Gerontological Nursing Final Exam Test Bank
GERONTOLOGICAL NURSING FINAL EXAM TEST BANK NEWEST
2025/2026 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
The nurse keeps the environment warmer for older adults because they are more
sensitive to
cold because of the age-related changes in their:
a. metabolism rate.
b. subcutaneous tissue.
c. musculoskeletal system.
d. peripheral vascular system.
ANS: B
The nurse reassures the distressed 75-year-old male that the wartlike dark
macules with distinct borders are not melanomas, but the skin lesions of:a. senile
lentigo.
b. cutaneous papillomas.
c. seborrheic keratoses.
d. xerosis.
ANS: C
The nurse is accompanying a group of older adults on a July 4th outing to monitor
heat prostration. Older adults are intolerant of heat because of an age-related
reduction of:
a. melanin.
b. perspiration.
c. body temperature.
d. capillary fragility.
ANS: B
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, Gerontological Nursing Final Exam Test Bank
The nurse cautions the CNAs to use care when transferring or handling older
adults because their vascular fragility will cause:
a. altered blood pressure.
b. pressure ulcers.
c. pruritus.
d. senile purpura.
ANS: D
The nurse assesses a stage I pressure ulcer on an older adults coccyx by the
appearance of a:
a. clear blister.
b. nonblanchable area of erythema.
c. scaly abraded area.
d. painful reddened area.
ANS: B
The CNA caring for an older adult asks if the yellow, waxy, crusty lesions on the
patients axilla and groin are contagious. The nurses most helpful response is:
a. Yes. It is cellulitis caused by bacteria.
b. No. It is seborrheic dermatitis caused by excessive sebum.
c. Yes. It is an indication of scabies.d. No. It is the lesion seen with basal cell
carcinoma.
ANS: B
The nurse leads a group of postmenopausal older women on a daily 15-minute
walking tour
through the long-term care facility to:
a. improve bone strength.
b. orient them to their surroundings.
c. improve their socialization.
d. increase their appetite.
ANS: A
2|Page
, Gerontological Nursing Final Exam Test Bank
When the perplexed 70-year-old woman asks, How in the world can my bones be
brittle when I eat all the right foods? the nurses most informative reply is:
a. Calcium loss is expected in the older adult.
b. Calcium is continuously withdrawn from bone for nerve and muscle function.
c. Smoking and alcohol consumption speed calcium loss from the bones.
d. Walking and standing increase calcium loss from the bone.
ANS: B
When the 70-year-old woman complains, I weigh exactly the same as I did when I
wore a size 10 and now I can barely squeeze into a size 16, the nurse explains:
a. Metabolism in the older adult creates increased adipose tissue.
b. Postmenopausal women gain adipose tissue related to loss of calcium.
c. Decrease in muscle mass is replaced with adipose tissue.
d. Kyphosis causes a redistribution of weight.
ANS: C
When the 70-year-old postmenopausal woman asks whether her hormone
replacement therapy (HRT) will prevent bone loss, the nurses most helpful
response is:
a. No. HRT is not helpful after the age of 60.
b. Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast
cancer.
c. No. HRT is reliant on some natural estrogen production from the ovaries.
d. Yes. HRT is a widely accepted therapy for prevention of bone loss.
ANS: B
An 80-year-old-woman who has osteoarthritis complains of how ugly her hands
have become since she has developed Heberden nodes, which are:
a. yellow longitudinal lines in the nails.
b. thickened discolored fingernails.
c. darkened areas under the fingernail.
d. bony enlargements of distal joints of the fingers.
3|Page
, Gerontological Nursing Final Exam Test Bank
ANS: D
The nurse modifies the nursing care plan for a 62-year-old woman in an extended-
care facility who is suffering a flare in her rheumatoid arthritis to include
interventions to:
a. increase fluid intake.
b. schedule several rest periods to balance activity.
c. reduce salt in the diet.
d. assist with rigorous finger extension exercises.
ANS: B
The nurse explains that emphysema is a chronic obstructive pulmonary disease
characterized by the pathophysiology of:
a. constriction of the bronchial tree, excessive mucus, and nonproductive cough.
b. calcification of the alveoli and a dry cough.
c. overinflation of the alveoli, making them ineffective for gas exchange.
d. inflammation of the trachea and bronchioles, excessive mucus, and productive
cough.
ANS: C
The nurse explains that the pathophysiology of a myocardial infarct is that:
a. a portion of the myocardium necroses and scars over.
b. the coronary vessels are narrowed during the attack.
c. the ischemic myocardium causes pain during the attack but is able to
regenerate.
d. there is damage to the myocardium but no serious alteration of cardiac output.
ANS: A
The nurse is aware that the cardinal signs and symptoms of congestive heart
failure are:
a. dyspnea and edema.
b. myocardial pain and hypotension.
