Geriatric Nursing Exam 3 latest
updates!!! 2026-2027 | correct
solutions with quiz & answers |
highly graded a+
The nurse arrives for a home visit & suspects that the older person is experiencing
financial exploitation. Which observation caused the nurse to make this clinical
decision?
A) Dry cracked lips
B) No electricity in the home
C) Rat droppings on the kitchen floor
D) Streaks of stool down the person's legs - CORRECT ANSWERS-B) No electricity in
the home
The home healthcare nurse is preparing an educational program for other healthcare
providers regarding elder abuse. What information should the nurse include? Select all
that apply.
A) The typical abuser is the spouse
B) The majority of abuse occurs in the long-term care setting
C) The majority of abuse occurs in the home setting
D) The typical abuser is the adult child
E) The typical elder who is abused is a woman - CORRECT ANSWERS-C) The majority
of abuse occurs in the home setting
D) The typical abuser is the adult child
E) The typical elder who is abused is a woman
The nurse documents that the family caregiver of an older person should be assessed
for stress during every home visit. What caused the nurse to make this notation in the
older person's medical record?
A) The sink is full of dirty dishes
B) Person sitting quietly watching television
C) Unread newspapers stacked on the kitchen table
D) Family caregiver complaining about the volume of laundry - CORRECT ANSWERS-
D) Family caregiver complaining about the volume of laundry
,The daughter of an older patient is researching viable skilled facilities to have the
patient admitted. Institutional abuse information on facilities is difficult to find. What are
some of the reasons for this? Select all that apply.
A) Managers fear adverse publicity
B) Family members fear needing to find a new agency for the patient
C) Billing department members fear not getting paid for services
D) Staff members fear losing their jobs
E) Residents fear retribution - CORRECT ANSWERS-A) Managers fear adverse
publicity
B) Family members fear needing to find a new agency for the patient
D) Staff members fear losing their jobs
E) Residents fear retribution
The manager of a skilled facility is concerned that residents are not receiving required
care and are experiencing neglect. Which information caused the manager to make this
assumption?
A) Pressure ulcer healing rate at 10%
B) Family members visiting more frequently
C) Resident sitting in urine-saturated clothing for hours
D) All residents prescribed the annual influenza vaccination - CORRECT ANSWERS-C)
Resident sitting in urine-saturated clothing for hours
In which situations is institutional mistreatment of older adults most likely to occur?
Select all that apply.
A) Staff burnout
B) Staffing shortage
C) Adequate staff training
D) Patient aggressiveness
E) Family members frequently visit - CORRECT ANSWERS-A) Staff burnout
B) Staffing shortage
D) Patient aggressiveness
The family member of an older patient recovering from spinal fusion surgery is asking
about care of the surgical wound. What statement by the nurse indicates proper
teaching about skin wound healing in older adults?
A) Skin healing occurs quicker in older adults d/t epidermal thinner
B) Skin healing occurs slower in older adults d/t decrease in epidermal mitosis
C) Leave the wound open to air immediately after surgery to avoid skin breakdown and
prevent infection
D) Heat packs should be placed d - CORRECT ANSWERS-B) Skin healing occurs
slower in older adults d/t decrease in epidermal mitosis
D/t loss of elasticity and decrease in epidermal mitosis by over 30%, skin healing occurs
slower in older adults. Surgical wounds should be covered with clean, dry dressing to
avoid debris and other contaminants from getting into the surgical site because the risk
,for infection in older adults is greater. Heat should never be placed directly on skin to
avoid burns, especially in older adults who have epidermal loss
The nurse is caring for an older patient who is 1 day post op from a total hip
replacement.Which actions by the nurse prevent the development of pressure ulcers?
