,Senior Care Clinical Competency:
Advanced Geriatric Nursing MCQs with
Rationales
📘 Table of Contents
Unit I: The Healthy Older Adult
1. Changes with Aging
2. Health Promotion
3. Exercise in Older Adults
4. Nutritional Support in the Older Adult
5. Settings of Care (new chapter in this edition)
Unit II: Assessment
6. Comprehensive Geriatric Assessment
7. Symptoms and Syndromes (covers common geriatric
syndromes and their atypical presentations)
Unit III: Treating Disorders
(Returns to system-based chapters with signal-symptoms, SORT
evidence ratings, in-text case studies)
8. Dermatologic Disorders
9. Head, Neck, and Face Disorders
10. Cardiovascular Disorders
11. Respiratory Disorders
12. Peripheral Vascular Disorders
,13. Gastrointestinal Disorders
14. Urologic and Renal Disorders
15. Gynecologic Disorders
16. Musculoskeletal Disorders
17. Central and Peripheral Nervous System Disorders
18. Endocrine and Metabolic Disorders
19. Hematologic Disorders
20. Psychosocial Disorders
Unit IV: Complex Illness
21. Polypharmacy
22. Chronic Illness and the APRN
23. Palliative Care and End-of-Life
, Chapter 1 “Changes With Aging” from Advanced Practice
Nursing in the Care of Older Adults, 3rd Ed.
1. An 82-year-old woman is admitted for congestive heart
failure exacerbation. Which change in cardiovascular
physiology is most responsible for her decreased exercise
tolerance?
A. Increased left ventricular compliance
B. Decreased maximal heart rate
C. Enhanced beta-adrenergic responsiveness
D. Improved ejection fraction
Correct Answer: B
Rationale: Aging is associated with decreased maximal
heart rate due to reduced β-adrenergic responsiveness
and pacemaker cell loss. (B is correct). Left ventricular
compliance actually decreases (A incorrect), β-adrenergic
responsiveness is blunted not enhanced (C incorrect), and
ejection fraction often remains normal or declines slightly
but is not improved (D incorrect).
2. Which fundamental gerontologic principle guides the
clinician to focus on the patient’s strengths rather than
deficits?
A. Disease‐oriented model
B. Pathologic aging
C. Functional age concept
D. Chronologic age concept
Advanced Geriatric Nursing MCQs with
Rationales
📘 Table of Contents
Unit I: The Healthy Older Adult
1. Changes with Aging
2. Health Promotion
3. Exercise in Older Adults
4. Nutritional Support in the Older Adult
5. Settings of Care (new chapter in this edition)
Unit II: Assessment
6. Comprehensive Geriatric Assessment
7. Symptoms and Syndromes (covers common geriatric
syndromes and their atypical presentations)
Unit III: Treating Disorders
(Returns to system-based chapters with signal-symptoms, SORT
evidence ratings, in-text case studies)
8. Dermatologic Disorders
9. Head, Neck, and Face Disorders
10. Cardiovascular Disorders
11. Respiratory Disorders
12. Peripheral Vascular Disorders
,13. Gastrointestinal Disorders
14. Urologic and Renal Disorders
15. Gynecologic Disorders
16. Musculoskeletal Disorders
17. Central and Peripheral Nervous System Disorders
18. Endocrine and Metabolic Disorders
19. Hematologic Disorders
20. Psychosocial Disorders
Unit IV: Complex Illness
21. Polypharmacy
22. Chronic Illness and the APRN
23. Palliative Care and End-of-Life
, Chapter 1 “Changes With Aging” from Advanced Practice
Nursing in the Care of Older Adults, 3rd Ed.
1. An 82-year-old woman is admitted for congestive heart
failure exacerbation. Which change in cardiovascular
physiology is most responsible for her decreased exercise
tolerance?
A. Increased left ventricular compliance
B. Decreased maximal heart rate
C. Enhanced beta-adrenergic responsiveness
D. Improved ejection fraction
Correct Answer: B
Rationale: Aging is associated with decreased maximal
heart rate due to reduced β-adrenergic responsiveness
and pacemaker cell loss. (B is correct). Left ventricular
compliance actually decreases (A incorrect), β-adrenergic
responsiveness is blunted not enhanced (C incorrect), and
ejection fraction often remains normal or declines slightly
but is not improved (D incorrect).
2. Which fundamental gerontologic principle guides the
clinician to focus on the patient’s strengths rather than
deficits?
A. Disease‐oriented model
B. Pathologic aging
C. Functional age concept
D. Chronologic age concept
