Gerontology Exam Sample Test Questions And Answers
Verified 100% Correct
A stage III pressure ulcer is characterized by:
1. blisters, abrasions, or shallow craters.
2. deep craters with or without undermining and full-thickness skin loss involving
subcutaneous tissue.
3. full-thickness skin loss with tissue necrosis or damage to muscle or bone.
4. partial-thickness skin loss involving the dermis or epidermis. - ANSWER 2
The primary risk factor for the development of pressure ulcers in older adult patients is:
1. immobility.
2. impaired circulation.
3. incontinence.
4. malnutrition. - ANSWER 1
An 80-year-old resident of a retirement center states that something is wrong with the
lighting in the room because colored rings appear around the light bulbs. The resident
most likely has:
1. cataracts.
2. delusions.
3. glaucoma.
4. increased intracranial pressure. - ANSWER 3
The most common cause of chronic pain in older adults is:
1. arthritis.
2. fractures.
3. headaches.
4. neuropathy. - ANSWER 1
A 72-year-old man with asthma, chronic obstructive pulmonary disease, and chronic
anxiety is admitted to a nursing home. Care plan objectives for this man include:
1. adherence to his medication regimen, inhalation therapy, and instruction about
methods of conserving energy.
2. an exercise program to increase the vital capacity of his lungs.
3. instruction in respiratory exercises with emphasis on forced inhalation.
4. oxygen therapy at 3 L/min as needed and deep-breathing exercises for relaxation. -
ANSWER 1
,A 65-year-old man with a 45-year history of smoking complains of a change in his
cough pattern, a nonproductive cough, and an ache in his chest. The man's chest x-ray
reveals an infiltrate. The gerontological nurse suspects:
1. a lung tumor.
2. chronic obstructive pulmonary disease.
3. pulmonary edema.
4. tuberculosis. - ANSWER 1
Which symptom in older adults is most indicative of a urinary tract infection?
1. Confusion
2. Dysuria
3. Fever
4. Frequency - ANSWER 1
Which is a risk factor for vaginitis in older adult women?
1. Anticoagulation therapy
2. Increased sexual activity
3. Poor nutrition
4. Prolonged antibiotic therapy - ANSWER 4
Which condition might be indicated by an increase in hemoglobin values?
1. Dehydration
2. Infection
3. Malnutrition
4. Opiate use - ANSWER 1
An 83-year-old female patient underwent a total hip replacement three days ago. She
should not cross her legs because:
1. abduction of the hip can cause dislocation of the prosthesis.
2. adduction of the hip can cause dislocation of the prosthesis.
3. blood clots often result from pressure on arteries in the legs.
4. contracture can be prevented by avoiding acute flexion of the hip. - ANSWER 2
A 76-year-old patient with osteoarthritis complains of pain, stiffness, and deformities of
the fingers. The gerontological nurse recommends:
1. cold packs.
2. exercise.
3. meditation therapy.
4. vitamin therapy. - ANSWER 2
A factor that contributes to hypothermia in older adults is:
1. decreased activity.
,2. decreased vulnerability to cold.
3. increased perception of cold.
4. increased subcutaneous fat. - ANSWER 1
Heat stroke is a serious form of hyperthermia that is characterized by:
1. absence of sweating.
2. decrease in body temperature.
3. increase in sweating.
4. nausea and vomiting. - ANSWER 1
A gerontological nurse is teaching dressing techniques to a patient with right hemiplegia
and a severe speech impairment. An appropriate first step in the nurse's teaching would
be to:
1. ask the patient to put on a shirt.
2. demonstrate the proper way to put on a shirt.
3. explain the difficulties in putting on a shirt.
4. give verbal instructions on dressing procedures. - ANSWER 2
Older adults with Parkinson disease exhibit:
1. confusion and depression.
2. dementia and hyperkinesia.
3. rigidity and tremor at rest.
4. weakness and tremor with movement. - ANSWER 3
To prevent injury, a gerontological nurse advises an older adult who is taking tricyclic
antidepressants to:
1. eat a diet high in roughage.
2. get an additional night light.
3. provide lubrication for the oral mucosa.
