GERIA PRACTICE QUESTIONS
(FINALS) WITH CORRECT ANSWERS
When developing a plan of care for a hospitalized patient with moderate dementia,
which intervention will the nurse include?
A. Provide complete personal hygiene care for the patient.
B. Remind the patient frequently about being in the hospital.
C. Reposition the patient frequently to avoid skin breakdown.
D. Place suction at the bedside to decrease the risk for aspiration. - Correct Answers -B.
A 72-year-old patient is diagnosed with moderate dementia as a result of multiple
strokes. During the assessment of the patient, the nurse would expect to find
A. excessive nighttime sleepiness.
B. difficulty eating and swallowing.
C. variable ability to perform simple tasks.
D. loss of both recent and long-term memory. - Correct Answers -D.
When caring for a patient during the oliguric phase of acute kidney injury (AKI), which
nursing action is appropriate?
A. Weigh patients three times weekly.
B. Increase dietary sodium and potassium.
C. Provide a low-protein, high-carbohydrate diet.
D. Restrict fluids according to previous daily loss - Correct Answers -D.
A patient with acute kidney injury (AKI) has an arterial blood pH of 7.30. The nurse will
assess the patient for:
A. vasodilation.
B. poor skin turgor.
C. bounding pulses.
D. rapid respirations. - Correct Answers -D.
When teaching the children of a patient who is being evaluated for Alzheimer's disease
(AD) about the disorder, the nurse explains that
,A. The most important risk factor for AD is a family history of the disorder.
B. new drugs have been shown to reverse AD dramatically in some patients.
C. a diagnosis of AD can be made only when other causes of dementia have been ruled
out.
D. The presence of brain atrophy detected by MRI confirms the diagnosis of AD in
patients with dementia. - Correct Answers -C.
A patient with mild dementia has a new prescription for donepezil (Aricept). Which
nursing action will be most effective in ensuring compliance with the medication?
A. Having the patient's spouse administer the medication
B. Setting the medications up weekly in a medication box
C. Calling the patient daily with a reminder to take the medication
D. Posting reminders to take the medications in the patient's house - Correct Answers -
A.
Which intervention will the nurse include in the plan of care for a patient who has late-
stage Alzheimer's disease (AD)?
A. Encourage the patient to discuss events from the past.
B. Maintain a consistent daily routine for the patient's care.
C. Reorient the patient to the date and time every 2 to 3 hours.
D. Provide the patient with current newspapers and magazines. - Correct Answers -B.
When assessing a patient with Alzheimer's disease (AD) who is being admitted to a
long-term care facility, the nurse learns that the patient has had several episodes of
wandering away from home. Which nursing action will the nurse include in the plan of
care?
A. Place the patient in a room close to the nurses' station.
B. Ask the patient why the wandering episodes have occurred.
C. Have the family bring in familiar items from the patient's home.
D. Reorient the patient to the new living situation several times daily. - Correct Answers
-A.
During the morning change-of-shift report at the long-term care facility, the nurse learns
that the patient with dementia has had sundowning. Which nursing action should the
nurse take while caring for the patient?
A. Provide hourly orientation to time of day.
B. Move the patient to a quieter room at night.
C. Keep blinds open during the daytime hours.
D. Have the patient take a brief mid-morning nap. - Correct Answers -C.
Vascular dementia is associated with:
, A. transient ischemic attacks.
B. bacterial or viral infection of neuronal tissue.
C. cognitive changes secondary to cerebral ischemia.
D. abrupt changes in cognitive function that are irreversible. - Correct Answers -C.
Which age-related change in the gastrointestinal system is common among older
adults?
a) Increased stomach acid production
b) Enhanced peristalsis
c) Decreased gastric motility
d) Elevated digestive enzyme levels - Correct Answers -c.
What is a potential consequence of reduced saliva production in the elderly?
a) Improved taste sensation
b) Increased risk of dental caries
c) Enhanced swallowing reflex
d) Better absorption of nutrients - Correct Answers -b.
Which dietary modification is often recommended to manage constipation in geriatric
patients
a) High-fiber diet
b) Low-fluid intake
c) Low-residue diet
d) Excessive caffeine consumption - Correct Answers -a.
In geriatric patients, a nurse observes signs of malabsorption. What deficiency should
be considered first?
a) Vitamin C
b) Vitamin D
c) Vitamin B12
d) Vitamin A - Correct Answers -c.
What is a common gastrointestinal symptom in older adults taking multiple medications?
a) Hyperacidity
b) Diarrhea
c) Constipation
d) Increased appetite - Correct Answers -c.
What is the primary function of the liver in the geriatric population?
