GERIATRIC NURSING MIDTERM
STUDY GUIDE | PRACTICE
QUESTIONS AND CORRECT
ANSWERS (100% VERIFIED)
1. Which physiological change in older adults most increases the risk for
drug toxicity?
• A. Increased gastric motility
• B. Increased total body water
• C. Decreased liver enzyme activity
• D. Increased serum albumin levels
✅ ,, Resolution Result Verified Answers ,,,: C. Decreased liver enzyme
activity (reduces drug metabolism)
2. What is the most common type of urinary incontinence in older women?
• A. Overflow incontinence
• B. Stress incontinence
• C. Functional incontinence
D. Reflex incontinence
✅ ,, Resolution Result Verified Answers ,,,: B. Stress incontinence
, •
3. A 78-year-old patient presents with sudden confusion, lethargy, and a
temperature of 101.5°F. What should the nurse suspect first?
• A. Alzheimer’s disease
• B. Delirium secondary to infection
• C. Depression
• D. Normal aging changes
✅ ,, Resolution Result Verified Answers ,,,: B. Delirium secondary to
infection
4. The "Get Up and Go" test is used to assess:
• A. Cognitive function
• B. Mobility and fall risk
• C. Nutritional status
• D. Hearing acuity
✅ ,, Resolution Result Verified Answers ,,,: B. Mobility and fall risk
5. Which medication class is most associated with falls in the elderly?
A. Statins
B. Benzodiazepines
C. Beta-blockers
D. Antihistamines
•
•
•
, •
✅ ,, Resolution Result Verified Answers ,,,: B. Benzodiazepines (also
consider sedatives/hypnotics)
6. A common geriatric syndrome characterized by unintentional weight loss,
decreased appetite, and weakness is:
• A. Sarcopenia
• B. Anorexia of aging
• C. Cachexia
• D. Frailty
✅ ,, Resolution Result Verified Answers ,,,: D. Frailty
7. What is the recommended daily protein intake for a healthy older adult?
• A. 0.8 g/kg
• B. 1.0–1.2 g/kg
• C. 1.5–2.0 g/kg
• D. 0.5 g/kg
✅ ,, Resolution Result Verified Answers ,,,: B. 1.0–1.2 g/kg (higher for
illness/injury)
8. The most sensitive indicator of hydration status in an older adult is:
A. Skin turgor
•
•
•
, •
B. Dry mucous membranes
C. Serum sodium level
D. Change in mental status
✅ ,, Resolution Result Verified Answers ,,,: D. Change in mental status
(early sign of dehydration)
9. Which of the following is a normal age-related change in the renal system?
• A. Increased glomerular filtration rate
• B. Decreased number of nephrons
• C. Increased renal blood flow
• D. Increased creatinine clearance
✅ ,, Resolution Result Verified Answers ,,,: B. Decreased number of
nephrons
10. A geriatric nurse uses the SPICES tool. What does the "S" stand for?
• A. Skin breakdown
• B. Sleep disorders
• C. Social isolation
• D. Sarcopenia
✅ ,, Resolution Result Verified Answers ,,,: B. Sleep disorders (SPICES:
Sleep disorders, Problems eating, Incontinence, Confusion, Evidence of falls,
Skin breakdown)
•
•
•
STUDY GUIDE | PRACTICE
QUESTIONS AND CORRECT
ANSWERS (100% VERIFIED)
1. Which physiological change in older adults most increases the risk for
drug toxicity?
• A. Increased gastric motility
• B. Increased total body water
• C. Decreased liver enzyme activity
• D. Increased serum albumin levels
✅ ,, Resolution Result Verified Answers ,,,: C. Decreased liver enzyme
activity (reduces drug metabolism)
2. What is the most common type of urinary incontinence in older women?
• A. Overflow incontinence
• B. Stress incontinence
• C. Functional incontinence
D. Reflex incontinence
✅ ,, Resolution Result Verified Answers ,,,: B. Stress incontinence
, •
3. A 78-year-old patient presents with sudden confusion, lethargy, and a
temperature of 101.5°F. What should the nurse suspect first?
• A. Alzheimer’s disease
• B. Delirium secondary to infection
• C. Depression
• D. Normal aging changes
✅ ,, Resolution Result Verified Answers ,,,: B. Delirium secondary to
infection
4. The "Get Up and Go" test is used to assess:
• A. Cognitive function
• B. Mobility and fall risk
• C. Nutritional status
• D. Hearing acuity
✅ ,, Resolution Result Verified Answers ,,,: B. Mobility and fall risk
5. Which medication class is most associated with falls in the elderly?
A. Statins
B. Benzodiazepines
C. Beta-blockers
D. Antihistamines
•
•
•
, •
✅ ,, Resolution Result Verified Answers ,,,: B. Benzodiazepines (also
consider sedatives/hypnotics)
6. A common geriatric syndrome characterized by unintentional weight loss,
decreased appetite, and weakness is:
• A. Sarcopenia
• B. Anorexia of aging
• C. Cachexia
• D. Frailty
✅ ,, Resolution Result Verified Answers ,,,: D. Frailty
7. What is the recommended daily protein intake for a healthy older adult?
• A. 0.8 g/kg
• B. 1.0–1.2 g/kg
• C. 1.5–2.0 g/kg
• D. 0.5 g/kg
✅ ,, Resolution Result Verified Answers ,,,: B. 1.0–1.2 g/kg (higher for
illness/injury)
8. The most sensitive indicator of hydration status in an older adult is:
A. Skin turgor
•
•
•
, •
B. Dry mucous membranes
C. Serum sodium level
D. Change in mental status
✅ ,, Resolution Result Verified Answers ,,,: D. Change in mental status
(early sign of dehydration)
9. Which of the following is a normal age-related change in the renal system?
• A. Increased glomerular filtration rate
• B. Decreased number of nephrons
• C. Increased renal blood flow
• D. Increased creatinine clearance
✅ ,, Resolution Result Verified Answers ,,,: B. Decreased number of
nephrons
10. A geriatric nurse uses the SPICES tool. What does the "S" stand for?
• A. Skin breakdown
• B. Sleep disorders
• C. Social isolation
• D. Sarcopenia
✅ ,, Resolution Result Verified Answers ,,,: B. Sleep disorders (SPICES:
Sleep disorders, Problems eating, Incontinence, Confusion, Evidence of falls,
Skin breakdown)
•
•
•
