NUR 255 EXAM 3 TEST BANK QUESTIONS & ANSWERS | GALEN COLLEGE NCLEX REVIEW 2… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 255 Exam 3 Test Bank
Questions & Answers | Galen
College NCLEX Review
2026/2027
Verified Answers Exam Ready With Rationales
97 QUESTIONS
DOCUMENT OVERVIEW
This document includes 97 exam questions with correct answers and detailed rationales, focusing on
geriatric nursing. It serves as a comprehensive resource for NCLEX preparation and course review, enabling
students to deepen their understanding of key concepts and enhance their readiness for certification.
CONTENTS
01 Geriatric Nursing Q1–Q97
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 97
To enhance the emotional well-being of older adults in a community program, which intervention would most effectively
foster social interactions and improve morale?
A) Workshop focusing on financial management for seniors
B) Group exercise sessions to enhance physical health
Page 1
,C) Social gatherings that encourage community connections
D) Educational sessions on recognizing and preventing elder abuse
CORRECT ANSWER
C) Social gatherings that encourage community connections
RATIONALE
Engaging in social events helps combat feelings of isolation and promotes a sense of belonging, which directly contributes to
improved morale and emotional health among older adults.
Q2 QUESTION 2 OF 97
A nurse is caring for an older client who has reported experiencing constipation and prefers a diet primarily consisting of
low-fiber foods like rice and bread. Given this information, what should the nurse assess first to determine the underlying
cause of the client's dietary choices?
A) Auscultate bowel sounds.
B) Evaluate skin moisture and turgor.
C) Conduct a detailed oral examination.
D) Measure the client's weight.
CORRECT ANSWER
C) Conduct a detailed oral examination.
RATIONALE
A preference for soft foods and constipation may indicate oral health issues such as ill-fitting dentures. Conducting an oral
assessment allows the nurse to identify potential dental problems that could explain the client's dietary restrictions.
Q3 QUESTION 3 OF 97
In the context of geriatric nursing, which age group is recognized as the fastest growing demographic within the older
population, specifically categorized by age range?
A) Elite old
B) Young old
C) Old old
D) Middle old
CORRECT ANSWER
C) Old old
Page 2
, RATIONALE
The "old old" demographic, typically defined as individuals aged 85 to 99, is experiencing the most rapid growth among older
populations due to increased life expectancy and advancements in healthcare, necessitating tailored nursing strategies to address
their unique health needs.
Q4 QUESTION 4 OF 97
An older adult client arrives at the outpatient clinic with lab results indicating a serum sodium level of 130 mEq/L,
suggestive of mild hyponatremia and dehydration. What instruction should the nurse prioritize to enhance the client's
hydration status?
A) Limit fluid intake to reduce bladder irritation.
B) Increase daily sodium intake to help retain fluid.
C) Encourage the client to drink fluids every 1 to 2 hours.
D) Administer diuretics in the morning to manage levels.
CORRECT ANSWER
C) Encourage the client to drink fluids every 1 to 2 hours.
RATIONALE
Encouraging regular fluid intake addresses the diminished thirst response seen in older adults, which is key to preventing
worsening dehydration and correcting hyponatremia, while the other options either mismanage sodium levels or divert focus from
hydration.
Q5 QUESTION 5 OF 97
An older adult resident in a long-term care facility expresses confusion about their dietary needs after a recent diagnosis
of diverticulosis. While discussing meal options, the client selects white pasta, black beans, whole grain cereal, and barley
salad. Which choice indicates a misunderstanding of dietary recommendations for this condition?
A) Black beans
B) Whole grain cereal
C) White pasta
D) Barley salad
CORRECT ANSWER
C) White pasta
RATIONALE
White pasta is low in fiber, which is counterproductive for managing diverticulosis; a high-fiber diet is crucial for preventing
complications associated with this condition, making the selection indicative of inadequate understanding of dietary needs.
Page 3
, Q6 QUESTION 6 OF 97
A home health care nurse is developing a tailored exercise regimen for an older adult with limited mobility who resides
independently at home. Which approach is most likely to enhance the client’s functional independence in daily activities?
A) Focusing on aerobic conditioning
B) Emphasizing strength and flexibility training
C) Prioritizing cardiovascular endurance
D) Incorporating structured personal training sessions
CORRECT ANSWER
B) Emphasizing strength and flexibility training
RATIONALE
Strength and flexibility training directly improves an older adult's ability to perform activities of daily living, thereby enhancing
independence, while solely focusing on endurance or aerobic capacity does not specifically address functional mobility needs.
Q7 QUESTION 7 OF 97
An 80-year-old client has recently retired and expresses feelings of sadness and isolation. In order to maximize
understanding of the client's emotional state, what aspect of their life should the nurse prioritize in assessment?
A) The presence of prior depressive episodes
B) Significant life changes prior to retirement
C) The importance of work in shaping their identity
D) Engagement in social activities before retirement
CORRECT ANSWER
C) The importance of work in shaping their identity
RATIONALE
Assessing the role of work is crucial, as retirement often leads to a loss of social connections and purpose, which can exacerbate
feelings of depression and loneliness in older adults. Understanding this dynamic allows for targeted interventions that address the
client's specific emotional needs.
Q8 QUESTION 8 OF 97
During a support group session for older women who are recent widows, a nurse observes various responses to their loss.
Which statement reflects a participant's readiness for effective coping strategies in this challenging transition?
A) I spend most evenings watching TV alone with no one to talk to.
