GERO BC |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
An 81-year-old white woman was recently admitted to a long-term care facility. While
making rounds, the gerontological nurse enters her room and finds her sitting up in bed,
reading the large print edition of Reader's Digest. She asks the gerontological nurse
whether increasing the amount of lighting in the room is possible when she reads. She
further states, "I don't know what it is. Lately I have noticed a blurry spot in the middle of
my vision, and colors seem to be less vibrant. It just seems that I need more light for
everything as I get older."
The gerontological nurse realizes that the client could be exhibiting early signs of which of
the following eye diseases?
A. Diabetic retinopathy
B. Cataracts
C. Age-related macular degeneration (ARMD)
D. Glaucoma
CORRECT ANSWER
C. Age-related macular degeneration (ARMD)
ARMD is a degenerative eye disease that affects the macula, the central part of the eye
responsible for clear central vision. Early signs of ARMD include blurred vision, difficulty
reading and driving, increased need for bright light, colors that appear dim or gray, and
an awareness of a blurry spot in the middle of vision.
Question 2
1
,1. An older adult client is fitted with binaural hearing aids when a recent hearing
assessment revealed that she has a sensorineural hearing loss related to presbycusis. To
assist the client in adjusting to the hearing aids, the gerontological nurse advises her:
A. "Experiment with the volume and hearing ability in a quiet environment."
B. "Wear the hearing aid for approximately 1 hour a day at first, gradually increasing the
time of use."
C. "Keep the volume low on your hearing aid until you adjust to conditions with many
noises."
D. "Use only one hearing aid initially and add the second hearing aid when you are fully
adjusted to one aid."
CORRECT ANSWER
A. "Experiment with the volume and hearing ability in a quiet environment."
A hearing aid is a personal amplifying system that includes a microphone, an amplifier,
and a loudspeaker. Hearing aids necessitate a period of adjustment and training in
correct use. Suggestions for the use and care of hearing aids are found in Box 19.6.
Question 3
One of the first interventions advocated for an aging adult who has complained of
insomnia, following assessment, might be:
A. prescribe a short-term hypnotic medication or sedative to induce sleep.
B. encourage the client to go to bed only when sleepy and at the same time each night.
C. suggest drinking warm cocoa to induce sleep.
D. encourage the client to begin an evening exercise regimen.
CORRECT ANSWER
B. encourage the client to go to bed only when sleepy and at the same time each night.
2
,Question 4
Which of the following is the cause of most accidental fatalities of older adults?
A. Motor vehicle accidents
B. Falls
C. Hypothermia
D. Medication overdose
CORRECT ANSWER
B. Falls
Question 5
A resident in the long-term care setting complains of not being able to sleep. What action
would be a priority for the nurse to implement?
A. Administer a sleeping medication at the same time each evening.
B. Decrease noise around the resident at bedtime and during the night.
C. Have the resident participate in light exercise 2 hours before bedtime.
D. Do not allow the resident to watch TV or listen to music after dinner.
CORRECT ANSWER
B. Decrease noise around the resident at bedtime and during the night.
Question 6
A patient has been referred for polysomnography to confirm a diagnosis of sleep apnea.
What symptoms would the nurse expect the patient to report?
3
, A. Inability to fall asleep with medications
B. Kicking and hitting his partner while sleeping
C. Consistently falling asleep during the evening meal
D. Loud periodic snoring with choking on wakening
CORRECT ANSWER
D. Loud periodic snoring with choking on wakening
Question 7
Which patient assessment data does the nurse recognize could contribute to an older
adult's risk of hyperthermia?
A. Has a history of osteoarthritis
B. Takes furosemide 40 mg daily
C. Bathes daily with a hot shower
D. Keeps room temperature at 72°F
CORRECT ANSWER
B. Takes furosemide 40 mg daily
(Patients receiving diuretics have a higher risk of hyperthermia)
Question 8
Interventions the nurse may implement to help prevent falls include (Select all that apply.)
a. keeping the call light within reach.
b. rounding on the patient every 1 to 2 hours.
c. reducing fluid intake after the evening meal.
