NUR257 Chronic Aging Exam 3 2026/2027 Questions and Correct
Answers with Rationale | Newest Update | Galen College of Nursing
1. Which assessment tool is most appropriate for identifying potentially
inappropriate medications in older adults?
A. Braden Scale
B. Morse Fall Scale
C. Beers Criteria
D. Mini-Mental State Exam
Answer: C
Expert Rationale: The Beers Criteria is a list of medications that should generally be
avoided or used with caution in older adults due to high risk of adverse effects.
2. An 80-year-old patient presents with sudden onset confusion, agitation, and
fluctuating levels of consciousness. Which condition is suspected?
A. Alzheimer’s Disease
B. Delirium
C. Clinical Depression
D. Vascular Dementia
Answer: B
Expert Rationale: Delirium is characterized by an acute onset and fluctuating course,
whereas dementia is gradual and progressive.
,3. What is the most reliable objective indicator of fluid volume status changes in
a patient with Congestive Heart Failure?
A. Skin turgor
B. Daily weights
C. Serum sodium levels
D. Peripheral edema
Answer: B
Expert Rationale: Daily weights taken at the same time each day are the most sensitive
indicator of fluid gain or loss.
4. A patient with COPD is instructed on pursed-lip breathing. What is the
primary purpose of this technique?
A. To prevent airway collapse and promote CO2 excretion
B. To increase respiratory rate
C. To strengthen the diaphragm
D. To increase oxygen absorption in the upper airways
Answer: A
Expert Rationale: Pursed-lip breathing creates positive pressure in the airways,
preventing collapse and allowing for more effective exhalation of trapped air.
, 5. In the ‘SPICES’ geriatric assessment tool, what does the ‘S’ stand for in the
context of common problems?
A. Skin Integrity
B. Safety Awareness
C. Social Support
D. Sleep Disorders
Answer: D
Expert Rationale: SPICES stands for Sleep disorders, Problems with eating, Incontinence,
Confusion, Evidence of falls, and Skin breakdown.
6. Which type of urinary incontinence is characterized by a sudden, intense urge
to void followed by involuntary leakage?
A. Urge incontinence
B. Overflow incontinence
C. Stress incontinence
D. Functional incontinence
Answer: A
Expert Rationale: Urge incontinence, often associated with an overactive bladder, involves
a strong desire to urinate that cannot be suppressed.
Answers with Rationale | Newest Update | Galen College of Nursing
1. Which assessment tool is most appropriate for identifying potentially
inappropriate medications in older adults?
A. Braden Scale
B. Morse Fall Scale
C. Beers Criteria
D. Mini-Mental State Exam
Answer: C
Expert Rationale: The Beers Criteria is a list of medications that should generally be
avoided or used with caution in older adults due to high risk of adverse effects.
2. An 80-year-old patient presents with sudden onset confusion, agitation, and
fluctuating levels of consciousness. Which condition is suspected?
A. Alzheimer’s Disease
B. Delirium
C. Clinical Depression
D. Vascular Dementia
Answer: B
Expert Rationale: Delirium is characterized by an acute onset and fluctuating course,
whereas dementia is gradual and progressive.
,3. What is the most reliable objective indicator of fluid volume status changes in
a patient with Congestive Heart Failure?
A. Skin turgor
B. Daily weights
C. Serum sodium levels
D. Peripheral edema
Answer: B
Expert Rationale: Daily weights taken at the same time each day are the most sensitive
indicator of fluid gain or loss.
4. A patient with COPD is instructed on pursed-lip breathing. What is the
primary purpose of this technique?
A. To prevent airway collapse and promote CO2 excretion
B. To increase respiratory rate
C. To strengthen the diaphragm
D. To increase oxygen absorption in the upper airways
Answer: A
Expert Rationale: Pursed-lip breathing creates positive pressure in the airways,
preventing collapse and allowing for more effective exhalation of trapped air.
, 5. In the ‘SPICES’ geriatric assessment tool, what does the ‘S’ stand for in the
context of common problems?
A. Skin Integrity
B. Safety Awareness
C. Social Support
D. Sleep Disorders
Answer: D
Expert Rationale: SPICES stands for Sleep disorders, Problems with eating, Incontinence,
Confusion, Evidence of falls, and Skin breakdown.
6. Which type of urinary incontinence is characterized by a sudden, intense urge
to void followed by involuntary leakage?
A. Urge incontinence
B. Overflow incontinence
C. Stress incontinence
D. Functional incontinence
Answer: A
Expert Rationale: Urge incontinence, often associated with an overactive bladder, involves
a strong desire to urinate that cannot be suppressed.
