PRN1600 – GERIATRIC NURSING MIDTERM EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2025|2026 Q&A | INSTANT DOWNLOAD PDF

PRN1600 – GERIATRIC NURSING MIDTERM EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025|2026 Q&A |
INSTANT DOWNLOAD PDF




PRN1600 – Geriatric Nursing Midterm Exam
Most Tested | Most Difficult | Long-Form Questions


1.
An 82-year-old female with osteoarthritis, hypertension, and chronic kidney
disease (stage 3) is prescribed ibuprofen for pain management. Which nursing
action is most appropriate?
A. Administer the medication as ordered
B. Monitor for gastrointestinal bleeding only
C. Notify the provider of potential renal complications
D. Encourage increased fluid intake and give medication
Correct Answer: C
Rationale: NSAIDs reduce renal prostaglandins and can worsen renal function in
older adults, especially with CKD. Provider notification is required.


2.

,A hospitalized 79-year-old male suddenly becomes confused, restless, and
disoriented overnight. His baseline mental status was alert and oriented. What is
the priority nursing action?
A. Apply physical restraints
B. Reorient the patient frequently
C. Assess for possible underlying causes
D. Administer a sedative
Correct Answer: C
Rationale: Acute confusion suggests delirium, which is often caused by infection,
hypoxia, medications, or metabolic disturbances and must be assessed
immediately.


3.
An 85-year-old resident in a long-term care facility has dysphagia after a stroke.
Which intervention best reduces the risk of aspiration?
A. Encourage fluid intake with meals
B. Position the patient supine after eating
C. Use thickened liquids
D. Feed the patient quickly to prevent fatigue
Correct Answer: C
Rationale: Thickened liquids move more slowly and are easier to control, reducing
aspiration risk.


4.
A nurse is reviewing medications for a 78-year-old patient. Which medication
should raise the greatest concern?
A. Acetaminophen
B. Diphenhydramine
C. Calcium carbonate
D. Levothyroxine

,Correct Answer: B
Rationale: Diphenhydramine has strong anticholinergic effects, increasing risk for
confusion, falls, urinary retention, and delirium in older adults.


5.
An older adult reports dizziness upon standing. Blood pressure drops from 130/80
supine to 100/60 standing. Which condition does this indicate?
A. Hypertension
B. Dehydration only
C. Orthostatic hypotension
D. Heart failure
Correct Answer: C
Rationale: A significant drop in BP upon standing indicates orthostatic
hypotension, common in older adults and a major fall risk.


6.
A 90-year-old patient with dementia becomes agitated every evening. This
behavior is best described as:
A. Delirium
B. Sundowning
C. Depression
D. Psychosis
Correct Answer: B
Rationale: Sundowning refers to increased confusion and agitation in the late
afternoon or evening in dementia patients.


7.
Which assessment finding most strongly suggests elder abuse?

, A. Weight loss
B. Poor hygiene
C. Multiple bruises in various stages of healing
D. Confusion
Correct Answer: C
Rationale: Bruises at different healing stages, especially in unusual locations,
strongly suggest physical abuse.


8.
A nurse caring for an older adult with constipation should first implement which
intervention?
A. Administer stimulant laxatives
B. Increase dietary fiber and fluids
C. Perform digital rectal stimulation
D. Administer an enema
Correct Answer: B
Rationale: Non-pharmacologic measures are first-line in managing constipation in
older adults.


9.
Which change is considered a normal age-related cardiovascular finding?
A. Decreased cardiac output
B. Increased resting heart rate
C. Increased systolic blood pressure
D. Severe arrhythmias
Correct Answer: C
Rationale: Arterial stiffness with aging leads to increased systolic BP.


10.