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GERONTOLOGICAL NURSING FINAL EXAM TEST BANK
QUESTIONS 2026 QUESTIONS EXAM LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED
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
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b. Calcium is continuously withdrawn from bone for nerve and muscle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
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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.
ANS: D
The nurse explains that in the late 1960s, health care focus was aimed at the
older adult because:
a. disability was viewed as unavoidable.
b. complications from disease increased mortality.
c. older adults needs are similar to those of all adults.
d. preventive health care practices increased longevity.
ANS: D
The nurse clarifies that in the terminology defining specific age groups, the
term aged refers to persons who are:
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a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS: C
The nurse cautions that ageism is a mindset that influences persons to:
a. discriminate against persons solely on the basis of age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.
ANS: A
The nurse points out that the most beneficial legislation that has influenced
health care for the older adult is:
a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. the Americans with Disabilities Act.
d. the Drug Benefit Program.
ANS: A
The nurse clarifies that a housing option for the older adult that offers the
privacy of an apartment with restaurant-style meals and some medical and
personal care services is the:
a. government-subsidized housing.
b. long-term care facility.
c. assisted-living center.
d. group housing plan.
ANS: C
The 75-year-old man who has been hospitalized following a severe case of
pneumonia is concerned about his mounting hospital bill and asks if his
Medicare coverage will pay for his
care. The nurses most helpful response is Yes. Medicare:
a. pays 100% of all medical costs for persons older than 65.
b. Part B pays hospital costs and physician fees.
c. Part A pays for inpatient hospital costs.
d. Part D pays 80% of the charges made by physicians.
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ANS: C
The daughter of a patient who has been diagnosed with terminal cancer asks
which documents are required to allow her to make health care decisions for
her parent. The nurses most informative response is:
a. Advance directives indicate the degree of intervention desired by the
patient.
b. A Do Not Resuscitate document signed by the patient transfers authority to
the next of kin.
c. A durable power of attorney for health care transfers decision-making
authority for health care to a designated person.
d. A living will transfers authority to the physician.
ANS: C
The daughter of a resident in a long-term care facility is frustrated with her 80-
year-old mothers refusal to eat. The nurse explains that the refusal to eat is a
behavior that is an:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A
The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been
met.
d. the physician and a family member agree that the criteria in the living will
have
been met
ANS: C
In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs)
to reduce hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the
basis of the admitting diagnosis.
GERONTOLOGICAL NURSING FINAL EXAM TEST BANK
QUESTIONS 2026 QUESTIONS EXAM LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED
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
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
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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.
ANS: D
The nurse explains that in the late 1960s, health care focus was aimed at the
older adult because:
a. disability was viewed as unavoidable.
b. complications from disease increased mortality.
c. older adults needs are similar to those of all adults.
d. preventive health care practices increased longevity.
ANS: D
The nurse clarifies that in the terminology defining specific age groups, the
term aged refers to persons who are:
, Page 3 of 42
a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS: C
The nurse cautions that ageism is a mindset that influences persons to:
a. discriminate against persons solely on the basis of age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.
ANS: A
The nurse points out that the most beneficial legislation that has influenced
health care for the older adult is:
a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. the Americans with Disabilities Act.
d. the Drug Benefit Program.
ANS: A
The nurse clarifies that a housing option for the older adult that offers the
privacy of an apartment with restaurant-style meals and some medical and
personal care services is the:
a. government-subsidized housing.
b. long-term care facility.
c. assisted-living center.
d. group housing plan.
ANS: C
The 75-year-old man who has been hospitalized following a severe case of
pneumonia is concerned about his mounting hospital bill and asks if his
Medicare coverage will pay for his
care. The nurses most helpful response is Yes. Medicare:
a. pays 100% of all medical costs for persons older than 65.
b. Part B pays hospital costs and physician fees.
c. Part A pays for inpatient hospital costs.
d. Part D pays 80% of the charges made by physicians.
, Page 4 of 42
ANS: C
The daughter of a patient who has been diagnosed with terminal cancer asks
which documents are required to allow her to make health care decisions for
her parent. The nurses most informative response is:
a. Advance directives indicate the degree of intervention desired by the
patient.
b. A Do Not Resuscitate document signed by the patient transfers authority to
the next of kin.
c. A durable power of attorney for health care transfers decision-making
authority for health care to a designated person.
d. A living will transfers authority to the physician.
ANS: C
The daughter of a resident in a long-term care facility is frustrated with her 80-
year-old mothers refusal to eat. The nurse explains that the refusal to eat is a
behavior that is an:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A
The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been
met.
d. the physician and a family member agree that the criteria in the living will
have
been met
ANS: C
In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs)
to reduce hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the
basis of the admitting diagnosis.
