NURS 620 ADULT GERO 1 Exam 5 latest 2025-
2026 (Maryville) Accurate Spring-Summer Session
Graded A+ Verified Questions and Answers with
Detailed Guaranteed Pass
1. A 79-year-old woman is scheduled to undergo hip replacement surgery after a fracture that was
caused by a fall. Which of the following age-related changes may have contributed to the woman's
susceptibility to bone fracture?
A) Increased protein synthesis
B) Infections within the synovial capsules of the knees and ankles
C) Loss of neural control of balance
D) Increased bone resorption
Ans: D
The process of bone resorption accelerates with age, resulting in lower bone density. Changes in
various aspects of the nervous system accompany the aging process, but a loss of neural control of
balance is not normally among these. Infection is never a normal, age-related change and protein
synthesis decreases, not increases, with age
2.
3. A nurse is teaching older adults at a senior center how to reduce the incidence of falls. Which of the
following statements indicates that the nurse's teaching has been effective?
A) "Benadryl is a safe medication to take for sleep."
B) "It is safe to have rugs in my kitchen and bathroom."
C) "It is safe to take a low dose of Ativan when I am anxious."
D) "I understand that over-the-counter medications can cause falls."
Ans: D
Numerous prescription and over-the-counter medications are implicated in falls. Benzodiazepines
have been studied, and it is suggested that their effect on psychomotor function increases the
incidence of falls. Benadryl (diphenhydramine) has been associated with significant adverse effects on
psychomotor skills
, A+ TEST BANK 2
4. A 99-year-old resident has fallen. Which of the following functional consequences of this fall most
strongly impacts the plan of care?
A) A 99-year-old is at much higher risk of a fracture from a fall than a younger person.
B) A 99-year-old is more likely to have limited range of motion, impacting performance of some
activities of daily living (ADLs).
C) A 99-year-old who has fallen is unlikely to develop fear of falls.
D) A 99-year-old will have diminished muscle strength related to muscle mass loss.
Ans: A
The functional consequence of the fall is risk for future falls which may include a risk for fractures.
Osteoporotic fractures occur with little or no trauma to the older adult, and risk of fractures increases
in direct relation to age. While a 99-year-old may have slowed performance of ADLs and decreased
muscle mass, the high risk for falls is the most important factor (also note these are not consequences
of the fall). Fear of falling is a major concern that impacts many residents of long-term care facilities
5. nurse is teaching health interventions to an older adult with osteoarthritis. Which of these
statements indicates that the individual needs additional teaching?
A+ TEST BANK 1
A) "I will avoid high-impact exercises."
B) "I will get adequate intake of calcium and vitamin D."
C) "I will try to limit my use of walkers and assistive devices."
D) "I will lose weight if it turns out that I need to."
,Ans: C
Walkers and other assistive devices help relieve stress on weight-bearing joints and improve balance.
Individuals with osteoarthritis need to participate in supervised, low-impact exercises and avoid high-
impact activities. Vitamin D is essential for absorption of calcium. The individual needs to lose weight if
appropriate
6. Which of the following nursing interventions should be the priority for a nurse working in a
retirement community?
A) Using restraints to keep nursing home residents from getting out of chairs unattended
B) Establishing a fall-prevention program for residents at risk
C) Using cordless phones or emergency call systems for residents in assisted living
D) Using a monitoring device for people who live alone in their own home
Ans: B
Formal fall-prevention programs are implemented in home care and health care settings. These
programs can address multiple risk factors, focusing on those who are at risk for falls and the
consistent implementation of preventive measures.
A+ TEST BANK 3
7. Which of the following older adults is most at risk to develop osteoporosis?
A) A 65-year-old white woman with chronic obstructive pulmonary disease who takes corticosteroids
B) A 65-year-old white man with rheumatoid arthritis
C) A 70-year-old African American man with a seizure disorder
D) A 68-year-old Hispanic woman who recently had a partial hysterectomy
Ans: A
, White non-Hispanic women have a higher incidence of osteoporosis. Corticosteroids and antiseizure
medications are most frequently associated with secondary osteoporosis. White men and African
Americans of both genders have a lower incidence of osteoporosis
A+ TEST BANK 4
8. A nurse was recently assisting an 84-year-old resident of a nursing home with the resident's
biweekly bath. While the nurse was helping the resident transfer out of the bathtub, the resident
grabbed on to the nurse forcefully, became rigid, and exclaimed, "Help me quick," despite the fact
that the nurse was performing a safe and controlled transfer. Why might this resident have exhibited
sudden anxiety during the transfer?
A) The resident may be developing a cognitive deficit.
B) The resident is experiencing age-related changes.
C) The resident may have a fear of falling.
D) The resident is ensuring safety.
Ans: C
The fear of falling, which is the most common reported fear among older adults, has been identified as
a public health problem that is of equal importance to falls. This fear goes beyond prudent safety
measures and is not a normal, age-related change. The resident's actions do not necessarily indicate a
cognitive deficit
9. An 82-year-old client walked 2 miles last week to enjoy the spring weather. The client says since that
time, "I haven't been doing very much, I'm afraid it will hurt." Which action by the nurse is most
appropriate?
A) Discuss moderation in activity, encouraging continued movement.
B) Obtain a cane for use to improve balance, and reduce the client's fears.
C) Encourage the client to walk the 2 miles every day.
D) Have the client take ibuprofen (Motrin IB) every morning.
Ans: A
Practices that are recommended for self-care of osteoarthritis include using moist heat and analgesics
for pain, regular low impact exercise, and balancing weight-bearing activities with rest periods.
