JERSEY COLLEGE NUR202 GERIATRIC NURSING EXAM 2 | 75 PRACTICE QUESTIONS,
ANSWERS & DETAILED RATIONALES | COMPREHENSIVE REVIEW | 2026/2027 –
COMPREHENSIVE QUESTIONS AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS |
DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION STUDY
GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
• *
•
CORE DOMAINS
1. Geriatric assessment and health promotion
2. Sensory function and age-related changes
3. Cardiovascular function and cardiovascular disorders
4. Respiratory function and respiratory disorders
5. Musculoskeletal function, mobility, and fall prevention
6. Neurologic and cognitive function
7. Nutrition, hydration, and gastrointestinal function
8. Pharmacologic management and medication safety
9. Skin integrity, wound prevention, and pressure injury management
10. Psychosocial, ethical, safety, and end-of-life care
INTRODUCTION
This comprehensive assessment is designed to strengthen knowledge and clinical reasoning
related to geriatric nursing and the care of older adults. The questions assess foundational
concepts, age-related physiologic changes, assessment findings, common disorders,
medication safety, nutrition, mobility, cognition, communication, prevention, ethical
decision-making, and appropriate nursing interventions. Multiple-choice questions are used
to develop recognition, interpretation, prioritization, and application skills. Effective
preparation requires more than memorizing facts; learners should understand why findings
occur, distinguish expected aging from pathology, recognize safety risks, and select
interventions that promote independence, dignity, function, and quality of life.
SECTION ONE: QUESTIONS 1–100
Question 1. Which statement best describes a normal aspect of physiologic aging?
A. Aging invariably causes significant cognitive impairment
B. Aging produces predictable progressive disease in every organ system
,C. Aging involves gradual physiologic changes that may reduce reserve
D. Aging eliminates the ability to adapt to environmental stressors
Correct Answer: C. Aging involves gradual physiologic changes that may reduce reserve
Explanation: Normal aging commonly decreases physiologic reserve, meaning an older adult
may tolerate illness or stress less effectively. Aging itself is not synonymous with disease or
inevitable cognitive impairment.
Question 2. Which assessment finding should the nurse recognize as most concerning for
delirium rather than normal aging?
A. Gradual difficulty recalling names
B. Acute onset of fluctuating confusion
C. Mild slowing of information processing
D. Occasional need for additional time to answer questions
Correct Answer: B. Acute onset of fluctuating confusion
Explanation: Delirium is characterized by an acute change in attention and cognition that
often fluctuates. Sudden confusion should prompt assessment for an underlying cause such
as infection, medication effects, metabolic disturbance, or dehydration.
Question 3. Which nursing action is most appropriate when assessing an older adult's
functional status?
A. Assess only the patient's diagnosis
B. Determine the patient's ability to perform activities of daily living
C. Focus exclusively on laboratory values
D. Assume family members perform all necessary care
Correct Answer: B. Determine the patient's ability to perform activities of daily living
Explanation: Functional assessment determines how independently an older adult can
perform activities such as bathing, dressing, toileting, transferring, and eating. Functional
status is a major component of geriatric assessment.
Question 4. Which activity is considered an instrumental activity of daily living?
A. Eating
B. Bathing
C. Toileting
D. Managing finances
Correct Answer: D. Managing finances
, Explanation: Instrumental activities of daily living include higher-level tasks necessary for
independent living, such as managing money, medications, transportation, shopping, and
communication.
Question 5. An older adult reports becoming dizzy when standing. Which assessment is most
appropriate?
A. Measure orthostatic vital signs
B. Measure visual acuity only
C. Assess bowel sounds
D. Perform a hearing screening only
Correct Answer: A. Measure orthostatic vital signs
Explanation: Dizziness associated with standing may indicate orthostatic hypotension.
Comparing blood pressure and pulse between positions can help identify a postural
hemodynamic response.
Question 6. Which finding is most consistent with presbycusis?
A. Conductive hearing loss caused by cerumen only
B. Progressive age-related sensorineural hearing loss
C. Sudden hearing loss after trauma
D. Complete hearing loss in one ear
Correct Answer: B. Progressive age-related sensorineural hearing loss
Explanation: Presbycusis is an age-associated sensorineural hearing loss, commonly affecting
higher-frequency sounds and making speech discrimination more difficult.
Question 7. Which communication technique is most appropriate when speaking with an
older adult who has hearing impairment?
A. Speak rapidly to shorten the interaction
B. Shout directly into the patient's ear
C. Face the patient and speak clearly at a moderate pace
D. Speak only with the family member
Correct Answer: C. Face the patient and speak clearly at a moderate pace
Explanation: Facing the patient allows use of visual cues such as lip and facial movements.
Clear, moderate speech is generally more effective than shouting.
Question 8. Which environmental intervention best promotes safety for an older adult with
visual impairment?
