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BCOT WEEK 6 PRACTICE EXAM Questions with Answers &
Rationales
1. A nurse is caring for an older adult. Which of the following is
a normal age-related change?
A. Decreased skin elasticity and presbycusis
B. Increased skin turgor
C. Improved near vision
D. Increased cardiac output
Answer: A
Rationale: Aging causes loss of skin elasticity and age-related
hearing loss (presbycusis).
2. An older adult is at increased risk for falls due to:
A. Decreased vision, muscle weakness, and orthostatic
hypotension
B. Increased bone density
C. Improved balance
D. No sensory changes
Answer: A
Rationale: Aging increases fall risk through multiple factors.
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3. A nurse is assessing an older adult with confusion. Which
finding suggests delirium rather than dementia?
A. Acute onset and fluctuating level of consciousness
B. Gradual progressive decline over years
C. Stable memory loss
D. No change in attention
Answer: A
Rationale: Delirium is acute and fluctuating; dementia is
gradual and progressive.
4. A client with dementia is agitated. The best nursing
intervention is:
A. Use a calm, reassuring approach and provide a structured
routine
B. Restrain the client
C. Argue with the client
D. Isolate the client
Answer: A
Rationale: Calm environment and routine reduce agitation.
5. Which of the following is a sign of depression in an older
adult?
A. Withdrawal, sleep disturbances, and loss of interest
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B. Increased energy
C. Euphoria only
D. No changes in mood
Answer: A
Rationale: Depression may present atypically in older adults.
6. A client with hearing loss should be communicated with by:
A. Facing the client, speaking clearly at normal volume, and
reducing background noise
B. Shouting from another room
C. Speaking into the ear only
D. Using only written notes
Answer: A
Rationale: Facing the client and minimizing noise improves
understanding.
7. A client with vision loss should be oriented to the room by:
A. Describing the layout and keeping pathways clear
B. Rearranging furniture frequently
C. Keeping the room dark
D. Not providing verbal cues
Answer: A
Rationale: Orientation and clear pathways promote safety.
BCOT WEEK 6 PRACTICE EXAM Questions with Answers &
Rationales
1. A nurse is caring for an older adult. Which of the following is
a normal age-related change?
A. Decreased skin elasticity and presbycusis
B. Increased skin turgor
C. Improved near vision
D. Increased cardiac output
Answer: A
Rationale: Aging causes loss of skin elasticity and age-related
hearing loss (presbycusis).
2. An older adult is at increased risk for falls due to:
A. Decreased vision, muscle weakness, and orthostatic
hypotension
B. Increased bone density
C. Improved balance
D. No sensory changes
Answer: A
Rationale: Aging increases fall risk through multiple factors.
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3. A nurse is assessing an older adult with confusion. Which
finding suggests delirium rather than dementia?
A. Acute onset and fluctuating level of consciousness
B. Gradual progressive decline over years
C. Stable memory loss
D. No change in attention
Answer: A
Rationale: Delirium is acute and fluctuating; dementia is
gradual and progressive.
4. A client with dementia is agitated. The best nursing
intervention is:
A. Use a calm, reassuring approach and provide a structured
routine
B. Restrain the client
C. Argue with the client
D. Isolate the client
Answer: A
Rationale: Calm environment and routine reduce agitation.
5. Which of the following is a sign of depression in an older
adult?
A. Withdrawal, sleep disturbances, and loss of interest
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B. Increased energy
C. Euphoria only
D. No changes in mood
Answer: A
Rationale: Depression may present atypically in older adults.
6. A client with hearing loss should be communicated with by:
A. Facing the client, speaking clearly at normal volume, and
reducing background noise
B. Shouting from another room
C. Speaking into the ear only
D. Using only written notes
Answer: A
Rationale: Facing the client and minimizing noise improves
understanding.
7. A client with vision loss should be oriented to the room by:
A. Describing the layout and keeping pathways clear
B. Rearranging furniture frequently
C. Keeping the room dark
D. Not providing verbal cues
Answer: A
Rationale: Orientation and clear pathways promote safety.
