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WEST COAST UNIVERSITY NURS 370 –
GERONTOLOGICAL NURSING
COMPREHENSIVE PRACTICE EXAM
QUESTIONS WITH ANSWERS AND RATIONALES
GRADED A+ |100% GUARANTEED PASS 2027
Covers Normal Aging Changes, Common Geriatric Syndromes,
Polypharmacy, Falls Prevention, Cognitive Impairment, End-of-Life
Care, Elder Abuse, Functional Assessment, Chronic Disease
Management, and Ethical/Legal Issues
QUESTION 1
A nurse is assessing an 80-year-old patient. Which finding is considered
a normal age-related change?
A) Decreased skin turgor
B) Increased muscle mass
C) Increased gastric motility
D) Increased cardiac output
Verified Answer: A
Rationale: Decreased skin turgor is a normal age-related change due to
loss of subcutaneous tissue and decreased elasticity. Muscle mass
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decreases with age (sarcopenia), gastric motility decreases, and cardiac
output decreases.
QUESTION 2
A nurse is teaching a group of older adults about fall prevention. Which
instruction is most important?
A) Remove throw rugs and clutter from walkways
B) Wear high-heeled shoes for better balance
C) Keep rooms dark to prevent glare
D) Use a step stool to reach high objects
Verified Answer: A
Rationale: Removing throw rugs and clutter reduces fall risk. High-
heeled shoes increase fall risk, rooms should be well-lit, and step stools
should be avoided.
QUESTION 3
A patient with dementia is wandering and agitated. Which nursing
intervention is most appropriate?
A) Apply restraints to prevent wandering
B) Provide a calm, structured environment with frequent orientation
C) Leave the patient alone to wander safely
D) Administer sedatives as needed
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Verified Answer: B
Rationale: A calm, structured environment with frequent orientation and
supervision is the most appropriate approach. Restraints should be
avoided. Sedatives should be used cautiously as they can increase
confusion.
QUESTION 4
An older adult patient reports difficulty hearing high-pitched sounds.
This finding is most consistent with:
A) Presbycusis
B) Otosclerosis
C) Cerumen impaction
D) Meniere's disease
Verified Answer: A
Rationale: Presbycusis is age-related hearing loss characterized by
difficulty hearing high-pitched sounds. Otosclerosis affects the stapes,
cerumen impaction causes conductive loss, and Meniere's disease causes
vertigo and hearing loss.
QUESTION 5
A nurse is assessing an older adult for signs of polypharmacy. Which
finding is most concerning?
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A) Taking 5 or more medications daily
B) Taking medications as prescribed
C) Taking medications at the same time each day
D) Using one pharmacy for all prescriptions
Verified Answer: A
Rationale: Polypharmacy is defined as taking 5 or more medications
daily and increases the risk of adverse drug reactions, drug interactions,
and non-adherence.
QUESTION 6
An older adult patient is diagnosed with osteoporosis. Which
intervention is most important?
A) Calcium and vitamin D supplements
B) Weight-bearing exercise
C) Fall prevention
D) All of the above
Verified Answer: D
Rationale: Osteoporosis management includes calcium and vitamin D,
weight-bearing exercise, and fall prevention. All are essential for
preventing fractures.
WEST COAST UNIVERSITY NURS 370 –
GERONTOLOGICAL NURSING
COMPREHENSIVE PRACTICE EXAM
QUESTIONS WITH ANSWERS AND RATIONALES
GRADED A+ |100% GUARANTEED PASS 2027
Covers Normal Aging Changes, Common Geriatric Syndromes,
Polypharmacy, Falls Prevention, Cognitive Impairment, End-of-Life
Care, Elder Abuse, Functional Assessment, Chronic Disease
Management, and Ethical/Legal Issues
QUESTION 1
A nurse is assessing an 80-year-old patient. Which finding is considered
a normal age-related change?
A) Decreased skin turgor
B) Increased muscle mass
C) Increased gastric motility
D) Increased cardiac output
Verified Answer: A
Rationale: Decreased skin turgor is a normal age-related change due to
loss of subcutaneous tissue and decreased elasticity. Muscle mass
,2 | Page
decreases with age (sarcopenia), gastric motility decreases, and cardiac
output decreases.
QUESTION 2
A nurse is teaching a group of older adults about fall prevention. Which
instruction is most important?
A) Remove throw rugs and clutter from walkways
B) Wear high-heeled shoes for better balance
C) Keep rooms dark to prevent glare
D) Use a step stool to reach high objects
Verified Answer: A
Rationale: Removing throw rugs and clutter reduces fall risk. High-
heeled shoes increase fall risk, rooms should be well-lit, and step stools
should be avoided.
QUESTION 3
A patient with dementia is wandering and agitated. Which nursing
intervention is most appropriate?
A) Apply restraints to prevent wandering
B) Provide a calm, structured environment with frequent orientation
C) Leave the patient alone to wander safely
D) Administer sedatives as needed
,3 | Page
Verified Answer: B
Rationale: A calm, structured environment with frequent orientation and
supervision is the most appropriate approach. Restraints should be
avoided. Sedatives should be used cautiously as they can increase
confusion.
QUESTION 4
An older adult patient reports difficulty hearing high-pitched sounds.
This finding is most consistent with:
A) Presbycusis
B) Otosclerosis
C) Cerumen impaction
D) Meniere's disease
Verified Answer: A
Rationale: Presbycusis is age-related hearing loss characterized by
difficulty hearing high-pitched sounds. Otosclerosis affects the stapes,
cerumen impaction causes conductive loss, and Meniere's disease causes
vertigo and hearing loss.
QUESTION 5
A nurse is assessing an older adult for signs of polypharmacy. Which
finding is most concerning?
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A) Taking 5 or more medications daily
B) Taking medications as prescribed
C) Taking medications at the same time each day
D) Using one pharmacy for all prescriptions
Verified Answer: A
Rationale: Polypharmacy is defined as taking 5 or more medications
daily and increases the risk of adverse drug reactions, drug interactions,
and non-adherence.
QUESTION 6
An older adult patient is diagnosed with osteoporosis. Which
intervention is most important?
A) Calcium and vitamin D supplements
B) Weight-bearing exercise
C) Fall prevention
D) All of the above
Verified Answer: D
Rationale: Osteoporosis management includes calcium and vitamin D,
weight-bearing exercise, and fall prevention. All are essential for
preventing fractures.
