NU 176
EXAM 3
Geriatric Nursing
50 Actual Questions with Correct Answers
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for a female client who has breast cancer. The client reports
that the pain is getting worse and is making it hard for her daughter to care for her.
Which nursing diagnosis is the priority?
A. Anxiety
B. Pain
C. Risk for loneliness
D. Impaired social interaction
Correct Answer:
B. Pain
Expert Rationale:
Pain is the priority because it directly affects comfort, function, quality of life, and the
client’s ability to participate in care. Pain should be assessed and managed promptly.
2. You are gathering data on a group of older adults. Which finding should the nurse
address first?
A. A client reports dry skin
B. A client has a blood glucose of 300 mg/dL
C. A client reports mild fatigue after walking
D. A client has decreased subcutaneous fat
Correct Answer:
B. A client has a blood glucose of 300 mg/dL
Expert Rationale:
A blood glucose level of 300 mg/dL is significantly elevated and requires prompt nursing
attention because it may indicate uncontrolled diabetes and risk for dehydration,
infection, or hyperglycemic crisis.
3. The nurse is inspecting the skin of an older client for age-related changes. Which
finding would the nurse expect?
A. Increased skin elasticity
B. Increased subcutaneous fat
C. Decreased subcutaneous fat
D. Increased oil production
, Correct Answer:
C. Decreased subcutaneous fat
Expert Rationale:
Aging is associated with thinning skin, decreased collagen, decreased elasticity, and
decreased subcutaneous fat. These changes increase the risk for skin injury, bruising, and
temperature intolerance.
4. During an interview, an older client states, “I’m so tired all the time, and I can’t
seem to get warm.” Which question should the nurse ask first?
A. “Have you ever had these symptoms before?”
B. “Do you drink coffee every day?”
C. “Do you exercise every morning?”
D. “Do you wear glasses?”
Correct Answer:
A. “Have you ever had these symptoms before?”
Expert Rationale:
Fatigue and cold intolerance may be associated with hypothyroidism or other health
problems. Asking whether the symptoms have occurred before helps determine onset,
pattern, and possible chronicity.
5. The nurse is caring for a client who has hypothyroidism. The nurse understands
that this condition is often missed in older adults because:
A. Older adults never develop thyroid disease
B. Symptoms are similar to other characteristics of aging
C. Thyroid symptoms always appear suddenly
D. Hypothyroidism only affects younger adults
Correct Answer:
B. Symptoms are similar to other characteristics of aging
Expert Rationale:
Hypothyroidism may cause fatigue, cold intolerance, dry skin, constipation, and slowed
thinking. These symptoms can be mistaken for normal aging, delaying diagnosis.
EXAM 3
Geriatric Nursing
50 Actual Questions with Correct Answers
Galen College of Nursing
This Document Description:
This document contains a collection of 50
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for a female client who has breast cancer. The client reports
that the pain is getting worse and is making it hard for her daughter to care for her.
Which nursing diagnosis is the priority?
A. Anxiety
B. Pain
C. Risk for loneliness
D. Impaired social interaction
Correct Answer:
B. Pain
Expert Rationale:
Pain is the priority because it directly affects comfort, function, quality of life, and the
client’s ability to participate in care. Pain should be assessed and managed promptly.
2. You are gathering data on a group of older adults. Which finding should the nurse
address first?
A. A client reports dry skin
B. A client has a blood glucose of 300 mg/dL
C. A client reports mild fatigue after walking
D. A client has decreased subcutaneous fat
Correct Answer:
B. A client has a blood glucose of 300 mg/dL
Expert Rationale:
A blood glucose level of 300 mg/dL is significantly elevated and requires prompt nursing
attention because it may indicate uncontrolled diabetes and risk for dehydration,
infection, or hyperglycemic crisis.
3. The nurse is inspecting the skin of an older client for age-related changes. Which
finding would the nurse expect?
A. Increased skin elasticity
B. Increased subcutaneous fat
C. Decreased subcutaneous fat
D. Increased oil production
, Correct Answer:
C. Decreased subcutaneous fat
Expert Rationale:
Aging is associated with thinning skin, decreased collagen, decreased elasticity, and
decreased subcutaneous fat. These changes increase the risk for skin injury, bruising, and
temperature intolerance.
4. During an interview, an older client states, “I’m so tired all the time, and I can’t
seem to get warm.” Which question should the nurse ask first?
A. “Have you ever had these symptoms before?”
B. “Do you drink coffee every day?”
C. “Do you exercise every morning?”
D. “Do you wear glasses?”
Correct Answer:
A. “Have you ever had these symptoms before?”
Expert Rationale:
Fatigue and cold intolerance may be associated with hypothyroidism or other health
problems. Asking whether the symptoms have occurred before helps determine onset,
pattern, and possible chronicity.
5. The nurse is caring for a client who has hypothyroidism. The nurse understands
that this condition is often missed in older adults because:
A. Older adults never develop thyroid disease
B. Symptoms are similar to other characteristics of aging
C. Thyroid symptoms always appear suddenly
D. Hypothyroidism only affects younger adults
Correct Answer:
B. Symptoms are similar to other characteristics of aging
Expert Rationale:
Hypothyroidism may cause fatigue, cold intolerance, dry skin, constipation, and slowed
thinking. These symptoms can be mistaken for normal aging, delaying diagnosis.
