NU 217
Gerontological Nursing
Final Exam Review (Qns & Ans)
2025
1. Which of the following is a common age-related change in the
cardiovascular system?
- A) Increased cardiac output
- B) Decreased arterial stiffness
- C) Increased blood pressure variability
- D) Decreased heart rate
- Correct ANS: C
©2025
, - Rationale: Aging is associated with increased blood
pressure variability due to changes in arterial compliance and
autonomic regulation.
2. What is the primary goal of gerontological nursing?
- A) Cure chronic diseases
- B) Promote independence and quality of life
- C) Provide palliative care
- D) Reduce healthcare costs
- Correct ANS: B
- Rationale: The primary goal of gerontological nursing is to
promote independence and enhance the quality of life for older
adults.
3. Which of the following interventions is most appropriate for
managing chronic pain in older adults?
- A) High-dose opioids
- B) Non-pharmacological therapies
- C) Long-term use of NSAIDs
- D) Frequent use of sedatives
- Correct ANS: B
©2025
, - Rationale: Non-pharmacological therapies, such as physical
therapy and cognitive-behavioral therapy, are effective and have
fewer side effects compared to pharmacological treatments.
4. Which cognitive change is most commonly associated with
normal aging?
- A) Severe memory loss
- B) Decreased processing speed
- C) Loss of language skills
- D) Hallucinations
- Correct ANS: B
- Rationale: Normal aging is often associated with a decrease
in processing speed, while severe memory loss and hallucinations
are more indicative of pathological conditions.
5. What is the most common cause of falls in older adults?
- A) Visual impairment
- B) Muscle weakness
- C) Environmental hazards
- D) Medication side effects
- Correct ANS: B
©2025
, - Rationale: Muscle weakness is a significant risk factor for
falls in older adults, often exacerbated by other factors such as
medication side effects and environmental hazards.
Fill-in-the-Blank Questions
6. The primary neurotransmitter involved in Alzheimer's disease
is __________.
- Correct ANS: Acetylcholine
- Rationale: Acetylcholine is a neurotransmitter that is
significantly reduced in individuals with Alzheimer's disease,
leading to cognitive decline.
7. The process of adjusting medication dosages for older adults
to avoid adverse effects is known as __________.
- Correct ANS: Deprescribing
- Rationale: Deprescribing involves the careful reduction or
discontinuation of medications to minimize adverse effects and
improve outcomes in older adults.
8. The most common type of incontinence in older women is
__________ incontinence.
- Correct ANS: Stress
©2025
Gerontological Nursing
Final Exam Review (Qns & Ans)
2025
1. Which of the following is a common age-related change in the
cardiovascular system?
- A) Increased cardiac output
- B) Decreased arterial stiffness
- C) Increased blood pressure variability
- D) Decreased heart rate
- Correct ANS: C
©2025
, - Rationale: Aging is associated with increased blood
pressure variability due to changes in arterial compliance and
autonomic regulation.
2. What is the primary goal of gerontological nursing?
- A) Cure chronic diseases
- B) Promote independence and quality of life
- C) Provide palliative care
- D) Reduce healthcare costs
- Correct ANS: B
- Rationale: The primary goal of gerontological nursing is to
promote independence and enhance the quality of life for older
adults.
3. Which of the following interventions is most appropriate for
managing chronic pain in older adults?
- A) High-dose opioids
- B) Non-pharmacological therapies
- C) Long-term use of NSAIDs
- D) Frequent use of sedatives
- Correct ANS: B
©2025
, - Rationale: Non-pharmacological therapies, such as physical
therapy and cognitive-behavioral therapy, are effective and have
fewer side effects compared to pharmacological treatments.
4. Which cognitive change is most commonly associated with
normal aging?
- A) Severe memory loss
- B) Decreased processing speed
- C) Loss of language skills
- D) Hallucinations
- Correct ANS: B
- Rationale: Normal aging is often associated with a decrease
in processing speed, while severe memory loss and hallucinations
are more indicative of pathological conditions.
5. What is the most common cause of falls in older adults?
- A) Visual impairment
- B) Muscle weakness
- C) Environmental hazards
- D) Medication side effects
- Correct ANS: B
©2025
, - Rationale: Muscle weakness is a significant risk factor for
falls in older adults, often exacerbated by other factors such as
medication side effects and environmental hazards.
Fill-in-the-Blank Questions
6. The primary neurotransmitter involved in Alzheimer's disease
is __________.
- Correct ANS: Acetylcholine
- Rationale: Acetylcholine is a neurotransmitter that is
significantly reduced in individuals with Alzheimer's disease,
leading to cognitive decline.
7. The process of adjusting medication dosages for older adults
to avoid adverse effects is known as __________.
- Correct ANS: Deprescribing
- Rationale: Deprescribing involves the careful reduction or
discontinuation of medications to minimize adverse effects and
improve outcomes in older adults.
8. The most common type of incontinence in older women is
__________ incontinence.
- Correct ANS: Stress
©2025