NUR 3490 EXAM 1 MOLLOY COLLEGE
ACTUAL EXAM PRACTICE TEST
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026/2027 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
• Gerontological Nursing Principles and Theories of Aging
• Health Promotion and Disease Prevention in Older Adults
• Comprehensive Geriatric Assessment (Physical, Cognitive,
Functional, Psychosocial)
• Common Physiologic Changes of Aging and Related Nursing
Implications
• Pharmacology and Polypharmacy in the Elderly
• Fall Prevention, Mobility, and Safety Considerations
• Cognitive Impairment (Dementia, Delirium, Depression)
• Nutrition, Hydration, and Elimination in Older Adults
• Legal, Ethical, and Advocacy Issues in Geriatric Care
• End-of-Life Care, Palliative Care, and Advanced Directives
Introduction
This comprehensive practice examination is designed to assess the
candidate's knowledge, clinical reasoning, and decision-making skills
essential for the NUR 3490 Exam 1 at Molloy College. The exam covers
foundational principles of gerontological nursing, including theories of
,aging, comprehensive geriatric assessment, common physiologic changes,
pharmacology, safety considerations, cognitive impairment, and ethical-
legal issues. It integrates evidence-based practice with a strong emphasis
on promoting health, maintaining function, and preserving dignity in the
aging population. Through 100 multiple-choice questions and realistic
scenarios, this assessment evaluates the candidate's ability to apply
theoretical knowledge to real-world clinical situations, ensuring they are
prepared for the demands of the NUR 3490 Exam 1. The content aligns with
the Molloy College NUR 3490 course objectives, the Hartford Institute for
Geriatric Nursing competencies, and the NCLEX-RN test plan.
Section One: Questions 1–100
Question 1
Which of the following is a hallmark of the Biological Theory of Aging
(Programmed Theories)?
A. Aging is caused by random cellular damage
B. Aging follows a biological clock or predetermined genetic plan
C. Aging results from the accumulation of free radicals
D. Aging is influenced by environmental factors only
B. Aging follows a biological clock or predetermined genetic plan
RATIONALE: The Programmed Theory of Aging proposes that aging
is genetically predetermined and follows a biological timetable, such as
the Hayflick limit, where cells can only divide a certain number of times
before senescence.
Question 2
Which theory of aging suggests that the body's immune system becomes
less effective over time, leading to increased susceptibility to disease?
A. Free Radical Theory
B. Wear and Tear Theory
C. Immunosenescence Theory
D. Cross-Linkage Theory
, C. Immunosenescence Theory
RATIONALE: Immunosenescence Theory proposes that age-related
decline in immune function leads to increased susceptibility to
infections, autoimmune disorders, and cancer.
Question 3
The free radical theory of aging states that aging is caused by:
A. Accumulation of cellular waste products
B. Damage from unstable oxygen molecules
C. Shortening of telomeres
D. Cross-linking of collagen fibers
B. Damage from unstable oxygen molecules
RATIONALE: The Free Radical Theory suggests that aging results
from cumulative damage caused by reactive oxygen species (free
radicals) that are produced during normal cellular metabolism.
Question 4
A nurse is caring for an older adult who is experiencing age-related
changes. Which finding is considered a normal physiologic change of
aging?
A. Decreased cardiac output
B. Dementia
C. Incontinence
D. Osteoporosis
A. Decreased cardiac output
RATIONALE: Decreased cardiac output is a normal physiologic
change of aging, along with decreased lung capacity, decreased renal
function, and decreased gastrointestinal motility. Dementia,
incontinence, and osteoporosis are not considered normal aging
changes and should be evaluated.
, Question 5
Which of the following is a normal age-related change in the
cardiovascular system?
A. Increased cardiac output
B. Increased elasticity of blood vessels
C. Thickening and stiffening of the heart valves
D. Decreased systolic blood pressure
C. Thickening and stiffening of the heart valves
RATIONALE: Age-related cardiovascular changes include thickening
and stiffening of heart valves, decreased elasticity of blood vessels,
increased systolic blood pressure, and decreased cardiac output.
Question 6
An older adult reports a decline in vision, particularly when reading
small print. Which age-related eye change is most likely responsible?
A. Cataracts
B. Presbyopia
C. Macular degeneration
D. Glaucoma
B. Presbyopia
RATIONALE: Presbyopia is the age-related loss of the eye's ability to
focus on near objects due to decreased lens elasticity. It typically begins
around age 40.
Question 7
Which assessment finding in an older adult would the nurse recognize
as a normal age-related change in the respiratory system?