B) I find comfort in my faith and attend church regularly.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 255 Exam 3 Test Bank
Questions & Answers | Galen
College NCLEX Review
2026/2027
Verified Answers Exam Ready With Rationales
97 QUESTIONS
DOCUMENT OVERVIEW
This document includes 97 exam questions with correct answers and detailed rationales, focusing on
geriatric nursing. It serves as a comprehensive resource for NCLEX preparation and course review, enabling
students to deepen their understanding of key concepts and enhance their readiness for certification.
CONTENTS
01 Geriatric Nursing Q1–Q97
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 97
To enhance the emotional well-being of older adults in a community program, which intervention would most effectively
foster social interactions and improve morale?
A) Workshop focusing on financial management for seniors
B) Group exercise sessions to enhance physical health
Page 1
,C) Social gatherings that encourage community connections
D) Educational sessions on recognizing and preventing elder abuse
CORRECT ANSWER
C) Social gatherings that encourage community connections
RATIONALE
Engaging in social events helps combat feelings of isolation and promotes a sense of belonging, which directly contributes to
improved morale and emotional health among older adults.
Q2 QUESTION 2 OF 97
A nurse is caring for an older client who has reported experiencing constipation and prefers a diet primarily consisting of
low-fiber foods like rice and bread. Given this information, what should the nurse assess first to determine the underlying
cause of the client's dietary choices?
A) Auscultate bowel sounds.
B) Evaluate skin moisture and turgor.
C) Conduct a detailed oral examination.
D) Measure the client's weight.
CORRECT ANSWER
C) Conduct a detailed oral examination.
RATIONALE
A preference for soft foods and constipation may indicate oral health issues such as ill-fitting dentures. Conducting an oral
assessment allows the nurse to identify potential dental problems that could explain the client's dietary restrictions.
Q3 QUESTION 3 OF 97
In the context of geriatric nursing, which age group is recognized as the fastest growing demographic within the older
population, specifically categorized by age range?
A) Elite old
B) Young old
C) Old old
D) Middle old
CORRECT ANSWER
C) Old old
Page 2
, RATIONALE
The "old old" demographic, typically defined as individuals aged 85 to 99, is experiencing the most rapid growth among older
populations due to increased life expectancy and advancements in healthcare, necessitating tailored nursing strategies to address
their unique health needs.
Q4 QUESTION 4 OF 97
An older adult client arrives at the outpatient clinic with lab results indicating a serum sodium level of 130 mEq/L,
suggestive of mild hyponatremia and dehydration. What instruction should the nurse prioritize to enhance the client's
hydration status?
A) Limit fluid intake to reduce bladder irritation.
B) Increase daily sodium intake to help retain fluid.
C) Encourage the client to drink fluids every 1 to 2 hours.
D) Administer diuretics in the morning to manage levels.
CORRECT ANSWER
C) Encourage the client to drink fluids every 1 to 2 hours.
RATIONALE
Encouraging regular fluid intake addresses the diminished thirst response seen in older adults, which is key to preventing
worsening dehydration and correcting hyponatremia, while the other options either mismanage sodium levels or divert focus from
hydration.
Q5 QUESTION 5 OF 97
An older adult resident in a long-term care facility expresses confusion about their dietary needs after a recent diagnosis
of diverticulosis. While discussing meal options, the client selects white pasta, black beans, whole grain cereal, and barley
salad. Which choice indicates a misunderstanding of dietary recommendations for this condition?
A) Black beans
B) Whole grain cereal
C) White pasta
D) Barley salad
CORRECT ANSWER
C) White pasta
RATIONALE
White pasta is low in fiber, which is counterproductive for managing diverticulosis; a high-fiber diet is crucial for preventing
complications associated with this condition, making the selection indicative of inadequate understanding of dietary needs.
Page 3
, Q6 QUESTION 6 OF 97
A home health care nurse is developing a tailored exercise regimen for an older adult with limited mobility who resides
independently at home. Which approach is most likely to enhance the client’s functional independence in daily activities?
A) Focusing on aerobic conditioning
B) Emphasizing strength and flexibility training
C) Prioritizing cardiovascular endurance
D) Incorporating structured personal training sessions
CORRECT ANSWER
B) Emphasizing strength and flexibility training
RATIONALE
Strength and flexibility training directly improves an older adult's ability to perform activities of daily living, thereby enhancing
independence, while solely focusing on endurance or aerobic capacity does not specifically address functional mobility needs.
Q7 QUESTION 7 OF 97
An 80-year-old client has recently retired and expresses feelings of sadness and isolation. In order to maximize
understanding of the client's emotional state, what aspect of their life should the nurse prioritize in assessment?
A) The presence of prior depressive episodes
B) Significant life changes prior to retirement
C) The importance of work in shaping their identity
D) Engagement in social activities before retirement
CORRECT ANSWER
C) The importance of work in shaping their identity
RATIONALE
Assessing the role of work is crucial, as retirement often leads to a loss of social connections and purpose, which can exacerbate
feelings of depression and loneliness in older adults. Understanding this dynamic allows for targeted interventions that address the
client's specific emotional needs.
Q8 QUESTION 8 OF 97
During a support group session for older women who are recent widows, a nurse observes various responses to their loss.
Which statement reflects a participant's readiness for effective coping strategies in this challenging transition?
A) I spend most evenings watching TV alone with no one to talk to.
B) I find comfort in my faith and attend church regularly.
Page 4
