GERONTOLOGY EXAM QUESTIONS
AND ANSWERS ALL CORRECT
A nurse is discussing medication administration for an older adult client with a newly
licensed nurse. Due to physiological changes of aging, older adult clients may need
dosage adjustments because of an increase in which of the following parameters?
A. Total body water
B. Body fat
C. Splanchnic blood flow
D. Gastric emptying - Answer-B. Body fat
A nurse is planning to administer diphenhydramine hydrochloride to an older adult
client. Which of the following actions should the nurse plan to take prior to
administration?
A. Review the medical record for a history of glaucoma
B. Plan to administer the medication 30 min prior to a meal
C. Explain that the client will need to restrict his fluid intake once he takes the
medication
D. Remind the client that his appetite might increase when starting the medication -
Answer-A. Review the medical record for a history of glaucoma
A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. Which of the following actions should the nurse perform first?
A. Clarify the client's list of medications with the pharmacist
B. Compare the current list against the new medication prescriptions
C. Investigate any discrepancies on the list
D. Ask the client about any over-the-counter medications she is taking - Answer-D. Ask
the client about any over-the-counter medications she is taking
A nurse in a long-term care facility is promoting reminiscence among older adult clients.
Which of the following actions should the nurse take?
A. Establish a weekly pet therapy visitation program
B. Place a calendar and a clock in each resident's room
C. Institute a daily storytelling hour
D. Encourage all clients to eat their meals in the dining room - Answer-C. Institute a
daily storytelling hour
,A nurse is teaching the son of an older female client how to care for his mother, who is
home-bound. Which of the following signs of possible acute illness should the nurse
instruct the family member to report to the care provider?
A. Difficulty staying asleep each night
B. Increased social isolation
C. Abrupt decrease in the ability to perform ADLs
D. Urinary urgency - Answer-C. Abrupt decrease in the ability to perform ADLs
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an
older adult client who has dementia with periods of confusion. Which of the following
statements should indicate that the AP requires further teaching?
A. "We will be serving breakfast in 10 min. I will stay here while you get ready."
B. "It's Monday morning. I know that your favorite television shows are on this evening."
C. "I see that you have a new photo on the wall. Can you tell me who that girl is?"
D. "It's almost time for your appointment. Let me do your hair for you and brush your
teeth." - Answer-D. "It's almost time for your appointment. Let me do your hair for you
and brush your teeth."
A nurse is planning care for an older adult client following abdominal surgery for a bowel
obstruction. Which of the following pieces of information about pain management should
the nurse consider when planning care?
A. Older adult clients have a diminished ability to perceive pain
B. Older adult clients should not take narcotics for pain control
C. Older adult clients have increase pain as a normal part of aging
D. Older adult clients are sensitive to the analgesic effect of opiates - Answer-D. Older
adult clients are sensitive to the analgesic effect of opiates
A nurse is caring for an older client who has gout and refuses to eat. The client's
provider authorized the client's family to bring food from home. Which of the following
foods should the nurse recommend that the client avoid?
A. Lentil Soup
B. Cheese sandwich
C. Yogurt
D. Raisins - Answer-A. Lentil Soup
A nurse is caring for an older client who has a new onset of type 2 diabetes mellitus.
Which of the following psychological changes can contribute to the development of type
2 diabetes?
A. Increased production of insulin by the pancreas
B. Decreased sensitivity to the circulating insulin
, C. Increased rate of glucose metabolism
D. Decreased release of glycogen by the liver - Answer-B. Decreased sensitivity to the
circulating insulin
A nurse at a long-term care facility notes that a client with dementia is having problems
with orientation. Which of the following actions should the nurse take to improve the
client's level of orientation?
A. Encourage the client to make choices about meals and activities
B. Use written signs to label specific rooms
C. Post a large calendar on the bulletin board
D. Place an electronic wander alert bracelet on the clients wrist - Answer-C. Post a
large calendar on the bulletin board
A nurse is administering intermittent IV antibiotic therapy for a client who has
Alzheimer's disease. The client repeatedly attempts to remove the IV access line during
the medication administration. Which of the following actions should the nurse take?
A. Assign an assistive personnel to remain with the client during the medication
administration
B. Call the provider and request a prescription for an oral antibiotic
C. Give the client a PRN sedative 30min before the IV medication is scheduled
D. Place bilateral wrist restraints on the client during the antibiotic infusion - Answer-A.
Assign an assistive personnel to remain with the client during the medication
administration
A community health nurse is visiting the home of an older adult client and her caregiver.
The client has excoriations to her wrists and ankles. Which of the following actions
should the nurse take first?
A. Refer the caregiver to a support group
B. Interview the client in private
C. Document the client's wounds
D. Contact adult protective services - Answer-B. Interview the client in private
A nurse is teaching a newly hired assistive personnel about helping older adult clients
with activities of daily living (ADLs). Which of the following is the most common factor
that affects a client's performance of ADLs?
