JERSEY COLLEGE NUR202 GERIATRIC
NURSING FINAL EXAM REVIEW QUESTIONS
WITH ANSWERS & RATIONALES 2026/2027.
148 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Synthesize age-related physiologic changes with atypical disease presentation to prioritize nursing
interventions
2 Apply evidence-based deprescribing and medication safety principles for older adults with multimorbidity
3 Differentiate delirium, dementia, and depression using validated assessment tools and clinical reasoning
4 Formulate culturally sensitive, person-centered plans of care that respect autonomy and address ethical
dilemmas
5 Evaluate fall risk, frailty, and functional decline using standardized geriatric assessments to prevent
adverse outcomes
6 Jersey College NUR202 Geriatric Nursing Final Exam Review Questions with Answers & Rationales 2026
7 2027.
8 Foundations of Geriatric Nursing
9 Applied Geriatric Nursing
10 Advanced Geriatric Nursing
11 Geriatric Nursing Review
ABSTRACT
This study document brings together 148 carefully worded exam questions drawn from Jersey
College NUR202 Geriatric Nursing Final Exam Review Questions with Answers & Rationales
2026/2027., with the strongest emphasis placed on Synthesize age-related physiologic changes
with atypical disease presentation to prioritize nursing interventions, Apply evidence-based
deprescribing and medication safety principles for older adults with multimorbidity, Differentiate
delirium, dementia and and depression using validated assessment tools and clinical reasoning.
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 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
Which intervention most effectively reduces the risk of contrast-induced
nephropathy in an older adult with chronic kidney disease (eGFR 35 mL/min/1.73
m²) scheduled for a CT angiogram?
A. Administering oral N-acetylcysteine 600 mg twice daily before and after the procedure.
B. Ensuring adequate hydration with 0.9% sodium chloride before and after contrast
administration. CORRECT
C. Withholding all nephrotoxic medications for 48 hours before the procedure.
D. Using a low-osmolar contrast agent at a reduced dose.
RATIONALE: Volume expansion with isotonic saline is the cornerstone of prevention; it maintains
renal perfusion and dilutes contrast. N-acetylcysteine lacks consistent evidence, withholding
nephrotoxins is adjunctive but not primary, and low-osmolar contrast reduces but does not
eliminate risk.
Q2 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
An older adult on warfarin for atrial fibrillation is prescribed
trimethoprim-sulfamethoxazole for a urinary tract infection. Which parameter
requires the most immediate monitoring?
A. Serum creatinine and blood urea nitrogen.
B. International normalized ratio (INR). CORRECT
C. Complete blood count with platelet count.
D. Liver function tests.
RATIONALE: Trimethoprim-sulfamethoxazole inhibits CYP2C9 and disrupts gut flora, markedly
potentiating warfarin and elevating INR, risking hemorrhage. While renal function and CBC are
relevant, INR is the direct measure of anticoagulant effect and dictates immediate dose
adjustment.
Page 2
,Q3 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
A hospitalized older adult with dementia suddenly develops increased confusion,
agitation, and visual hallucinations. Which assessment finding best supports a
diagnosis of delirium rather than worsening dementia?
A. Mini-Mental State Examination score declined by 3 points over 6 months.
B. Symptoms fluctuate throughout the day and worsen at night. CORRECT
C. The patient has a history of gradual memory loss over 2 years.
D. Family reports the patient has been more forgetful for the past week.
RATIONALE: Acute onset with fluctuating course and nocturnal worsening is hallmark for
delirium. Gradual decline, stable memory loss, and subacute forgetfulness are more consistent
with dementia progression. Delirium requires immediate investigation for reversible causes.
Q4 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
Which set of findings best identifies frailty syndrome in an older adult according
to the Fried phenotype?
A. Unintentional weight loss, self-reported exhaustion, low physical activity, slow gait speed, and
weak grip strength. CORRECT
B. Polypharmacy, multiple chronic conditions, and frequent hospitalizations.
C. Cognitive impairment, depression, and incontinence.
D. Sarcopenia, osteoporosis, and balance impairment.
RATIONALE: The Fried frailty phenotype includes unintentional weight loss, exhaustion, low
activity, slow gait, and weak grip. The other options describe multimorbidity, geriatric syndromes,
or related conditions, but not the validated frailty criteria.
Page 3
, Q5 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
An older adult with advanced cancer reports severe pain despite around-the-clock
morphine. Which principle should guide the next intervention?
A. Add a nonsteroidal anti-inflammatory drug to reduce opioid dose.
B. Administer breakthrough doses of immediate-release morphine every 1 hour as needed.
CORRECT
C. Increase the long-acting morphine dose by 50% immediately.
D. Switch to a fentanyl patch for more consistent delivery.
RATIONALE: Breakthrough pain requires prompt short-acting opioid dosing at 10-15% of the total
daily dose, offered every 1 hour. Adding NSAIDs may help but does not address breakthrough;
increasing long-acting dose without assessing breakthrough needs is unsafe; switching to a
patch does not provide rapid relief.
Q6 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
Which statement best reflects the concept of 'time-limited trial' in geriatric
palliative care?
A. A predetermined period during which a treatment is evaluated for benefit, with clear criteria for
continuation or withdrawal. CORRECT
B. A legal document that specifies the duration of cardiopulmonary resuscitation attempts.
C. A strategy to limit life-sustaining therapy to patients under a certain age.
D. An approach that prioritizes comfort measures only after all curative options are exhausted.
RATIONALE: A time-limited trial establishes explicit goals and a timeframe to assess whether an
intervention is achieving desired outcomes, allowing for ethical reassessment. It is not
age-based, not a legal document, and not synonymous with comfort-only care.
Page 4
NURSING FINAL EXAM REVIEW QUESTIONS
WITH ANSWERS & RATIONALES 2026/2027.