SATA
A) Strict 2 hour turning protocol is followed
B) The nurse checks the surgical site frequently to ensure it is clean, dry, and intact
C) The nurse wets a gauze and places it over wound to promote healing
D) Pt is placed directly onto coccyx to avoid pressure on the affected hip
E) Nurse instills help of nursing aid to change sheets - CORRECT ANSWERS-A) Strict
2 hour turning protocol is followed
B) The nurse checks the surgical site frequently to ensure it is clean, dry, and intact
E) Nurse instills help of nursing aid to change sheets
CORRECT ANSWERS: A, B, E. Q2hr turning is crucial to prevent skin breakdown.
Surgical sites should be kept clean, dry, and intact and avoid excessive moisture on
skin to avoid skin breakdown. Pt should be offloaded off coccyx when in bed to avoid
breakdown. If pt gets OOBinto a chair, the nurse should follow a q1hr turning schedule.
When educating an older patient on skin conditions that can occur with aging, which
statement is incorrect?
A) Skin tears
B) Pressure ulcers
C) Dry skin
D) Eczema - CORRECT ANSWERS-D) Eczema
Correct answer: D. Eczema is not a specific skin condition that worsens with aging and
is most often found in younger populations. All the other conditions are those that can
worsen with aging.
What physical presentations in a pt with a wound would suggest the wound is not
adequately healing? SATA
A) Wound size is increasing
B) Wound is producing purulent exudate
C) Blackened tissue is forming over wound
D) Reddened, warm skin is developing around wound
E) Granulation of wound bed is occurring - CORRECT ANSWERS-A) Wound size is
increasing
B) Wound is producing purulent exudate
C) Blackened tissue is forming over wound
D) Reddened, warm skin is developing around wound
CORRECT ANSWERS: A, B, C, D. Eschar formation is dead tissue that suggests the
wound is nothealing. Infectious sx around the wound may also suggest the wound is not
improving, such as exudate that is purulent and red, warm skin. Granulation is
, suggestive of adequate wound healing and new tissue is forming so should not be a
concern
Prior to surgery, the provider orders bloodwork to assess the health of pt for post-op
concerns. What result should be addressed with the patient prior to surgery?
A) Hemoglobin: 14.2g/dL
B) WBC: 8.3mcL
C) A1c: 4.2%
D) Prealbumin: 2mg/dL - CORRECT ANSWERS-Correct answer: D. Factors that may
affect wound healing should be assessed in older patients including nutrition and
infection. Elevated blood glucose levels can affect healing so a BGL and Hgb A1c
should be assessed in all pts. Low levels of prealbumin and albumin may mean the pt is
malnourished which will affect wound healing.
The nurse suspects that an older person is at risk for elder mistreatment. Which finding
supports the nurse's conclusion?
A) The person is female
B) Retired schoolteacher
C) Volunteers at the library
D) Lives with adult children - CORRECT ANSWERS-A) The person is female
Rationale: Risk factors that increase the possibility of elder mistreatment include being
of the female gender. Employment, volunteer status, or living arrangements do not
increase the risk of elder mistreatment.
The charge nurse is concerned that nursing-assistive personnel (NAP) in a skilled
facility are prone to ne-glecting the needs of the residents. What statement did the
nurse hear one of the NAP make to come to this conclusion?
A) "Maybe I'll bring you some water, if you behave."
B) "I'll be back in a few minutes to take you to the din-ing room."
C) "Your daughter will be here at 10 am. How about a shower now to get ready?"
D) "Everyone's in the rec room watching the movie! Don't you want to see i - CORRECT
ANSWERS-A) "Maybe I'll bring you some water, if you behave."
Rationale: Threatening to withhold water un-less the person "behaves" can be a
precursor to neglect. The NAP should be counseled because of this statement.
Returning in a few minutes, helping a person get ready for family, and asking about
watching a movie are not indica-tions that the residents are experiencing neglect.
The manager of a skilled facility is concerned that residents are not receiving required
care and are experiencing neglect. Which information caused the manager to make this
assumption?
