SENTINEL U APS GERONTOLOGY |
JEONG JEONG-HOON VERTIGO CASE
STUDY | 100% SCORE | 2026 UPDATED.
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
SENTINEL U APS GERONTOLOGY | JEONG JEONG-HOON VERTIGO CASE STUDY | 100% SCORE | 2026
UPDATED.. 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 - Sentinel U APS Gerontology Jeong Jeong-hoon Vertigo CASE Study 100 Score
2026 Updated Gerontologic Nursing Sentinel U Advanced Series Vertigo CASE Study Undergraduate YEAR 3
/ Pre-licensure BSN Northern Kentucky University Level
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-25 Older, Vertigo, Adult, Finding, Vestibular
Safety AND Infection Control 26-50 Vertigo, Older Adult, Finding, Prescribed, Teaching
Health Promotion AND 51-75 Vertigo, Older Adult, Acute, Finding, Dizziness
Maintenance
Psychosocial Integrity 76-100 Vertigo, Older, Acute, Adult, Finding
Basic CARE AND Comfort 101-125 Vertigo, Older, Adult, Vestibular, Finding
Pharmacological Therapies 126-146 Vertigo, Older, Adult, Finding, Geriatric
TOTAL 146 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A patient reports spinning that begins suddenly when rolling over in bed and lasts under
one minute. Which finding best supports benign paroxysmal positional vertigo (BPPV)
over a central cause?
A. Direction-changing nystagmus that B. Brief latency, fatigable nystagmus
persists during fixation provoked by a positional maneuver
C. Vertical nystagmus with truncal ataxia D. Gradual-onset vertigo with new unilateral
and dysarthria hearing loss
Correct: B - Brief latency, fatigable nystagmus provoked by a positional maneuver
Rationale:BPPV produces canalith-driven nystagmus with a brief latency, short duration, and
fatigability on repeated Dix-Hallpike testing. Persistent direction-changing or vertical
nystagmus and associated neurologic deficits suggest a central lesion, and sudden hearing
loss suggests labyrinthitis rather than BPPV.
Why the other answers are wrong:
A. Persistent direction-changing nystagmus that does not suppress with fixation points to a
central vestibular lesion.
C. Vertical nystagmus with ataxia and dysarthria indicates cerebellar or brainstem involvement,
not BPPV.
D. Gradual vertigo with unilateral hearing loss suggests acoustic neuroma or Meniere disease,
not BPPV.
Reference: Bickley, L.S. (2024). Bates' Guide to Physical Examination, 13th Ed., Ch. 18.
Q2.
Which assessment finding is most consistent with orthostatic hypotension as a
contributor to an older adult's dizziness?
A. Blood pressure drop of 15 mm Hg B. Blood pressure drop of 25 mm Hg
systolic within 1 minute of standing systolic within 3 minutes of standing
C. Heart rate increase of 5 beats/min on D. Blood pressure rise of 10 mm Hg after
standing ambulating
Correct: B - Blood pressure drop of 25 mm Hg systolic within 3 minutes of standing
Rationale:Orthostatic hypotension is defined as a fall of at least 20 mm Hg systolic or 10 mm
Hg diastolic within 3 minutes of standing. A 15 mm Hg drop and minimal heart rate change do
not meet criteria, and a blood pressure rise is not orthostatic hypotension.
Why the other answers are wrong:
Page 3
, Section A - Management OF CARE
A. A 15 mm Hg systolic drop does not meet the 20 mm Hg threshold for orthostatic
hypotension.
C. A 5-beat rise is a normal compensatory response, not a sign of orthostasis.
D. A rise in blood pressure after ambulation is expected and not diagnostic.
Reference: Consensus Committee of the American Autonomic Society (2011/updated 2023). Clinical
Autonomic Research.
Q3.
An older adult with acute vertigo becomes suddenly confused and inattentive overnight,
fluctuating through the day. Which action should the nurse take first?
A. Document as dementia and continue B. Request a psychiatry consult for
routine care new-onset psychosis
C. Screen for reversible causes such as D. Apply wrist restraints to prevent falls
infection, pain, and medication effects
Correct: C - Screen for reversible causes such as infection, pain, and medication effects
Rationale:Acute fluctuating inattention indicates delirium, which requires prompt evaluation
for reversible causes like infection, pain, dehydration, and polypharmacy. Dementia is chronic
and non-fluctuating, antipsychotics are not first-line, and restraints increase injury and
delirium severity.
Why the other answers are wrong:
A. Dementia is gradual and stable; fluctuating attention suggests delirium and requires workup.
B. Psychosis is not the priority; reversible medical causes must be ruled out first.
D. Restraints worsen delirium and increase fall-related injury risk.
Reference: Inouye, S.K. (2024). Delirium in Older Persons. NEJM, 390(15), 1400-1410.
Q4.
Which age-related change most directly increases an older adult's risk of falls during a
vertigo episode?
A. Decreased gastric acid secretion B. Reduced vestibular hair cell density and
proprioceptive acuity
C. Increased hepatic first-pass metabolism D. Decreased serum creatinine production
Correct: B - Reduced vestibular hair cell density and proprioceptive acuity
Rationale:Loss of vestibular hair cells and diminished proprioception impair postural control,
amplifying fall risk during vertigo. The other changes affect drug handling and laboratory
interpretation, not balance directly.
