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NUR2214 Quiz 2 2024/2025 –
Nursing Care of the Older
Adult | Rasmussen | Verified
Questions with Full Review
1. What is the priority nursing intervention when assessing an older adult for fall risk?
A. Encourage daily exercise
B. Conduct a home safety assessment
C. Administer pain medication
D. Increase fluid intake
Correct Answer: B (Conduct a home safety assessment)
Rationale: Older adults are at high risk for falls due to age-related changes; a home
safety assessment identifies hazards like loose rugs or poor lighting to prevent falls.
Eliopoulos, Gerontological Nursing, 10th ed., Ch. 14.
2. Which age-related change affects medication metabolism in older adults?
A. Increased liver function
B. Decreased renal clearance
C. Enhanced gastric motility
D. Increased cardiac output
Correct Answer: B (Decreased renal clearance)
Rationale: Decreased renal clearance in older adults slows drug excretion, increasing the
risk of toxicity, requiring dose adjustments. Eliopoulos, Gerontological Nursing, 10th
ed., Ch. 10.
3. A 78-year-old patient reports difficulty hearing high-pitched sounds. This is
indicative of which condition?
A. Presbycusis
B. Presbyopia
C. Tinnitus
D. Otitis media
Correct Answer: A (Presbycusis)
Rationale: Presbycusis, age-related hearing loss, affects high-pitched sound perception,
common in older adults. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 12.
4. What is the best approach to communicate with an older adult with hearing loss?
A. Speak loudly and rapidly
B. Face the patient and speak clearly
C. Use written notes only
D. Avoid eye contact
Correct Answer: B (Face the patient and speak clearly)
, 2
Rationale: Facing the patient and speaking clearly at a moderate pace enhances
communication by allowing lip-reading and reducing background noise interference.
Eliopoulos, Gerontological Nursing, 10th ed., Ch. 12.
5. Which tool is used to screen for cognitive impairment in older adults?
A. PHQ-9
B. Mini-Mental State Examination (MMSE)
C. Morse Fall Scale
D. Braden Scale
Correct Answer: B (Mini-Mental State Examination (MMSE))
Rationale: The MMSE assesses cognitive function, including memory and orientation, to
screen for dementia or delirium in older adults. Eliopoulos, Gerontological Nursing, 10th
ed., Ch. 15.
6. An older adult reports constipation. What is the priority nursing intervention?
A. Administer a laxative immediately
B. Assess dietary fiber intake
C. Restrict fluid intake
D. Encourage bed rest
Correct Answer: B (Assess dietary fiber intake)
Rationale: Constipation in older adults is often related to low fiber intake; assessing diet
guides non-pharmacologic interventions to promote bowel function. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 18.
7. Which age-related change increases the risk of pressure injuries in older adults?
A. Increased skin elasticity
B. Thinning of the epidermis
C. Enhanced subcutaneous fat
D. Improved wound healing
Correct Answer: B (Thinning of the epidermis)
Rationale: Thinning of the epidermis in older adults reduces skin integrity, increasing
susceptibility to pressure injuries. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 13.
8. What is the primary goal of nursing care for an older adult with dementia?
A. Cure the condition
B. Promote safety and comfort
C. Encourage independent living
D. Administer sedatives routinely
Correct Answer: B (Promote safety and comfort)
Rationale: Dementia is progressive and incurable; nursing care focuses on ensuring
safety and comfort through environmental modifications and support. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 15.
9. A 70-year-old patient has a Braden Scale score of 12. What does this indicate?
A. Low risk for pressure injuries
B. High risk for pressure injuries
C. No risk for falls
D. Moderate risk for malnutrition
Correct Answer: B (High risk for pressure injuries)
Rationale: A Braden Scale score of 12 indicates high risk for pressure injuries, requiring
NUR2214 Quiz 2 2024/2025 –
Nursing Care of the Older
Adult | Rasmussen | Verified
Questions with Full Review
1. What is the priority nursing intervention when assessing an older adult for fall risk?
A. Encourage daily exercise
B. Conduct a home safety assessment
C. Administer pain medication
D. Increase fluid intake
Correct Answer: B (Conduct a home safety assessment)
Rationale: Older adults are at high risk for falls due to age-related changes; a home
safety assessment identifies hazards like loose rugs or poor lighting to prevent falls.
Eliopoulos, Gerontological Nursing, 10th ed., Ch. 14.
2. Which age-related change affects medication metabolism in older adults?
A. Increased liver function
B. Decreased renal clearance
C. Enhanced gastric motility
D. Increased cardiac output
Correct Answer: B (Decreased renal clearance)
Rationale: Decreased renal clearance in older adults slows drug excretion, increasing the
risk of toxicity, requiring dose adjustments. Eliopoulos, Gerontological Nursing, 10th
ed., Ch. 10.
3. A 78-year-old patient reports difficulty hearing high-pitched sounds. This is
indicative of which condition?
A. Presbycusis
B. Presbyopia
C. Tinnitus
D. Otitis media
Correct Answer: A (Presbycusis)
Rationale: Presbycusis, age-related hearing loss, affects high-pitched sound perception,
common in older adults. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 12.
4. What is the best approach to communicate with an older adult with hearing loss?
A. Speak loudly and rapidly
B. Face the patient and speak clearly
C. Use written notes only
D. Avoid eye contact
Correct Answer: B (Face the patient and speak clearly)
, 2
Rationale: Facing the patient and speaking clearly at a moderate pace enhances
communication by allowing lip-reading and reducing background noise interference.
Eliopoulos, Gerontological Nursing, 10th ed., Ch. 12.
5. Which tool is used to screen for cognitive impairment in older adults?
A. PHQ-9
B. Mini-Mental State Examination (MMSE)
C. Morse Fall Scale
D. Braden Scale
Correct Answer: B (Mini-Mental State Examination (MMSE))
Rationale: The MMSE assesses cognitive function, including memory and orientation, to
screen for dementia or delirium in older adults. Eliopoulos, Gerontological Nursing, 10th
ed., Ch. 15.
6. An older adult reports constipation. What is the priority nursing intervention?
A. Administer a laxative immediately
B. Assess dietary fiber intake
C. Restrict fluid intake
D. Encourage bed rest
Correct Answer: B (Assess dietary fiber intake)
Rationale: Constipation in older adults is often related to low fiber intake; assessing diet
guides non-pharmacologic interventions to promote bowel function. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 18.
7. Which age-related change increases the risk of pressure injuries in older adults?
A. Increased skin elasticity
B. Thinning of the epidermis
C. Enhanced subcutaneous fat
D. Improved wound healing
Correct Answer: B (Thinning of the epidermis)
Rationale: Thinning of the epidermis in older adults reduces skin integrity, increasing
susceptibility to pressure injuries. Eliopoulos, Gerontological Nursing, 10th ed., Ch. 13.
8. What is the primary goal of nursing care for an older adult with dementia?
A. Cure the condition
B. Promote safety and comfort
C. Encourage independent living
D. Administer sedatives routinely
Correct Answer: B (Promote safety and comfort)
Rationale: Dementia is progressive and incurable; nursing care focuses on ensuring
safety and comfort through environmental modifications and support. Eliopoulos,
Gerontological Nursing, 10th ed., Ch. 15.
9. A 70-year-old patient has a Braden Scale score of 12. What does this indicate?
A. Low risk for pressure injuries
B. High risk for pressure injuries
C. No risk for falls
D. Moderate risk for malnutrition
Correct Answer: B (High risk for pressure injuries)
Rationale: A Braden Scale score of 12 indicates high risk for pressure injuries, requiring
