom to direct one's own life as long as it does not impinge on the rights of
others. An autonomous person is capable of rational thought.
The home care nurse is visiting an older female client whose husband died 6 months ago. What
behavior by the client indicates ineffective coping?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, - Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave - ANS Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death, ineffective coping is
manifested by an extreme behavior that in some cases may be harmful to the individual.
The nurse is providing instructions to a nursing assistant regarding care of an older client with
hearing loss. The nurse tells the assistant that clients with a hear loss: - ANS Respond to low
pitched tones. Prebycusis refers to the age related irreversible degenerative changes of the
inner eat that lead to decreased hearing ability. As a result of these changes, the older client has
a decreased response to high frequency sounds. Low pitched voice tones are heard more easily
and can be interpreted by the older client.
The nurse is providing an educational session to new employees, and the topic is abuse of the
older adult. The nurse helps the employees identify that which client is most typical of a victim
of abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
-70 y.o woman with early dx Lyme dz - ANS 90 y.o woman with advanced Parkinson's dz.
Elder abuse is widespread and occurs among all subgroups of the population. Elder abuse
includes physical and psychological abuse, misuse of property, and violation of rights. The
typical abuse victim is a woman of advanced age with few social contacts and at least one
physical or mental impairment that limits her ability to perform activities of daily living.
The nurse is performing an assessment on an older client who is having difficulty sleeping at
night. What statement by the client indicates education is needed on improving sleep?
-"I swim 3 times a week"
-"I have stopped smoking cigars."
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
The nurse is performing an assessment on an older adult client. What assessment data would
indicate a potential complication associated with the skin of this client?- Crusting, Wrinkling, or
thinning/loss of elasticity of skin - ANS Crusting- indicates a potential complication
The nurse who volunteers at a senior citizens' center is planning activities for the members.
What activity would best promote health and maintenance? - ANS Walking 3-5 times per
week for 30 minutes. Exercise and activity are essential for health promotion and maintenance.
The home health nurse is visiting a client for the first time. While assessing the client's
medication, it is noted that there are 19 prescription and several over the counter medications
that the client is taking. What intervention should the nurse take first? - ANS Determine
whether there are medication duplications. Polypharamacy is a concern in the geriatric
population.
The nurse is working with older clients in a long term care facility. Which activities performed by
the nurse fosters reminiscence among these clients? - ANS Having storytelling hours- clients
who like to retell stories or past events need to be provided time to do so. It is a way for the
older adult to relive and restructure life experiences and is a part of achieving ego identity.
The home care nurse is performing an environmental assessment in the home of an older adult.
Which of the following requires immediate nursing action?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Unsecured scattered rugs, operable smoke detector, or prefilled medication cassette? -
ANS Unsecured scattered rugs- trauma to the older client in the home may be caused by a
variety of factors. These include unsteady gait, the presence of unsecured scatter rugs, clattered
passageways, and inoperable smoke detectors.
The nurse is teaching an older client about measures to prevent constipation. What statement
made by the client indicates further teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday" - ANS "I need to decrease fiber in my diet" -Adequate
dietary fiber is an important factor in aiding bowel function. Dietary fiber increases fecal weight
and water content and accelerates the transit of fecal mass through the GI tract.
Define Ageism. - ANS Ageism is a form of prejudice in which older adults are stereotyped by
characteristics found in only a few members of their group. Fundamental to ageism is the view
that older persons are different from "me" and will remain different from "me." Therefore, they
are portrayed as not experiencing the same desires, needs, and concerns.
The nurse is providing medication instructions to an older client who is taking digoxin (Lanoxin)
daily. What age related body changes could place the client at risk for digoxin toxicity? -
ANS Decreased lean body mass and decreased glomerular filtration rate.
The nurse employed in a long term care facility is caring for an older male client. What nursing
action contributes to encouraging autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities - ANS Client choosing own activities. Autonomy is
the personal freedom to direct one's own life as long as it does not impinge on the rights of
others. An autonomous person is capable of rational thought.
The home care nurse is visiting an older female client whose husband died 6 months ago. What
behavior by the client indicates ineffective coping?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, - Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave - ANS Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death, ineffective coping is
manifested by an extreme behavior that in some cases may be harmful to the individual.
The nurse is providing instructions to a nursing assistant regarding care of an older client with
hearing loss. The nurse tells the assistant that clients with a hear loss: - ANS Respond to low
pitched tones. Prebycusis refers to the age related irreversible degenerative changes of the
inner eat that lead to decreased hearing ability. As a result of these changes, the older client has
a decreased response to high frequency sounds. Low pitched voice tones are heard more easily
and can be interpreted by the older client.
The nurse is providing an educational session to new employees, and the topic is abuse of the
older adult. The nurse helps the employees identify that which client is most typical of a victim
of abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
-70 y.o woman with early dx Lyme dz - ANS 90 y.o woman with advanced Parkinson's dz.
Elder abuse is widespread and occurs among all subgroups of the population. Elder abuse
includes physical and psychological abuse, misuse of property, and violation of rights. The
typical abuse victim is a woman of advanced age with few social contacts and at least one
physical or mental impairment that limits her ability to perform activities of daily living.
The nurse is performing an assessment on an older client who is having difficulty sleeping at
night. What statement by the client indicates education is needed on improving sleep?
-"I swim 3 times a week"
-"I have stopped smoking cigars."
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
