Gerontological Nursing CERTIFICATION
EXAM| ULTIMATE EXAM WITH CORRECT
VERIFIED ANSWERS
Which physiologic change is most associated with aging?
A. Decreased skin elasticity
B. Increased basal metabolic rate
C. Increased bone density
D. Enhanced renal filtration
Correct Answer: A
Rationale: Aging skin loses collagen and elastin, leading to
wrinkles and decreased elasticity.
2. Which intervention is most effective in preventing falls in
older adults?
A. Environmental modification
B. High-dose vitamin C
C. Daily vigorous exercise only
D. Bed rest
Correct Answer: A
,Rationale: Removing hazards, using grab bars, and proper
lighting reduces fall risk.
3. Which cognitive change is considered normal with aging?
A. Mild short-term memory decline
B. Severe disorientation
C. Hallucinations
D. Confusion with every task
Correct Answer: A
Rationale: Minor short-term memory decline is normal;
severe confusion indicates pathology.
4. Which condition is most prevalent in older adults?
A. Hypertension
B. Asthma
C. Type 1 diabetes
D. Sickle cell anemia
Correct Answer: A
Rationale: Age-related vascular changes increase the
prevalence of hypertension in the elderly.
5. Which lab change is expected with normal aging?
,A. Decreased creatinine clearance
B. Elevated hemoglobin A1c
C. Increased WBC count
D. Decreased cholesterol
Correct Answer: A
Rationale: Renal function declines with age, lowering
creatinine clearance despite normal serum creatinine.
6. Which nursing intervention promotes skin integrity in
older adults?
A. Regular repositioning and moisturization
B. Daily hot showers
C. Frequent alcohol-based cleansers
D. Avoiding all baths
Correct Answer: A
Rationale: Frequent repositioning reduces pressure ulcers,
and moisturizers prevent dryness.
7. Which symptom is most indicative of heart failure in older
adults?
A. Dyspnea on exertion
B. Chest pain only
, C. Hemoptysis
D. Palpitations only
Correct Answer: A
Rationale: Dyspnea, fatigue, and edema are common HF
symptoms in geriatric patients.
8. Which intervention is priority for older adults with
dehydration?
A. Encourage oral fluid intake
B. Restrict fluids
C. Limit mobility
D. Administer diuretics
Correct Answer: A
Rationale: Older adults are at higher risk of dehydration due
to decreased thirst; oral fluids restore hydration.
9. Which vitamin deficiency is common in older adults?
A. Vitamin D
B. Vitamin B12 rarely
C. Vitamin C exclusively
D. Vitamin K only
EXAM| ULTIMATE EXAM WITH CORRECT
VERIFIED ANSWERS
Which physiologic change is most associated with aging?
A. Decreased skin elasticity
B. Increased basal metabolic rate
C. Increased bone density
D. Enhanced renal filtration
Correct Answer: A
Rationale: Aging skin loses collagen and elastin, leading to
wrinkles and decreased elasticity.
2. Which intervention is most effective in preventing falls in
older adults?
A. Environmental modification
B. High-dose vitamin C
C. Daily vigorous exercise only
D. Bed rest
Correct Answer: A
,Rationale: Removing hazards, using grab bars, and proper
lighting reduces fall risk.
3. Which cognitive change is considered normal with aging?
A. Mild short-term memory decline
B. Severe disorientation
C. Hallucinations
D. Confusion with every task
Correct Answer: A
Rationale: Minor short-term memory decline is normal;
severe confusion indicates pathology.
4. Which condition is most prevalent in older adults?
A. Hypertension
B. Asthma
C. Type 1 diabetes
D. Sickle cell anemia
Correct Answer: A
Rationale: Age-related vascular changes increase the
prevalence of hypertension in the elderly.
5. Which lab change is expected with normal aging?
,A. Decreased creatinine clearance
B. Elevated hemoglobin A1c
C. Increased WBC count
D. Decreased cholesterol
Correct Answer: A
Rationale: Renal function declines with age, lowering
creatinine clearance despite normal serum creatinine.
6. Which nursing intervention promotes skin integrity in
older adults?
A. Regular repositioning and moisturization
B. Daily hot showers
C. Frequent alcohol-based cleansers
D. Avoiding all baths
Correct Answer: A
Rationale: Frequent repositioning reduces pressure ulcers,
and moisturizers prevent dryness.
7. Which symptom is most indicative of heart failure in older
adults?
A. Dyspnea on exertion
B. Chest pain only
, C. Hemoptysis
D. Palpitations only
Correct Answer: A
Rationale: Dyspnea, fatigue, and edema are common HF
symptoms in geriatric patients.
8. Which intervention is priority for older adults with
dehydration?
A. Encourage oral fluid intake
B. Restrict fluids
C. Limit mobility
D. Administer diuretics
Correct Answer: A
Rationale: Older adults are at higher risk of dehydration due
to decreased thirst; oral fluids restore hydration.
9. Which vitamin deficiency is common in older adults?
A. Vitamin D
B. Vitamin B12 rarely
C. Vitamin C exclusively
D. Vitamin K only
