JERSEY COLLEGE NUR202 GERIATRIC NURSING EXAM
1 | PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES | COMPREHENSIVE REVIEW | 2026/2027
146 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
JERSEY COLLEGE NUR202 GERIATRIC NURSING EXAM 1 | PRACTICE QUESTIONS, ANSWERS &
DETAILED RATIONALES | COMPREHENSIVE REVIEW | 2026/2027. It contains 146 carefully selected questions
that reflect the most current exam content and testing strategies. Each question is accompanied by a correct
answer and a detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 146 Questions
Foundations - Application - Jersey College Nur202 Geriatric Nursing 1 & Detailed Rationales
Comprehensive Review 2026/2027 Geriatric Nursing Undergraduate YEAR 2 Associate Degree IN Nursing
Jersey College Nur202
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Aging Theories AND 1-25 Older, Adult, Finding, Strongly, Medication
Demographics
Age-related Physiological 26-50 Older, Adult, Finding, Adverse, Intervention
Changes
Comprehensive Geriatric 51-75 Older, Adult, Assessing, Finding, Appropriate
Assessment
Health Promotion AND 76-100 Older, Adult, Nursing, Reports, Change
Disease Prevention IN Older
Adults
Safety AND FALL Prevention 101-125 Older, Adult, Appropriate, Medication, Factor
Polypharmacy AND 126-146 Older, Adult, Change, Finding, Age-related
Pharmacokinetics IN Aging
TOTAL 146 All questions include answers and detailed rationales
,Section A - Aging Theories AND Demographics
Q1.
A nurse notices an older adult who was alert at 0800 is now inattentive, with fluctuating
confusion and disorganized thinking at 1400. Which finding most strongly suggests
delirium rather than dementia?
A. Gradual onset over several months with B. Acute onset with fluctuating level of
stable deficits consciousness and inattention
C. Impaired recent memory with preserved D. Progressive decline in executive function
attention span over years
Correct: B - Acute onset with fluctuating level of consciousness and inattention
Rationale:Delirium is characterized by acute onset, fluctuating course, inattention, and
disorganized thinking, which distinguishes it from the insidious, progressive course of
dementia. Preserved attention and gradual memory loss are more consistent with dementia.
Recognizing delirium requires prompt investigation for underlying causes such as infection,
medications, or dehydration.
Why the other answers are wrong:
A. Gradual onset with stable deficits describes dementia, not delirium.
C. Impaired recent memory with preserved attention is typical of early dementia, not delirium.
D. Progressive executive decline over years is characteristic of dementia syndromes.
Reference: Eliopoulos, C. (2024). Gerontological Nursing, 10th Ed., Ch. 21: Delirium and Dementia.
Q2.
Which medication on an older adult's home list should the nurse flag as potentially
inappropriate per the 2023 AGS Beers Criteria?
A. Lisinopril for hypertension B. Diphenhydramine for sleep
C. Metformin for type 2 diabetes D. Atorvastatin for hyperlipidemia
Correct: B - Diphenhydramine for sleep
Rationale:First-generation antihistamines such as diphenhydramine are listed in the Beers
Criteria due to strong anticholinergic effects that increase risk of confusion, falls, and urinary
retention in older adults. Lisinopril, metformin, and atorvastatin are generally considered
appropriate for older adults when clinically indicated. Nurses should advocate for safer
alternatives to high-risk medications.
Why the other answers are wrong:
A. Lisinopril is not flagged as potentially inappropriate and is commonly appropriate for older
adults.
Page 3
, Section A - Aging Theories AND Demographics
C. Metformin remains a first-line agent for type 2 diabetes in older adults with adequate renal
function.
D. Atorvastatin is appropriate for secondary prevention in older adults.
Reference: 2023 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am
Geriatr Soc.
Q3.
Which statement by a nurse best reflects the concept of 'compression of morbidity' in
geriatric care?
A. Extending life expectancy regardless of B. Shortening the period of illness and
disability duration disability at the end of life
C. Reducing the total number of years lived D. Eliminating all chronic conditions in older
with chronic disease adults
Correct: B - Shortening the period of illness and disability at the end of life
Rationale:Compression of morbidity proposes delaying the onset of disability and
compressing the period of illness into a shorter time near the end of life. It does not aim to
eliminate chronic disease or merely extend lifespan. Health promotion and disease prevention
are key strategies to achieve this goal.
Why the other answers are wrong:
A. Extending life without reducing disability does not compress morbidity.
C. The concept focuses on disability duration, not eliminating chronic disease entirely.
D. Eliminating all chronic conditions is unrealistic and not the definition.
Reference: Touhy, T. & Jett, K. (2024). Ebersole & Hess' Gerontological Nursing & Healthy Aging, 6th
Ed., Ch. 1.
Q4.
A nurse is screening an older adult for malnutrition. Which finding most strongly indicates
need for further nutritional assessment?
A. BMI of 24 with stable weight B. Unintentional weight loss of 5% in one
month
C. Serum albumin of 4.0 g/dL D. Reports eating three meals daily
Correct: B - Unintentional weight loss of 5% in one month
Rationale:Unintentional weight loss of 5% or more in one month is a validated indicator of
malnutrition risk in older adults. Stable BMI, normal albumin, and regular meals do not
suggest malnutrition. Early identification allows timely intervention to prevent functional
decline.
