NYU ADULT AND ELDER 1 FINAL 162
CERTIFICATION TEST PAPER 2026 COMPLETE
SOLUTIONS GRADED A PLUS
◉ 2. A 70-year-old female patient shares with the nurse her concern
that recently it takes more time to achieve an orgasm. The nurse
responds most therapeutically when answering:
a. "You've described a common result of aging for both men and
women."
b. "If you experience difficulty achieving orgasms, you should
discuss that with your doctor."
c. "Your body produces fewer sex hormones now, and you need more
stimulation to climax."
d. "I understand your concern. Let's talk more about the changes
you've noticed."
Answer: C
◉ 3. A type 2 insulin-dependent diabetic 70-year-old recently lost
his wife and is experiencing impotence. Besides educating the
patient on the normal effects of aging on sexual function, the nurse
should initially include information regarding:
a. the effect that stress has on sexual performance.
b. the effect of diabetes mellitus on the vascular system.
,c. the link between depression and sexual dysfunction.
d. sexual dysfunction related to long-term use of insulin.
Answer: B
◉ 4. Upon entering the room of a cognitively impaired older adult
patient, the nurse observes that he is exposed and rubbing his
genitals. The nurse's initial concern is to:
a. alert staff to be aware of this new behavior.
b. provide the patient with privacy.
c. assess him for possible pain and fever.
d. provide a verbal cue for him to stop the behavior.
Answer: C
◉ 5. To effectively assess an older adult patient's sexual needs, the
nurse must initially:
a. reflect on personal feelings that create barriers to effective
communication with the patient.
b. be familiar with the sexual needs of the older adult population.
c. assess the patient's physical capacity to engage in sexual activities.
d. inform the patient of the personal nature of the detailed
questioning this assessment requires.
Answer: A
,◉ 6. An older adult patient recovering from a radical prostatectomy
is discussing his postsurgical care plan with the nurse when he
expresses concern about long-term impotence. The nurse initially
responds:
a. "I'd suggest a consult with a sexuality counselor for you and your
partner."
b. "When you've healed sufficiently, we can discuss prosthetic
devices that help."
c. "There are medications called phosphodiesterase inhibitors that
minimize that problem."
d. "While postsurgical erectile dysfunction is likely, it is generally
temporary."
Answer: D
◉ 7. The charge nurse on an extended care unit recognizes an
immediate need for additional unit education regarding sexuality
and the older adult when overhearing a staff member state:
a. "I've had to tell her to stop touching my breasts twice today."
b. "Someone needs to tell him to keep his pants zipped."
c. "I realize they have needs, but I'm not sure how to handle that."
d. "It's sad that Alzheimer disease causes them to become sexual
perverts."
Answer: D
, ◉ 8. An older adult female patient who has multiple sexual partners
asks the nurse if the risk for contracting HIV really does increase as
we age. The nurse shows the best understanding of this risk when
responding:
a. "Any time one engages in sex with multiple partners, the risk for
contracting HIV increases."
b. "Changes in vaginal tissue and immune function increase the risk,
especially if sex is unprotected."
c. "Unless you are engaging in unprotected oral sex, your risk does
not increase substantially."
d. "Yes, your risk of contracting a sexually transmitted disease (STD)
including HIV, dramatically increases as you age."
Answer: B
◉ 9. Through the open door of the patient's room, the nurse
observes a male patient and his long-term partner in a romantic
embrace. The nurse's priority intervention is directed toward:
a. reinforcing for the staff the patient's intimacy needs.
b. explaining to the patient the challenges that his relationship poses
for the staff.
c. offering to discuss the barriers to intimacy that the patient and his
partner face.
d. quietly closing the door to address the patient's right to privacy.
Answer: D
CERTIFICATION TEST PAPER 2026 COMPLETE
SOLUTIONS GRADED A PLUS
◉ 2. A 70-year-old female patient shares with the nurse her concern
that recently it takes more time to achieve an orgasm. The nurse
responds most therapeutically when answering:
a. "You've described a common result of aging for both men and
women."
b. "If you experience difficulty achieving orgasms, you should
discuss that with your doctor."
c. "Your body produces fewer sex hormones now, and you need more
stimulation to climax."
d. "I understand your concern. Let's talk more about the changes
you've noticed."
Answer: C
◉ 3. A type 2 insulin-dependent diabetic 70-year-old recently lost
his wife and is experiencing impotence. Besides educating the
patient on the normal effects of aging on sexual function, the nurse
should initially include information regarding:
a. the effect that stress has on sexual performance.
b. the effect of diabetes mellitus on the vascular system.
,c. the link between depression and sexual dysfunction.
d. sexual dysfunction related to long-term use of insulin.
Answer: B
◉ 4. Upon entering the room of a cognitively impaired older adult
patient, the nurse observes that he is exposed and rubbing his
genitals. The nurse's initial concern is to:
a. alert staff to be aware of this new behavior.
b. provide the patient with privacy.
c. assess him for possible pain and fever.
d. provide a verbal cue for him to stop the behavior.
Answer: C
◉ 5. To effectively assess an older adult patient's sexual needs, the
nurse must initially:
a. reflect on personal feelings that create barriers to effective
communication with the patient.
b. be familiar with the sexual needs of the older adult population.
c. assess the patient's physical capacity to engage in sexual activities.
d. inform the patient of the personal nature of the detailed
questioning this assessment requires.
Answer: A
,◉ 6. An older adult patient recovering from a radical prostatectomy
is discussing his postsurgical care plan with the nurse when he
expresses concern about long-term impotence. The nurse initially
responds:
a. "I'd suggest a consult with a sexuality counselor for you and your
partner."
b. "When you've healed sufficiently, we can discuss prosthetic
devices that help."
c. "There are medications called phosphodiesterase inhibitors that
minimize that problem."
d. "While postsurgical erectile dysfunction is likely, it is generally
temporary."
Answer: D
◉ 7. The charge nurse on an extended care unit recognizes an
immediate need for additional unit education regarding sexuality
and the older adult when overhearing a staff member state:
a. "I've had to tell her to stop touching my breasts twice today."
b. "Someone needs to tell him to keep his pants zipped."
c. "I realize they have needs, but I'm not sure how to handle that."
d. "It's sad that Alzheimer disease causes them to become sexual
perverts."
Answer: D
, ◉ 8. An older adult female patient who has multiple sexual partners
asks the nurse if the risk for contracting HIV really does increase as
we age. The nurse shows the best understanding of this risk when
responding:
a. "Any time one engages in sex with multiple partners, the risk for
contracting HIV increases."
b. "Changes in vaginal tissue and immune function increase the risk,
especially if sex is unprotected."
c. "Unless you are engaging in unprotected oral sex, your risk does
not increase substantially."
d. "Yes, your risk of contracting a sexually transmitted disease (STD)
including HIV, dramatically increases as you age."
Answer: B
◉ 9. Through the open door of the patient's room, the nurse
observes a male patient and his long-term partner in a romantic
embrace. The nurse's priority intervention is directed toward:
a. reinforcing for the staff the patient's intimacy needs.
b. explaining to the patient the challenges that his relationship poses
for the staff.
c. offering to discuss the barriers to intimacy that the patient and his
partner face.
d. quietly closing the door to address the patient's right to privacy.
Answer: D
