NU 176 GERIATRIC NURSING EXAM 4 ACTUAL 2026/2027 HIGH
YIELD PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM APPROVED QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED SUCCESS A+ |INSTANT DOWNLOAD PDF
|JUST RELEASED
1. An 82-year-old patient is prescribed diphenhydramine for sleep.
The nurse should question this order because:
A) It causes hypertension
B) It has a high anticholinergic burden and is on the Beers Criteria
(CORRECT ANSWER)
C) It is not effective for insomnia
D) It causes hyperglycemia
Rationale: Diphenhydramine has strong anticholinergic properties
and is listed on the AGS Beers Criteria as potentially inappropriate
for older adults due to risks of confusion, dry mouth, constipation,
urinary retention, and falls .
2. Which statement about the Beers Criteria is correct?
,A) They are absolute contraindications for all older adults
B) They apply to all adults over age 50
C) They identify medications to avoid in older adults (CORRECT
ANSWER)
D) They replace clinical judgment entirely
Rationale: The Beers Criteria identify potentially inappropriate
medications for older adults, but they are not absolute
contraindications. Clinical judgment must still be applied .
3. Which physiological change associated with aging most
significantly contributes to altered drug metabolism in older adults?
A) Increased hepatic blood flow
B) Decreased glomerular filtration rate (CORRECT ANSWER)
C) Increased lean body mass
D) Increased gastric acid secretion
Rationale: A progressive decline in GFR reduces the kidneys' ability
to clear medications, increasing the risk of drug toxicity. Renal dose
adjustments are often required .
,4. Which statement about renal function in older adults is most
accurate?
A) Creatinine levels reliably reflect renal function
B) Decreased muscle mass can mask reduced renal clearance
(CORRECT ANSWER)
C) Renal function increases with age
D) GFR is unaffected by aging
Rationale: Sarcopenia (muscle loss) reduces creatinine production,
so serum creatinine may appear normal even when GFR is
significantly reduced .
5. An older adult is prescribed an antipsychotic for dementia-related
agitation. The nurse should recognize that:
A) Antipsychotics are first-line treatment for all dementia patients
B) Antipsychotics carry a black box warning for increased mortality
in elderly patients with dementia (CORRECT ANSWER)
C) Antipsychotics have no adverse effects in older adults
D) Antipsychotics should be used indefinitely
, Rationale: Antipsychotics carry a black box warning for increased
risk of death in elderly patients with dementia-related psychosis and
should be used cautiously .
6. Which medication is most likely to cause orthostatic hypotension
in an older adult?
A) Acetaminophen
B) Furosemide (CORRECT ANSWER)
C) Omeprazole
D) Docusate sodium
Rationale: Diuretics such as furosemide can cause volume depletion
and orthostatic hypotension, increasing fall risk in older adults.
7. A nurse is reviewing medications for an 85-year-old. Which
medication is on the Beers Criteria as potentially inappropriate?
A) Lisinopril
B) Diazepam (CORRECT ANSWER)
C) Metformin
D) Atorvastatin
YIELD PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE
ACCURATE EXAM APPROVED QUESTIONS WITH WELL
ELABORATED SOLUTIONS AND DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED SUCCESS A+ |INSTANT DOWNLOAD PDF
|JUST RELEASED
1. An 82-year-old patient is prescribed diphenhydramine for sleep.
The nurse should question this order because:
A) It causes hypertension
B) It has a high anticholinergic burden and is on the Beers Criteria
(CORRECT ANSWER)
C) It is not effective for insomnia
D) It causes hyperglycemia
Rationale: Diphenhydramine has strong anticholinergic properties
and is listed on the AGS Beers Criteria as potentially inappropriate
for older adults due to risks of confusion, dry mouth, constipation,
urinary retention, and falls .
2. Which statement about the Beers Criteria is correct?
,A) They are absolute contraindications for all older adults
B) They apply to all adults over age 50
C) They identify medications to avoid in older adults (CORRECT
ANSWER)
D) They replace clinical judgment entirely
Rationale: The Beers Criteria identify potentially inappropriate
medications for older adults, but they are not absolute
contraindications. Clinical judgment must still be applied .
3. Which physiological change associated with aging most
significantly contributes to altered drug metabolism in older adults?
A) Increased hepatic blood flow
B) Decreased glomerular filtration rate (CORRECT ANSWER)
C) Increased lean body mass
D) Increased gastric acid secretion
Rationale: A progressive decline in GFR reduces the kidneys' ability
to clear medications, increasing the risk of drug toxicity. Renal dose
adjustments are often required .
,4. Which statement about renal function in older adults is most
accurate?
A) Creatinine levels reliably reflect renal function
B) Decreased muscle mass can mask reduced renal clearance
(CORRECT ANSWER)
C) Renal function increases with age
D) GFR is unaffected by aging
Rationale: Sarcopenia (muscle loss) reduces creatinine production,
so serum creatinine may appear normal even when GFR is
significantly reduced .
5. An older adult is prescribed an antipsychotic for dementia-related
agitation. The nurse should recognize that:
A) Antipsychotics are first-line treatment for all dementia patients
B) Antipsychotics carry a black box warning for increased mortality
in elderly patients with dementia (CORRECT ANSWER)
C) Antipsychotics have no adverse effects in older adults
D) Antipsychotics should be used indefinitely
, Rationale: Antipsychotics carry a black box warning for increased
risk of death in elderly patients with dementia-related psychosis and
should be used cautiously .
6. Which medication is most likely to cause orthostatic hypotension
in an older adult?
A) Acetaminophen
B) Furosemide (CORRECT ANSWER)
C) Omeprazole
D) Docusate sodium
Rationale: Diuretics such as furosemide can cause volume depletion
and orthostatic hypotension, increasing fall risk in older adults.
7. A nurse is reviewing medications for an 85-year-old. Which
medication is on the Beers Criteria as potentially inappropriate?
A) Lisinopril
B) Diazepam (CORRECT ANSWER)
C) Metformin
D) Atorvastatin
