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NUR 163 Final Exam 2026/2027 Hondros Practical
Nursing Care of Elderly Patients Actual Exam Questions
Verified Answers Detailed Rationales Grade A
1. A postmenopausal female patient reports sudden onset of vaginal bleeding. What is
the nurse's priority action?
A. Reassure the patient that this is normal
B. Document the finding and continue assessment
C. Report it to the healthcare provider immediately
D. Schedule a routine follow-up appointment
Correct Answer: C. Report it to the healthcare provider immediately
Rationale: Postmenopausal bleeding is never normal and requires immediate evaluation
to rule out serious conditions such as endometrial cancer.
2. A patient asks what increases the risk for uterine prolapse. Which factors should the
nurse include? Select all that apply.
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A. Multiple vaginal births
B. Weakening of uterine muscular tissues
C. Regular exercise
D. Young age
Correct Answer: A, B
Rationale: Uterine prolapse is most likely after multiple vaginal births or when anything
weakens the muscular tissues of the uterus. Treatment may include hysterectomy or
surgical sling.
3. A male patient reports decreased urine stream, painful urination, nocturia, and
frequent urination. The nurse suspects:
A. Urinary tract infection
B. Enlarged prostate (BPH)
C. Kidney stones
D. Bladder cancer
Correct Answer: B. Enlarged prostate (BPH)
Rationale: Signs of an enlarged prostate include decreased urine stream, painful
urination, nocturia, and frequent urination. These symptoms warrant further evaluation.
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4. A nurse observes scattered bruises on the forearms of an older adult patient. What
is the most likely explanation?
A. Physical abuse
B. Senile purpura (normal age-related capillary fragility)
C. Coagulation disorder
D. Medication side effect
Correct Answer: B. Senile purpura (normal age-related capillary fragility)
Rationale: As we age, capillaries become more fragile, leading to easy bruising,
especially on the forearms. This is called senile purpura and is a normal age-related
change.
5. A common circulation-decreasing disease process in older males that can cause
erectile dysfunction is:
A. Hypertension
B. Diabetes
C. Hyperthyroidism
D. Anemia
Correct Answer: B. Diabetes
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Rationale: Diabetes is a common circulation-decreasing disease process in older males
that can cause erectile dysfunction due to vascular and neurological complications.
6. A nurse in a long-term care facility walks into a room where an older married couple
is having sexual relations. What is the most appropriate nursing action?
A. Immediately ask them to stop
B. Close the door, provide privacy, and place a "Do Not Disturb" sign
C. Report the incident to the charge nurse
D. Document the behavior as inappropriate
Correct Answer: B. Close the door, provide privacy, and place a "Do Not Disturb"
sign
Rationale: Sexuality continues throughout the lifespan. The nurse should respect the
couple's privacy and dignity by providing a private environment.
7. Are older adults at higher risk for sexually transmitted infections (STIs) compared to
younger adults?
A. No, older adults are not sexually active
B. Yes, due to weakened immune systems
NUR 163 Final Exam 2026/2027 Hondros Practical
Nursing Care of Elderly Patients Actual Exam Questions
Verified Answers Detailed Rationales Grade A
1. A postmenopausal female patient reports sudden onset of vaginal bleeding. What is
the nurse's priority action?
A. Reassure the patient that this is normal
B. Document the finding and continue assessment
C. Report it to the healthcare provider immediately
D. Schedule a routine follow-up appointment
Correct Answer: C. Report it to the healthcare provider immediately
Rationale: Postmenopausal bleeding is never normal and requires immediate evaluation
to rule out serious conditions such as endometrial cancer.
2. A patient asks what increases the risk for uterine prolapse. Which factors should the
nurse include? Select all that apply.
,2|Page
A. Multiple vaginal births
B. Weakening of uterine muscular tissues
C. Regular exercise
D. Young age
Correct Answer: A, B
Rationale: Uterine prolapse is most likely after multiple vaginal births or when anything
weakens the muscular tissues of the uterus. Treatment may include hysterectomy or
surgical sling.
3. A male patient reports decreased urine stream, painful urination, nocturia, and
frequent urination. The nurse suspects:
A. Urinary tract infection
B. Enlarged prostate (BPH)
C. Kidney stones
D. Bladder cancer
Correct Answer: B. Enlarged prostate (BPH)
Rationale: Signs of an enlarged prostate include decreased urine stream, painful
urination, nocturia, and frequent urination. These symptoms warrant further evaluation.
,3|Page
4. A nurse observes scattered bruises on the forearms of an older adult patient. What
is the most likely explanation?
A. Physical abuse
B. Senile purpura (normal age-related capillary fragility)
C. Coagulation disorder
D. Medication side effect
Correct Answer: B. Senile purpura (normal age-related capillary fragility)
Rationale: As we age, capillaries become more fragile, leading to easy bruising,
especially on the forearms. This is called senile purpura and is a normal age-related
change.
5. A common circulation-decreasing disease process in older males that can cause
erectile dysfunction is:
A. Hypertension
B. Diabetes
C. Hyperthyroidism
D. Anemia
Correct Answer: B. Diabetes
, 4|Page
Rationale: Diabetes is a common circulation-decreasing disease process in older males
that can cause erectile dysfunction due to vascular and neurological complications.
6. A nurse in a long-term care facility walks into a room where an older married couple
is having sexual relations. What is the most appropriate nursing action?
A. Immediately ask them to stop
B. Close the door, provide privacy, and place a "Do Not Disturb" sign
C. Report the incident to the charge nurse
D. Document the behavior as inappropriate
Correct Answer: B. Close the door, provide privacy, and place a "Do Not Disturb"
sign
Rationale: Sexuality continues throughout the lifespan. The nurse should respect the
couple's privacy and dignity by providing a private environment.
7. Are older adults at higher risk for sexually transmitted infections (STIs) compared to
younger adults?
A. No, older adults are not sexually active
B. Yes, due to weakened immune systems
