GERONTOLOGIC NURSING SEVENTH
EDITION PRACTICE TEST ALL CHAPTERS
2026 QUESTIONS ANSWERS GRADED A+
⩥1. To educate patients on health promotion measures to minimize the
effect of normal age-
related changes in immunity, the geriatric nurse:
a. describes the effects of low-dosage antibiotic therapy on opportunistic
infections.
b. reinforces the usefulness of lymphocyte counts to detect new
infections.
c. discusses the need for yearly flu immunization.
d. stresses the importance of maintaining intact skin and mucous
membranes.
Answer: d. stresses the importance of maintaining intact skin and
mucous membranes.
⩥2. An older adult patient who is generally in good health starts
experiencing numerous
colds and now pneumonia. What factor from the nursing history most
likely has placed the patient
at increased risk for the development of these infections?
,a. A beloved pet died 6 months ago.
b. The patient was diagnosed with osteoarthritis 5 years ago.
c. The patient worked as an oncology nurse before retiring.
d. The patient's spouse is immunosuppressed.
Answer: a. A beloved pet died 6 months ago.
⩥3. An older patient smoked tobacco most of the adult life. When
planning health
promotion education for this patient, the nurse includes information that
such smoking:
a. may produce alterations in the immune response.
b. is a risk factor for community-acquired pneumonia.
c. decreases the production of an immunoglobulin called IgA.
d. increases the risk of gastric cancer.
Answer: b. is a risk factor for community-acquired pneumonia.
⩥4. An older adult patient is experiencing problems with chewing while
recovering from
extensive oral surgery. The nurse best affects this patient's risk for
infection by:
a. ordering a mechanical soft diet for the patient.
b. monitoring the patient regularly for any low-grade fever.
c. providing regular oral care with an antibiotic mouthwash.
,d. asking which flavors of protein supplement drink the patient would
prefer.
Answer: d. asking which flavors of protein supplement drink the patient
would prefer.
⩥5. The nurse caring for a cognitively impaired older adult admitted to
an acute care facility
best minimizes this particular patient's risk for developing a nosocomial
infection by:
a. proper hand washing after each patient contact.
b. admitting the patient to a private room.
c. assigning staff to assist the patient with eating meals.
d. screening visitors to minimize contract with pathogens.
Answer: c. assigning staff to assist the patient with eating meals.
⩥6. An immunosuppressed older adult patient reports symptoms of
fatigue, facial rash,
intermittent low-grade fever, and painfully swollen finger joints. The
nurse anticipates that
diagnosis will be confirmed by:
a. the presence of subcutaneous nodules on the hands.
b. a positive antinuclear antibody (ANA) blood serum test.
c. a liver biopsy that confirms cirrhosis.
d. the presence of bilateral ocular scleritis.
, Answer: b. a positive antinuclear antibody (ANA) blood serum test.
⩥7. The geriatric nurse identifies the patient with the greatest risk of
immunosuppression as:
a. having a roommate infected with MRSA.
b. having numerous oral mucosal ulcers.
c. receiving treatment for rheumatoid arthritis.
d. being cognitively impaired.
Answer: c. receiving treatment for rheumatoid arthritis.
⩥8. The nurse caring for an older adult patient currently receiving
traditional drug therapy
for methicillin-resistant Staphylococcus aureus (MRSA) recognizes that
the patient is at risk for
developing:
a. Clostridium difficile infection.
b. vancomycin-resistant Enterococcus (VRE) infection.
c. autoimmune hepatitis.
d. systemic lupus erythematosus.
Answer: b. vancomycin-resistant Enterococcus (VRE) infection.
⩥9. The nurse caring for an older adult patient being treated for
influenza is especially
EDITION PRACTICE TEST ALL CHAPTERS
2026 QUESTIONS ANSWERS GRADED A+
⩥1. To educate patients on health promotion measures to minimize the
effect of normal age-
related changes in immunity, the geriatric nurse:
a. describes the effects of low-dosage antibiotic therapy on opportunistic
infections.
b. reinforces the usefulness of lymphocyte counts to detect new
infections.
c. discusses the need for yearly flu immunization.
d. stresses the importance of maintaining intact skin and mucous
membranes.
Answer: d. stresses the importance of maintaining intact skin and
mucous membranes.
⩥2. An older adult patient who is generally in good health starts
experiencing numerous
colds and now pneumonia. What factor from the nursing history most
likely has placed the patient
at increased risk for the development of these infections?
,a. A beloved pet died 6 months ago.
b. The patient was diagnosed with osteoarthritis 5 years ago.
c. The patient worked as an oncology nurse before retiring.
d. The patient's spouse is immunosuppressed.
Answer: a. A beloved pet died 6 months ago.
⩥3. An older patient smoked tobacco most of the adult life. When
planning health
promotion education for this patient, the nurse includes information that
such smoking:
a. may produce alterations in the immune response.
b. is a risk factor for community-acquired pneumonia.
c. decreases the production of an immunoglobulin called IgA.
d. increases the risk of gastric cancer.
Answer: b. is a risk factor for community-acquired pneumonia.
⩥4. An older adult patient is experiencing problems with chewing while
recovering from
extensive oral surgery. The nurse best affects this patient's risk for
infection by:
a. ordering a mechanical soft diet for the patient.
b. monitoring the patient regularly for any low-grade fever.
c. providing regular oral care with an antibiotic mouthwash.
,d. asking which flavors of protein supplement drink the patient would
prefer.
Answer: d. asking which flavors of protein supplement drink the patient
would prefer.
⩥5. The nurse caring for a cognitively impaired older adult admitted to
an acute care facility
best minimizes this particular patient's risk for developing a nosocomial
infection by:
a. proper hand washing after each patient contact.
b. admitting the patient to a private room.
c. assigning staff to assist the patient with eating meals.
d. screening visitors to minimize contract with pathogens.
Answer: c. assigning staff to assist the patient with eating meals.
⩥6. An immunosuppressed older adult patient reports symptoms of
fatigue, facial rash,
intermittent low-grade fever, and painfully swollen finger joints. The
nurse anticipates that
diagnosis will be confirmed by:
a. the presence of subcutaneous nodules on the hands.
b. a positive antinuclear antibody (ANA) blood serum test.
c. a liver biopsy that confirms cirrhosis.
d. the presence of bilateral ocular scleritis.
, Answer: b. a positive antinuclear antibody (ANA) blood serum test.
⩥7. The geriatric nurse identifies the patient with the greatest risk of
immunosuppression as:
a. having a roommate infected with MRSA.
b. having numerous oral mucosal ulcers.
c. receiving treatment for rheumatoid arthritis.
d. being cognitively impaired.
Answer: c. receiving treatment for rheumatoid arthritis.
⩥8. The nurse caring for an older adult patient currently receiving
traditional drug therapy
for methicillin-resistant Staphylococcus aureus (MRSA) recognizes that
the patient is at risk for
developing:
a. Clostridium difficile infection.
b. vancomycin-resistant Enterococcus (VRE) infection.
c. autoimmune hepatitis.
d. systemic lupus erythematosus.
Answer: b. vancomycin-resistant Enterococcus (VRE) infection.
⩥9. The nurse caring for an older adult patient being treated for
influenza is especially
