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PRN1600 – GERIATRIC NURSING
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MIDTERM
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PRN1600 – GERIATRIC NURSING
MIDTERMEXAM QUESTIONS AND
CORRECT ANSWERS PLUS
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EXPLANATION S 2025|2026 Q&A |
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2/3/2026
JIMSE
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, PRN1600 – GERIATRIC NURSING MIDTERM
EXAM QUESTIONS AND CORRECT ANSWERS PLUS
EXPLANATION S 2025|2026 Q&A |
1. Which age-related change most commonly affects drug metabolism in older adults?
A. Increased renal blood flow
B. Increased hepatic mass
C. B. Decreased hepatic enzyme activity
D. Increased total body water
Explanation ; Hepatic enzyme activity (phase I) commonly decreases with age, reducing metabolism of
many drugs and increasing drug half-life.
2. The most appropriate screening tool to assess cognition at the bedside in older adults is;
A. Katz Index of ADLs
B. Geriatric Depression Scale
C. C. Mini-Mental State Examination (MMSE)
D. Braden Scale
Explanation ; The MMSE is a commonly used brief cognitive screening tool; Katz assesses ADLs,
GDS screens for depression, and Braden assesses pressure ulcer risk.
3. Which sign most strongly suggests delirium rather than dementia?
A. Progressive memory loss over months
B. B. Acute onset with fluctuating attention
C. Slowly worsening language impairment
D. Long-standing personality change
Explanation ; Delirium has an acute onset and fluctuating course with inattention, whereas
dementia is chronic and progressive.
1
, 4. A 78-year-old has orthostatic hypotension. The best immediate nursing action when he feels
dizzy upon standing is to;
A. Encourage him to walk slowly
B. Give him a glass of juice
C. C. Assist him to sit or lie down and take vitals
D. Tell him to shimmy his legs
Explanation ; Assist to a safe position and assess vitals to prevent falls and identify hypotension;
fluids may help later but immediate safety is priority.
5. Which intervention most effectively reduces risk of pressure ulcers?
A. Using lotion once daily
B. Turning and repositioning every 2 hours
C. Applying dressings prophylactically
D. Using a high-protein supplement only
Explanation ; Regular repositioning and pressure relief are primary preventive measures for pressure
ulcers.
Answer; B
Explanation ; Repositioning every 2 hours reduces prolonged pressure on bony prominences, key for
prevention.
6. Polypharmacy is best defined as;
A. Taking three or more vitamins
B. B. Use of multiple medications, often unnecessary or risky
C. Prescribing the same drug by two physicians
D. Use of alternative medicine with prescriptions
Explanation ; Polypharmacy commonly refers to use of multiple drugs, increasing risk of
interactions and adverse effects.
7. The most common cause of unintentional weight loss in older adults is;
A. Cancer only
B. B. Multifactorial — including medications, depression, dental and social issues
C. Purely hyperthyroidism
D. Excessive exercise
Explanation ; Weight loss often has multiple contributing factors in older adults rather than a
single cause.
2
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PRN1600 – GERIATRIC NURSING
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MIDTERM
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PRN1600 – GERIATRIC NURSING
MIDTERMEXAM QUESTIONS AND
CORRECT ANSWERS PLUS
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EXPLANATION S 2025|2026 Q&A |
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2/3/2026
JIMSE
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, PRN1600 – GERIATRIC NURSING MIDTERM
EXAM QUESTIONS AND CORRECT ANSWERS PLUS
EXPLANATION S 2025|2026 Q&A |
1. Which age-related change most commonly affects drug metabolism in older adults?
A. Increased renal blood flow
B. Increased hepatic mass
C. B. Decreased hepatic enzyme activity
D. Increased total body water
Explanation ; Hepatic enzyme activity (phase I) commonly decreases with age, reducing metabolism of
many drugs and increasing drug half-life.
2. The most appropriate screening tool to assess cognition at the bedside in older adults is;
A. Katz Index of ADLs
B. Geriatric Depression Scale
C. C. Mini-Mental State Examination (MMSE)
D. Braden Scale
Explanation ; The MMSE is a commonly used brief cognitive screening tool; Katz assesses ADLs,
GDS screens for depression, and Braden assesses pressure ulcer risk.
3. Which sign most strongly suggests delirium rather than dementia?
A. Progressive memory loss over months
B. B. Acute onset with fluctuating attention
C. Slowly worsening language impairment
D. Long-standing personality change
Explanation ; Delirium has an acute onset and fluctuating course with inattention, whereas
dementia is chronic and progressive.
1
, 4. A 78-year-old has orthostatic hypotension. The best immediate nursing action when he feels
dizzy upon standing is to;
A. Encourage him to walk slowly
B. Give him a glass of juice
C. C. Assist him to sit or lie down and take vitals
D. Tell him to shimmy his legs
Explanation ; Assist to a safe position and assess vitals to prevent falls and identify hypotension;
fluids may help later but immediate safety is priority.
5. Which intervention most effectively reduces risk of pressure ulcers?
A. Using lotion once daily
B. Turning and repositioning every 2 hours
C. Applying dressings prophylactically
D. Using a high-protein supplement only
Explanation ; Regular repositioning and pressure relief are primary preventive measures for pressure
ulcers.
Answer; B
Explanation ; Repositioning every 2 hours reduces prolonged pressure on bony prominences, key for
prevention.
6. Polypharmacy is best defined as;
A. Taking three or more vitamins
B. B. Use of multiple medications, often unnecessary or risky
C. Prescribing the same drug by two physicians
D. Use of alternative medicine with prescriptions
Explanation ; Polypharmacy commonly refers to use of multiple drugs, increasing risk of
interactions and adverse effects.
7. The most common cause of unintentional weight loss in older adults is;
A. Cancer only
B. B. Multifactorial — including medications, depression, dental and social issues
C. Purely hyperthyroidism
D. Excessive exercise
Explanation ; Weight loss often has multiple contributing factors in older adults rather than a
single cause.
2
