JERSEY COLLEGE NUR202 GERIATRIC NURSING EXAM 1 60
PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES COMPREHENSIVE REVIEW 2026/2027
148 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply age-related physiological changes to interpret atypical clinical presentations and laboratory findings
in older adults
2 Prioritize nursing interventions using comprehensive geriatric assessment frameworks and validated tools
to reduce iatrogenic risk
3 Synthesize ethical, legal, and cultural principles to advocate for older adults in complex care transitions
and end-of-life decisions
4 Jersey College NUR202 Geriatric Nursing Exam 1 60 Practice Questions
5 Answers & Detailed Rationales Comprehensive Review 2026
6 2027
7 Foundations of Geriatric Nursing
8 Applied Geriatric Nursing
9 Advanced Geriatric Nursing
10 Geriatric Nursing Review
ABSTRACT
This study document brings together 148 carefully worded exam questions drawn from Jersey
College NUR202 Geriatric Nursing Exam 1 60 Practice Questions, Answers & Detailed Rationales
Comprehensive Review 2026/2027, with the strongest emphasis placed on Apply age-related
physiological changes to interpret atypical clinical presentations and laboratory findings in older
adults, Prioritize nursing interventions using comprehensive geriatric assessment frameworks and
validated tools to reduce iatrogenic risk, Synthesize ethical, legal and and cultural principles to
advocate for older adults in complex care transitions and end-of-life decisions. Every item follows
the wording style and level of reasoning you meet in the real paper, and each one is paired with a
clear rationale so the correct choice is never a guess. Work through the set at your own pace,
mark the questions that slow you down, then come back to them until the reasoning feels
automatic. Learners who revise this way walk into the exam room recognising the pattern behind
the questions instead of meeting them for the first time. Keep going - steady, honest practice is
what turns a difficult paper into a comfortable pass.
Page 1
,Q1 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
An older adult with heart failure and a normal baseline mental status is admitted
with a 2-day history of worsening dyspnea. Which assessment finding most
strongly suggests delirium rather than dementia?
A. Mini-Mental State Examination score of 22/30
B. Acute onset of inattention and fluctuating level of consciousness CORRECT
C. Disorientation to time and place
D. Impaired short-term memory
RATIONALE: Delirium is characterized by acute onset, fluctuating course, and inattention, which
are not typical of dementia. The other options can occur in both conditions and are less
discriminating.
Q2 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
Which age-related change most directly increases the risk of adverse drug
reactions in older adults?
A. Decreased gastric motility
B. Increased body fat percentage
C. Decreased hepatic blood flow and renal clearance CORRECT
D. Increased serum albumin levels
RATIONALE: Reduced hepatic metabolism and renal excretion prolong drug half-lives and
elevate plasma concentrations, increasing toxicity risk. Other changes affect absorption or
distribution but are less directly linked to adverse reactions.
Page 2
,Q3 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
A patient with advanced dementia is admitted for pneumonia. The patient has no
advance directive and the family is undecided about artificial nutrition. Which
action by the nurse best supports ethical decision-making?
A. Recommend initiating enteral feeding to prevent malnutrition.
B. Facilitate a family meeting to clarify goals of care and explore the patient's values.
CORRECT
C. Consult the ethics committee immediately to decide on feeding.
D. Withhold antibiotics until the family decides about feeding.
RATIONALE: Shared decision-making that incorporates the patient's values and goals is the
ethical standard when no advance directive exists. The other options bypass due process or
impose the nurse's values.
Q4 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
Which intervention is most effective in preventing falls in an older adult with
orthostatic hypotension and polypharmacy?
A. Use of a bed alarm and hourly rounding
B. Review and deprescribe medications that contribute to hypotension CORRECT
C. Apply bilateral soft wrist restraints at night
D. Encourage fluid restriction to reduce nocturia
RATIONALE: Deprescribing is a key evidence-based strategy to reduce fall risk by addressing
the root cause. Bed alarms and rounding are adjuncts; restraints increase injury risk; fluid
restriction worsens orthostasis.
Page 3
, Q5 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
Which finding in an older adult with a suspected urinary tract infection warrants
the most immediate follow-up?
A. Urine culture positive for E. coli
B. New onset of confusion and a fall CORRECT
C. White blood cell count of 11,000/mm³
D. Complaint of mild dysuria
RATIONALE: Atypical presentations such as acute confusion and falls in older adults with UTI
can indicate sepsis or delirium and require urgent evaluation. The other findings are common but
less immediately alarming.
Q6 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
When performing a comprehensive geriatric assessment, which tool is most
appropriate to evaluate functional status in activities of daily living?
A. Mini-Cog
B. Katz Index of Independence in ADLs CORRECT
C. Geriatric Depression Scale
D. Braden Scale
RATIONALE: The Katz Index specifically measures independence in ADLs. Mini-Cog assesses
cognition, GDS assesses mood, and Braden assesses pressure ulcer risk.