Why the other answers are wrong:
Page 4
1 | PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES | COMPREHENSIVE REVIEW | 2026/2027
146 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
JERSEY COLLEGE NUR202 GERIATRIC NURSING EXAM 1 | PRACTICE QUESTIONS, ANSWERS &
DETAILED RATIONALES | COMPREHENSIVE REVIEW | 2026/2027. It contains 146 carefully selected questions
that reflect the most current exam content and testing strategies. Each question is accompanied by a correct
answer and a detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 146 Questions
Foundations - Application - Jersey College Nur202 Geriatric Nursing 1 & Detailed Rationales
Comprehensive Review 2026/2027 Geriatric Nursing Undergraduate YEAR 2 Associate Degree IN Nursing
Jersey College Nur202
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Aging Theories AND 1-25 Older, Adult, Finding, Strongly, Medication
Demographics
Age-related Physiological 26-50 Older, Adult, Finding, Adverse, Intervention
Changes
Comprehensive Geriatric 51-75 Older, Adult, Assessing, Finding, Appropriate
Assessment
Health Promotion AND 76-100 Older, Adult, Nursing, Reports, Change
Disease Prevention IN Older
Adults
Safety AND FALL Prevention 101-125 Older, Adult, Appropriate, Medication, Factor
Polypharmacy AND 126-146 Older, Adult, Change, Finding, Age-related
Pharmacokinetics IN Aging
TOTAL 146 All questions include answers and detailed rationales
,Section A - Aging Theories AND Demographics
Q1.
A nurse notices an older adult who was alert at 0800 is now inattentive, with fluctuating
confusion and disorganized thinking at 1400. Which finding most strongly suggests
delirium rather than dementia?
A. Gradual onset over several months with B. Acute onset with fluctuating level of
stable deficits consciousness and inattention
C. Impaired recent memory with preserved D. Progressive decline in executive function
attention span over years
Correct: B - Acute onset with fluctuating level of consciousness and inattention
Rationale:Delirium is characterized by acute onset, fluctuating course, inattention, and
disorganized thinking, which distinguishes it from the insidious, progressive course of
dementia. Preserved attention and gradual memory loss are more consistent with dementia.
Recognizing delirium requires prompt investigation for underlying causes such as infection,
medications, or dehydration.
Why the other answers are wrong:
A. Gradual onset with stable deficits describes dementia, not delirium.
C. Impaired recent memory with preserved attention is typical of early dementia, not delirium.
D. Progressive executive decline over years is characteristic of dementia syndromes.
Reference: Eliopoulos, C. (2024). Gerontological Nursing, 10th Ed., Ch. 21: Delirium and Dementia.
Q2.
Which medication on an older adult's home list should the nurse flag as potentially
inappropriate per the 2023 AGS Beers Criteria?
A. Lisinopril for hypertension B. Diphenhydramine for sleep
C. Metformin for type 2 diabetes D. Atorvastatin for hyperlipidemia
Correct: B - Diphenhydramine for sleep
Rationale:First-generation antihistamines such as diphenhydramine are listed in the Beers
Criteria due to strong anticholinergic effects that increase risk of confusion, falls, and urinary
retention in older adults. Lisinopril, metformin, and atorvastatin are generally considered
appropriate for older adults when clinically indicated. Nurses should advocate for safer
alternatives to high-risk medications.
Why the other answers are wrong:
A. Lisinopril is not flagged as potentially inappropriate and is commonly appropriate for older
adults.
Page 3
, Section A - Aging Theories AND Demographics
C. Metformin remains a first-line agent for type 2 diabetes in older adults with adequate renal
function.
D. Atorvastatin is appropriate for secondary prevention in older adults.
Reference: 2023 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am
Geriatr Soc.
Q3.
Which statement by a nurse best reflects the concept of 'compression of morbidity' in
geriatric care?
A. Extending life expectancy regardless of B. Shortening the period of illness and
disability duration disability at the end of life
C. Reducing the total number of years lived D. Eliminating all chronic conditions in older
with chronic disease adults
Correct: B - Shortening the period of illness and disability at the end of life
Rationale:Compression of morbidity proposes delaying the onset of disability and
compressing the period of illness into a shorter time near the end of life. It does not aim to
eliminate chronic disease or merely extend lifespan. Health promotion and disease prevention
are key strategies to achieve this goal.
Why the other answers are wrong:
A. Extending life without reducing disability does not compress morbidity.
C. The concept focuses on disability duration, not eliminating chronic disease entirely.
D. Eliminating all chronic conditions is unrealistic and not the definition.
Reference: Touhy, T. & Jett, K. (2024). Ebersole & Hess' Gerontological Nursing & Healthy Aging, 6th
Ed., Ch. 1.
Q4.
A nurse is screening an older adult for malnutrition. Which finding most strongly indicates
need for further nutritional assessment?
A. BMI of 24 with stable weight B. Unintentional weight loss of 5% in one
month
C. Serum albumin of 4.0 g/dL D. Reports eating three meals daily
Correct: B - Unintentional weight loss of 5% in one month
Rationale:Unintentional weight loss of 5% or more in one month is a validated indicator of
malnutrition risk in older adults. Stable BMI, normal albumin, and regular meals do not
suggest malnutrition. Early identification allows timely intervention to prevent functional
decline.
Why the other answers are wrong:
Page 4
