with Correct Answers and Exam Preparation Material
1. Medications, slower mobility, lack of proper fluid intake, and poor diet can contribute
to what common symptom in the elder population?
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - Correct Answer -A
2. Which statement would be most appropriate to ask when assessing an aging adult
for cognitive function?
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the
past few months?
d) Who is the president of the United States? - Correct Answer -C
3. Which disease or ailment is often under diagnosed and undertreated in the aging
population?
a) Schizophrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - Correct Answer -B
4. Which statement demonstrates normal cognitive function for an aging adult?
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - Correct
Answer -A
5. Dementia and depression are strongly related to:
a) Clients over the age of 60
b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - Correct Answer -C
6. Which organ is responsible for drug metabolism and must be considered when
prescribing medication for an older adult?
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - Correct Answer -D
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,7. An older adult on digoxin and furosemide is showing signs of toxicity. The
gerontology nurse understands that:
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need
to be decreased due to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose
changes would be ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is
needed
d) How a drug is excreted is not a consideration when dosing an older adult -
Correct Answer -A
8. An 80-year-old female asks the nurse about over-the-counter vitamin supplements.
The most appropriate advice would include:
a) No vitamin supplements are needed with a balanced diet
b) Any multivitamin will do
c) Take only a calcium supplement
d) Take a multivitamin for those over the age of 50, which should include the
recommended vitamins for the aging adult - Correct Answer -D
9. What benefit does evidence-based practice offer clients over the age of 60?
a) No actual benefits have been noted when evidence-based practice is the
model for geriatric care
b) Evidence-based practice offers the client improved health care in all settings
c) Evidence-based practice is only used as a model in acute care settings
d) Minimal changes in geriatric care have arisen from the use of evidnece-
baseed practice models - Correct Answer -B
10. What is the purpose of Rogers' diffusion of innovation model in relation to evidence-
based practice (EBP)?
a) There is no relation to EBP
b) It offers an explanation of aging
c) It is used to open communication around issues of implementing changes in
practice when EBP research has shown that change would improve outcomes
d) It is the model that contradicts the EBP theory - Correct Answer -C
11. Which choice best explains the practice setting for the erotological nurse?
a) In the home of the client
b) Only in acute care settings
c) Clinics and long-term care facilities
d) Home of the client, acute care facilities, long-term care settings, and clinics or
anywhere clients over the age of 65 seek health care and health education -
Correct Answer -D
12. A 70-year-old presents to the clinic stating that his family things he is losing his mind
and they want to put him in a home. What would be the initial role of the
erotological nurse?
a) Begin the process of finding a qualified nursing home
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, b) Do a complete history, physical, and assessment
c) Speak with the family about their concerns
d) Make light of the subject until the nurse can evaluate the situation - Correct
Answer -B
13. Which item would not be a focus of a cognitive-perceptual pattern assessment for
the older client?
a) Cognition--Have you experienced any changes in your memory?
b) Communication--Have you had any difficulty speaking or forming ideas?
c) Financial--Have you had any financial hardships over the past several months?
d) Orientation--Do you know what day, month, and year it is? - Correct Answer -
C
14. Which topic should NOT be omitted when assessing the aging client?
a) Sexual history
b) Cardiac history
c) History of abuse
d) All of the above - Correct Answer -D
15. Pain of gastrointestinal origin is best differentiated from pain of cardiac origin by the
16. presence of:
1. Chest pain lasting longer than five minutes.
2. Chest pain of rapid onset.
3. Left flank pain.
4. Substernal chest discomfort. - Correct Answer -4
17. The progression of intermittent claudication is measured by the:
1. Distance walked before leg pain starts.
2. Pedal edema after dangling the legs for 20 minutes.
3. Peripheral pulses in the affected leg.
4. Skin temperature and color of the feet. - Correct Answer -1
18. The most common cause of chronic pain in older adults is:
1. Arthritis.
2. Fractures.
3. Headaches.
4. Neuropathy. - Correct Answer -1
19. Which symptom in older adults is most indicative of a urinary tract infection?
1. Confusion
2. Dysuria
3. Fever
4. Frequency - Correct Answer -1
20. Which is a risk factor for vaginitis in older adult women?
1. Anticoagulation therapy
2. Increased sexual activity
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