A. Decreased vital capacity
B. Increased residual volume
C. Decreased cough reflex
D. All of the above
ACTUAL EXAM PRACTICE TEST
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026/2027 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
• Gerontological Nursing Principles and Theories of Aging
• Health Promotion and Disease Prevention in Older Adults
• Comprehensive Geriatric Assessment (Physical, Cognitive,
Functional, Psychosocial)
• Common Physiologic Changes of Aging and Related Nursing
Implications
• Pharmacology and Polypharmacy in the Elderly
• Fall Prevention, Mobility, and Safety Considerations
• Cognitive Impairment (Dementia, Delirium, Depression)
• Nutrition, Hydration, and Elimination in Older Adults
• Legal, Ethical, and Advocacy Issues in Geriatric Care
• End-of-Life Care, Palliative Care, and Advanced Directives
Introduction
This comprehensive practice examination is designed to assess the
candidate's knowledge, clinical reasoning, and decision-making skills
essential for the NUR 3490 Exam 1 at Molloy College. The exam covers
foundational principles of gerontological nursing, including theories of
,aging, comprehensive geriatric assessment, common physiologic changes,
pharmacology, safety considerations, cognitive impairment, and ethical-
legal issues. It integrates evidence-based practice with a strong emphasis
on promoting health, maintaining function, and preserving dignity in the
aging population. Through 100 multiple-choice questions and realistic
scenarios, this assessment evaluates the candidate's ability to apply
theoretical knowledge to real-world clinical situations, ensuring they are
prepared for the demands of the NUR 3490 Exam 1. The content aligns with
the Molloy College NUR 3490 course objectives, the Hartford Institute for
Geriatric Nursing competencies, and the NCLEX-RN test plan.
Section One: Questions 1–100
Question 1
Which of the following is a hallmark of the Biological Theory of Aging
(Programmed Theories)?
A. Aging is caused by random cellular damage
B. Aging follows a biological clock or predetermined genetic plan
C. Aging results from the accumulation of free radicals
D. Aging is influenced by environmental factors only
B. Aging follows a biological clock or predetermined genetic plan
RATIONALE: The Programmed Theory of Aging proposes that aging
is genetically predetermined and follows a biological timetable, such as
the Hayflick limit, where cells can only divide a certain number of times
before senescence.
Question 2
Which theory of aging suggests that the body's immune system becomes
less effective over time, leading to increased susceptibility to disease?
A. Free Radical Theory
B. Wear and Tear Theory
C. Immunosenescence Theory
D. Cross-Linkage Theory
, C. Immunosenescence Theory
RATIONALE: Immunosenescence Theory proposes that age-related
decline in immune function leads to increased susceptibility to
infections, autoimmune disorders, and cancer.
Question 3
The free radical theory of aging states that aging is caused by:
A. Accumulation of cellular waste products
B. Damage from unstable oxygen molecules
C. Shortening of telomeres
D. Cross-linking of collagen fibers
B. Damage from unstable oxygen molecules
RATIONALE: The Free Radical Theory suggests that aging results
from cumulative damage caused by reactive oxygen species (free
radicals) that are produced during normal cellular metabolism.
Question 4
A nurse is caring for an older adult who is experiencing age-related
changes. Which finding is considered a normal physiologic change of
aging?
A. Decreased cardiac output
B. Dementia
C. Incontinence
D. Osteoporosis
A. Decreased cardiac output
RATIONALE: Decreased cardiac output is a normal physiologic
change of aging, along with decreased lung capacity, decreased renal
function, and decreased gastrointestinal motility. Dementia,
incontinence, and osteoporosis are not considered normal aging
changes and should be evaluated.
, Question 5
Which of the following is a normal age-related change in the
cardiovascular system?
A. Increased cardiac output
B. Increased elasticity of blood vessels
C. Thickening and stiffening of the heart valves
D. Decreased systolic blood pressure
C. Thickening and stiffening of the heart valves
RATIONALE: Age-related cardiovascular changes include thickening
and stiffening of heart valves, decreased elasticity of blood vessels,
increased systolic blood pressure, and decreased cardiac output.
Question 6
An older adult reports a decline in vision, particularly when reading
small print. Which age-related eye change is most likely responsible?
A. Cataracts
B. Presbyopia
C. Macular degeneration
D. Glaucoma
B. Presbyopia
RATIONALE: Presbyopia is the age-related loss of the eye's ability to
focus on near objects due to decreased lens elasticity. It typically begins
around age 40.
Question 7
Which assessment finding in an older adult would the nurse recognize
as a normal age-related change in the respiratory system?
A. Decreased vital capacity
B. Increased residual volume
C. Decreased cough reflex
D. All of the above
