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NUR 257 Exam 2 (Latest 2026/2027 Update) | Geriatrics: Assessment, Medications, Hydration, Continence & Nutrition | Gerontological Nursing Comprehensive Review | Exam Questions & Answers | Grade A+

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This document contains a comprehensive exam review for NUR 257 Exam 2, covering essential gerontological nursing concepts commonly tested in nursing programs. Topics include comprehensive geriatric assessment focusing on functional, cognitive, psychosocial, and mobility evaluation in older adults. It also includes medication management in geriatrics, emphasizing polypharmacy, age-related pharmacokinetic and pharmacodynamic changes, adverse drug reactions, and medication safety. Hydration and fluid balance in older adults are covered, including dehydration risk factors, electrolyte imbalances, and clinical signs of fluid deficit and overload. Continence care includes urinary and bowel elimination changes with aging, incontinence types, skin integrity concerns, and nursing interventions. Nutrition content includes dietary needs of older adults, malnutrition risk, swallowing difficulties, and strategies to support adequate intake. Additional content includes patient safety, fall prevention, health promotion, interdisciplinary care, and clinical judgment frameworks such as ABCs and Maslow’s hierarchy for prioritization of care. The material is designed to strengthen gerontological nursing knowledge, improve clinical reasoning, and support exam readiness using structured, high-yield review content aligned with the 2026/2027 curriculum. Keywords: NUR 257 exam 2 geriatrics assessment medications polypharmacy hydration dehydration continence urinary incontinence nutrition malnutrition older adults patient safety fall prevention clinical judgment ABCs Maslow hierarchy practice questions exam prep verified answers

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Voorbeeld van de inhoud

NUR 257 Exam 2 - Geriatrics: (Latest 2026/2027 Update)
Assessment, Medications, Hydration, Continence,
Nutrition, Safety
Q&A | Grade A | 100% Correct (Verified Answers) – Nursing Program



SUBJECT COURSE FORMAT

Geriatric Nursing - Assessment, NUR 257 Exam 2 Q&A Guide with Rationale
Pharmacology, Elimination,
Nutrition, Safety



Question 1

What are key communication strategies when assessing an older adult?

A. Listen patiently, allow for pauses, and ask questions that are not often asked

B. Speak loudly and quickly to save time

C. Avoid asking personal questions

D. Use medical jargon to appear professional

CORRECT ANSWER

A. Listen patiently, allow for pauses, and ask questions that are not often asked


CLINICAL RATIONALE

• Older adults may need more time to process and respond to questions.
• Asking sensitive questions matter-of-factly helps obtain accurate information.

,Question 2

Why is the assessment of an older adult considered more complex than other populations?

A. It is more detailed, takes longer to perform, requires special abilities, and involves biological, psychosocial,
and functional data

B. Older adults are uncooperative

C. Only physical assessment is needed

D. Geriatric assessment is less complex than adult assessment

CORRECT ANSWER

A. It is more detailed, takes longer to perform, requires special abilities, and involves biological,
psychosocial, and functional data


CLINICAL RATIONALE

• Comprehensive geriatric assessment addresses multiple domains including function, cognition, and social
support.
• It is more time-intensive but essential for identifying reversible conditions.




Question 3

What are the three primary data collection approaches for an older adult assessment?

A. Self-report, report by proxy, and observation

B. Lab tests, imaging, and physical exam

C. Interview, physical assessment, and chart review

D. Family interview, cognitive testing, and functional assessment

CORRECT ANSWER

A. Self-report, report by proxy, and observation


CLINICAL RATIONALE

• Self-report is preferred when the patient is cognitively intact.
• Proxy reports from family or caregivers are used when the patient has cognitive impairment.

, Question 4

What is the primary goal of the FANCAPES assessment tool?

A. To assess physical and functional health, including Fluids, Aeration, Nutrition, Communication, Activity,
Pain, Elimination, and Socialization

B. To assess cognitive status and memory

C. To screen for depression in older adults

D. To evaluate medication adherence

CORRECT ANSWER

A. To assess physical and functional health, including Fluids, Aeration, Nutrition, Communication,
Activity, Pain, Elimination, and Socialization


CLINICAL RATIONALE

• FANCAPES provides a comprehensive framework for evaluating basic needs and functional status.
• It helps identify areas where the older adult may need assistance.




Question 5

When should a nurse conduct an assessment of an older adult's mental status?

A. Whenever there is a change in the elder's condition or safety

B. Only at admission to a facility

C. Only when the family requests it

D. Once per year during annual physical

CORRECT ANSWER

A. Whenever there is a change in the elder's condition or safety


CLINICAL RATIONALE

• Sudden cognitive change may indicate delirium from infection, medication, or metabolic disturbance.
• Serial assessments track progression of dementia or response to treatment.

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