148 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Synthesize age-related physiologic changes with atypical disease presentation to prioritize nursing
interventions
2 Apply evidence-based deprescribing and medication safety principles for older adults with multimorbidity
3 Differentiate delirium, dementia, and depression using validated assessment tools and clinical reasoning
4 Formulate culturally sensitive, person-centered plans of care that respect autonomy and address ethical
dilemmas
5 Evaluate fall risk, frailty, and functional decline using standardized geriatric assessments to prevent
adverse outcomes
6 Jersey College NUR202 Geriatric Nursing Final Exam Review Questions with Answers & Rationales 2026
7 2027.
8 Foundations of Geriatric Nursing
9 Applied Geriatric Nursing
10 Advanced Geriatric Nursing
11 Geriatric Nursing Review
ABSTRACT
This study document brings together 148 carefully worded exam questions drawn from Jersey
College NUR202 Geriatric Nursing Final Exam Review Questions with Answers & Rationales
2026/2027., with the strongest emphasis placed on Synthesize age-related physiologic changes
with atypical disease presentation to prioritize nursing interventions, Apply evidence-based
deprescribing and medication safety principles for older adults with multimorbidity, Differentiate
delirium, dementia and and depression using validated assessment tools and clinical reasoning.
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 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
Which intervention most effectively reduces the risk of contrast-induced
nephropathy in an older adult with chronic kidney disease (eGFR 35 mL/min/1.73
m²) scheduled for a CT angiogram?
A. Administering oral N-acetylcysteine 600 mg twice daily before and after the procedure.
B. Ensuring adequate hydration with 0.9% sodium chloride before and after contrast
administration. CORRECT
C. Withholding all nephrotoxic medications for 48 hours before the procedure.
D. Using a low-osmolar contrast agent at a reduced dose.
RATIONALE: Volume expansion with isotonic saline is the cornerstone of prevention; it maintains
renal perfusion and dilutes contrast. N-acetylcysteine lacks consistent evidence, withholding
nephrotoxins is adjunctive but not primary, and low-osmolar contrast reduces but does not
eliminate risk.
Q2 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
An older adult on warfarin for atrial fibrillation is prescribed
trimethoprim-sulfamethoxazole for a urinary tract infection. Which parameter
requires the most immediate monitoring?
A. Serum creatinine and blood urea nitrogen.
B. International normalized ratio (INR). CORRECT
C. Complete blood count with platelet count.
D. Liver function tests.
RATIONALE: Trimethoprim-sulfamethoxazole inhibits CYP2C9 and disrupts gut flora, markedly
potentiating warfarin and elevating INR, risking hemorrhage. While renal function and CBC are
relevant, INR is the direct measure of anticoagulant effect and dictates immediate dose
adjustment.
Page 2
,Q3 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
A hospitalized older adult with dementia suddenly develops increased confusion,
agitation, and visual hallucinations. Which assessment finding best supports a
diagnosis of delirium rather than worsening dementia?
A. Mini-Mental State Examination score declined by 3 points over 6 months.
B. Symptoms fluctuate throughout the day and worsen at night. CORRECT
C. The patient has a history of gradual memory loss over 2 years.
D. Family reports the patient has been more forgetful for the past week.
RATIONALE: Acute onset with fluctuating course and nocturnal worsening is hallmark for
delirium. Gradual decline, stable memory loss, and subacute forgetfulness are more consistent
with dementia progression. Delirium requires immediate investigation for reversible causes.
Q4 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
Which set of findings best identifies frailty syndrome in an older adult according
to the Fried phenotype?
A. Unintentional weight loss, self-reported exhaustion, low physical activity, slow gait speed, and
weak grip strength. CORRECT
B. Polypharmacy, multiple chronic conditions, and frequent hospitalizations.
C. Cognitive impairment, depression, and incontinence.
D. Sarcopenia, osteoporosis, and balance impairment.
RATIONALE: The Fried frailty phenotype includes unintentional weight loss, exhaustion, low
activity, slow gait, and weak grip. The other options describe multimorbidity, geriatric syndromes,
or related conditions, but not the validated frailty criteria.
Page 3
, Q5 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
An older adult with advanced cancer reports severe pain despite around-the-clock
morphine. Which principle should guide the next intervention?
A. Add a nonsteroidal anti-inflammatory drug to reduce opioid dose.
B. Administer breakthrough doses of immediate-release morphine every 1 hour as needed.
CORRECT
C. Increase the long-acting morphine dose by 50% immediately.
D. Switch to a fentanyl patch for more consistent delivery.
RATIONALE: Breakthrough pain requires prompt short-acting opioid dosing at 10-15% of the total
daily dose, offered every 1 hour. Adding NSAIDs may help but does not address breakthrough;
increasing long-acting dose without assessing breakthrough needs is unsafe; switching to a
patch does not provide rapid relief.
Q6 SYNTHESIZE AGE-RELATED PHYSIOLOGIC CHANGES WITH ATYPICAL DISEASE
PRESENTATION TO PRIORITIZE NURSING INTERVENTIONS
Which statement best reflects the concept of 'time-limited trial' in geriatric
palliative care?
A. A predetermined period during which a treatment is evaluated for benefit, with clear criteria for
continuation or withdrawal. CORRECT
B. A legal document that specifies the duration of cardiopulmonary resuscitation attempts.
C. A strategy to limit life-sustaining therapy to patients under a certain age.
D. An approach that prioritizes comfort measures only after all curative options are exhausted.
RATIONALE: A time-limited trial establishes explicit goals and a timeframe to assess whether an
intervention is achieving desired outcomes, allowing for ethical reassessment. It is not
age-based, not a legal document, and not synonymous with comfort-only care.
Page 4