A. Social withdrawal
B. Chronic physical disability
C. Emotional impairment
D. Cognitive dysfunction - Answer-B. Chronic physical disability
AND ANSWERS ALL CORRECT
A nurse is discussing medication administration for an older adult client with a newly
licensed nurse. Due to physiological changes of aging, older adult clients may need
dosage adjustments because of an increase in which of the following parameters?
A. Total body water
B. Body fat
C. Splanchnic blood flow
D. Gastric emptying - Answer-B. Body fat
A nurse is planning to administer diphenhydramine hydrochloride to an older adult
client. Which of the following actions should the nurse plan to take prior to
administration?
A. Review the medical record for a history of glaucoma
B. Plan to administer the medication 30 min prior to a meal
C. Explain that the client will need to restrict his fluid intake once he takes the
medication
D. Remind the client that his appetite might increase when starting the medication -
Answer-A. Review the medical record for a history of glaucoma
A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. Which of the following actions should the nurse perform first?
A. Clarify the client's list of medications with the pharmacist
B. Compare the current list against the new medication prescriptions
C. Investigate any discrepancies on the list
D. Ask the client about any over-the-counter medications she is taking - Answer-D. Ask
the client about any over-the-counter medications she is taking
A nurse in a long-term care facility is promoting reminiscence among older adult clients.
Which of the following actions should the nurse take?
A. Establish a weekly pet therapy visitation program
B. Place a calendar and a clock in each resident's room
C. Institute a daily storytelling hour
D. Encourage all clients to eat their meals in the dining room - Answer-C. Institute a
daily storytelling hour
,A nurse is teaching the son of an older female client how to care for his mother, who is
home-bound. Which of the following signs of possible acute illness should the nurse
instruct the family member to report to the care provider?
A. Difficulty staying asleep each night
B. Increased social isolation
C. Abrupt decrease in the ability to perform ADLs
D. Urinary urgency - Answer-C. Abrupt decrease in the ability to perform ADLs
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an
older adult client who has dementia with periods of confusion. Which of the following
statements should indicate that the AP requires further teaching?
A. "We will be serving breakfast in 10 min. I will stay here while you get ready."
B. "It's Monday morning. I know that your favorite television shows are on this evening."
C. "I see that you have a new photo on the wall. Can you tell me who that girl is?"
D. "It's almost time for your appointment. Let me do your hair for you and brush your
teeth." - Answer-D. "It's almost time for your appointment. Let me do your hair for you
and brush your teeth."
A nurse is planning care for an older adult client following abdominal surgery for a bowel
obstruction. Which of the following pieces of information about pain management should
the nurse consider when planning care?
A. Older adult clients have a diminished ability to perceive pain
B. Older adult clients should not take narcotics for pain control
C. Older adult clients have increase pain as a normal part of aging
D. Older adult clients are sensitive to the analgesic effect of opiates - Answer-D. Older
adult clients are sensitive to the analgesic effect of opiates
A nurse is caring for an older client who has gout and refuses to eat. The client's
provider authorized the client's family to bring food from home. Which of the following
foods should the nurse recommend that the client avoid?
A. Lentil Soup
B. Cheese sandwich
C. Yogurt
D. Raisins - Answer-A. Lentil Soup
A nurse is caring for an older client who has a new onset of type 2 diabetes mellitus.
Which of the following psychological changes can contribute to the development of type
2 diabetes?
A. Increased production of insulin by the pancreas
B. Decreased sensitivity to the circulating insulin
, C. Increased rate of glucose metabolism
D. Decreased release of glycogen by the liver - Answer-B. Decreased sensitivity to the
circulating insulin
A nurse at a long-term care facility notes that a client with dementia is having problems
with orientation. Which of the following actions should the nurse take to improve the
client's level of orientation?
A. Encourage the client to make choices about meals and activities
B. Use written signs to label specific rooms
C. Post a large calendar on the bulletin board
D. Place an electronic wander alert bracelet on the clients wrist - Answer-C. Post a
large calendar on the bulletin board
A nurse is administering intermittent IV antibiotic therapy for a client who has
Alzheimer's disease. The client repeatedly attempts to remove the IV access line during
the medication administration. Which of the following actions should the nurse take?
A. Assign an assistive personnel to remain with the client during the medication
administration
B. Call the provider and request a prescription for an oral antibiotic
C. Give the client a PRN sedative 30min before the IV medication is scheduled
D. Place bilateral wrist restraints on the client during the antibiotic infusion - Answer-A.
Assign an assistive personnel to remain with the client during the medication
administration
A community health nurse is visiting the home of an older adult client and her caregiver.
The client has excoriations to her wrists and ankles. Which of the following actions
should the nurse take first?
A. Refer the caregiver to a support group
B. Interview the client in private
C. Document the client's wounds
D. Contact adult protective services - Answer-B. Interview the client in private
A nurse is teaching a newly hired assistive personnel about helping older adult clients
with activities of daily living (ADLs). Which of the following is the most common factor
that affects a client's performance of ADLs?
A. Social withdrawal
B. Chronic physical disability
C. Emotional impairment
D. Cognitive dysfunction - Answer-B. Chronic physical disability