Page 4
PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES COMPREHENSIVE REVIEW 2026/2027
148 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply age-related physiological changes to interpret atypical clinical presentations and laboratory findings
in older adults
2 Prioritize nursing interventions using comprehensive geriatric assessment frameworks and validated tools
to reduce iatrogenic risk
3 Synthesize ethical, legal, and cultural principles to advocate for older adults in complex care transitions
and end-of-life decisions
4 Jersey College NUR202 Geriatric Nursing Exam 1 60 Practice Questions
5 Answers & Detailed Rationales Comprehensive Review 2026
6 2027
7 Foundations of Geriatric Nursing
8 Applied Geriatric Nursing
9 Advanced Geriatric Nursing
10 Geriatric Nursing Review
ABSTRACT
This study document brings together 148 carefully worded exam questions drawn from Jersey
College NUR202 Geriatric Nursing Exam 1 60 Practice Questions, Answers & Detailed Rationales
Comprehensive Review 2026/2027, with the strongest emphasis placed on Apply age-related
physiological changes to interpret atypical clinical presentations and laboratory findings in older
adults, Prioritize nursing interventions using comprehensive geriatric assessment frameworks and
validated tools to reduce iatrogenic risk, Synthesize ethical, legal and and cultural principles to
advocate for older adults in complex care transitions and end-of-life decisions. Every item follows
the wording style and level of reasoning you meet in the real paper, and each one is paired with a
clear rationale so the correct choice is never a guess. Work through the set at your own pace,
mark the questions that slow you down, then come back to them until the reasoning feels
automatic. Learners who revise this way walk into the exam room recognising the pattern behind
the questions instead of meeting them for the first time. Keep going - steady, honest practice is
what turns a difficult paper into a comfortable pass.
Page 1
,Q1 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
An older adult with heart failure and a normal baseline mental status is admitted
with a 2-day history of worsening dyspnea. Which assessment finding most
strongly suggests delirium rather than dementia?
A. Mini-Mental State Examination score of 22/30
B. Acute onset of inattention and fluctuating level of consciousness CORRECT
C. Disorientation to time and place
D. Impaired short-term memory
RATIONALE: Delirium is characterized by acute onset, fluctuating course, and inattention, which
are not typical of dementia. The other options can occur in both conditions and are less
discriminating.
Q2 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
Which age-related change most directly increases the risk of adverse drug
reactions in older adults?
A. Decreased gastric motility
B. Increased body fat percentage
C. Decreased hepatic blood flow and renal clearance CORRECT
D. Increased serum albumin levels
RATIONALE: Reduced hepatic metabolism and renal excretion prolong drug half-lives and
elevate plasma concentrations, increasing toxicity risk. Other changes affect absorption or
distribution but are less directly linked to adverse reactions.
Page 2
,Q3 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
A patient with advanced dementia is admitted for pneumonia. The patient has no
advance directive and the family is undecided about artificial nutrition. Which
action by the nurse best supports ethical decision-making?
A. Recommend initiating enteral feeding to prevent malnutrition.
B. Facilitate a family meeting to clarify goals of care and explore the patient's values.
CORRECT
C. Consult the ethics committee immediately to decide on feeding.
D. Withhold antibiotics until the family decides about feeding.
RATIONALE: Shared decision-making that incorporates the patient's values and goals is the
ethical standard when no advance directive exists. The other options bypass due process or
impose the nurse's values.
Q4 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
Which intervention is most effective in preventing falls in an older adult with
orthostatic hypotension and polypharmacy?
A. Use of a bed alarm and hourly rounding
B. Review and deprescribe medications that contribute to hypotension CORRECT
C. Apply bilateral soft wrist restraints at night
D. Encourage fluid restriction to reduce nocturia
RATIONALE: Deprescribing is a key evidence-based strategy to reduce fall risk by addressing
the root cause. Bed alarms and rounding are adjuncts; restraints increase injury risk; fluid
restriction worsens orthostasis.
Page 3
, Q5 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
Which finding in an older adult with a suspected urinary tract infection warrants
the most immediate follow-up?
A. Urine culture positive for E. coli
B. New onset of confusion and a fall CORRECT
C. White blood cell count of 11,000/mm³
D. Complaint of mild dysuria
RATIONALE: Atypical presentations such as acute confusion and falls in older adults with UTI
can indicate sepsis or delirium and require urgent evaluation. The other findings are common but
less immediately alarming.
Q6 APPLY AGE-RELATED PHYSIOLOGICAL CHANGES TO INTERPRET ATYPICAL CLINICAL
PRESENTATIONS AND LABORATORY FINDINGS IN OLDER ADULTS
When performing a comprehensive geriatric assessment, which tool is most
appropriate to evaluate functional status in activities of daily living?
A. Mini-Cog
B. Katz Index of Independence in ADLs CORRECT
C. Geriatric Depression Scale
D. Braden Scale
RATIONALE: The Katz Index specifically measures independence in ADLs. Mini-Cog assesses
cognition, GDS assesses mood, and Braden assesses pressure ulcer risk.
Page 4