A) Pressure ulcer healing rate at 10%
B) Family members visiting more frequently
C) Resident sitting in urine-saturated clothing for hours
updates!!! 2026-2027 | correct
solutions with quiz & answers |
highly graded a+
The nurse arrives for a home visit & suspects that the older person is experiencing
financial exploitation. Which observation caused the nurse to make this clinical
decision?
A) Dry cracked lips
B) No electricity in the home
C) Rat droppings on the kitchen floor
D) Streaks of stool down the person's legs - CORRECT ANSWERS-B) No electricity in
the home
The home healthcare nurse is preparing an educational program for other healthcare
providers regarding elder abuse. What information should the nurse include? Select all
that apply.
A) The typical abuser is the spouse
B) The majority of abuse occurs in the long-term care setting
C) The majority of abuse occurs in the home setting
D) The typical abuser is the adult child
E) The typical elder who is abused is a woman - CORRECT ANSWERS-C) The majority
of abuse occurs in the home setting
D) The typical abuser is the adult child
E) The typical elder who is abused is a woman
The nurse documents that the family caregiver of an older person should be assessed
for stress during every home visit. What caused the nurse to make this notation in the
older person's medical record?
A) The sink is full of dirty dishes
B) Person sitting quietly watching television
C) Unread newspapers stacked on the kitchen table
D) Family caregiver complaining about the volume of laundry - CORRECT ANSWERS-
D) Family caregiver complaining about the volume of laundry
,The daughter of an older patient is researching viable skilled facilities to have the
patient admitted. Institutional abuse information on facilities is difficult to find. What are
some of the reasons for this? Select all that apply.
A) Managers fear adverse publicity
B) Family members fear needing to find a new agency for the patient
C) Billing department members fear not getting paid for services
D) Staff members fear losing their jobs
E) Residents fear retribution - CORRECT ANSWERS-A) Managers fear adverse
publicity
B) Family members fear needing to find a new agency for the patient
D) Staff members fear losing their jobs
E) Residents fear retribution
The manager of a skilled facility is concerned that residents are not receiving required
care and are experiencing neglect. Which information caused the manager to make this
assumption?
A) Pressure ulcer healing rate at 10%
B) Family members visiting more frequently
C) Resident sitting in urine-saturated clothing for hours
D) All residents prescribed the annual influenza vaccination - CORRECT ANSWERS-C)
Resident sitting in urine-saturated clothing for hours
In which situations is institutional mistreatment of older adults most likely to occur?
Select all that apply.
A) Staff burnout
B) Staffing shortage
C) Adequate staff training
D) Patient aggressiveness
E) Family members frequently visit - CORRECT ANSWERS-A) Staff burnout
B) Staffing shortage
D) Patient aggressiveness
The family member of an older patient recovering from spinal fusion surgery is asking
about care of the surgical wound. What statement by the nurse indicates proper
teaching about skin wound healing in older adults?
A) Skin healing occurs quicker in older adults d/t epidermal thinner
B) Skin healing occurs slower in older adults d/t decrease in epidermal mitosis
C) Leave the wound open to air immediately after surgery to avoid skin breakdown and
prevent infection
D) Heat packs should be placed d - CORRECT ANSWERS-B) Skin healing occurs
slower in older adults d/t decrease in epidermal mitosis
D/t loss of elasticity and decrease in epidermal mitosis by over 30%, skin healing occurs
slower in older adults. Surgical wounds should be covered with clean, dry dressing to
avoid debris and other contaminants from getting into the surgical site because the risk
,for infection in older adults is greater. Heat should never be placed directly on skin to
avoid burns, especially in older adults who have epidermal loss
The nurse is caring for an older patient who is 1 day post op from a total hip
replacement.Which actions by the nurse prevent the development of pressure ulcers?