A. Reduce room lighting
B. Keep frequently used objects in consistent locations
ANSWERS & DETAILED RATIONALES | COMPREHENSIVE REVIEW | 2026/2027 –
COMPREHENSIVE QUESTIONS AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS |
DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION STUDY
GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
• *
•
CORE DOMAINS
1. Geriatric assessment and health promotion
2. Sensory function and age-related changes
3. Cardiovascular function and cardiovascular disorders
4. Respiratory function and respiratory disorders
5. Musculoskeletal function, mobility, and fall prevention
6. Neurologic and cognitive function
7. Nutrition, hydration, and gastrointestinal function
8. Pharmacologic management and medication safety
9. Skin integrity, wound prevention, and pressure injury management
10. Psychosocial, ethical, safety, and end-of-life care
INTRODUCTION
This comprehensive assessment is designed to strengthen knowledge and clinical reasoning
related to geriatric nursing and the care of older adults. The questions assess foundational
concepts, age-related physiologic changes, assessment findings, common disorders,
medication safety, nutrition, mobility, cognition, communication, prevention, ethical
decision-making, and appropriate nursing interventions. Multiple-choice questions are used
to develop recognition, interpretation, prioritization, and application skills. Effective
preparation requires more than memorizing facts; learners should understand why findings
occur, distinguish expected aging from pathology, recognize safety risks, and select
interventions that promote independence, dignity, function, and quality of life.
SECTION ONE: QUESTIONS 1–100
Question 1. Which statement best describes a normal aspect of physiologic aging?
A. Aging invariably causes significant cognitive impairment
B. Aging produces predictable progressive disease in every organ system
,C. Aging involves gradual physiologic changes that may reduce reserve
D. Aging eliminates the ability to adapt to environmental stressors
Correct Answer: C. Aging involves gradual physiologic changes that may reduce reserve
Explanation: Normal aging commonly decreases physiologic reserve, meaning an older adult
may tolerate illness or stress less effectively. Aging itself is not synonymous with disease or
inevitable cognitive impairment.
Question 2. Which assessment finding should the nurse recognize as most concerning for
delirium rather than normal aging?
A. Gradual difficulty recalling names
B. Acute onset of fluctuating confusion
C. Mild slowing of information processing
D. Occasional need for additional time to answer questions
Correct Answer: B. Acute onset of fluctuating confusion
Explanation: Delirium is characterized by an acute change in attention and cognition that
often fluctuates. Sudden confusion should prompt assessment for an underlying cause such
as infection, medication effects, metabolic disturbance, or dehydration.
Question 3. Which nursing action is most appropriate when assessing an older adult's
functional status?
A. Assess only the patient's diagnosis
B. Determine the patient's ability to perform activities of daily living
C. Focus exclusively on laboratory values
D. Assume family members perform all necessary care
Correct Answer: B. Determine the patient's ability to perform activities of daily living
Explanation: Functional assessment determines how independently an older adult can
perform activities such as bathing, dressing, toileting, transferring, and eating. Functional
status is a major component of geriatric assessment.
Question 4. Which activity is considered an instrumental activity of daily living?
A. Eating
B. Bathing
C. Toileting
D. Managing finances
Correct Answer: D. Managing finances
, Explanation: Instrumental activities of daily living include higher-level tasks necessary for
independent living, such as managing money, medications, transportation, shopping, and
communication.
Question 5. An older adult reports becoming dizzy when standing. Which assessment is most
appropriate?
A. Measure orthostatic vital signs
B. Measure visual acuity only
C. Assess bowel sounds
D. Perform a hearing screening only
Correct Answer: A. Measure orthostatic vital signs
Explanation: Dizziness associated with standing may indicate orthostatic hypotension.
Comparing blood pressure and pulse between positions can help identify a postural
hemodynamic response.
Question 6. Which finding is most consistent with presbycusis?
A. Conductive hearing loss caused by cerumen only
B. Progressive age-related sensorineural hearing loss
C. Sudden hearing loss after trauma
D. Complete hearing loss in one ear
Correct Answer: B. Progressive age-related sensorineural hearing loss
Explanation: Presbycusis is an age-associated sensorineural hearing loss, commonly affecting
higher-frequency sounds and making speech discrimination more difficult.
Question 7. Which communication technique is most appropriate when speaking with an
older adult who has hearing impairment?
A. Speak rapidly to shorten the interaction
B. Shout directly into the patient's ear
C. Face the patient and speak clearly at a moderate pace
D. Speak only with the family member
Correct Answer: C. Face the patient and speak clearly at a moderate pace
Explanation: Facing the patient allows use of visual cues such as lip and facial movements.
Clear, moderate speech is generally more effective than shouting.
Question 8. Which environmental intervention best promotes safety for an older adult with
visual impairment?
A. Reduce room lighting
B. Keep frequently used objects in consistent locations
