Gerontological Nursing - 2026 Fall Prevention & Frailty:
Practice Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. A fracture liaison service:
A. Identifies patients with fragility fractures and ensures osteoporosis evaluation and treatment
B. Performs surgery
C. Provides home cleaning
D. Sells hip protectors
Correct Answer: A. Identifies patients with fragility fractures and ensures osteoporosis
evaluation and treatment
Rationale: Many patients are never treated after a fracture. Liaison services close the gap.
2. Chronic subdural hematoma in older adults may present:
A. Only immediately after trauma
B. With fever only
C. With chest pain
D. Weeks after a minor fall with gradual confusion, headache or gait changes
Correct Answer: D. Weeks after a minor fall with gradual confusion, headache or gait changes
Rationale: Brain atrophy stretches bridging veins. Symptoms may be mistaken for dementia.
3. Routine preoperative skin traction (Buck's traction) for hip fracture is:
A. Required for all patients
B. The definitive treatment
C. Not recommended because it does not improve pain or outcomes
D. Used for weeks before surgery
Correct Answer: C. Not recommended because it does not improve pain or outcomes
Rationale: Guidelines advise against routine traction. Analgesia and prompt surgery are
preferred.
,4. Management of a painful osteoporotic vertebral compression fracture includes:
A. Prolonged bed rest
B. Heavy lifting
C. Analgesia, early mobilization and osteoporosis treatment
D. No treatment
Correct Answer: C. Analgesia, early mobilization and osteoporosis treatment
Rationale: Bed rest causes deconditioning. Vertebroplasty is not routinely recommended.
5. For a hip fracture patient taking a direct oral anticoagulant, surgery should:
A. Be delayed for 2 weeks
B. Proceed promptly with timing based on the drug and kidney function, rather than long delays
C. Be cancelled
D. Proceed without considering the drug
Correct Answer: B. Proceed promptly with timing based on the drug and kidney function,
rather than long delays
Rationale: Long delays increase complications. Reversal agents may be used when needed.
6. Rehabilitation after a fall injury aims to:
A. Keep the patient in bed
B. Avoid all activity
C. Increase dependence
D. Restore function, strength, balance and confidence
Correct Answer: D. Restore function, strength, balance and confidence
Rationale: Physical and occupational therapy are central. Goals reflect the patient's priorities.
,7. Concussion symptoms in older adults after a fall may include:
A. Headache, dizziness, confusion and sleep changes that can be mistaken for aging
B. Improved memory
C. Weight loss only
D. Rash
Correct Answer: A. Headache, dizziness, confusion and sleep changes that can be mistaken for
aging
Rationale: Symptoms may be subtle. Follow-up and rest guidance are needed.
8. Rhabdomyolysis may cause urine that is:
A. Clear
B. Bright green
C. Foamy white
D. Dark, tea- or cola-colored
Correct Answer: D. Dark, tea- or cola-colored
Rationale: Myoglobin colors the urine. It indicates possible kidney risk.
9. A capillary blood glucose check after a fall in an older adult with diabetes helps:
A. Measure bone density
B. Identify hypoglycemia as a cause of the fall
C. Detect fracture
D. Assess hearing
Correct Answer: B. Identify hypoglycemia as a cause of the fall
Rationale: Hypoglycemia can cause confusion and falls. Treating it prevents recurrence.
, 10. Hip fracture surgery in older adults is ideally performed within:
A. 2 weeks
B. 1 month
C. 24 to 48 hours of admission
D. 6 months
Correct Answer: C. 24 to 48 hours of admission
Rationale: Early surgery reduces complications and mortality. Delays should be minimized.
11. After a cast for a distal radius fracture, the nurse should monitor:
A. Only pain
B. Circulation, sensation, movement and swelling of the fingers
C. Only skin color of the face
D. Hearing
Correct Answer: B. Circulation, sensation, movement and swelling of the fingers
Rationale: Neurovascular compromise is an emergency. Elevation reduces swelling.
12. Mobilization after hip fracture surgery should begin:
A. After 2 weeks
B. On the day of or day after surgery when possible
C. After 6 weeks
D. Never
Correct Answer: B. On the day of or day after surgery when possible
Rationale: Early mobilization prevents complications. Weight bearing as tolerated is usually
allowed.
