Joyce University NUR198 Exam 1
Questions and Answers (Latest 2026)
integumentary changes of older adults - Correct Answers
✅- decreased skin turgor, subcutaneous fat, and connective
tissue leading to wrinkles and dry, transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes of older adults - Correct
Answers ✅-decreased chest wall movement, vital capacity,
and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
neurologic changes of older adults - Correct Answers ✅-
slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
gastrointestinal changes of older adults - Correct Answers
✅-decreased saliva production
-decreased digestive enzymes
-decreased intestinal motility leading to constipation
,Joyce University NUR198 Exam 1
Questions and Answers (Latest 2026)
-increased dental problems
musculoskeletal changes of older adults - Correct Answers
✅-decreased height
-decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older adults - Correct Answers ✅-
decreased bladder capacity
-prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults - Correct Answers ✅-
lowered T3 production
-decreased sensitivity to insulin
immune system changes of older adults - Correct Answers
✅-decreased antibodies
-increased AUTOimmune response
-decreased core body temp
-decreased T-Cell function
-decreased stress response
,Joyce University NUR198 Exam 1
Questions and Answers (Latest 2026)
-decreased response to immunizations
A nurse is obtaining a health history from an older adult client
as part of a comprehensive physical examination. Which of
the following findings should the nurse expect as associated
with aging? (SATA)
A. skin thickening
B. increased saliva production
C. decreased height
D. nail thickening
E. decreased bladder capacity - Correct Answers ✅C, D, E
delirium - Correct Answers ✅-acute + temporary
-often caused by physiological source or change in
environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation of a UTI in older adults? -
Correct Answers ✅delirium
dementia - Correct Answers ✅Chronic, progressive
Ex. Alzheimer's, vascular dementia
, Joyce University NUR198 Exam 1
Questions and Answers (Latest 2026)
A nurse is counseling an older adult who describes having
difficulty dealing with several issues. Which of the following
problems verbalized by the client should the nurse identify as
the priority?
A. "I spent my whole life dreaming about retirement, and now
I wish I had my job back."
B. "It's been so stressful for me to have to depend on my
child to help around the house."
C. "I just heard my friend Al died. That's the third one in 3
months."
D. "I keep forgetting which medications I have taken during
the day." - Correct Answers ✅D. "I keep forgetting which
medications I have taken during the day."
Explanation: The nurse should identify that the greatest risk
to this client is injury from overdosing or underdosing
medications due to loss of short-term memory. The priority
issue is to assist the client to implement safe medication
strategies. Assist the client to use a pill organizer to help
them remember to take their medications and to keep a list
of all current medications.
A nurse is caring for an older adult client. Which of the
following is an expected age-related physiological change for
which the nurse should monitor?
A. increased bone density
B. enhanced immune response
Questions and Answers (Latest 2026)
integumentary changes of older adults - Correct Answers
✅- decreased skin turgor, subcutaneous fat, and connective
tissue leading to wrinkles and dry, transparent skin
- thickened fingernails and toenails
cardiovascular/pulmonary changes of older adults - Correct
Answers ✅-decreased chest wall movement, vital capacity,
and cilia
-reduced cardiac output
-decreased peripheral circulation
-increased BP
neurologic changes of older adults - Correct Answers ✅-
slower reaction time
-decreased senses (touch, smell, taste)
-decreased visual acuity
-night blindness
-inability to hear high-pitched sounds
-reduced spatial awareness
gastrointestinal changes of older adults - Correct Answers
✅-decreased saliva production
-decreased digestive enzymes
-decreased intestinal motility leading to constipation
,Joyce University NUR198 Exam 1
Questions and Answers (Latest 2026)
-increased dental problems
musculoskeletal changes of older adults - Correct Answers
✅-decreased height
-decreased muscle strength + tone
-bone decalcification
-joint degeneration
genitourinary changes of older adults - Correct Answers ✅-
decreased bladder capacity
-prostate hypertrophy (males)
-decrease in estrogen + testosterone production
-atrophy of breast tissue (females)
endocrine changes of older adults - Correct Answers ✅-
lowered T3 production
-decreased sensitivity to insulin
immune system changes of older adults - Correct Answers
✅-decreased antibodies
-increased AUTOimmune response
-decreased core body temp
-decreased T-Cell function
-decreased stress response
,Joyce University NUR198 Exam 1
Questions and Answers (Latest 2026)
-decreased response to immunizations
A nurse is obtaining a health history from an older adult client
as part of a comprehensive physical examination. Which of
the following findings should the nurse expect as associated
with aging? (SATA)
A. skin thickening
B. increased saliva production
C. decreased height
D. nail thickening
E. decreased bladder capacity - Correct Answers ✅C, D, E
delirium - Correct Answers ✅-acute + temporary
-often caused by physiological source or change in
environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation of a UTI in older adults? -
Correct Answers ✅delirium
dementia - Correct Answers ✅Chronic, progressive
Ex. Alzheimer's, vascular dementia
, Joyce University NUR198 Exam 1
Questions and Answers (Latest 2026)
A nurse is counseling an older adult who describes having
difficulty dealing with several issues. Which of the following
problems verbalized by the client should the nurse identify as
the priority?
A. "I spent my whole life dreaming about retirement, and now
I wish I had my job back."
B. "It's been so stressful for me to have to depend on my
child to help around the house."
C. "I just heard my friend Al died. That's the third one in 3
months."
D. "I keep forgetting which medications I have taken during
the day." - Correct Answers ✅D. "I keep forgetting which
medications I have taken during the day."
Explanation: The nurse should identify that the greatest risk
to this client is injury from overdosing or underdosing
medications due to loss of short-term memory. The priority
issue is to assist the client to implement safe medication
strategies. Assist the client to use a pill organizer to help
them remember to take their medications and to keep a list
of all current medications.
A nurse is caring for an older adult client. Which of the
following is an expected age-related physiological change for
which the nurse should monitor?
A. increased bone density
B. enhanced immune response