SATA
A) Strict 2 hour turning protocol is followed
B) The nurse checks the surgical site frequently to ensure it is clean, dry, and intact
C) The nurse wets a gauze and places it over wound to promote healing
D) Pt is placed directly onto coccyx to avoid pressure on the affected hip
E) Nurse instills help of nursing aid to change sheets - CORRECT ANSWERS-A) Strict
2 hour turning protocol is followed
B) The nurse checks the surgical site frequently to ensure it is clean, dry, and intact
E) Nurse instills help of nursing aid to change sheets
CORRECT ANSWERS: A, B, E. Q2hr turning is crucial to prevent skin breakdown.
Surgical sites should be kept clean, dry, and intact and avoid excessive moisture on
skin to avoid skin breakdown. Pt should be offloaded off coccyx when in bed to avoid
breakdown. If pt gets OOBinto a chair, the nurse should follow a q1hr turning schedule.
When educating an older patient on skin conditions that can occur with aging, which
statement is incorrect?
A) Skin tears
B) Pressure ulcers
C) Dry skin
D) Eczema - CORRECT ANSWERS-D) Eczema
Correct answer: D. Eczema is not a specific skin condition that worsens with aging and
is most often found in younger populations. All the other conditions are those that can
worsen with aging.
What physical presentations in a pt with a wound would suggest the wound is not
adequately healing? SATA
A) Wound size is increasing
B) Wound is producing purulent exudate
C) Blackened tissue is forming over wound
D) Reddened, warm skin is developing around wound
E) Granulation of wound bed is occurring - CORRECT ANSWERS-A) Wound size is
increasing
B) Wound is producing purulent exudate
C) Blackened tissue is forming over wound
D) Reddened, warm skin is developing around wound
CORRECT ANSWERS: A, B, C, D. Eschar formation is dead tissue that suggests the
wound is nothealing. Infectious sx around the wound may also suggest the wound is not
improving, such as exudate that is purulent and red, warm skin. Granulation is
, suggestive of adequate wound healing and new tissue is forming so should not be a
concern
Prior to surgery, the provider orders bloodwork to assess the health of pt for post-op
concerns. What result should be addressed with the patient prior to surgery?
A) Hemoglobin: 14.2g/dL
B) WBC: 8.3mcL
C) A1c: 4.2%
D) Prealbumin: 2mg/dL - CORRECT ANSWERS-Correct answer: D. Factors that may
affect wound healing should be assessed in older patients including nutrition and
infection. Elevated blood glucose levels can affect healing so a BGL and Hgb A1c
should be assessed in all pts. Low levels of prealbumin and albumin may mean the pt is
malnourished which will affect wound healing.
The nurse suspects that an older person is at risk for elder mistreatment. Which finding
supports the nurse's conclusion?
A) The person is female
B) Retired schoolteacher
C) Volunteers at the library
D) Lives with adult children - CORRECT ANSWERS-A) The person is female
Rationale: Risk factors that increase the possibility of elder mistreatment include being
of the female gender. Employment, volunteer status, or living arrangements do not
increase the risk of elder mistreatment.
The charge nurse is concerned that nursing-assistive personnel (NAP) in a skilled
facility are prone to ne-glecting the needs of the residents. What statement did the
nurse hear one of the NAP make to come to this conclusion?
A) "Maybe I'll bring you some water, if you behave."
B) "I'll be back in a few minutes to take you to the din-ing room."
C) "Your daughter will be here at 10 am. How about a shower now to get ready?"
D) "Everyone's in the rec room watching the movie! Don't you want to see i - CORRECT
ANSWERS-A) "Maybe I'll bring you some water, if you behave."
Rationale: Threatening to withhold water un-less the person "behaves" can be a
precursor to neglect. The NAP should be counseled because of this statement.
Returning in a few minutes, helping a person get ready for family, and asking about
watching a movie are not indica-tions that the residents are experiencing neglect.
The manager of a skilled facility is concerned that residents are not receiving required
care and are experiencing neglect. Which information caused the manager to make this
assumption?
A) Pressure ulcer healing rate at 10%
B) Family members visiting more frequently
C) Resident sitting in urine-saturated clothing for hours
