GERONTOLOGICAL NURSING ELIOPOULOS
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ The health care provider has changed a client's prescription from
the PO to the IV route of administration. The nurse should anticipate
which change in the pharmacokinetic properties of the medication?
A. The client will experience increased tolerance to the drug's effects
and may need a higher dose.
B. The onset of action of the drug will occur more rapidly, resulting
in a more rapid effect.
C. The medication will be more highly protein-bound, increasing the
duration of action.
D. The therapeutic index will be increased, placing the client at
greater risk for toxicity. Answer: B
Rationale: Because the absorptive process is eliminated when
medications are administered via the IV route, the onset of action is
more rapid, resulting in a more immediate effect. Drug tolerance,
protein binding, and the drug's therapeutic index are not affected by
the change in route from PO to IV. In addition, an increased
therapeutic index reduces the risk of drug toxicity.
,◉ An older client who had abdominal surgery 3 days earlier was
given a barbiturate for sleep and is now requesting to go to the
bathroom. Which action should the nurse implement?
A. Assist the client to walk to the bathroom and do not leave the
client alone.
B. Request that the UAP assist the client onto a bedpan.
C. Ask if the client needs to have a bowel movement or void.
D. Assess the client's bladder to determine if the client needs to
urinate. Answer: A
Rationale: Barbiturates cause central nervous system (CNS)
depression, and individuals taking these medications are at greater
risk for falls. The nurse should assist the client to the bathroom. A
bedpan is not necessary as long as safety is ensured. Whether the
client needs to void or have a bowel movement, option C is
irrelevant in terms of meeting this client's safety needs. There is no
indication that this client cannot voice her or his needs, so
assessment of the bladder is not needed.
◉ By rolling contaminated gloves inside-out, the nurse is affecting
which step in the chain of infection?
A. Mode of transmission
B. Portal of entry
C. Reservoir
D. Portal of exit Answer: A
,Rationale: The contaminated gloves serve as the mode of
transmission from the portal of exit of the reservoir to a portal of
entry.
◉ Which instruction is most important for the nurse to include
when teaching a client with limited mobility strategies to prevent
venous thrombosis?
A. Perform cough and deep breathing exercises hourly.
B. Turn from side to side in bed at least every 2 hours.
C. Dorsiflex and plantarflex the feet 10 times each hour.
D. Drink approximately 4 ounces of water every hour. Answer: C
Rationale: To reduce the risk of venous thrombosis, the nurse should
instruct the client in measures that promote venous return, such as
dorsiflexion and plantar flexion. Options A, B, and D are helpful to
prevent other complications of immobility but are less effective in
preventing venous thrombus formation than option C.
◉ In assisting an older adult client prepare to take a tub bath, which
nursing action is most important?
A. Check the bath water temperature.
B. Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. Answer: A
, Rationale: To prevent burns or excessive chilling, the nurse must
check the bath water temperature. Options B, C, and D promote
comfort and privacy and are important interventions but are of less
priority than promoting safety.
◉ In taking a client's history, the nurse asks about the stool
characteristics. Which description should the nurse report to the
health care provider as soon as possible?
A. Daily black, sticky stool
B. Daily dark brown stool
C. Firm brown stool every other day
D. Soft light brown stool twice a day Answer: A
Rationale: Black sticky stool (melena) is a sign of gastrointestinal
bleeding and should be reported to the health care provider
promptly. Option C indicates constipation, which is a lesser priority.
Options B and D are variations of normal.
◉ After the nurse tells an older client that an IV line needs to be
inserted, the client becomes very apprehensive, loudly verbalizing a
dislike for all health care providers and nurses. How should the
nurse respond?
A. Ask the client to remain quiet so the procedure can be performed
safely.
B. Concentrate on completing the insertion as efficiently as possible.
C. Calmly reassure the client that the discomfort will be temporary.
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ The health care provider has changed a client's prescription from
the PO to the IV route of administration. The nurse should anticipate
which change in the pharmacokinetic properties of the medication?
A. The client will experience increased tolerance to the drug's effects
and may need a higher dose.
B. The onset of action of the drug will occur more rapidly, resulting
in a more rapid effect.
C. The medication will be more highly protein-bound, increasing the
duration of action.
D. The therapeutic index will be increased, placing the client at
greater risk for toxicity. Answer: B
Rationale: Because the absorptive process is eliminated when
medications are administered via the IV route, the onset of action is
more rapid, resulting in a more immediate effect. Drug tolerance,
protein binding, and the drug's therapeutic index are not affected by
the change in route from PO to IV. In addition, an increased
therapeutic index reduces the risk of drug toxicity.
,◉ An older client who had abdominal surgery 3 days earlier was
given a barbiturate for sleep and is now requesting to go to the
bathroom. Which action should the nurse implement?
A. Assist the client to walk to the bathroom and do not leave the
client alone.
B. Request that the UAP assist the client onto a bedpan.
C. Ask if the client needs to have a bowel movement or void.
D. Assess the client's bladder to determine if the client needs to
urinate. Answer: A
Rationale: Barbiturates cause central nervous system (CNS)
depression, and individuals taking these medications are at greater
risk for falls. The nurse should assist the client to the bathroom. A
bedpan is not necessary as long as safety is ensured. Whether the
client needs to void or have a bowel movement, option C is
irrelevant in terms of meeting this client's safety needs. There is no
indication that this client cannot voice her or his needs, so
assessment of the bladder is not needed.
◉ By rolling contaminated gloves inside-out, the nurse is affecting
which step in the chain of infection?
A. Mode of transmission
B. Portal of entry
C. Reservoir
D. Portal of exit Answer: A
,Rationale: The contaminated gloves serve as the mode of
transmission from the portal of exit of the reservoir to a portal of
entry.
◉ Which instruction is most important for the nurse to include
when teaching a client with limited mobility strategies to prevent
venous thrombosis?
A. Perform cough and deep breathing exercises hourly.
B. Turn from side to side in bed at least every 2 hours.
C. Dorsiflex and plantarflex the feet 10 times each hour.
D. Drink approximately 4 ounces of water every hour. Answer: C
Rationale: To reduce the risk of venous thrombosis, the nurse should
instruct the client in measures that promote venous return, such as
dorsiflexion and plantar flexion. Options A, B, and D are helpful to
prevent other complications of immobility but are less effective in
preventing venous thrombus formation than option C.
◉ In assisting an older adult client prepare to take a tub bath, which
nursing action is most important?
A. Check the bath water temperature.
B. Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. Answer: A
, Rationale: To prevent burns or excessive chilling, the nurse must
check the bath water temperature. Options B, C, and D promote
comfort and privacy and are important interventions but are of less
priority than promoting safety.
◉ In taking a client's history, the nurse asks about the stool
characteristics. Which description should the nurse report to the
health care provider as soon as possible?
A. Daily black, sticky stool
B. Daily dark brown stool
C. Firm brown stool every other day
D. Soft light brown stool twice a day Answer: A
Rationale: Black sticky stool (melena) is a sign of gastrointestinal
bleeding and should be reported to the health care provider
promptly. Option C indicates constipation, which is a lesser priority.
Options B and D are variations of normal.
◉ After the nurse tells an older client that an IV line needs to be
inserted, the client becomes very apprehensive, loudly verbalizing a
dislike for all health care providers and nurses. How should the
nurse respond?
A. Ask the client to remain quiet so the procedure can be performed
safely.
B. Concentrate on completing the insertion as efficiently as possible.
C. Calmly reassure the client that the discomfort will be temporary.