Practice Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. A fracture liaison service:
A. Identifies patients with fragility fractures and ensures osteoporosis evaluation and treatment
B. Performs surgery
C. Provides home cleaning
D. Sells hip protectors
Correct Answer: A. Identifies patients with fragility fractures and ensures osteoporosis
evaluation and treatment
Rationale: Many patients are never treated after a fracture. Liaison services close the gap.
2. Chronic subdural hematoma in older adults may present:
A. Only immediately after trauma
B. With fever only
C. With chest pain
D. Weeks after a minor fall with gradual confusion, headache or gait changes
Correct Answer: D. Weeks after a minor fall with gradual confusion, headache or gait changes
Rationale: Brain atrophy stretches bridging veins. Symptoms may be mistaken for dementia.
3. Routine preoperative skin traction (Buck's traction) for hip fracture is:
A. Required for all patients
B. The definitive treatment
C. Not recommended because it does not improve pain or outcomes
D. Used for weeks before surgery
Correct Answer: C. Not recommended because it does not improve pain or outcomes
Rationale: Guidelines advise against routine traction. Analgesia and prompt surgery are
preferred.
,4. Management of a painful osteoporotic vertebral compression fracture includes:
A. Prolonged bed rest
B. Heavy lifting
C. Analgesia, early mobilization and osteoporosis treatment
D. No treatment
Correct Answer: C. Analgesia, early mobilization and osteoporosis treatment
Rationale: Bed rest causes deconditioning. Vertebroplasty is not routinely recommended.
5. For a hip fracture patient taking a direct oral anticoagulant, surgery should:
A. Be delayed for 2 weeks
B. Proceed promptly with timing based on the drug and kidney function, rather than long delays
C. Be cancelled
D. Proceed without considering the drug
Correct Answer: B. Proceed promptly with timing based on the drug and kidney function,
rather than long delays
Rationale: Long delays increase complications. Reversal agents may be used when needed.
6. Rehabilitation after a fall injury aims to:
A. Keep the patient in bed
B. Avoid all activity
C. Increase dependence
D. Restore function, strength, balance and confidence
Correct Answer: D. Restore function, strength, balance and confidence
Rationale: Physical and occupational therapy are central. Goals reflect the patient's priorities.
,7. Concussion symptoms in older adults after a fall may include:
A. Headache, dizziness, confusion and sleep changes that can be mistaken for aging
B. Improved memory
C. Weight loss only
D. Rash
Correct Answer: A. Headache, dizziness, confusion and sleep changes that can be mistaken for
aging
Rationale: Symptoms may be subtle. Follow-up and rest guidance are needed.
8. Rhabdomyolysis may cause urine that is:
A. Clear
B. Bright green
C. Foamy white
D. Dark, tea- or cola-colored
Correct Answer: D. Dark, tea- or cola-colored
Rationale: Myoglobin colors the urine. It indicates possible kidney risk.
9. A capillary blood glucose check after a fall in an older adult with diabetes helps:
A. Measure bone density
B. Identify hypoglycemia as a cause of the fall
C. Detect fracture
D. Assess hearing
Correct Answer: B. Identify hypoglycemia as a cause of the fall
Rationale: Hypoglycemia can cause confusion and falls. Treating it prevents recurrence.
, 10. Hip fracture surgery in older adults is ideally performed within:
A. 2 weeks
B. 1 month
C. 24 to 48 hours of admission
D. 6 months
Correct Answer: C. 24 to 48 hours of admission
Rationale: Early surgery reduces complications and mortality. Delays should be minimized.
11. After a cast for a distal radius fracture, the nurse should monitor:
A. Only pain
B. Circulation, sensation, movement and swelling of the fingers
C. Only skin color of the face
D. Hearing
Correct Answer: B. Circulation, sensation, movement and swelling of the fingers
Rationale: Neurovascular compromise is an emergency. Elevation reduces swelling.
12. Mobilization after hip fracture surgery should begin:
A. After 2 weeks
B. On the day of or day after surgery when possible
C. After 6 weeks
D. Never
Correct Answer: B. On the day of or day after surgery when possible
Rationale: Early mobilization prevents complications. Weight bearing as tolerated is usually
allowed.