4. stand up slowly from sitting or lying positions. - ANSWER 4
Persons who are taking anticholinergic drugs are at high risk for:
1. cardiac arrhythmias.
2. dry mouth.
3. orthostatic hypotension.
4. slurred speech. - ANSWER 2
Age-related changes in which two organs most affect an older adult's reaction
to medication? 1. Heart and lungs
2. Intestines and spleen
3. Liver and kidneys
4. Pancreas and gall bladder - ANSWER 3
, Sildenafil citrate (Viagra) is hazardous for patients with:
1. a history of coronary artery bypass graft.
2. a history of shingles.
3. heart failure and borderline hypotension.
4. Paget disease and hypertension. - ANSWER 3
A 78-year-old patient calls a telephone triage nurse and reports several falls after taking
over-the-counter medication for a recent cold. Which medication contributed to the falls?
1. Diphenhydramine (Benadryl)
2. Ferrous sulfate
3. Guaifenesin (Robitussin)
4. Loratadine (Claritin) - ANSWER 1
Older adults who take the herbal supplement cascara sagrada are monitored for the
presence of:
1. fever.
2. hypokalemia.
3. jaundice.
4. vertigo. - ANSWER 2
A nursing home conducts a survey to evaluate nursing care. However, some residents
did not express their concerns due to fear of reprisal by the staff. Which aspect of the
evaluation is most affected?
1. Generalizability
2. Reliability
3. Statistical significance
4. Validity - ANSWER 4
A common side effect of angiotensin-converting enzyme inhibitors that frequently results
in discontinuation of therapy is:
1. a dry, persistent cough.
2. exacerbation of heart failure.
3. sedation.
4. urinary incontinence. - ANSWER 1
A patient with Stage 2 Alzheimer disease visits the mental health clinic. During the
interview, the patient becomes hostile and refuses to ANSWER further questions. The
gerontological nurse's best action is to:
1. ask if the questions upset the patient in any way.
2. discontinue the interview.
3. explain that the information is needed to plan the patient's care.
4. ignore the patient's reaction and proceed. - ANSWER 2
Verified 100% Correct
A stage III pressure ulcer is characterized by:
1. blisters, abrasions, or shallow craters.
2. deep craters with or without undermining and full-thickness skin loss involving
subcutaneous tissue.
3. full-thickness skin loss with tissue necrosis or damage to muscle or bone.
4. partial-thickness skin loss involving the dermis or epidermis. - ANSWER 2
The primary risk factor for the development of pressure ulcers in older adult patients is:
1. immobility.
2. impaired circulation.
3. incontinence.
4. malnutrition. - ANSWER 1
An 80-year-old resident of a retirement center states that something is wrong with the
lighting in the room because colored rings appear around the light bulbs. The resident
most likely has:
1. cataracts.
2. delusions.
3. glaucoma.
4. increased intracranial pressure. - ANSWER 3
The most common cause of chronic pain in older adults is:
1. arthritis.
2. fractures.
3. headaches.
4. neuropathy. - ANSWER 1
A 72-year-old man with asthma, chronic obstructive pulmonary disease, and chronic
anxiety is admitted to a nursing home. Care plan objectives for this man include:
1. adherence to his medication regimen, inhalation therapy, and instruction about
methods of conserving energy.
2. an exercise program to increase the vital capacity of his lungs.
3. instruction in respiratory exercises with emphasis on forced inhalation.
4. oxygen therapy at 3 L/min as needed and deep-breathing exercises for relaxation. -
ANSWER 1
,A 65-year-old man with a 45-year history of smoking complains of a change in his
cough pattern, a nonproductive cough, and an ache in his chest. The man's chest x-ray
reveals an infiltrate. The gerontological nurse suspects:
1. a lung tumor.
2. chronic obstructive pulmonary disease.
3. pulmonary edema.
4. tuberculosis. - ANSWER 1
Which symptom in older adults is most indicative of a urinary tract infection?
1. Confusion
2. Dysuria
3. Fever
4. Frequency - ANSWER 1
Which is a risk factor for vaginitis in older adult women?