4|Page
GERONTOLOGICAL NURSING FINAL EXAM TEST BANK NEWEST
2025/2026 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
The nurse keeps the environment warmer for older adults because they are more
sensitive to
cold because of the age-related changes in their:
a. metabolism rate.
b. subcutaneous tissue.
c. musculoskeletal system.
d. peripheral vascular system.
ANS: B
The nurse reassures the distressed 75-year-old male that the wartlike dark
macules with distinct borders are not melanomas, but the skin lesions of:a. senile
lentigo.
b. cutaneous papillomas.
c. seborrheic keratoses.
d. xerosis.
ANS: C
The nurse is accompanying a group of older adults on a July 4th outing to monitor
heat prostration. Older adults are intolerant of heat because of an age-related
reduction of:
a. melanin.
b. perspiration.
c. body temperature.
d. capillary fragility.
ANS: B
1|Page
, Gerontological Nursing Final Exam Test Bank
The nurse cautions the CNAs to use care when transferring or handling older
adults because their vascular fragility will cause:
a. altered blood pressure.
b. pressure ulcers.
c. pruritus.
d. senile purpura.
ANS: D
The nurse assesses a stage I pressure ulcer on an older adults coccyx by the
appearance of a:
a. clear blister.
b. nonblanchable area of erythema.
c. scaly abraded area.
d. painful reddened area.
ANS: B
The CNA caring for an older adult asks if the yellow, waxy, crusty lesions on the
patients axilla and groin are contagious. The nurses most helpful response is:
a. Yes. It is cellulitis caused by bacteria.
b. No. It is seborrheic dermatitis caused by excessive sebum.
c. Yes. It is an indication of scabies.d. No. It is the lesion seen with basal cell
carcinoma.
ANS: B
The nurse leads a group of postmenopausal older women on a daily 15-minute
walking tour
through the long-term care facility to:
a. improve bone strength.
b. orient them to their surroundings.
c. improve their socialization.
d. increase their appetite.
ANS: A
2|Page
, Gerontological Nursing Final Exam Test Bank
When the perplexed 70-year-old woman asks, How in the world can my bones be
brittle when I eat all the right foods? the nurses most informative reply is:
a. Calcium loss is expected in the older adult.
b. Calcium is continuously withdrawn from bone for nerve and muscle function.
c. Smoking and alcohol consumption speed calcium loss from the bones.
d. Walking and standing increase calcium loss from the bone.
ANS: B
When the 70-year-old woman complains, I weigh exactly the same as I did when I
wore a size 10 and now I can barely squeeze into a size 16, the nurse explains:
a. Metabolism in the older adult creates increased adipose tissue.
b. Postmenopausal women gain adipose tissue related to loss of calcium.
c. Decrease in muscle mass is replaced with adipose tissue.
d. Kyphosis causes a redistribution of weight.
ANS: C
When the 70-year-old postmenopausal woman asks whether her hormone
replacement therapy (HRT) will prevent bone loss, the nurses most helpful
response is:
a. No. HRT is not helpful after the age of 60.
b. Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast
cancer.
c. No. HRT is reliant on some natural estrogen production from the ovaries.
d. Yes. HRT is a widely accepted therapy for prevention of bone loss.
ANS: B
An 80-year-old-woman who has osteoarthritis complains of how ugly her hands
have become since she has developed Heberden nodes, which are:
a. yellow longitudinal lines in the nails.
b. thickened discolored fingernails.
c. darkened areas under the fingernail.
d. bony enlargements of distal joints of the fingers.
3|Page
, Gerontological Nursing Final Exam Test Bank
ANS: D
The nurse modifies the nursing care plan for a 62-year-old woman in an extended-
care facility who is suffering a flare in her rheumatoid arthritis to include
interventions to:
a. increase fluid intake.
b. schedule several rest periods to balance activity.
c. reduce salt in the diet.
d. assist with rigorous finger extension exercises.
ANS: B
The nurse explains that emphysema is a chronic obstructive pulmonary disease
characterized by the pathophysiology of:
a. constriction of the bronchial tree, excessive mucus, and nonproductive cough.
b. calcification of the alveoli and a dry cough.
c. overinflation of the alveoli, making them ineffective for gas exchange.
d. inflammation of the trachea and bronchioles, excessive mucus, and productive
cough.
ANS: C
The nurse explains that the pathophysiology of a myocardial infarct is that:
a. a portion of the myocardium necroses and scars over.
b. the coronary vessels are narrowed during the attack.
c. the ischemic myocardium causes pain during the attack but is able to
regenerate.
d. there is damage to the myocardium but no serious alteration of cardiac output.
ANS: A
The nurse is aware that the cardinal signs and symptoms of congestive heart
failure are:
a. dyspnea and edema.
b. myocardial pain and hypotension.
4|Page
