JERSEY COLLEGE
NUR202 Geriatric Nursing
Midterm Comprehensive Review
75 Original Practice Questions, Answers & Detailed Rationales
September 2026 Alignment Edition
Practice review - not an official or reproduced Jersey College assessment.
Designed from Jersey College's public NUR202 course description, current 2026 book mapping, the latest
publicly available detailed NUR202 syllabus/calendar, and current geriatric-care standards. The public syllabus
states that exams generally contain 50-100 multiple-choice questions and may be summative; this practice set
uses 75 one-best-answer items.
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 1
, Alignment & Midterm Blueprint
Jersey College currently lists NUR202 - Geriatric Nursing: Management Concepts for Elder Care as a
6-quarter-credit Level II Professional Nursing course. The Spring 2024 public syllabus assigns the midterm 30%
of the course grade and states that exams generally contain 50-100 multiple-choice questions administered
through ExamSoft/Examplify. The Fall 2023 official course calendar places the midterm after respiratory
function; infection/inflammation; nutrition and elimination; gastrointestinal, urinary, and endocrine function;
diabetes; safety; drugs and aging; chronic illness; and rehabilitation. No public Fall 2026 midterm blueprint was
located, so this resource should be understood as best-supported alignment rather than a claim about a live
secure exam.
Domain Questions Approx. share
Respiratory + infection/inflammation 1-15 20%
Nutrition, elimination + GI 16-28 17%
Urinary function 29-36 11%
Endocrine + diabetes 37-50 19%
Safety + falls 51-60 13%
Drugs + aging/polypharmacy 61-70 13%
Chronic illness + rehabilitation/integration 71-75 7%
How to use it: Complete Questions 1-75 without looking at the answer section. Because Jersey College's public
syllabus describes questions as randomized with backward navigation disabled, an effective simulation is to
answer each item once before moving on.
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 2
, Part I - Practice Midterm Questions
Respiratory & Infection
1. An older adult with pneumonia is most likely to require prompt evaluation when
the nurse notes which change?
A. A temperature of 37.2 C (99.0 F) after lunch
B. New confusion, tachypnea, and a decline in usual function
C. A productive cough with thick sputum only
D. Mild kyphosis that has been present for years
2. Which normal age-related respiratory change most reduces pulmonary reserve?
A. Increased chest-wall compliance
B. Increased strength of respiratory muscles
C. Reduced elastic recoil and decreased chest-wall compliance
D. Increased alveolar surface area
3. An older adult has a weak cough and difficulty swallowing after a stroke. Which
nursing action best reduces aspiration risk during meals?
A. Place the patient flat after eating
B. Encourage rapid drinking through a straw
C. Keep the patient upright and follow the prescribed swallowing plan
D. Offer thin liquids first to clear the throat
4. Which finding is most consistent with immunosenescence in an older adult?
A. A stronger inflammatory response to infection
B. A reduced immune response that may blunt classic signs of infection
C. Complete loss of antibody production
D. Immunity that improves after age 80
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 3
, 5. The nurse is teaching an adult age 68 about influenza vaccination. Which
statement best reflects current U.S. guidance?
A. Influenza vaccination is no longer recommended after age 65
B. A high-dose, adjuvanted, or recombinant influenza vaccine is preferred when available
C. Only live-attenuated influenza vaccine should be used
D. Influenza vaccine is needed only after a hospitalization
6. Which intervention best helps an immobile older adult prevent postoperative
pulmonary complications?
A. Limit position changes to reduce fatigue
B. Encourage deep breathing, coughing, mobilization, and prescribed incentive spirometry
C. Restrict oral fluids for all patients
D. Keep the room very warm to suppress coughing
7. An older adult with suspected infection has no fever. What is the nurse's best
interpretation?
A. Infection is ruled out
B. Fever is required before cultures can be obtained
C. Older adults may have infection without a marked fever
D. Lack of fever means the illness is viral
8. Which change most directly increases the risk for retained respiratory secretions
in an older adult?