Walking 2 miles is too far for this client (as evidenced by the severe pain after walking that distance
2026 (Maryville) Accurate Spring-Summer Session
Graded A+ Verified Questions and Answers with
Detailed Guaranteed Pass
1. A 79-year-old woman is scheduled to undergo hip replacement surgery after a fracture that was
caused by a fall. Which of the following age-related changes may have contributed to the woman's
susceptibility to bone fracture?
A) Increased protein synthesis
B) Infections within the synovial capsules of the knees and ankles
C) Loss of neural control of balance
D) Increased bone resorption
Ans: D
The process of bone resorption accelerates with age, resulting in lower bone density. Changes in
various aspects of the nervous system accompany the aging process, but a loss of neural control of
balance is not normally among these. Infection is never a normal, age-related change and protein
synthesis decreases, not increases, with age
2.
3. A nurse is teaching older adults at a senior center how to reduce the incidence of falls. Which of the
following statements indicates that the nurse's teaching has been effective?
A) "Benadryl is a safe medication to take for sleep."
B) "It is safe to have rugs in my kitchen and bathroom."
C) "It is safe to take a low dose of Ativan when I am anxious."
D) "I understand that over-the-counter medications can cause falls."
Ans: D
Numerous prescription and over-the-counter medications are implicated in falls. Benzodiazepines
have been studied, and it is suggested that their effect on psychomotor function increases the
incidence of falls. Benadryl (diphenhydramine) has been associated with significant adverse effects on
psychomotor skills
, A+ TEST BANK 2
4. A 99-year-old resident has fallen. Which of the following functional consequences of this fall most
strongly impacts the plan of care?
A) A 99-year-old is at much higher risk of a fracture from a fall than a younger person.
B) A 99-year-old is more likely to have limited range of motion, impacting performance of some
activities of daily living (ADLs).
C) A 99-year-old who has fallen is unlikely to develop fear of falls.
D) A 99-year-old will have diminished muscle strength related to muscle mass loss.
Ans: A
The functional consequence of the fall is risk for future falls which may include a risk for fractures.
Osteoporotic fractures occur with little or no trauma to the older adult, and risk of fractures increases
in direct relation to age. While a 99-year-old may have slowed performance of ADLs and decreased
muscle mass, the high risk for falls is the most important factor (also note these are not consequences
of the fall). Fear of falling is a major concern that impacts many residents of long-term care facilities
5. nurse is teaching health interventions to an older adult with osteoarthritis. Which of these
statements indicates that the individual needs additional teaching?
A+ TEST BANK 1
A) "I will avoid high-impact exercises."
B) "I will get adequate intake of calcium and vitamin D."
C) "I will try to limit my use of walkers and assistive devices."
D) "I will lose weight if it turns out that I need to."
,Ans: C
Walkers and other assistive devices help relieve stress on weight-bearing joints and improve balance.
Individuals with osteoarthritis need to participate in supervised, low-impact exercises and avoid high-
impact activities. Vitamin D is essential for absorption of calcium. The individual needs to lose weight if
appropriate
6. Which of the following nursing interventions should be the priority for a nurse working in a
retirement community?
A) Using restraints to keep nursing home residents from getting out of chairs unattended
B) Establishing a fall-prevention program for residents at risk
C) Using cordless phones or emergency call systems for residents in assisted living
D) Using a monitoring device for people who live alone in their own home
Ans: B
Formal fall-prevention programs are implemented in home care and health care settings. These
programs can address multiple risk factors, focusing on those who are at risk for falls and the
consistent implementation of preventive measures.
A+ TEST BANK 3
7. Which of the following older adults is most at risk to develop osteoporosis?
A) A 65-year-old white woman with chronic obstructive pulmonary disease who takes corticosteroids
B) A 65-year-old white man with rheumatoid arthritis
C) A 70-year-old African American man with a seizure disorder
D) A 68-year-old Hispanic woman who recently had a partial hysterectomy
Ans: A
, White non-Hispanic women have a higher incidence of osteoporosis. Corticosteroids and antiseizure
medications are most frequently associated with secondary osteoporosis. White men and African
Americans of both genders have a lower incidence of osteoporosis
A+ TEST BANK 4
8. A nurse was recently assisting an 84-year-old resident of a nursing home with the resident's
biweekly bath. While the nurse was helping the resident transfer out of the bathtub, the resident
grabbed on to the nurse forcefully, became rigid, and exclaimed, "Help me quick," despite the fact
that the nurse was performing a safe and controlled transfer. Why might this resident have exhibited
sudden anxiety during the transfer?
A) The resident may be developing a cognitive deficit.
B) The resident is experiencing age-related changes.
C) The resident may have a fear of falling.
D) The resident is ensuring safety.
Ans: C
The fear of falling, which is the most common reported fear among older adults, has been identified as
a public health problem that is of equal importance to falls. This fear goes beyond prudent safety
measures and is not a normal, age-related change. The resident's actions do not necessarily indicate a
cognitive deficit
9. An 82-year-old client walked 2 miles last week to enjoy the spring weather. The client says since that
time, "I haven't been doing very much, I'm afraid it will hurt." Which action by the nurse is most
appropriate?
A) Discuss moderation in activity, encouraging continued movement.
B) Obtain a cane for use to improve balance, and reduce the client's fears.
C) Encourage the client to walk the 2 miles every day.
D) Have the client take ibuprofen (Motrin IB) every morning.
Ans: A
Practices that are recommended for self-care of osteoarthritis include using moist heat and analgesics
for pain, regular low impact exercise, and balancing weight-bearing activities with rest periods.
Walking 2 miles is too far for this client (as evidenced by the severe pain after walking that distance
