Eliopoulos - Gerontological Nursing
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
Origin: Chapter 36- Acute Care, 1
Chapter: 36
Client Needs: A1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 484, Table 36-1
1. The husband of a 78-year-old postsurgical patient has
approached the nurse, upset that his wife has become incontinent
of urine during her hospital stay. The husband states that this is
without precedent and he is adamant that the matter be looked
into further. The nurse would recognize that which of the following
factors may have contributed to this course of events?
A) Age-related changes to genitourinary function
B) Sensory deprivation
C) Changes in diet since admission to the hospital
D) Sedative effects of medications -
correct answer ✅Ans: D
Feedback:
,Eliopoulos - Gerontological Nursing
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
Sedation can cause incontinence in the hospitalized elderly. The
sudden onset makes it unlikely that the wife's incontinence is a
result of age-related changes and a change in diet is unlikely to
cause incontinence. Sensory deprivation would be less likely to
result in incontinence.
Origin: Chapter 36- Acute Care, 2
Chapter: 36
Client Needs: A2
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 492, Box 36-2
2. Which of the following nursing practices commonly performed in
the geriatric medical unit of a hospital is most in need of
modification or correction?
A) Patients are regularly prompted to practice deep-breathing and
coughing exercises in order to mobilize secretions and prevent
atelectasis.
,Eliopoulos - Gerontological Nursing
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
B) Patients at risk for urinary incontinence are catheterized in order
to reduce the risk of urinary tract infections.
C) Reality orientation is provided to patients who exhibit cognitive
deficits.
D) The discharge planning process is begun immediately following
admission. -
correct answer ✅Ans: B
Feedback:
Urinary catheterization should be minimized and is not an
appropriate intervention for the prevention of urinary
incontinence. Promotion of deep breathing and coughing, reality
orientation, and early discharge planning can help minimize the
risks faced by older adults who are hospitalized.
Origin: Chapter 36- Acute Care, 3
Chapter: 36
Client Needs: A2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
, Eliopoulos - Gerontological Nursing
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
Objective: 1
Page and Header: 485, Special Risks for Older Adults
3. Elderly hospital patients need special care in some respects.
What is one thing a nurse can do to ensure that they leave the
hospital in good condition and can return to a normal life?
A) Keep the patients in bed as much as possible to help them rest.
B) Keep the room temperature between 65°F and 70°F.
C) Wash hands between patients and use other infection control
practices.
D) Use a urinary catheter on a patient who has stress incontinence.
-
correct answer ✅Ans: C
Feedback:
As soon as patients are able to get out of bed, they should do so.
This will help restore normal physiological functioning and make it
easier for them to resume their usual activities at home. Most
elderly patients are more comfortable when the temperature is
75°F than when it is 70°F. Urinary catheters should be avoided
unless absolutely necessary. Many patients acquire infections in the
hospital, and it is sometimes a result of staff carelessness about
hand washing or other sources of contagion.
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
Origin: Chapter 36- Acute Care, 1
Chapter: 36
Client Needs: A1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 484, Table 36-1
1. The husband of a 78-year-old postsurgical patient has
approached the nurse, upset that his wife has become incontinent
of urine during her hospital stay. The husband states that this is
without precedent and he is adamant that the matter be looked
into further. The nurse would recognize that which of the following
factors may have contributed to this course of events?
A) Age-related changes to genitourinary function
B) Sensory deprivation
C) Changes in diet since admission to the hospital
D) Sedative effects of medications -
correct answer ✅Ans: D
Feedback:
,Eliopoulos - Gerontological Nursing
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
Sedation can cause incontinence in the hospitalized elderly. The
sudden onset makes it unlikely that the wife's incontinence is a
result of age-related changes and a change in diet is unlikely to
cause incontinence. Sensory deprivation would be less likely to
result in incontinence.
Origin: Chapter 36- Acute Care, 2
Chapter: 36
Client Needs: A2
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing process
Objective: 1
Page and Header: 492, Box 36-2
2. Which of the following nursing practices commonly performed in
the geriatric medical unit of a hospital is most in need of
modification or correction?
A) Patients are regularly prompted to practice deep-breathing and
coughing exercises in order to mobilize secretions and prevent
atelectasis.
,Eliopoulos - Gerontological Nursing
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
B) Patients at risk for urinary incontinence are catheterized in order
to reduce the risk of urinary tract infections.
C) Reality orientation is provided to patients who exhibit cognitive
deficits.
D) The discharge planning process is begun immediately following
admission. -
correct answer ✅Ans: B
Feedback:
Urinary catheterization should be minimized and is not an
appropriate intervention for the prevention of urinary
incontinence. Promotion of deep breathing and coughing, reality
orientation, and early discharge planning can help minimize the
risks faced by older adults who are hospitalized.
Origin: Chapter 36- Acute Care, 3
Chapter: 36
Client Needs: A2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing process
, Eliopoulos - Gerontological Nursing
8th Ed - Acute Care Exam Actual
Questions and Answers 2026
Objective: 1
Page and Header: 485, Special Risks for Older Adults
3. Elderly hospital patients need special care in some respects.
What is one thing a nurse can do to ensure that they leave the
hospital in good condition and can return to a normal life?
A) Keep the patients in bed as much as possible to help them rest.
B) Keep the room temperature between 65°F and 70°F.
C) Wash hands between patients and use other infection control
practices.
D) Use a urinary catheter on a patient who has stress incontinence.
-
correct answer ✅Ans: C
Feedback:
As soon as patients are able to get out of bed, they should do so.
This will help restore normal physiological functioning and make it
easier for them to resume their usual activities at home. Most
elderly patients are more comfortable when the temperature is
75°F than when it is 70°F. Urinary catheters should be avoided
unless absolutely necessary. Many patients acquire infections in the
hospital, and it is sometimes a result of staff carelessness about
hand washing or other sources of contagion.