A. Stronger ciliary clearance
B. Stronger cough reflex
C. Reduced cough effectiveness and mucociliary clearance
D. Increased total lung elasticity
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 4
NUR202 Geriatric Nursing
Midterm Comprehensive Review
75 Original Practice Questions, Answers & Detailed Rationales
September 2026 Alignment Edition
Practice review - not an official or reproduced Jersey College assessment.
Designed from Jersey College's public NUR202 course description, current 2026 book mapping, the latest
publicly available detailed NUR202 syllabus/calendar, and current geriatric-care standards. The public syllabus
states that exams generally contain 50-100 multiple-choice questions and may be summative; this practice set
uses 75 one-best-answer items.
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 1
, Alignment & Midterm Blueprint
Jersey College currently lists NUR202 - Geriatric Nursing: Management Concepts for Elder Care as a
6-quarter-credit Level II Professional Nursing course. The Spring 2024 public syllabus assigns the midterm 30%
of the course grade and states that exams generally contain 50-100 multiple-choice questions administered
through ExamSoft/Examplify. The Fall 2023 official course calendar places the midterm after respiratory
function; infection/inflammation; nutrition and elimination; gastrointestinal, urinary, and endocrine function;
diabetes; safety; drugs and aging; chronic illness; and rehabilitation. No public Fall 2026 midterm blueprint was
located, so this resource should be understood as best-supported alignment rather than a claim about a live
secure exam.
Domain Questions Approx. share
Respiratory + infection/inflammation 1-15 20%
Nutrition, elimination + GI 16-28 17%
Urinary function 29-36 11%
Endocrine + diabetes 37-50 19%
Safety + falls 51-60 13%
Drugs + aging/polypharmacy 61-70 13%
Chronic illness + rehabilitation/integration 71-75 7%
How to use it: Complete Questions 1-75 without looking at the answer section. Because Jersey College's public
syllabus describes questions as randomized with backward navigation disabled, an effective simulation is to
answer each item once before moving on.
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 2
, Part I - Practice Midterm Questions
Respiratory & Infection
1. An older adult with pneumonia is most likely to require prompt evaluation when
the nurse notes which change?
A. A temperature of 37.2 C (99.0 F) after lunch
B. New confusion, tachypnea, and a decline in usual function
C. A productive cough with thick sputum only
D. Mild kyphosis that has been present for years
2. Which normal age-related respiratory change most reduces pulmonary reserve?
A. Increased chest-wall compliance
B. Increased strength of respiratory muscles
C. Reduced elastic recoil and decreased chest-wall compliance
D. Increased alveolar surface area
3. An older adult has a weak cough and difficulty swallowing after a stroke. Which
nursing action best reduces aspiration risk during meals?
A. Place the patient flat after eating
B. Encourage rapid drinking through a straw
C. Keep the patient upright and follow the prescribed swallowing plan
D. Offer thin liquids first to clear the throat
4. Which finding is most consistent with immunosenescence in an older adult?
A. A stronger inflammatory response to infection
B. A reduced immune response that may blunt classic signs of infection
C. Complete loss of antibody production
D. Immunity that improves after age 80
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 3
, 5. The nurse is teaching an adult age 68 about influenza vaccination. Which
statement best reflects current U.S. guidance?
A. Influenza vaccination is no longer recommended after age 65
B. A high-dose, adjuvanted, or recombinant influenza vaccine is preferred when available
C. Only live-attenuated influenza vaccine should be used
D. Influenza vaccine is needed only after a hospitalization
6. Which intervention best helps an immobile older adult prevent postoperative
pulmonary complications?
A. Limit position changes to reduce fatigue
B. Encourage deep breathing, coughing, mobilization, and prescribed incentive spirometry
C. Restrict oral fluids for all patients
D. Keep the room very warm to suppress coughing
7. An older adult with suspected infection has no fever. What is the nurse's best
interpretation?
A. Infection is ruled out
B. Fever is required before cultures can be obtained
C. Older adults may have infection without a marked fever
D. Lack of fever means the illness is viral
8. Which change most directly increases the risk for retained respiratory secretions
in an older adult?
A. Stronger ciliary clearance
B. Stronger cough reflex
C. Reduced cough effectiveness and mucociliary clearance
D. Increased total lung elasticity
NUR202 Midterm Comprehensive Review - Jersey College aligned practice resource Page 4
