GERONTOLOGIC NURSING COMPREHENSIVE
EXAM SCRIPT 2026 FULL SOLUTION SET
◉ The nurse who volunteers at a senior citizens' center is planning
activities for the members. What activity would best promote health
and maintenance? Answer: Walking 3-5 times per week for 30
minutes. Exercise and activity are essential for health promotion and
maintenance.
◉ The home health nurse is visiting a client for the first time. While
assessing the client's medication, it is noted that there are 19
prescription and several over the counter medications that the client
is taking. What intervention should the nurse take first? Answer:
Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
◉ The nurse is working with older clients in a long term care facility.
Which activities performed by the nurse fosters reminiscence
among these clients? Answer: Having storytelling hours- clients who
like to retell stories or past events need to be provided time to do so.
It is a way for the older adult to relive and restructure life
experiences and is a part of achieving ego identity.
,◉ The home care nurse is performing an environmental assessment
in the home of an older adult. Which of the following requires
immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled
medication cassette? Answer: Unsecured scattered rugs- trauma to
the older client in the home may be caused by a variety of factors.
These include unsteady gait, the presence of unsecured scatter rugs,
clattered passageways, and inoperable smoke detectors.
◉ The nurse is teaching an older client about measures to prevent
constipation. What statement made by the client indicates further
teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday" Answer: "I need to decrease
fiber in my diet" -Adequate dietary fiber is an important factor in
aiding bowel function. Dietary fiber increases fecal weight and water
content and accelerates the transit of fecal mass through the GI tract.
◉ Define Ageism. Answer: Ageism is a form of prejudice in which
older adults are stereotyped by characteristics found in only a few
members of their group. Fundamental to ageism is the view that
older persons are different from "me" and will remain different from
,"me." Therefore, they are portrayed as not experiencing the same
desires, needs, and concerns.
◉ The nurse is providing medication instructions to an older client
who is taking digoxin (Lanoxin) daily. What age related body
changes could place the client at risk for digoxin toxicity? Answer:
Decreased lean body mass and decreased glomerular filtration rate.
◉ The nurse employed in a long term care facility is caring for an
older male client. What nursing action contributes to encouraging
autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities Answer: Client choosing
own activities. Autonomy is the personal freedom to direct one's
own life as long as it does not impinge on the rights of others. An
autonomous person is capable of rational thought.
◉ The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
, -Visiting her husband's grave Answer: Neglecting personal
grooming. Coping mechanisms are behaviors used to decrease
anxiety and stress. In response to death, ineffective coping is
manifested by an extreme behavior that in some cases may be
harmful to the individual.
◉ The nurse is providing instructions to a nursing assistant
regarding care of an older client with hearing loss. The nurse tells
the assistant that clients with a hear loss: Answer: Respond to low
pitched tones. Prebycusis refers to the age related irreversible
degenerative changes of the inner eat that lead to decreased hearing
ability. As a result of these changes, the older client has a decreased
response to high frequency sounds. Low pitched voice tones are
heard more easily and can be interpreted by the older client.
◉ The nurse is providing an educational session to new employees,
and the topic is abuse of the older adult. The nurse helps the
employees identify that which client is most typical of a victim of
abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
-70 y.o woman with early dx Lyme dz Answer: 90 y.o woman with
advanced Parkinson's dz. Elder abuse is widespread and occurs
among all subgroups of the population. Elder abuse includes
EXAM SCRIPT 2026 FULL SOLUTION SET
◉ The nurse who volunteers at a senior citizens' center is planning
activities for the members. What activity would best promote health
and maintenance? Answer: Walking 3-5 times per week for 30
minutes. Exercise and activity are essential for health promotion and
maintenance.
◉ The home health nurse is visiting a client for the first time. While
assessing the client's medication, it is noted that there are 19
prescription and several over the counter medications that the client
is taking. What intervention should the nurse take first? Answer:
Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
◉ The nurse is working with older clients in a long term care facility.
Which activities performed by the nurse fosters reminiscence
among these clients? Answer: Having storytelling hours- clients who
like to retell stories or past events need to be provided time to do so.
It is a way for the older adult to relive and restructure life
experiences and is a part of achieving ego identity.
,◉ The home care nurse is performing an environmental assessment
in the home of an older adult. Which of the following requires
immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled
medication cassette? Answer: Unsecured scattered rugs- trauma to
the older client in the home may be caused by a variety of factors.
These include unsteady gait, the presence of unsecured scatter rugs,
clattered passageways, and inoperable smoke detectors.
◉ The nurse is teaching an older client about measures to prevent
constipation. What statement made by the client indicates further
teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday" Answer: "I need to decrease
fiber in my diet" -Adequate dietary fiber is an important factor in
aiding bowel function. Dietary fiber increases fecal weight and water
content and accelerates the transit of fecal mass through the GI tract.
◉ Define Ageism. Answer: Ageism is a form of prejudice in which
older adults are stereotyped by characteristics found in only a few
members of their group. Fundamental to ageism is the view that
older persons are different from "me" and will remain different from
,"me." Therefore, they are portrayed as not experiencing the same
desires, needs, and concerns.
◉ The nurse is providing medication instructions to an older client
who is taking digoxin (Lanoxin) daily. What age related body
changes could place the client at risk for digoxin toxicity? Answer:
Decreased lean body mass and decreased glomerular filtration rate.
◉ The nurse employed in a long term care facility is caring for an
older male client. What nursing action contributes to encouraging
autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities Answer: Client choosing
own activities. Autonomy is the personal freedom to direct one's
own life as long as it does not impinge on the rights of others. An
autonomous person is capable of rational thought.
◉ The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
, -Visiting her husband's grave Answer: Neglecting personal
grooming. Coping mechanisms are behaviors used to decrease
anxiety and stress. In response to death, ineffective coping is
manifested by an extreme behavior that in some cases may be
harmful to the individual.
◉ The nurse is providing instructions to a nursing assistant
regarding care of an older client with hearing loss. The nurse tells
the assistant that clients with a hear loss: Answer: Respond to low
pitched tones. Prebycusis refers to the age related irreversible
degenerative changes of the inner eat that lead to decreased hearing
ability. As a result of these changes, the older client has a decreased
response to high frequency sounds. Low pitched voice tones are
heard more easily and can be interpreted by the older client.
◉ The nurse is providing an educational session to new employees,
and the topic is abuse of the older adult. The nurse helps the
employees identify that which client is most typical of a victim of
abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
-70 y.o woman with early dx Lyme dz Answer: 90 y.o woman with
advanced Parkinson's dz. Elder abuse is widespread and occurs
among all subgroups of the population. Elder abuse includes
