ANCC GERONTOLOGICAL NURSING FINAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
In assessing the aging patient, it is importnat for the nurse to recognize? CORRECT
ANSWER>> CORRECT ANSWER>>
a) The patient's ability to perform ADLs
b) The financial status of the patient
c) The job that the patient held prior to aging
d) All components of well-being, including biological function, psychological
function, and social function - D
Medications, slower mobility, lack of proper fluid intake, and poor diet can
contribute to what common symptom in the elder population? CORRECT
ANSWER>>
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - A
The nurse assessing the older population needs to have a basic understanding of
which of the following? CORRECT ANSWER>>
a) The economic status of the area
b) The difference between normal and abnormal for the older age group
c) The signs of sexual dysfunction
d) The signs of cardiac disease - B
Which statement would be most appropriate to ask when assessing an aging adult
for cognitive function? CORRECT ANSWER>>
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the past
few months?
,d) Who is the president of the United States? - C
,Which disease or ailment is often under diagnosed and undertreated in the aging
population? CORRECT ANSWER>>
a) Schizpphrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - B
Which statement demonstrates normal cognitive function for an aging adult?
CORRECT ANSWER>>
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - A
Denmentia and depression are strongly related to? CORRECT ANSWER>>
a) Clients over the age of 60
b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - C
Which statement reflects the state of drug absorption in the geriatric patient?
CORRECT ANSWER>>
a) The rate of absorption is slowed
b) The rate of absorption is faster due to thinning of the mucosa
c) The percentage of the medication that is absorbed is decreased
d) There is a decrease in gastric pH as we age - A
The absorption of medication in the geriatric patient is most often affected by?
CORRECT ANSWER>>
a) A decrease in body fat
b) An increase in serun albumin
c) A decrease in body water and lean body weight
d) An increase in body water - C
Which organ is responsible for drug metabolism and must be considered when
prescribing medicaiton for an older adult? CORRECT ANSWER>>
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - D
, An older adult on digoxin and furosemide is showing signs of toxicity. The
gerontology nurse understands that? CORRECT ANSWER>>
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need
to be decreased due to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose
changes would be ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is
needed
d) How a drug is excreted is not a consideration when dosing an older adult - A
Which statement is true regarding adverse drug reactions (ADRs) in older adults?
CORRECT ANSWER>>
a) The rate of ADRs in geriatric patients is seven times that of younger adults
and poses serious health problems
b) Older adults rarely have adverse reactions to prescribed medications becuase
they are monitored
c) Adverse reactions are minimal in older adults and require no intervention
d) Only about 1% of older adults require hospitalization for ADRs - A
Which substance(s) show changes through aging by becoming less pliable and
stiffer? CORRECT ANSWER>>
a) Lipofuscin
b) Collagen and elastin
c) Epithelial tissue
d) Cytoplasm - B
Which factor is NOT a normal part of aging and needs to be addressed to promote
nutrition in the older adult patient? CORRECT ANSWER>>
a) Loss of teeth
b) Increase in gastric pH
c) Xerostoma or dry mouth
d) Decline in basal metabolic rate - C
An 80-year-old female asks the nurse about over-the-counter vitamin
supplements. The most appropriate advice would include? CORRECT ANSWER>>
a) No vitamin supplements are needed with a balanced diet
b) Any multivitamin will do
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
In assessing the aging patient, it is importnat for the nurse to recognize? CORRECT
ANSWER>> CORRECT ANSWER>>
a) The patient's ability to perform ADLs
b) The financial status of the patient
c) The job that the patient held prior to aging
d) All components of well-being, including biological function, psychological
function, and social function - D
Medications, slower mobility, lack of proper fluid intake, and poor diet can
contribute to what common symptom in the elder population? CORRECT
ANSWER>>
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - A
The nurse assessing the older population needs to have a basic understanding of
which of the following? CORRECT ANSWER>>
a) The economic status of the area
b) The difference between normal and abnormal for the older age group
c) The signs of sexual dysfunction
d) The signs of cardiac disease - B
Which statement would be most appropriate to ask when assessing an aging adult
for cognitive function? CORRECT ANSWER>>
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the past
few months?
,d) Who is the president of the United States? - C
,Which disease or ailment is often under diagnosed and undertreated in the aging
population? CORRECT ANSWER>>
a) Schizpphrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - B
Which statement demonstrates normal cognitive function for an aging adult?
CORRECT ANSWER>>
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - A
Denmentia and depression are strongly related to? CORRECT ANSWER>>
a) Clients over the age of 60
b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - C
Which statement reflects the state of drug absorption in the geriatric patient?
CORRECT ANSWER>>
a) The rate of absorption is slowed
b) The rate of absorption is faster due to thinning of the mucosa
c) The percentage of the medication that is absorbed is decreased
d) There is a decrease in gastric pH as we age - A
The absorption of medication in the geriatric patient is most often affected by?
CORRECT ANSWER>>
a) A decrease in body fat
b) An increase in serun albumin
c) A decrease in body water and lean body weight
d) An increase in body water - C
Which organ is responsible for drug metabolism and must be considered when
prescribing medicaiton for an older adult? CORRECT ANSWER>>
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - D
, An older adult on digoxin and furosemide is showing signs of toxicity. The
gerontology nurse understands that? CORRECT ANSWER>>
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need
to be decreased due to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose
changes would be ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is
needed
d) How a drug is excreted is not a consideration when dosing an older adult - A
Which statement is true regarding adverse drug reactions (ADRs) in older adults?
CORRECT ANSWER>>
a) The rate of ADRs in geriatric patients is seven times that of younger adults
and poses serious health problems
b) Older adults rarely have adverse reactions to prescribed medications becuase
they are monitored
c) Adverse reactions are minimal in older adults and require no intervention
d) Only about 1% of older adults require hospitalization for ADRs - A
Which substance(s) show changes through aging by becoming less pliable and
stiffer? CORRECT ANSWER>>
a) Lipofuscin
b) Collagen and elastin
c) Epithelial tissue
d) Cytoplasm - B
Which factor is NOT a normal part of aging and needs to be addressed to promote
nutrition in the older adult patient? CORRECT ANSWER>>
a) Loss of teeth
b) Increase in gastric pH
c) Xerostoma or dry mouth
d) Decline in basal metabolic rate - C
An 80-year-old female asks the nurse about over-the-counter vitamin
supplements. The most appropriate advice would include? CORRECT ANSWER>>
a) No vitamin supplements are needed with a balanced diet
b) Any multivitamin will do
