JERSEY COLLEGE NUR202 GERIATRIC NURSING EXAM
2 | PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES | COMPREHENSIVE REVIEW | 2026/2027
144 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 2 | PRACTICE QUESTIONS, ANSWERS &
DETAILED RATIONALES | COMPREHENSIVE REVIEW | 2026/2027. It contains 144 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 144 Questions
Foundations - Application - Jersey College Nur202 Geriatric Nursing 2 & Detailed Rationales
Comprehensive Review 2026/2027 Geriatric Nursing Undergraduate YEAR 2 Associate/bsn Jersey College
Nur202
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Aging Process AND Theories 1-24 Older, Adult, Assessing, Finding, Age-related
OF Aging
Geriatric Assessment AND 25-48 Older, Adult, Medication, Intervention, Finding
Functional Status
Health Promotion AND 49-72 Older, Adult, Finding, Prescribed, Delirium
Disease Prevention IN Older
Adults
Safety AND FALL Prevention 73-96 Older, Adult, Medication, Assessing, Finding
Medication Management AND 97-120 Older, Adult, Finding, Appropriate, Orthostatic Hypotension
Polypharmacy
Chronic Illness Management 121-144 Older, Adult, Teaching, Finding, Appropriate
IN Older Adults
TOTAL 144 All questions include answers and detailed rationales
,Section A - Aging Process AND Theories OF Aging
Q1.
A nurse assesses an older adult with a 2-day onset of fluctuating attention, disorganized
thinking, and altered sleep-wake cycle. Which finding best supports delirium rather than
dementia?
A. Insidious onset with gradual memory loss B. Acute onset with fluctuating level of
over 18 months consciousness
C. Preserved attention with stable cognitive D. No change in cognition when
decline environmental stimuli change
Correct: B - Acute onset with fluctuating level of consciousness
Rationale:Delirium is characterized by acute onset (hours to days) with a fluctuating level of
consciousness and inattention, distinguishing it from the chronic, stable course of dementia.
Dementia typically has an insidious onset with preserved consciousness until late stages.
Why the other answers are wrong:
A. Insidious, gradual decline over months to years describes dementia, not delirium.
C. Delirium impairs attention; preserved attention with stable decline is more consistent with
dementia.
D. Delirium symptoms fluctuate with environmental and physiologic changes; stability suggests
dementia.
Reference: Touhy, T.A., & Jett, K.F. (2024). Ebersole & Hess' Toward Healthy Aging, 11th Ed., Ch. 22.
Q2.
A nurse is teaching an older adult about age-related changes that increase risk for
dehydration. Which physiologic change is most responsible?
A. Increased glomerular filtration rate B. Decreased thirst sensation and renal
concentrating ability
C. Increased total body water percentage D. Enhanced renin-angiotensin-aldosterone
response
Correct: B - Decreased thirst sensation and renal concentrating ability
Rationale:Older adults experience a blunted thirst response and reduced renal concentrating
ability, predisposing them to dehydration even when fluid needs are unmet. Total body water
also decreases with age, and GFR declines rather than increases.
Why the other answers are wrong:
A. GFR declines with age, reducing rather than increasing fluid clearance capacity.
C. Total body water decreases with age due to loss of lean mass, worsening dehydration risk.
Page 3
, Section A - Aging Process AND Theories OF Aging
D. RAAS responsiveness is blunted in older adults, impairing fluid conservation.
Reference: Touhy, T.A., & Jett, K.F. (2024). Ebersole & Hess' Toward Healthy Aging, 11th Ed., Ch. 12.
Q3.
A nurse is reviewing a medication list for an older adult and applies the Beers Criteria.
Which medication is most appropriate to flag as potentially inappropriate?
A. Lisinopril for hypertension B. Metformin for type 2 diabetes
C. Diphenhydramine for seasonal allergies D. Atorvastatin for hyperlipidemia
Correct: C - Diphenhydramine for seasonal allergies
Rationale:First-generation antihistamines such as diphenhydramine are listed on 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 appropriate in
this population.
Why the other answers are wrong:
A. Lisinopril is not on the Beers Criteria and is appropriate for hypertension.
B. Metformin is generally safe in older adults with adequate renal function.
D. Atorvastatin is not listed as potentially inappropriate by Beers Criteria.
Reference: 2023 AGS Beers Criteria®. Journal of the American Geriatrics Society, 71(7), 2052-2081.
Q4.
A nurse notes a stage 2 pressure injury on an older adult's sacrum. Which intervention is
the priority to promote healing?
A. Massage the surrounding tissue B. Reposition at least every 2 hours and use
vigorously to stimulate circulation a pressure-redistribution surface
C. Apply a heat lamp to the wound for 20 D. Keep the wound open to air and avoid
minutes each shift any dressing
Correct: B - Reposition at least every 2 hours and use a pressure-redistribution surface
Rationale:Offloading pressure through frequent repositioning and a pressure-redistribution
surface is the cornerstone of pressure injury healing. Massage over bony prominences, heat
lamps, and leaving wounds open to air are outdated or harmful practices.
Why the other answers are wrong:
A. Massaging reddened or injured tissue can cause further capillary damage.
C. Heat lamps can burn fragile skin and do not promote pressure injury healing.
D. Moist wound healing with appropriate dressings is preferred over leaving wounds open to
air.
Reference: EPUAP/NPIAP/PPPIA (2019). Prevention and Treatment of Pressure Ulcers/Injuries: Clinical
Practice Guideline.
