,
, NU176 Geriatric Exam #4 | Questions &
Answers | Older Adult Nursing Review |
2026/2027 update.-GALEN.
Section 1: Age-Related Changes & Assessment
(Questions 1–10)
1. Which age-related change most affects an older adult's ability to
regulate body temperature?
A) Increased sweat gland activity
B) Decreased subcutaneous fat
C) Increased metabolic rate
D) Thickened dermis
Correct Answer: B
Rationale: Loss of subcutaneous fat reduces insulation, making older adults
more susceptible to hypothermia and temperature extremes .
Source: NU 176 Geriatric Nursing Exam 4 – Galen College – 2026/2027
Study Guide
2. A nurse is assessing an 80-year-old client. Which finding should
the nurse recognize as a normal age-related change?
A) Sudden onset of confusion
B) Decreased ability to hear high-pitched sounds
C) Unilateral vision loss
D) New-onset incontinence
Correct Answer: B
Rationale: Presbycusis is a normal age-related hearing loss affecting high-
frequency sounds. Sudden confusion, unilateral vision loss, and new
incontinence are abnormal and require investigation .
, NU176 Geriatric Exam #4 | Questions &
Answers | Older Adult Nursing Review |
2026/2027 update.-GALEN.
Section 1: Age-Related Changes & Assessment
(Questions 1–10)
1. Which age-related change most affects an older adult's ability to
regulate body temperature?
A) Increased sweat gland activity
B) Decreased subcutaneous fat
C) Increased metabolic rate
D) Thickened dermis
Correct Answer: B
Rationale: Loss of subcutaneous fat reduces insulation, making older adults
more susceptible to hypothermia and temperature extremes .
Source: NU 176 Geriatric Nursing Exam 4 – Galen College – 2026/2027
Study Guide
2. A nurse is assessing an 80-year-old client. Which finding should
the nurse recognize as a normal age-related change?
A) Sudden onset of confusion
B) Decreased ability to hear high-pitched sounds
C) Unilateral vision loss
D) New-onset incontinence
Correct Answer: B
Rationale: Presbycusis is a normal age-related hearing loss affecting high-
frequency sounds. Sudden confusion, unilateral vision loss, and new
incontinence are abnormal and require investigation .