1. Anticoagulation therapy
2. Increased sexual activity
3. Poor nutrition
4. Prolonged antibiotic therapy - ANSWER 4
Which condition might be indicated by an increase in hemoglobin values?
1. Dehydration
2. Infection
3. Malnutrition
4. Opiate use - ANSWER 1
An 83-year-old female patient underwent a total hip replacement three days ago. She
should not cross her legs because:
1. abduction of the hip can cause dislocation of the prosthesis.
2. adduction of the hip can cause dislocation of the prosthesis.
3. blood clots often result from pressure on arteries in the legs.
4. contracture can be prevented by avoiding acute flexion of the hip. - ANSWER 2
A 76-year-old patient with osteoarthritis complains of pain, stiffness, and deformities of
the fingers. The gerontological nurse recommends:
1. cold packs.
2. exercise.
3. meditation therapy.
4. vitamin therapy. - ANSWER 2
A factor that contributes to hypothermia in older adults is:
1. decreased activity.
,2. decreased vulnerability to cold.
3. increased perception of cold.
4. increased subcutaneous fat. - ANSWER 1
Heat stroke is a serious form of hyperthermia that is characterized by:
1. absence of sweating.
2. decrease in body temperature.
3. increase in sweating.
4. nausea and vomiting. - ANSWER 1
A gerontological nurse is teaching dressing techniques to a patient with right hemiplegia
and a severe speech impairment. An appropriate first step in the nurse's teaching would
be to:
1. ask the patient to put on a shirt.
2. demonstrate the proper way to put on a shirt.
3. explain the difficulties in putting on a shirt.
4. give verbal instructions on dressing procedures. - ANSWER 2
Older adults with Parkinson disease exhibit:
1. confusion and depression.
2. dementia and hyperkinesia.
3. rigidity and tremor at rest.
4. weakness and tremor with movement. - ANSWER 3
To prevent injury, a gerontological nurse advises an older adult who is taking tricyclic
antidepressants to:
1. eat a diet high in roughage.
2. get an additional night light.
3. provide lubrication for the oral mucosa.
4. stand up slowly from sitting or lying positions. - ANSWER 4
Persons who are taking anticholinergic drugs are at high risk for:
1. cardiac arrhythmias.
2. dry mouth.
3. orthostatic hypotension.
4. slurred speech. - ANSWER 2
Age-related changes in which two organs most affect an older adult's reaction
to medication? 1. Heart and lungs
2. Intestines and spleen
3. Liver and kidneys
4. Pancreas and gall bladder - ANSWER 3
, Sildenafil citrate (Viagra) is hazardous for patients with:
1. a history of coronary artery bypass graft.
2. a history of shingles.
3. heart failure and borderline hypotension.
4. Paget disease and hypertension. - ANSWER 3
A 78-year-old patient calls a telephone triage nurse and reports several falls after taking
over-the-counter medication for a recent cold. Which medication contributed to the falls?
1. Diphenhydramine (Benadryl)
2. Ferrous sulfate
3. Guaifenesin (Robitussin)
4. Loratadine (Claritin) - ANSWER 1
Older adults who take the herbal supplement cascara sagrada are monitored for the
presence of:
1. fever.
2. hypokalemia.
3. jaundice.
4. vertigo. - ANSWER 2
A nursing home conducts a survey to evaluate nursing care. However, some residents
did not express their concerns due to fear of reprisal by the staff. Which aspect of the
evaluation is most affected?
1. Generalizability
2. Reliability
3. Statistical significance
4. Validity - ANSWER 4
A common side effect of angiotensin-converting enzyme inhibitors that frequently results
in discontinuation of therapy is:
1. a dry, persistent cough.
2. exacerbation of heart failure.
3. sedation.
4. urinary incontinence. - ANSWER 1
A patient with Stage 2 Alzheimer disease visits the mental health clinic. During the
interview, the patient becomes hostile and refuses to ANSWER further questions. The
gerontological nurse's best action is to:
1. ask if the questions upset the patient in any way.
2. discontinue the interview.
3. explain that the information is needed to plan the patient's care.
4. ignore the patient's reaction and proceed. - ANSWER 2
