GERONTOLOGIC NURSING EXAM 2 PRACTICE
ASSESSMENT 2026 FULL QUESTIONS AND
ANSWERS GRADED A PLUS COMPLETE
REVISION GUIDE
◉ The nurse employed in a long term care facility is caring for an
older male client. What nursing action contributes to encouraging
autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Answer: Client choosing own activities. Autonomy is the personal
freedom to direct one's own life as long as it does not impinge on the
rights of others. An autonomous person is capable of rational
thought.
◉ The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
- Neglect personal grooming
-Looking at old pictures
,-Participating in senior citizens' program
-Visiting her husband's grave
Answer: Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some
cases may be harmful to the individual.
◉ The nurse is providing instructions to a nursing assistant
regarding care of an older client with hearing loss. The nurse tells
the assistant that clients with a hear loss:
Answer: Respond to low pitched tones. Prebycusis refers to the age
related irreversible degenerative changes of the inner eat that lead
to decreased hearing ability. As a result of these changes, the older
client has a decreased response to high frequency sounds. Low
pitched voice tones are heard more easily and can be interpreted by
the older client.
◉ The nurse is providing an educational session to new employees,
and the topic is abuse of the older adult. The nurse helps the
employees identify that which client is most typical of a victim of
abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
,-70 y.o woman with early dx Lyme dz
Answer: 90 y.o woman with advanced Parkinson's dz. Elder abuse is
widespread and occurs among all subgroups of the population. Elder
abuse includes physical and psychological abuse, misuse of property,
and violation of rights. The typical abuse victim is a woman of
advanced age with few social contacts and at least one physical or
mental impairment that limits her ability to perform activities of
daily living.
◉ The nurse is performing an assessment on an older client who is
having difficulty sleeping at night. What statement by the client
indicates education is needed on improving sleep?
-"I swim 3 times a week"
-"I have stopped smoking cigars."
-"I drink hot chocolate before bed"
-"I read for 40 min at bedtime."
Answer: "I drink hot chocolate before bed" Many
nonpharmacological sleep aids can be used to influence sleep. The
client should avoid caffeinated beverages and stimulants such as tea,
cola, and chocolate. The client should exercise regularly, because
exercise promotes sleep by burning off tension that accumulates
during the day. The client should sleep on a firm mattress. Smoking
and alcohol should be avoided. The client should also avoid large
meals, peanuts, beans, fruit and raw veggies that produce gas, and
snacks high in fat that are difficult to digest.
, ◉ The visiting nurse observes that the older male client is confined
by his daughter to his room. When the nurse suggests that he walk
into the den and join everyone, he says "I'm in everyone's way, my
daughter needs me to stay here." The most important action for the
nurse is to:
Answer: Suggest appropriate resources to the client and daughter-
in-law, such as respite care and a senior citizens' center. Assisting
clients and families to become aware of available community
support systems is a role and responsibility of the nurse.
◉ Gerontologic Specialty Certification
Answer: The number of older people continues to increase; the need
for specialized knowledge becomes even more critical in every
specialty and every health care setting; In 1974, geriatric nursing
was the first certification program offered by the ANA and nursing
was the first professional group to develop standards of care and
certification in the field of gerontology
◉ Define the Neuroendocrine Theory.
Answer: Based on the integration of the neuroendocrine and
immune systems; emphasis is on the programmed deaths of the
immune cells from damage caused by the increase of free radicals as
aging progresses; the reduced T cells are thought to be responsible
for hastening the age-related changes caused by autoimmune
reaction as the body battles itself; healthy cells are mistaken for
foreign substances and are attacked.
ASSESSMENT 2026 FULL QUESTIONS AND
ANSWERS GRADED A PLUS COMPLETE
REVISION GUIDE
◉ The nurse employed in a long term care facility is caring for an
older male client. What nursing action contributes to encouraging
autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Answer: Client choosing own activities. Autonomy is the personal
freedom to direct one's own life as long as it does not impinge on the
rights of others. An autonomous person is capable of rational
thought.
◉ The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
- Neglect personal grooming
-Looking at old pictures
,-Participating in senior citizens' program
-Visiting her husband's grave
Answer: Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some
cases may be harmful to the individual.
◉ The nurse is providing instructions to a nursing assistant
regarding care of an older client with hearing loss. The nurse tells
the assistant that clients with a hear loss:
Answer: Respond to low pitched tones. Prebycusis refers to the age
related irreversible degenerative changes of the inner eat that lead
to decreased hearing ability. As a result of these changes, the older
client has a decreased response to high frequency sounds. Low
pitched voice tones are heard more easily and can be interpreted by
the older client.
◉ The nurse is providing an educational session to new employees,
and the topic is abuse of the older adult. The nurse helps the
employees identify that which client is most typical of a victim of
abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
,-70 y.o woman with early dx Lyme dz
Answer: 90 y.o woman with advanced Parkinson's dz. Elder abuse is
widespread and occurs among all subgroups of the population. Elder
abuse includes physical and psychological abuse, misuse of property,
and violation of rights. The typical abuse victim is a woman of
advanced age with few social contacts and at least one physical or
mental impairment that limits her ability to perform activities of
daily living.
◉ The nurse is performing an assessment on an older client who is
having difficulty sleeping at night. What statement by the client
indicates education is needed on improving sleep?
-"I swim 3 times a week"
-"I have stopped smoking cigars."
-"I drink hot chocolate before bed"
-"I read for 40 min at bedtime."
Answer: "I drink hot chocolate before bed" Many
nonpharmacological sleep aids can be used to influence sleep. The
client should avoid caffeinated beverages and stimulants such as tea,
cola, and chocolate. The client should exercise regularly, because
exercise promotes sleep by burning off tension that accumulates
during the day. The client should sleep on a firm mattress. Smoking
and alcohol should be avoided. The client should also avoid large
meals, peanuts, beans, fruit and raw veggies that produce gas, and
snacks high in fat that are difficult to digest.
, ◉ The visiting nurse observes that the older male client is confined
by his daughter to his room. When the nurse suggests that he walk
into the den and join everyone, he says "I'm in everyone's way, my
daughter needs me to stay here." The most important action for the
nurse is to:
Answer: Suggest appropriate resources to the client and daughter-
in-law, such as respite care and a senior citizens' center. Assisting
clients and families to become aware of available community
support systems is a role and responsibility of the nurse.
◉ Gerontologic Specialty Certification
Answer: The number of older people continues to increase; the need
for specialized knowledge becomes even more critical in every
specialty and every health care setting; In 1974, geriatric nursing
was the first certification program offered by the ANA and nursing
was the first professional group to develop standards of care and
certification in the field of gerontology
◉ Define the Neuroendocrine Theory.
Answer: Based on the integration of the neuroendocrine and
immune systems; emphasis is on the programmed deaths of the
immune cells from damage caused by the increase of free radicals as
aging progresses; the reduced T cells are thought to be responsible
for hastening the age-related changes caused by autoimmune
reaction as the body battles itself; healthy cells are mistaken for
foreign substances and are attacked.