Page 4
2 | PRACTICE QUESTIONS, ANSWERS & DETAILED
RATIONALES | COMPREHENSIVE REVIEW | 2026/2027
144 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 2 | PRACTICE QUESTIONS, ANSWERS &
DETAILED RATIONALES | COMPREHENSIVE REVIEW | 2026/2027. It contains 144 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 144 Questions
Foundations - Application - Jersey College Nur202 Geriatric Nursing 2 & Detailed Rationales
Comprehensive Review 2026/2027 Geriatric Nursing Undergraduate YEAR 2 Associate/bsn Jersey College
Nur202
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Aging Process AND Theories 1-24 Older, Adult, Assessing, Finding, Age-related
OF Aging
Geriatric Assessment AND 25-48 Older, Adult, Medication, Intervention, Finding
Functional Status
Health Promotion AND 49-72 Older, Adult, Finding, Prescribed, Delirium
Disease Prevention IN Older
Adults
Safety AND FALL Prevention 73-96 Older, Adult, Medication, Assessing, Finding
Medication Management AND 97-120 Older, Adult, Finding, Appropriate, Orthostatic Hypotension
Polypharmacy
Chronic Illness Management 121-144 Older, Adult, Teaching, Finding, Appropriate
IN Older Adults
TOTAL 144 All questions include answers and detailed rationales
,Section A - Aging Process AND Theories OF Aging
Q1.
A nurse assesses an older adult with a 2-day onset of fluctuating attention, disorganized
thinking, and altered sleep-wake cycle. Which finding best supports delirium rather than
dementia?
A. Insidious onset with gradual memory loss B. Acute onset with fluctuating level of
over 18 months consciousness
C. Preserved attention with stable cognitive D. No change in cognition when
decline environmental stimuli change
Correct: B - Acute onset with fluctuating level of consciousness
Rationale:Delirium is characterized by acute onset (hours to days) with a fluctuating level of
consciousness and inattention, distinguishing it from the chronic, stable course of dementia.
Dementia typically has an insidious onset with preserved consciousness until late stages.
Why the other answers are wrong:
A. Insidious, gradual decline over months to years describes dementia, not delirium.
C. Delirium impairs attention; preserved attention with stable decline is more consistent with
dementia.
D. Delirium symptoms fluctuate with environmental and physiologic changes; stability suggests
dementia.
Reference: Touhy, T.A., & Jett, K.F. (2024). Ebersole & Hess' Toward Healthy Aging, 11th Ed., Ch. 22.
Q2.
A nurse is teaching an older adult about age-related changes that increase risk for
dehydration. Which physiologic change is most responsible?
A. Increased glomerular filtration rate B. Decreased thirst sensation and renal
concentrating ability
C. Increased total body water percentage D. Enhanced renin-angiotensin-aldosterone
response
Correct: B - Decreased thirst sensation and renal concentrating ability
Rationale:Older adults experience a blunted thirst response and reduced renal concentrating
ability, predisposing them to dehydration even when fluid needs are unmet. Total body water
also decreases with age, and GFR declines rather than increases.
Why the other answers are wrong:
A. GFR declines with age, reducing rather than increasing fluid clearance capacity.
C. Total body water decreases with age due to loss of lean mass, worsening dehydration risk.
Page 3
, Section A - Aging Process AND Theories OF Aging
D. RAAS responsiveness is blunted in older adults, impairing fluid conservation.
Reference: Touhy, T.A., & Jett, K.F. (2024). Ebersole & Hess' Toward Healthy Aging, 11th Ed., Ch. 12.
Q3.
A nurse is reviewing a medication list for an older adult and applies the Beers Criteria.
Which medication is most appropriate to flag as potentially inappropriate?
A. Lisinopril for hypertension B. Metformin for type 2 diabetes
C. Diphenhydramine for seasonal allergies D. Atorvastatin for hyperlipidemia
Correct: C - Diphenhydramine for seasonal allergies
Rationale:First-generation antihistamines such as diphenhydramine are listed on 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 appropriate in
this population.
Why the other answers are wrong:
A. Lisinopril is not on the Beers Criteria and is appropriate for hypertension.
B. Metformin is generally safe in older adults with adequate renal function.
D. Atorvastatin is not listed as potentially inappropriate by Beers Criteria.
Reference: 2023 AGS Beers Criteria®. Journal of the American Geriatrics Society, 71(7), 2052-2081.
Q4.
A nurse notes a stage 2 pressure injury on an older adult's sacrum. Which intervention is
the priority to promote healing?
A. Massage the surrounding tissue B. Reposition at least every 2 hours and use
vigorously to stimulate circulation a pressure-redistribution surface
C. Apply a heat lamp to the wound for 20 D. Keep the wound open to air and avoid
minutes each shift any dressing
Correct: B - Reposition at least every 2 hours and use a pressure-redistribution surface
Rationale:Offloading pressure through frequent repositioning and a pressure-redistribution
surface is the cornerstone of pressure injury healing. Massage over bony prominences, heat
lamps, and leaving wounds open to air are outdated or harmful practices.
Why the other answers are wrong:
A. Massaging reddened or injured tissue can cause further capillary damage.
C. Heat lamps can burn fragile skin and do not promote pressure injury healing.
D. Moist wound healing with appropriate dressings is preferred over leaving wounds open to
air.
Reference: EPUAP/NPIAP/PPPIA (2019). Prevention and Treatment of Pressure Ulcers/Injuries: Clinical
Practice Guideline.
Page 4