4
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
An 81-year-old white woman was recently admitted to a long-term care facility. While
making rounds, the gerontological nurse enters her room and finds her sitting up in bed,
reading the large print edition of Reader's Digest. She asks the gerontological nurse
whether increasing the amount of lighting in the room is possible when she reads. She
further states, "I don't know what it is. Lately I have noticed a blurry spot in the middle of
my vision, and colors seem to be less vibrant. It just seems that I need more light for
everything as I get older."
The gerontological nurse realizes that the client could be exhibiting early signs of which of
the following eye diseases?
A. Diabetic retinopathy
B. Cataracts
C. Age-related macular degeneration (ARMD)
D. Glaucoma
CORRECT ANSWER
C. Age-related macular degeneration (ARMD)
ARMD is a degenerative eye disease that affects the macula, the central part of the eye
responsible for clear central vision. Early signs of ARMD include blurred vision, difficulty
reading and driving, increased need for bright light, colors that appear dim or gray, and
an awareness of a blurry spot in the middle of vision.
Question 2
1
,1. An older adult client is fitted with binaural hearing aids when a recent hearing
assessment revealed that she has a sensorineural hearing loss related to presbycusis. To
assist the client in adjusting to the hearing aids, the gerontological nurse advises her:
A. "Experiment with the volume and hearing ability in a quiet environment."
B. "Wear the hearing aid for approximately 1 hour a day at first, gradually increasing the
time of use."
C. "Keep the volume low on your hearing aid until you adjust to conditions with many
noises."
D. "Use only one hearing aid initially and add the second hearing aid when you are fully
adjusted to one aid."
CORRECT ANSWER
A. "Experiment with the volume and hearing ability in a quiet environment."
A hearing aid is a personal amplifying system that includes a microphone, an amplifier,
and a loudspeaker. Hearing aids necessitate a period of adjustment and training in
correct use. Suggestions for the use and care of hearing aids are found in Box 19.6.
Question 3
One of the first interventions advocated for an aging adult who has complained of
insomnia, following assessment, might be:
A. prescribe a short-term hypnotic medication or sedative to induce sleep.
B. encourage the client to go to bed only when sleepy and at the same time each night.
C. suggest drinking warm cocoa to induce sleep.
D. encourage the client to begin an evening exercise regimen.
CORRECT ANSWER
B. encourage the client to go to bed only when sleepy and at the same time each night.
2
,Question 4
Which of the following is the cause of most accidental fatalities of older adults?
A. Motor vehicle accidents
B. Falls
C. Hypothermia
D. Medication overdose
CORRECT ANSWER
B. Falls
Question 5
A resident in the long-term care setting complains of not being able to sleep. What action
would be a priority for the nurse to implement?
A. Administer a sleeping medication at the same time each evening.
B. Decrease noise around the resident at bedtime and during the night.
C. Have the resident participate in light exercise 2 hours before bedtime.
D. Do not allow the resident to watch TV or listen to music after dinner.
CORRECT ANSWER
B. Decrease noise around the resident at bedtime and during the night.
Question 6
A patient has been referred for polysomnography to confirm a diagnosis of sleep apnea.
What symptoms would the nurse expect the patient to report?
3
, A. Inability to fall asleep with medications
B. Kicking and hitting his partner while sleeping
C. Consistently falling asleep during the evening meal
D. Loud periodic snoring with choking on wakening
CORRECT ANSWER
D. Loud periodic snoring with choking on wakening
Question 7
Which patient assessment data does the nurse recognize could contribute to an older
adult's risk of hyperthermia?
A. Has a history of osteoarthritis
B. Takes furosemide 40 mg daily
C. Bathes daily with a hot shower
D. Keeps room temperature at 72°F
CORRECT ANSWER
B. Takes furosemide 40 mg daily
(Patients receiving diuretics have a higher risk of hyperthermia)
Question 8
Interventions the nurse may implement to help prevent falls include (Select all that apply.)
a. keeping the call light within reach.
b. rounding on the patient every 1 to 2 hours.
c. reducing fluid intake after the evening meal.
4
