Page 1 of 179
GERONTOLOGY NURSE CERTIFICATION
ACTUAL EXAM 2026/2027 COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH
WELL ELABORATED ANSWERS AND
RATIONALES. (100% CORRECT VERIFIED
SOLUTIONS)
1. A 78-year-old patient reports dizziness when standing up
from a seated position. Which term best describes this
finding?
A. Orthostatic hypotension
B. Postprandial hypotension
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C. Carotid sinus hypersensitivity
D. Vasovagal syncope
Answer: A
Rationale: Orthostatic hypotension is defined as a drop in systolic
BP ≥20 mmHg or diastolic ≥10 mmHg within 3 minutes of
standing, common in older adults due to reduced baroreceptor
sensitivity.
2. A gerontology nurse in New York is caring for an 85-
year-old with polypharmacy. Which intervention is most
appropriate to reduce adverse drug reactions?
A. Discontinue all over-the-counter medications
B. Use the Beers Criteria to review medications
C. Increase fluid intake to enhance drug excretion
D. Administer all medications via IV route
Answer: B
Rationale: The Beers Criteria lists potentially inappropriate
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medications for older adults. NY State DOH recommends its use
to prevent adverse effects.
3. (SATA) Which are normal age-related changes?
A. Decreased gastric motility
B. Increased brain weight
C. Reduced renal blood flow
D. Increased lung elasticity
E. Thinning of lens of the eye
Answer: A, C, E
Rationale: Gastric motility decreases (risk of constipation); renal
blood flow declines (affects drug clearance); lens thins and
hardens (presbyopia). Brain weight decreases, lung elasticity
decreases.
4. A 90-year-old patient has a new diagnosis of delirium.
The nurse’s priority action is to:
A. Administer haloperidol immediately
B. Identify and treat underlying causes
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C. Restrain the patient for safety
D. Transfer to a psychiatric unit
Answer: B
Rationale: Delirium is usually caused by infections, medications,
or metabolic issues. Treat the cause first. Restraints require a
physician order in NY.
5. An 80-year-old woman reports severe pain in her right
knee that worsens with activity and improves with rest.
There is no swelling or redness. Most likely diagnosis:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Gout
D. Septic arthritis
Answer: A
*Rationale: Osteoarthritis is mechanical pain, no systemic signs.
Rheumatoid arthritis has morning stiffness >1 hour; gout has
swelling/redness.*
GERONTOLOGY NURSE CERTIFICATION
ACTUAL EXAM 2026/2027 COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH
WELL ELABORATED ANSWERS AND
RATIONALES. (100% CORRECT VERIFIED
SOLUTIONS)
1. A 78-year-old patient reports dizziness when standing up
from a seated position. Which term best describes this
finding?
A. Orthostatic hypotension
B. Postprandial hypotension
,Page 2 of 179
C. Carotid sinus hypersensitivity
D. Vasovagal syncope
Answer: A
Rationale: Orthostatic hypotension is defined as a drop in systolic
BP ≥20 mmHg or diastolic ≥10 mmHg within 3 minutes of
standing, common in older adults due to reduced baroreceptor
sensitivity.
2. A gerontology nurse in New York is caring for an 85-
year-old with polypharmacy. Which intervention is most
appropriate to reduce adverse drug reactions?
A. Discontinue all over-the-counter medications
B. Use the Beers Criteria to review medications
C. Increase fluid intake to enhance drug excretion
D. Administer all medications via IV route
Answer: B
Rationale: The Beers Criteria lists potentially inappropriate
,Page 3 of 179
medications for older adults. NY State DOH recommends its use
to prevent adverse effects.
3. (SATA) Which are normal age-related changes?
A. Decreased gastric motility
B. Increased brain weight
C. Reduced renal blood flow
D. Increased lung elasticity
E. Thinning of lens of the eye
Answer: A, C, E
Rationale: Gastric motility decreases (risk of constipation); renal
blood flow declines (affects drug clearance); lens thins and
hardens (presbyopia). Brain weight decreases, lung elasticity
decreases.
4. A 90-year-old patient has a new diagnosis of delirium.
The nurse’s priority action is to:
A. Administer haloperidol immediately
B. Identify and treat underlying causes
, Page 4 of 179
C. Restrain the patient for safety
D. Transfer to a psychiatric unit
Answer: B
Rationale: Delirium is usually caused by infections, medications,
or metabolic issues. Treat the cause first. Restraints require a
physician order in NY.
5. An 80-year-old woman reports severe pain in her right
knee that worsens with activity and improves with rest.
There is no swelling or redness. Most likely diagnosis:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Gout
D. Septic arthritis
Answer: A
*Rationale: Osteoarthritis is mechanical pain, no systemic signs.
Rheumatoid arthritis has morning stiffness >1 hour; gout has
swelling/redness.*
