NUR 6121 Quiz on Geriatric Nursing
Questions and Correct Answers Review /
NUR 6121 Quiz Review Latest 2026-2027
The "Geriatric Assessment and Prevention" presentation outlines three levels of
prevention. Provide an example of each for an older adult. - ANSWER-- Primary:
Receiving an influenza vaccine, counseling on a healthy diet, starting an exercise
program.
- Secondary: Screening for colon cancer with a colonoscopy, mammogram, blood
pressure screening.
- Tertiary: Participating in cardiac rehabilitation after a heart attack, physical
therapy after a hip fracture to regain mobility.
Why is dehydration more prevalent in older adults?
a) Increased kidney mass
b) Increased thirst sensation
c) Normal aging changes and pharmacologic factors
d) Higher metabolic rate - ANSWER-c) Normal aging changes and pharmacologic
factors
The most significant electrolyte abnormality associated with dehydration is an
imbalance of:
a) Potassium
b) Calcium
c) Sodium
d) Magnesium - ANSWER-c) Sodium
1
,A patient with vomiting and diarrhea is most likely to experience which type of
dehydration?
a) Hypertonic
b) Hypotonic
c) Isotonic
d) Hypernatremic - ANSWER-c) Isotonic
Diuretic use is a common cause of which type of dehydration?
a) Isotonic
b) Hypertonic
c) Hypotonic
d) Isonatremic - ANSWER-c) Hypotonic
Which of the following is an "output issue" that can lead to dehydration in older
adults?
a) Poor appetite
b) Fluid limitations to prevent incontinence
c) Management of heart failure
d) Uncontrolled diabetes mellitus - ANSWER-d) Uncontrolled diabetes mellitus
An older adult presents with confusion, lethargy, and a rapid weight loss of 5 lbs in
24 hours. This is most suggestive of:
a) Normal aging
b) Depression
c) Dehydration
2
, d) Dementia - ANSWER-c) Dehydration
Why is poor skin turgor considered an unreliable sign of dehydration in older
adults?
a) It is too painful to assess
b) Changes in skin collagen from aging affect skin turgor
c) It only indicates hypertonic dehydration
d) It is a sign of overhydration, not dehydration - ANSWER-b) Changes in skin
collagen from aging affect skin turgor
A diagnostic finding suggestive of dehydration includes a BUN/creatinine ratio of:
a) 10:1
b) 15:1
c) 20:1
d) >25:1 - ANSWER-d) >25:1
According to the notes, what is the recommended target for oral hydration in a
dehydrated older adult?
a) >800 ml/24 hours
b) >1200 ml/24 hours
c) >1600 ml/24 hours
d) >2000 ml/24 hours - ANSWER-c) >1600 ml/24 hours
All of the following are clinical presentations of dehydration EXCEPT:
a) Functional decline
b) Polyuria (excessive urination)
3
Questions and Correct Answers Review /
NUR 6121 Quiz Review Latest 2026-2027
The "Geriatric Assessment and Prevention" presentation outlines three levels of
prevention. Provide an example of each for an older adult. - ANSWER-- Primary:
Receiving an influenza vaccine, counseling on a healthy diet, starting an exercise
program.
- Secondary: Screening for colon cancer with a colonoscopy, mammogram, blood
pressure screening.
- Tertiary: Participating in cardiac rehabilitation after a heart attack, physical
therapy after a hip fracture to regain mobility.
Why is dehydration more prevalent in older adults?
a) Increased kidney mass
b) Increased thirst sensation
c) Normal aging changes and pharmacologic factors
d) Higher metabolic rate - ANSWER-c) Normal aging changes and pharmacologic
factors
The most significant electrolyte abnormality associated with dehydration is an
imbalance of:
a) Potassium
b) Calcium
c) Sodium
d) Magnesium - ANSWER-c) Sodium
1
,A patient with vomiting and diarrhea is most likely to experience which type of
dehydration?
a) Hypertonic
b) Hypotonic
c) Isotonic
d) Hypernatremic - ANSWER-c) Isotonic
Diuretic use is a common cause of which type of dehydration?
a) Isotonic
b) Hypertonic
c) Hypotonic
d) Isonatremic - ANSWER-c) Hypotonic
Which of the following is an "output issue" that can lead to dehydration in older
adults?
a) Poor appetite
b) Fluid limitations to prevent incontinence
c) Management of heart failure
d) Uncontrolled diabetes mellitus - ANSWER-d) Uncontrolled diabetes mellitus
An older adult presents with confusion, lethargy, and a rapid weight loss of 5 lbs in
24 hours. This is most suggestive of:
a) Normal aging
b) Depression
c) Dehydration
2
, d) Dementia - ANSWER-c) Dehydration
Why is poor skin turgor considered an unreliable sign of dehydration in older
adults?
a) It is too painful to assess
b) Changes in skin collagen from aging affect skin turgor
c) It only indicates hypertonic dehydration
d) It is a sign of overhydration, not dehydration - ANSWER-b) Changes in skin
collagen from aging affect skin turgor
A diagnostic finding suggestive of dehydration includes a BUN/creatinine ratio of:
a) 10:1
b) 15:1
c) 20:1
d) >25:1 - ANSWER-d) >25:1
According to the notes, what is the recommended target for oral hydration in a
dehydrated older adult?
a) >800 ml/24 hours
b) >1200 ml/24 hours
c) >1600 ml/24 hours
d) >2000 ml/24 hours - ANSWER-c) >1600 ml/24 hours
All of the following are clinical presentations of dehydration EXCEPT:
a) Functional decline
b) Polyuria (excessive urination)
3
