Galen NUR 257 Exams 1–4 – Concepts
of Aging & Chronic Illness –
(2026/2027) Actual Questions &
Answers
EXAM OVERVIEW
Component Details
Course NUR 257 – Concepts
of Aging and Chronic
Illness
Institution Galen College of
Nursing
Exam Exams 1–4 covering
Coverage geriatric syndromes,
chronic disease
management,
HIV/AIDS in older
adults, hospice and
end-of-life care, elder
abuse, and geriatric
nursing principles
,Key Topics Normal aging
changes
(cardiovascular,
respiratory, renal,
musculoskeletal),
ADLs/IADLs,
polypharmacy, Beers
Criteria, dementia,
delirium, fall
prevention, chronic
disease
management
(diabetes, COPD,
heart failure, CKD)
SECTION 1: GERIATRIC ASSESSMENT &
FUNCTIONAL STATUS
Question 1
Which assessment tool is most appropriate for evaluating an older
adult's basic activities of daily living (ADLs)?
A. Geriatric Depression Scale
B. Katz Index of Independence in Activities of Daily Living
C. Lawton Instrumental Activities of Daily Living Scale
D. Mini-Cog
Correct Answer: B
, Rationale: The Katz Index evaluates six basic ADLs: bathing, dressing,
toileting, transferring, continence, and feeding. It is the most widely
used tool for assessing functional ability in basic self-care tasks. The
Lawton Scale evaluates instrumental activities of daily living (IADLs),
not basic ADLs .
Question 2
Managing medications, shopping, and preparing meals are examples
of which type of functional activity?
A. Basic activities of daily living (ADLs)
B. Instrumental activities of daily living (IADLs)
C. Advanced activities of daily living (AADLs)
D. Rehabilitative activities
Correct Answer: B
Rationale: IADLs are complex skills needed for independent
community living. They include managing finances, managing
medications, shopping, meal preparation, housework, telephone use,
and transportation. The Lawton IADL Scale is the standard tool for
assessing these abilities .
Question 3
The SPICES screening tool is used to identify which six common
problems in older adults?
A. Sleep disorders, Problems with eating, Incontinence, Confusion,
Evidence of falls, Skin breakdown
B. Sensory loss, Pain, Isolation, Confusion, Edema, Skin changes
C. Sleep apnea, Pneumonia, Incontinence, Cognitive decline, Edema,
of Aging & Chronic Illness –
(2026/2027) Actual Questions &
Answers
EXAM OVERVIEW
Component Details
Course NUR 257 – Concepts
of Aging and Chronic
Illness
Institution Galen College of
Nursing
Exam Exams 1–4 covering
Coverage geriatric syndromes,
chronic disease
management,
HIV/AIDS in older
adults, hospice and
end-of-life care, elder
abuse, and geriatric
nursing principles
,Key Topics Normal aging
changes
(cardiovascular,
respiratory, renal,
musculoskeletal),
ADLs/IADLs,
polypharmacy, Beers
Criteria, dementia,
delirium, fall
prevention, chronic
disease
management
(diabetes, COPD,
heart failure, CKD)
SECTION 1: GERIATRIC ASSESSMENT &
FUNCTIONAL STATUS
Question 1
Which assessment tool is most appropriate for evaluating an older
adult's basic activities of daily living (ADLs)?
A. Geriatric Depression Scale
B. Katz Index of Independence in Activities of Daily Living
C. Lawton Instrumental Activities of Daily Living Scale
D. Mini-Cog
Correct Answer: B
, Rationale: The Katz Index evaluates six basic ADLs: bathing, dressing,
toileting, transferring, continence, and feeding. It is the most widely
used tool for assessing functional ability in basic self-care tasks. The
Lawton Scale evaluates instrumental activities of daily living (IADLs),
not basic ADLs .
Question 2
Managing medications, shopping, and preparing meals are examples
of which type of functional activity?
A. Basic activities of daily living (ADLs)
B. Instrumental activities of daily living (IADLs)
C. Advanced activities of daily living (AADLs)
D. Rehabilitative activities
Correct Answer: B
Rationale: IADLs are complex skills needed for independent
community living. They include managing finances, managing
medications, shopping, meal preparation, housework, telephone use,
and transportation. The Lawton IADL Scale is the standard tool for
assessing these abilities .
Question 3
The SPICES screening tool is used to identify which six common
problems in older adults?
A. Sleep disorders, Problems with eating, Incontinence, Confusion,
Evidence of falls, Skin breakdown
B. Sensory loss, Pain, Isolation, Confusion, Edema, Skin changes
C. Sleep apnea, Pneumonia, Incontinence, Cognitive decline, Edema,