Why the other answers are wrong:
A. Gastric acid changes affect drug absorption, not balance.
Page 4
JEONG JEONG-HOON VERTIGO CASE
STUDY | 100% SCORE | 2026 UPDATED.
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
SENTINEL U APS GERONTOLOGY | JEONG JEONG-HOON VERTIGO CASE STUDY | 100% SCORE | 2026
UPDATED.. 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 - Sentinel U APS Gerontology Jeong Jeong-hoon Vertigo CASE Study 100 Score
2026 Updated Gerontologic Nursing Sentinel U Advanced Series Vertigo CASE Study Undergraduate YEAR 3
/ Pre-licensure BSN Northern Kentucky University Level
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-25 Older, Vertigo, Adult, Finding, Vestibular
Safety AND Infection Control 26-50 Vertigo, Older Adult, Finding, Prescribed, Teaching
Health Promotion AND 51-75 Vertigo, Older Adult, Acute, Finding, Dizziness
Maintenance
Psychosocial Integrity 76-100 Vertigo, Older, Acute, Adult, Finding
Basic CARE AND Comfort 101-125 Vertigo, Older, Adult, Vestibular, Finding
Pharmacological Therapies 126-146 Vertigo, Older, Adult, Finding, Geriatric
TOTAL 146 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A patient reports spinning that begins suddenly when rolling over in bed and lasts under
one minute. Which finding best supports benign paroxysmal positional vertigo (BPPV)
over a central cause?
A. Direction-changing nystagmus that B. Brief latency, fatigable nystagmus
persists during fixation provoked by a positional maneuver
C. Vertical nystagmus with truncal ataxia D. Gradual-onset vertigo with new unilateral
and dysarthria hearing loss
Correct: B - Brief latency, fatigable nystagmus provoked by a positional maneuver
Rationale:BPPV produces canalith-driven nystagmus with a brief latency, short duration, and
fatigability on repeated Dix-Hallpike testing. Persistent direction-changing or vertical
nystagmus and associated neurologic deficits suggest a central lesion, and sudden hearing
loss suggests labyrinthitis rather than BPPV.
Why the other answers are wrong:
A. Persistent direction-changing nystagmus that does not suppress with fixation points to a
central vestibular lesion.
C. Vertical nystagmus with ataxia and dysarthria indicates cerebellar or brainstem involvement,
not BPPV.
D. Gradual vertigo with unilateral hearing loss suggests acoustic neuroma or Meniere disease,
not BPPV.
Reference: Bickley, L.S. (2024). Bates' Guide to Physical Examination, 13th Ed., Ch. 18.
Q2.
Which assessment finding is most consistent with orthostatic hypotension as a
contributor to an older adult's dizziness?
A. Blood pressure drop of 15 mm Hg B. Blood pressure drop of 25 mm Hg
systolic within 1 minute of standing systolic within 3 minutes of standing
C. Heart rate increase of 5 beats/min on D. Blood pressure rise of 10 mm Hg after
standing ambulating
Correct: B - Blood pressure drop of 25 mm Hg systolic within 3 minutes of standing
Rationale:Orthostatic hypotension is defined as a fall of at least 20 mm Hg systolic or 10 mm
Hg diastolic within 3 minutes of standing. A 15 mm Hg drop and minimal heart rate change do
not meet criteria, and a blood pressure rise is not orthostatic hypotension.
Why the other answers are wrong:
Page 3
, Section A - Management OF CARE
A. A 15 mm Hg systolic drop does not meet the 20 mm Hg threshold for orthostatic
hypotension.
C. A 5-beat rise is a normal compensatory response, not a sign of orthostasis.
D. A rise in blood pressure after ambulation is expected and not diagnostic.
Reference: Consensus Committee of the American Autonomic Society (2011/updated 2023). Clinical
Autonomic Research.
Q3.
An older adult with acute vertigo becomes suddenly confused and inattentive overnight,
fluctuating through the day. Which action should the nurse take first?
A. Document as dementia and continue B. Request a psychiatry consult for
routine care new-onset psychosis
C. Screen for reversible causes such as D. Apply wrist restraints to prevent falls
infection, pain, and medication effects
Correct: C - Screen for reversible causes such as infection, pain, and medication effects
Rationale:Acute fluctuating inattention indicates delirium, which requires prompt evaluation
for reversible causes like infection, pain, dehydration, and polypharmacy. Dementia is chronic
and non-fluctuating, antipsychotics are not first-line, and restraints increase injury and
delirium severity.
Why the other answers are wrong:
A. Dementia is gradual and stable; fluctuating attention suggests delirium and requires workup.
B. Psychosis is not the priority; reversible medical causes must be ruled out first.
D. Restraints worsen delirium and increase fall-related injury risk.
Reference: Inouye, S.K. (2024). Delirium in Older Persons. NEJM, 390(15), 1400-1410.
Q4.
Which age-related change most directly increases an older adult's risk of falls during a
vertigo episode?
A. Decreased gastric acid secretion B. Reduced vestibular hair cell density and
proprioceptive acuity
C. Increased hepatic first-pass metabolism D. Decreased serum creatinine production
Correct: B - Reduced vestibular hair cell density and proprioceptive acuity
Rationale:Loss of vestibular hair cells and diminished proprioception impair postural control,
amplifying fall risk during vertigo. The other changes affect drug handling and laboratory
interpretation, not balance directly.
Why the other answers are wrong:
A. Gastric acid changes affect drug absorption, not balance.
Page 4