(FINALS) WITH CORRECT ANSWERS
When developing a plan of care for a hospitalized patient with moderate dementia,
which intervention will the nurse include?
A. Provide complete personal hygiene care for the patient.
B. Remind the patient frequently about being in the hospital.
C. Reposition the patient frequently to avoid skin breakdown.
D. Place suction at the bedside to decrease the risk for aspiration. - Correct Answers -B.
A 72-year-old patient is diagnosed with moderate dementia as a result of multiple
strokes. During the assessment of the patient, the nurse would expect to find
A. excessive nighttime sleepiness.
B. difficulty eating and swallowing.
C. variable ability to perform simple tasks.
D. loss of both recent and long-term memory. - Correct Answers -D.
When caring for a patient during the oliguric phase of acute kidney injury (AKI), which
nursing action is appropriate?
A. Weigh patients three times weekly.
B. Increase dietary sodium and potassium.
C. Provide a low-protein, high-carbohydrate diet.
D. Restrict fluids according to previous daily loss - Correct Answers -D.
A patient with acute kidney injury (AKI) has an arterial blood pH of 7.30. The nurse will
assess the patient for:
A. vasodilation.
B. poor skin turgor.
C. bounding pulses.
D. rapid respirations. - Correct Answers -D.
When teaching the children of a patient who is being evaluated for Alzheimer's disease
(AD) about the disorder, the nurse explains that
,A. The most important risk factor for AD is a family history of the disorder.
B. new drugs have been shown to reverse AD dramatically in some patients.
C. a diagnosis of AD can be made only when other causes of dementia have been ruled
out.
D. The presence of brain atrophy detected by MRI confirms the diagnosis of AD in
patients with dementia. - Correct Answers -C.
A patient with mild dementia has a new prescription for donepezil (Aricept). Which
nursing action will be most effective in ensuring compliance with the medication?
A. Having the patient's spouse administer the medication
B. Setting the medications up weekly in a medication box
C. Calling the patient daily with a reminder to take the medication
D. Posting reminders to take the medications in the patient's house - Correct Answers -
A.
Which intervention will the nurse include in the plan of care for a patient who has late-
stage Alzheimer's disease (AD)?
A. Encourage the patient to discuss events from the past.
B. Maintain a consistent daily routine for the patient's care.
C. Reorient the patient to the date and time every 2 to 3 hours.
D. Provide the patient with current newspapers and magazines. - Correct Answers -B.
When assessing a patient with Alzheimer's disease (AD) who is being admitted to a
long-term care facility, the nurse learns that the patient has had several episodes of
wandering away from home. Which nursing action will the nurse include in the plan of
care?
A. Place the patient in a room close to the nurses' station.
B. Ask the patient why the wandering episodes have occurred.
C. Have the family bring in familiar items from the patient's home.
D. Reorient the patient to the new living situation several times daily. - Correct Answers
-A.
During the morning change-of-shift report at the long-term care facility, the nurse learns
that the patient with dementia has had sundowning. Which nursing action should the
nurse take while caring for the patient?
A. Provide hourly orientation to time of day.
B. Move the patient to a quieter room at night.
C. Keep blinds open during the daytime hours.
D. Have the patient take a brief mid-morning nap. - Correct Answers -C.
Vascular dementia is associated with:
, A. transient ischemic attacks.
B. bacterial or viral infection of neuronal tissue.
C. cognitive changes secondary to cerebral ischemia.
D. abrupt changes in cognitive function that are irreversible. - Correct Answers -C.
Which age-related change in the gastrointestinal system is common among older
adults?
a) Increased stomach acid production
b) Enhanced peristalsis
c) Decreased gastric motility
d) Elevated digestive enzyme levels - Correct Answers -c.
What is a potential consequence of reduced saliva production in the elderly?
a) Improved taste sensation
b) Increased risk of dental caries
c) Enhanced swallowing reflex
d) Better absorption of nutrients - Correct Answers -b.
Which dietary modification is often recommended to manage constipation in geriatric
patients
a) High-fiber diet
b) Low-fluid intake
c) Low-residue diet
d) Excessive caffeine consumption - Correct Answers -a.
In geriatric patients, a nurse observes signs of malabsorption. What deficiency should
be considered first?
a) Vitamin C
b) Vitamin D
c) Vitamin B12
d) Vitamin A - Correct Answers -c.
What is a common gastrointestinal symptom in older adults taking multiple medications?
a) Hyperacidity
b) Diarrhea
c) Constipation
d) Increased appetite - Correct Answers -c.
What is the primary function of the liver in the geriatric population?
