PNR 108/PNR108 Exam 2 V2 |
Gerontological Nursing Q&A with
Rationale | Fortis College
1. An 82-year-old patient is prescribed a new medication that is primarily excreted by the
kidneys. Which age-related physiological change should the nurse consider when monitoring
for toxicity?
A. Increased glomerular filtration rate
B. Increased renal blood flow
C. Hypertrophy of the bladder wall
D. Decreased number of functional nephrons
2. The nurse is assessing an older adult for signs of dehydration. Which assessment finding is
the most reliable indicator of fluid volume deficit in this population?
A. Poor skin turgor on the back of the hand
B. Sunken eyeballs and dark circles
C. Dryness of the mucous membranes
D. Decreased heart rate and hypertension
3. A nurse is providing education to a 75-year-old patient regarding the prevention of
pressure ulcers. Which statement by the patient indicates a need for further teaching?
A. ‘I should change my position at least every two hours while in bed.’
,B. ‘I will use a donut-shaped cushion to take the pressure off my tailbone.’
C. ‘Keeping my skin clean and dry is essential for preventing breakdown.’
D. ‘I will make sure to eat plenty of protein and drink enough water.’
4. An older adult patient presents with a sudden onset of confusion, agitation, and visual
hallucinations. Which condition should the nurse suspect first?
A. Alzheimer’s Disease
B. Delirium
C. Vascular Dementia
D. Clinical Depression
5. The nurse is assessing an older adult’s risk for falls using the Morse Fall Scale. Which factor
would contribute most significantly to a high risk score?
A. Age over 80 years
B. The use of eyeglasses for reading
C. A history of falling within the last 3 months
D. Occasional urinary incontinence
6. When teaching an older adult about cardiovascular health, which age-related change
should the nurse explain as a reason for increased systolic blood pressure?
A. Decreased peripheral vascular resistance
B. Increased elasticity of the arterial walls
, C. Stiffening and loss of compliance in the large arteries
D. Decreased workload of the left ventricle
7. An older adult patient reports experiencing glare when driving at night and blurred vision.
The nurse notes an opaque appearance of the lens. These findings are consistent with which
condition?
A. Glaucoma
B. Macular Degeneration
C. Cataracts
D. Presbyopia
8. Which nutritional recommendation is most appropriate for an older adult patient with a
slow-healing surgical wound?
A. Increase intake of Vitamin C and Protein
B. Decrease caloric intake to prevent weight gain
C. Limit fluid intake to reduce edema
D. Avoid all fats and carbohydrates
9. A nurse is caring for an older patient with suspected elder abuse. What is the nurse’s
primary legal responsibility?
A. Confront the family members immediately
B. Report the suspicion to the appropriate state authorities
Gerontological Nursing Q&A with
Rationale | Fortis College
1. An 82-year-old patient is prescribed a new medication that is primarily excreted by the
kidneys. Which age-related physiological change should the nurse consider when monitoring
for toxicity?
A. Increased glomerular filtration rate
B. Increased renal blood flow
C. Hypertrophy of the bladder wall
D. Decreased number of functional nephrons
2. The nurse is assessing an older adult for signs of dehydration. Which assessment finding is
the most reliable indicator of fluid volume deficit in this population?
A. Poor skin turgor on the back of the hand
B. Sunken eyeballs and dark circles
C. Dryness of the mucous membranes
D. Decreased heart rate and hypertension
3. A nurse is providing education to a 75-year-old patient regarding the prevention of
pressure ulcers. Which statement by the patient indicates a need for further teaching?
A. ‘I should change my position at least every two hours while in bed.’
,B. ‘I will use a donut-shaped cushion to take the pressure off my tailbone.’
C. ‘Keeping my skin clean and dry is essential for preventing breakdown.’
D. ‘I will make sure to eat plenty of protein and drink enough water.’
4. An older adult patient presents with a sudden onset of confusion, agitation, and visual
hallucinations. Which condition should the nurse suspect first?
A. Alzheimer’s Disease
B. Delirium
C. Vascular Dementia
D. Clinical Depression
5. The nurse is assessing an older adult’s risk for falls using the Morse Fall Scale. Which factor
would contribute most significantly to a high risk score?
A. Age over 80 years
B. The use of eyeglasses for reading
C. A history of falling within the last 3 months
D. Occasional urinary incontinence
6. When teaching an older adult about cardiovascular health, which age-related change
should the nurse explain as a reason for increased systolic blood pressure?
A. Decreased peripheral vascular resistance
B. Increased elasticity of the arterial walls
, C. Stiffening and loss of compliance in the large arteries
D. Decreased workload of the left ventricle
7. An older adult patient reports experiencing glare when driving at night and blurred vision.
The nurse notes an opaque appearance of the lens. These findings are consistent with which
condition?
A. Glaucoma
B. Macular Degeneration
C. Cataracts
D. Presbyopia
8. Which nutritional recommendation is most appropriate for an older adult patient with a
slow-healing surgical wound?
A. Increase intake of Vitamin C and Protein
B. Decrease caloric intake to prevent weight gain
C. Limit fluid intake to reduce edema
D. Avoid all fats and carbohydrates
9. A nurse is caring for an older patient with suspected elder abuse. What is the nurse’s
primary legal responsibility?
A. Confront the family members immediately
B. Report the suspicion to the appropriate state authorities
